In the normal course of life, diseases of and around the tooth can occur for various reasons. If the tissue around the tooth (periodontium) becomes diseased, this is called periodontitis (or periodontosis). If you take action early enough, you can stop the progress of the disease and prevent the loss of teeth.
Periodontal disease, in the tissue in which the tooth is anchored, can usually be detected early from bleeding of the gums. Apart from this bleeding, almost the entire course of the disease is painless. In the long term, this disease can become a serious problem as progressive tooth loosening and inflammation eventually leads to tooth loss.
Studies show that this constant bacterial load has enormous effects on the health of the whole body. Periodontitis is often associated with serious diseases such as heart disease, rheumatism or diabetes.
How does periodontitis develop?
Bacterial plaque inflames the gums around the teeth. The otherwise firm seal of the gums on the jawbone thus becomes vulnerable to bacteria. This becomes visible through a susceptibility to bleeding, for example when flossing or brushing teeth. Bacteria can now penetrate along the tooth and deep down. As a result, the tooth supporting bone and the gums recede. The teeth thus appear “longer” and start to wobble due to the lack of surrounding bone and are eventually lost.
Untreated periodontitis progresses slowly, the teeth loosen and are finally lost.
More than 60% of the adult population suffers from “periodontitis”. It is after all the second most common human disease. Unfortunately, this disease is still rarely diagnosed and effectively treated in time.
1. Initial examination and dental hygiene
As with any treatment, a detailed consultation needs to take place before each treatment. We spend a lot of time together with you getting an exact picture of the current condition of your teeth, gums and jaw bones. This is followed by joint treatment planning. Our extensive experience, together with modern imaging techniques, ensures the best possible pre-planning of systematic periodontosis/periodontitis therapy. As well as x-rays, high-quality images and an impression of your teeth usually form the basis for planning. In a separate dental hygiene session, we analyse any particular weak points needing care. We take bacterial samples from different mouth areas and send them to a specialist laboratory for DNA analysis in order to precisely match the planned treatment to the bacteria causing the problems and so achieve a more consistent treatment result.
2. Removal of teeth damaged beyond repair and provision of temporary dentures
If some teeth cannot be preserved permanently due the bacterial infestation being too deep, we remove these at the beginning of the systematic treatment of periodontitis. A temporary denture that has already been made during previous planning is inserted straight away at this point, so that the missing teeth are not noticeably visible. You wear this as a temporary measure until you get your final prosthesis (crowns/bridges/implants).
3. Deep periodontium treatment in one session
On the day of treatment, you receive the antibiotic medication determined during the analysis which aims to fight the bacteria. After careful anaesthesia, each tooth is individually freed of bacterial deposits, known as concrements, from the gums down to the depth of the root. Curettes and special ultrasonic technology are used here. The procedure follows the concept known as “Full Mouth Disinfection” (FMD) and is the treatment of all teeth in one session. This prevents any bacteria that may remain in untreated areas during treatment over several sessions from re-infecting the areas already treated, which could jeopardise the success of treatment.
4. Follow-up and recovery
The success of the treatment is checked two weeks after the gums have been treated, tooth pocket depths measured and preparations made for restoring the lost teeth. New roots and teeth can now be inserted. Crowns, bridges and dental implants are used here. This is particularly important because this is the only way to evenly distribute the chewing pressure on all the teeth as rows of teeth need to be closed to best withstand the stresses of everyday life. The remaining treated teeth require particularly good care. Regular professional dental hygiene is important here to help you keep the areas that you cannot reach at home properly clean. Regular follow-up appointments and checks help to detect any new bacterial infestation or damage at an early stage and to take appropriate measures in good time. This way you can return to having permanently beautiful and healthy teeth with the quality of life that these can bring. Thanks to the possibilities offered by modern dentistry, you can laugh, speak, chew and enjoy total wellbeing. We would be happy to help you on your journey.
So, what if teeth have been lost or had to be removed due to periodontitis?
