Surgical Parodontitis Treatment

Common Inflammation of the Gums

Parodontitis, or gum disease, is a bacterial infection of the periodontal apparatus that affects the gums and bone. Studies have shown that about 90% of adults in Germany suffer from gum disease. Paradontitis is the most common cause of tooth loss and can even increase the risk of diabetes, cardiovascular disease, and miscarriage.


Parodontitis Treatment

At an early stage of paradontitis, also known as gingivitis, plaque and tartar accumulate on the tooth. The high concentration of bacteria in both is harmful to the gums. When the hard and soft plaque is removed early enough, the harmful bacteria causing the inflammation are eliminated. If inflammation continues, so-called gingival (periodontal) pockets begin to form.

Reasons to get a surgical correction:

  • The gingival pockets have deepened.
  • There exists an unfavorable bone structure near the teeth in question.


To prepare for surgery, the inflammation is treated first. Only after the inflammation is completely healed can the excess gums be removed or the bone structure properly aligned. During the procedure, which is entirely painless whether you decide to use local or general anesthesia, deep gingival and intrabony pockets will be cleaned.


Bone Regeneration

If an advanced stage of paradontitis has already led to significant bone loss, there is a risk of tooth loss. We are able to counteract this development in many cases by rebuilding certain deficient areas of the tooth. For this we can either use the patient’s own bone tissue or an artificial bone substitute. Application of the protein Emdogain, for example, can facilitate the regeneration of the hard and soft tissue that has deteriorated.

Paradontitis Therapy

A healthy tooth requires not only healthy enamel and a healthy nerve in the root canal, but also a healthy bone and gums. The latter consists of tissue known as the periodontium. An inflammation of the periodontium is known as paradontitis, or gum disease. About 80% of the population, especially those over 40 years of age, suffers from gum disease, which often leads to tooth loss. This is caused by a buildup of bacteria and is worsened by smoking, stress, insufficient oral hygiene, and hormonal changes in the body such as those attributable to diabetes or pregnancy. Genetic factors are also known to play a decisive role.
Thorough oral hygiene and the avoidance of certain risk factors prevent the development of gum disease. Since the infection is painless, it is often detected at a later stage. Bleeding of the gums or the emergence of gingival pockets are the most crucial signs of gum disease. An infection of the periodontium leads to swelling and redness of the gums. The bone density of the affected area also begins to decrease. An X-ray image must be acquired to determine a diagnosis, whereas other, more conventional methods would only be able to observe the bone between the teeth. Comprehensive diagnostics are done with the aid of a 3-D photograph, or a DVT.

Treatment of periodontitis

A lasting gum disease treatment requires prolonged, impeccable dental hygiene. You can receive a professional tooth cleaning and information about dental hygiene from your regular dentist. Precise diagnostic analyses allow for an individual treatment plan to be developed for each toot
The treatment of lesser deficiencies in the gums can be executed with the use of a mechanical root cleaning method and a local disinfection (CHX chips). More serious afflictions like gingival pockets require, on the other hand, surgical correction. In this case, our office employs a laser disinfection method (with an Nd-Yag-Laser), along with the usual mechanical sanitization. The deteriorated bone, when thoroughly disinfected, can be regenerated using growth factors from the patient’s own blood, with so-called PRF growth factors, or with the use of animal-derived growth factors (e.g. EmdogainTM). For this so-called guided bone regeneration (GBR) procedure, the surgeon employs special plastic surgical techniques to restore the gums. In many cases, the palate at the roof of the mouth serves as a suitable source of transplant tissue.

Systematic Periodontal Treatment

A systematic periodontal treatment is comprised of several steps that aim to improve the preservation and functionality of the teeth. Depending on the symptoms at hand, the periodontal treatment is broken down into the following measures. Firstly, we carry out a thorough preliminary examination, analysis, and diagnosis discussed in a personal consultation regarding the preferred, individual treatment plan. During this consultation, we will discuss the necessary time frame and the anticipated cost of treatment. Then, preliminary treatments are carried out before the actual periodontal treatment. These pre-treatments are executed by qualified prophylaxis specialists. Should the cause of symptoms be an aggressive type of bacteria, further diagnostics using microbiological and genetic tests are performed.


After completion of the pre-treatment phase, the actual periodontal treatment is performed with local anesthesia. In the case of severe gum disease, a guided tissue regeneration (GTR) to restore the deteriorated tissue and a guided bone regeneration (GBR) to buildup decayed bone are highly recommended. Various treatment methods and substitute materials may be chosen according to the initial condition of the mouth. A rigorous and continuous after-treatment as part of a regular oral hygiene program is an essential factor in determining the success of the therapy. This is the only way to ensure long-lasting results and thus the lifelong preservation of your teeth.

Benefits of Periodontal Treatment

Gum disease therapy offers a wide variety of advantages:


  • It increases the overall lifespan of the teeth, dentures, and dental implants.
  • It protects you, your partner, and your children from tooth loss attributable to gum disease (pardontitis) by providing regular preventative care and qualified periodontal therapy.
  • It prevents redness and bleeding of the gums and the unpleasant breath attributable to gum disease.
  • It reduces the risk of stroke, heart attack, and miscarriage by killing harmful bacteria in the body.
  • You can enjoy the wellbeing impacted by your oral health and a sparkling smile of pearly whites and healthy gums.


Finally, the money you’ll save by preventing the need for the expensive treatment of other related health issues should not be underestimated.