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Treatments in the field of periodontics and periodontal microsurgery in the Dentopolis office are performed by Natalia Zawada, a dentist specializing in periodontology.

Treatments are performed under local anesthesia, using the most advanced techniques and tools for microsurgery.


The most frequently performed treatments in the field of periodontics:


Curettage is a procedure performed to clean the gingival pockets, which worsen in the case of periodontitis, the so-called periodontitis in the gap between the gum and the tooth. It is the medical procedure most commonly used in the treatment of periodontal disease. It consists in a very thorough removal of tartar from the pocket and cleaning the contaminated root cement, the presence of which causes inflammation. As a result, the disease resolves, wounds heal, and the weakened epithelial layer begins to rebuild. So that you do not feel any discomfort, the procedure is performed under local anesthesia:

Closed curettage – performed in the case of pockets up to 5 mm without exposing the root and making incisions;

Open curettage – used to clean deeper pockets; during the procedure, the gum is tilted or incised, which allows you to look inside the pocket and clean it thoroughly


Gingivectomy this is a procedure to remove overgrown gums. It allows you to restore the anatomically correct shape of the gums, it also eliminates deep pockets formed in the course of periodontitis. Gingivectomy is often accompanied by prosthetic and implantological work, as well as conservative restoration of the tooth. It happens that it is the last resort in the event of a fracture of the buccal or palatal walls of the molars or subgingival molars. As every procedure, however, it has its limitations, so the final decision about the possibility of performing the procedure is made by the doctor.

Periodontal regeneration (augmentation)

Periodontal regeneration is the surgical restoration of the lost or damaged structure of the bone tissues surrounding the tooth and its supporting tissues. The periodontal regeneration process takes about 6 months.

Regenerative treatments with Emdogain

the regenerative treatment rebuilds the supporting structures of the tooth damaged as a result of periodontitis in a way that imitates the biological processes occurring during the natural development of the dentition. During the procedure, a special preparation Emdogain is used, containing amelogeniny, proteins obtained from the teeth of piglets. These are substances analogous to those produced by the human body in the fetal phase during the natural process of tooth formation. These proteins are responsible for the formation of dental structures and tissues. The procedure itself is performed under local anesthesia. The periodontist detaches the gum flap and thoroughly cleans the subgingival surfaces of the tooth. Then, a special preparation (PrefGEL) is applied to remove the smear layer from the tooth surface. Finally, he applies EMDOGAIN gel and sutures the gum. The healing process following treatment is usually quick and uncomplicated. Regenerative processes start immediately after application of the preparation and usually last a year, in some cases even several years. The first assessment of the effectiveness of treatment is carried out six months after the procedure. Then, the depth of the periodontal pockets is examined, and after a period of 12 months, an X-ray of the treated area is taken. After treatment, regular contact with a periodontist is necessary. Regular follow-up visits allow us to establish individual procedures that depend on the patient’s predisposition and the course of regenerative processes. It is also necessary to take special care of oral hygiene and properly clean the interdental spaces.

Covering gingival recessions

Covering gingival recessions: a recession is the exposure of the necks and roots of the teeth. Recession is not only a cosmetic problem (the tooth on which the recession has arisen seems much longer than its neighbors), but also hypersensitivity to thermal and chemical stimuli (sour, sweet foods). The tooth is exposed to the formation of cavities, and in extreme cases, recession may even lead to pulpitis and, consequently, the need for endodontic treatment.

The reasons for the appearance of a gum recession:

  • incorrect tooth brushing (using too much force, which in turn leads to mechanical abrasion of the gums and the formation of a recession
  • insufficient hygiene and long-lasting inflammation around the tooth neck caused by the presence of bacterial plaque.
  • malocclusion,
  • poorly made fillings or prosthetic restorations,
  • dental plaque,
  • removal of adjacent teeth.
  • Iatrogenic factors: overhanging dental fillings, improperly made prosthetic crowns
  • anatomical factors: gum too thin and delicate, incorrect positioning of the teeth in the arch, too shallow mouth vestibule, incorrect attachment of the frenulum (lips, tongue and cheeks), alveolar bone atrophy
  • tooth functional overloads, such as bruxism (grinding) and clenching of the teeth.
  • orthodontic treatment causing vestibular displacement of teeth.

In the case of diagnosing advanced recessions, it is inevitable to perform a surgical procedure in the field of the so-called mucogingival surgery. Each patient case is considered individually and after analyzing all factors, the appropriate technique of the reconstructive microsurgical procedure is selected.

A connective tissue transplant to thicken the edentulous process

The procedure is usually performed before the prosthetic treatment of the teeth with a bridge. After the loss of a tooth, the bone and the gum with it, disappear. This causes not only aesthetic defects (very high crown, disturbance of the gingival garland, sensitively sunken gums), but also problems with cleaning or phonetics.

The connective tissue for gum thickening is collected from the palate. The procedure is performed under local anesthesia.

Treatment of perimplantitis

Periimplantitis – i.e. inflammation of the tissues around the implant – has many features in common with inflammation of the tissues around the tooth (periodontitis), but its treatment is much more complicated.

Periimplantitis can cause implant loss.

The main causes of peri-implant inflammation are: poor oral hygiene, occlusion disorders, general diseases affecting the healing process (e.g. diabetes), genetic factors, smoking, and inflammation around your own teeth (periodontal disease can spread through cross-contamination to tissues directly adjacent to the implant).

Symptoms of peri-implant inflammation are:

– pain, swelling and redness in the tissues around the implant

– purulent exudate from the pocket around the implant,

– implant mobility,

– radiological changes,

– sometimes there are also mucosa growths or exposed bone graft.

Make an appointment:
503 190 337
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