If the periodontium with the jaw bone has broken down due to inflammation, the hold that the roots have on the teeth is lost and the teeth begin to wobble. This results in tooth loss. This disease often spreads to the entire set of teeth, so even teeth that still seem to have a firm hold can already show a significant loss of bone. As part of the systematic treatment of periodontitis, individual, irreversibly weakened and loose teeth often have to be removed. These can later be replaced by artificial tooth roots, known as dental implants. These implants provide a firm foundation for the later set of replants as support pillars that are stable and intergrown with the bone – because crowns and bridges are subsequently inserted exactly like the real teeth in order to restore the former appearance and chewing function of your teeth – anchored on the remaining teeth and also on the implants that have been inserted. These implants firmly attached to the bone are important for stabilisation, as otherwise the individual remaining teeth can often be overwhelmed again with this disease. Below we show you various situations in which the use of dental implants can help.
Single tooth implant with dental crown
A single tooth gap can be effectively closed with the help of an implant. This removes the need to file the supporting adjacent teeth, which is necessary for a conventional bridge. Implants are long-lasting and look completely natural.
Single tooth crown on damaged tooth
A crown is necessary if a tooth can no longer be repaired with a filling or an inlay due to severe damage, but still needs to be preserved. It improves stability and forms a protective cap around the tooth. It can also be used to aesthetically improve unattractive teeth. Before a tooth is covered with an artificial crown, it is filed to size. After the tooth has been prepared in this way, a perfectly fitting crown is made in the laboratory. During this time, the tooth stump is protected by a temporary crown made of tooth-coloured plastic. In the second treatment step, the finished dental crown is permanently bonded to the tooth using a special adhesive.
Dental bridge on implants or damaged residual teeth
If teeth are severely damaged on the outside, they can be filed on the outside, reduced in size and then capped with what is known as a tooth crown. These crowns can have one or more teeth between them. Dentists call this a “bridge”. If the teeth are so badly damaged that they have to be removed, implants can carry this bridge as artificial tooth roots. Visually, they look completely natural and you can eat solids, chew and speak freely and laugh again.
Dentures securely fixed onto implants
Completely redesigned teeth – bright, sturdy and durably anchored to fixed dental implants. This comprehensive solution is used e.g. for severely damaged residual teeth or complete loss of teeth. Here dental implants serve as artificial tooth roots and look completely natural. The artificial teeth placed on top are made of ceramic and can hardly be distinguished from real teeth. Patients can chew, speak and bite firmly again just as if they had their real and natural teeth.
Removable prosthesis on implants
In many cases, a removable prosthesis is a cost-effective but good solution. It is anchored onto fixed dental implants with a simple click. It is significantly more comfortable to wear and can lead to greater confidence with chewing, laughing and speaking. The prosthesis can still be removed for cleaning and care. Later, such a solution can be extended with 2-4 implants up to fixed dentures (up to around 6 implants per jaw, see above).
The new tooth roots (implants) are implanted into the jawbone under local anaesthesia.
Detailed initial examination
This gives an exact diagnosis and a description of possible dental diseases in terms you can understand.
Necessary treatments and their alternatives will be discussed, taking as much time as needed.
You are always informed before costs are incurred. As a rule, a cost estimate will be prepared free of charge and contains a fixed and binding schedule of all expected costs.
Dentistry from a single source
Our team will be with you every step of the way, even for complex treatments and dental restorations. You can have complete trust in their expertise.
High-tech and up-to-date materials
Digital X-rays, 3D jaw imaging and computer-controlled and manufactured dental prostheses made of modern biocompatible ceramics.
Long-term dental hygiene
All of our treatments are designed for longevity and long-term dental health.
Safety through experience
Our team’s extensive experience offers you a high level of treatment safety, especially in complex renovations and reconstructions.
Aftercare and guarantee
We offer an aftercare programme in which you can participate to ensure long-term treatment success. This includes our long-term dental prosthesis guarantee.