Treatment of chronic gingivitis and chronic complicated periodontitis. Periodontal treatment deals with problems related to the gums and the tissues that support the teeth. Symptoms such as bleeding when brushing, swollen gums, bad breath, gum recession or tooth mobility may need a dental assessment.
Early diagnosis is important, as periodontal problems can progress gradually without severe pain. The treatment approach depends on the severity of the case and may include cleaning, deeper removal of bacterial deposits, oral hygiene instructions and regular re-examination. The patient is informed in detail about the condition of their gums and about the steps needed to maintain periodontal health.
How the gums are treated, step by step
We start with an examination of the gums, measurement of the depth of the pockets and X-rays. This is followed by information about the diagnosis, hygiene instructions and scaling, i.e. removal of tartar and plaque. In periodontitis, deeper cleaning (root planing) removes the deposits beneath the gums and smooths the roots. A re-evaluation takes place after a few weeks.
When it is indicated
- bleeding when brushing,
- swollen, red or tender gums,
- persistent bad breath,
- gum recession,
- tooth mobility or gaps that appear between them.
Periodontal disease can progress without pain, so a check-up is worthwhile even when there are no marked symptoms.
Gingivitis and periodontitis
Gingivitis is a reversible inflammation of the gums and is usually controlled with professional cleaning and proper hygiene. Periodontitis also affects the bone and supporting tissues; treatment aims to stop its progression and preserve the teeth.
Duration and recovery
Cleaning is often done in sections, with local anaesthesia when needed. Afterwards, mild sensitivity and slight bleeding for a few days are normal. Gentle brushing, soft foods for a few hours and mouthwashes the dentist may recommend help.
Risk factors
Besides hygiene, smoking, diabetes mellitus, stress, certain medications, hormonal changes and a hereditary predisposition play a role. This is why treatment is adapted to your history and not only to the condition of your gums.
When cleaning is not enough
If deep pockets remain after the re-evaluation, additional treatment may be needed, including a minor periodontal surgical approach in selected cases. The decision is made together with you, with clear information on what to expect and what is ruled out.
What to expect from the treatment
The aim is to bring the inflammation under control, reduce bleeding and bad breath and stabilise the condition of the gums and bone. Bone loss from periodontitis does not recover on its own, which is why early diagnosis matters greatly. The patient is informed in detail about the condition of their gums and the steps needed to maintain periodontal health.
Maintenance and care
Periodontitis is a chronic disease that is controlled with continuous care. After treatment, regular periodontal maintenance appointments follow, at a frequency set by the dentist, while at home daily cleaning, including between the teeth, is needed. Smoking and diabetes affect its course, so they are discussed. For a check-up in Thessaloniki, book an appointment at our practice.
