Periodontology is the branch of dentistry with the mission to preserve both the tooth and implant tissues support (bone and gum).
We know that periodontal disease does not meet a homogeneous pattern. And therefore its existence may be higher or lower in different areas of the mouth in the same person.
Considered as a pandemic disease, it has multiple stages.
The simple fact that life expectancy has significantly increased in the twenty first century requires attention to detail with dental tissues and implant support in order to prolong the life of our teeth and / or dental implants.
This is a lost war in which we are obliged to fight many battles.
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Clinical signs such as bad breath, bleeding, volume change and staining of the gums reveal the presence of this disease in the mouth. Hence the need to go to a professional to preserve the good health of our supporting tissues.
Mobility, loss of gingival anatomy and the presence of increased interdental spaces and the appearance of the root of the tooth in the mouth warn of an already established disease.
We are warned of an already established malaise, which, if we do not properly remedy,by daily being strict in our oral hygene and frequently visiting our dentist, will only get worse. Losing our dentoalveolar harmony will jeoardise our health and imply both functional and aesthetic consequences.
It is preferable to have a healthy beautiful smile than a beautiful one.
Types of treatment
The types of treatments performed, stand out as resective, regenerative, and mucogingival plastic surgery types.
The resective treatment, is often the most feared by patients because of the many urban legends that exist. It is a type of treatment which as its name suggests is to remove the diseased tissue, reshape the underlying bone defects and dental anatomical defects, which impede or interfere in masticatory function and subsequent level of hygiene that all patients should have.
Regenerative periodontal treatments, fulfill the task of replacing lost tissue with gum grafts (connective, free or mixed gums), or by bone grafts in larger anatomical defects (particulates, blocks or mixed).
Periodontal maintenance treatments, are a key factor in prolonging the useful life of our dentition and therefore our oral health. Periodontal disease is a multifactorial disease and therefore has no cure as such. All treatments are palliative in nature and therefore the patient must assume their periodontal condition ill and not only be very strict in their daily oral hygiene but also maintenance checks scheduled by their physician.
Mucogingival plastic surgery
Mucogingival plastic surgery is a section that goes beyond the simple realization of grafts. Their function works by modeling through different techniques to achieve the most natural possible gingiva. It is in this section quoting Albert Einstein who said that we cannot be nature, but we can be like her.
Today the dental implant is the closest item to a tooth / molar prosthetic element.
It is a conservative treatment that does not require dental structures to carry out the rehabilitation of teeth / missing molars.
This item is extremely versatile and always conditioned by the type of prosthesis, the quantitative and qualitative availability of bone and gum. The possibilities are endless.
Planning an implant is subject to the aims of the prosthesis.
Notably in my endeavor that nothing is eternal, not even life itself, therefore although the implant is seen as a product manufactured in titanium (biocompatible material), the tissues surrounding this element may be modified by multiple situations, which can leave the surface of the conditions of the oral environment. Hence the emphasis again of the importance of good hygiene and scheduled clinical control, and most importantly to never lower the guard.
It should be noted that the dose of antibiotics for a simple dental extraction is the same as for eight implants and regenerative surgery in the same operation. We can conclude, that unfortunately, this tends not to make a rational use of antibiotics. Something from my point of view that should and could be avoided at all costs.
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Unfortunately free competition and market demand means that we are in consultation with patients with multiple budgets. A patient should always seek a properly qualified professional. It is the patient's right and obligation of the professional to explain to the patient the implant type and brand of the same. All cars have four wheels and a steering wheel, but not all cars are the same and their drivers less so.
I operate with dental implants supported by scientific studies embarked upon over ten years. To do otherwise is to assume a health risk, which my ethics does not allow me.
I am committed to continuous training and to being up to date with advances in the discipline.
Finally; health is the singular duty and responsibility of the patient receiving the treatment.
The lifetime of an implant product is under 10 years. The extended function itself and its good condition is the mandatory duty of the patient. Health and wellness is a non-exempt bond law.
The manufacturer's warranty of the prosthetic implants does not exceed 2 years. We have to be aware that it is a tough material but perishable subjected to continuous wear 24 hours a day, 365 days a year. It is not surprising that after a few years each patient should renew his prosthesis, not only for function but also for hygiene and aesthetics.
Treatment modalities with dental implants are multiple, highlighting my predilection for immediate implants and immediate post-extraction function and management of soft tissue and modeling of the interdental papillae using custom temporaries.
The immediate implant placement in fresh extraction sockets and the provisional restoration helps to preserve the initial tissue volumes, is a minimally invasive treatment modality, fast and scientifically supported by the literature and clinical practice since 1988.