Dental knowledge: initial therapy in periodontology

Gentler therapies make it possible to clean deep periodontal pockets.

Classic, gentle periodontal therapy for gum disease: first, in the preliminary treatment, the periodontal pockets and root surfaces are cleaned thoroughly under local anaesthetic. Special instruments – ultrasonic scalers, for example – remove the hard deposits clinging to the roots deep below the gum, and the roots are smoothed (curettage). Closed or open curettage is generally paid for by statutory health insurance.

Gentler methods, often called minimally invasive, make it possible to clean deeper pockets too. These no longer have to be cut open in order to be cleaned. The first phase of periodontal treatment also removes hiding places for bacteria, such as overhanging crown margins or damaged fillings. The primary aim of the initial treatment is to remove the germs causing the disease. Teeth that are already markedly loose can if necessary be stabilised by joining them together with a splint on the back. The aim of this therapy is to reduce the periodontal pockets and restore a healthy bacterial flora.

Answered briefly

Frequently asked questions

What happens during curettage?

In curettage the periodontal pockets and root surfaces are cleaned thoroughly under local anaesthetic. With special instruments, ultrasonic scalers for example, the practitioner removes the hard deposits clinging to the roots deep below the gum and smooths the roots. Closed or open curettage is generally paid for by health insurance.

Do the gums have to be cut open to clean the pockets?

Not necessarily. Gentler methods, often called minimally invasive, make it possible to clean deeper periodontal pockets too without cutting them open. The aim of the treatment is to remove the germs causing the disease, to reduce the pockets and to restore a healthy bacterial flora.

What happens to teeth that are already loose?

Teeth that are already markedly loose can if necessary be stabilised by joining them together with a splint on the back. In addition, the first phase of treatment removes hiding places for bacteria, such as those created by overhanging crown margins or damaged fillings.