Periodontitis

The periodontium is the soft tissue that surrounds the root of a tooth. Essentially, it is connective tissue that anchors the tooth root to the jawbone. Periodontitis is inflammation of the periodontium, which can be acute or chronic, caused by infection reaching the tip of the tooth root. This condition is particularly harmful because it is not always noticeable on its own. Periodontitis is often only detected through detailed X-ray diagnostics, and the patient may not experience any symptoms such as pain, discomfort, or visible signs of the disease.

Causes of Periodontitis:

• • Improperly performed previous endodontic treatment (missed canals, incompletely filled canals, “blind” root canal treatment without a microscope, etc.)

  • Poor-quality materials used during filling

  • Advanced untreated tooth decay over a long period

  • Incorrect prosthetic treatment (placement of a filling, prosthetic device, veneer)

  • Crown leakage (poor-quality materials used during prosthetic treatment, decay under the crown, or deterioration of the filling material)

  • Various allergic reactions in the body

  • Nerve death due to deep caries — the periodontium may respond with inflammation in such cases

  • Poor nutrition

  • Harmful habits

  • Various injuries to the bone system

  • Diabetes, which can also cause periodontium inflammation

  • Reduced overall immunity

Symptoms of Acute Periodontitis:

• • Pain when biting down on the tooth

  • Possible tooth mobility

  • Unusual or uncomfortable sensation of the tooth’s position (feeling as if the tooth is higher in the gum or displaced)

  • Redness and swelling of the gums

  • Elevated body temperature

How to recognize chronic periodontitis?

Chronic periodontitis is unique in that it often shows no noticeable symptoms and can only be detected on a dental X-ray. For this reason, it is very important to visit a specialist for regular check-ups and diagnostics to avoid missing such cases.

Chronic periodontitis may manifest as:

• Formation of a loose-textured, reddish granuloma at the tip of the tooth root, gradually destroying the bone

• Formation of a cyst (as a result of granuloma development) at the root tip

• Formation of a fistula with pus inside

• Visible gap on X-rays between the tooth root and the jawbone

• Noticeable shadows on X-rays in the root area of unusual shape with clearly defined boundaries

• Occasional, mild pain or discomfort that subsides quickly

Thanks to the “Sa-Nata” clinic’s advanced, innovative equipment, it is possible to detect such hidden, asymptomatic inflammations early, identify them at an initial stage, and begin timely treatment to prevent the condition from progressing to an advanced stage.

Periodontitis Treatment at the “Sa-Nata” Clinic

All procedures are performed under isolation using a rubber dam and with mandatory use of a Carl Zeiss microscope. The microscope allows thorough cleaning of the canals from previously placed filling material, helps locate additional canal systems, and provides complete visibility and control throughout the procedure.

A critical step is dense and high-quality obturation—filling the canals. At our clinic, we use a hot gutta-percha obturation system, which allows all branches and curves of the canal system to be completely filled.

After canal obturation, the next step is restoration with a durable and reliable sealing material.

X-ray control is of great importance—images are taken before treatment and after canal obturation, typically using computed tomography (CT). Additionally, a follow-up X-ray control is taken six months after pulp treatment, providing full monitoring and assessment of the bone condition.

How to Prevent Pulpitis? Tips from the Specialists at the “Sa-Nata” Clinic Network

• Maintain proper and regular oral hygiene.

• Visit the dentist regularly for check-ups, professional cleaning, and X-ray diagnostics.

• Follow a healthy diet and reduce intake of simple carbohydrates.

• Treat cavities promptly.

• Choose your dentist responsibly.

• Avoid stressful situations that may negatively affect your mental health.

• Minimize the risk of injuries.

• Eliminate harmful habits.

There is no need to fear such conditions, as they can be easily prevented through responsible care and, of course, by prioritizing prevention. Prevention is the best treatment.

With the professional team of skilled specialists at the “Sa-Nata” dental clinic network, their invaluable experience, unique treatment approach, modern technologies, and innovative equipment, no dental condition will be a problem for you. Trust your health to true experts!