Treatment of periodontal disease (periodontitis)

Signs of periodontal disease

• gums bleed when brushing or flossing,
• gums are red, swollen or tender,
• bad breath or an unpleasant taste in the mouth,
• gums recede, teeth look longer and the necks of the teeth are sensitive,
• gaps or “black triangles” appear between the teeth,
• teeth shift or become loose.

The disease progresses painlessly for a long time, so it is often only discovered at an examination.

Gingivitis or periodontitis?

Gingivitis is inflammation of the gums caused by dental plaque. After thorough cleaning, the gums return to health within a few days. Untreated gingivitis can progress to periodontitis: the inflammation also affects the bone around the teeth, which is gradually resorbed. The consequences are gum recession, periodontal pockets, tooth mobility and, in advanced stages, tooth loss.

The risk is increased especially by smoking and poorly controlled diabetes. Periodontitis is also linked to general health, including diabetes and cardiovascular disease.

Diagnostics

At the first examination we also examine the supporting tissues. If periodontitis is suspected, we carry out a periodontal chart: we measure pocket depths and recession and assess bleeding, tooth mobility and furcation involvement. Bone levels are assessed with an X-ray – a panoramic image or a 3D CBCT.

Course of treatment

Treatment follows a step-by-step approach in line with the guidelines of the European Federation of Periodontology (EFP):

1. Oral hygiene and risk factor control – detailed cleaning instructions, removal of supragingival deposits and support with quitting smoking.
2. Deep cleaning – under local anaesthesia we remove plaque and calculus from the periodontal pockets. Where needed, treatment is complemented with the Waterlase iPlus laser.
3. Re-evaluation and surgical treatment where needed – after a few weeks we re-measure the pockets. Deep pockets are treated with surgical or regenerative procedures, in which bone substitutes may be used.
4. Supportive periodontal therapy – regular visits to the dental hygienist, usually every 3 to 6 months depending on your condition.

Gum recession in periodontal disease

In periodontal disease the gums recede because of bone loss around the teeth. Because generalised disease also affects the bone between the teeth, the options for surgically covering exposed roots are limited. The priority is to arrest the disease and preserve the teeth. Localised recessions in otherwise healthy supporting tissues are treated differently – see Gum recession – root coverage.

Inflammation around dental implants (peri-implantitis)

The tissues around dental implants can also become inflamed. Treatment includes thorough cleaning of the implant surface, laser decontamination and, where needed, surgery. Regular supportive therapy is just as important for implants as for natural teeth.

Cost of treatment

The price depends on the extent of the disease and the number of procedures needed. After the examination and periodontal chart you receive a written treatment plan with a cost estimate. The first examination costs €60 (package with OPG and local X-rays €90), the first dental hygiene visit €120. Other prices are in our price list.

Who treats you

• the dentists on our team: Jure Rus, Edi Dedić, Jurij Žmavc, Anž Plut and Miha Pirc,
• Eva Rus, dental hygienist – non-surgical therapy and maintenance.

Frequently asked questions

Can periodontitis be cured?

Progression of the disease can be stopped and the condition stabilised in the long term. Lost bone usually does not fully return, but in some cases it can be partly regenerated with regenerative procedures. The key to success is regular supportive therapy.

Does treatment hurt?

Deep cleaning and surgical procedures are performed under local anaesthesia. For a few days afterwards the teeth and gums may be sensitive.

Why do my gums bleed?

The most common cause is gum inflammation due to dental plaque. Bleeding gums are not normal, so book an examination.

Is periodontitis hereditary?

Genetic predisposition influences the course of the disease, but the main cause is bacterial plaque. Smoking and diabetes further increase the risk.

How often do I need check-ups?

After treatment is completed, usually every 3 to 6 months. We adjust the interval to your condition.

Patient reviews

Top rated

Based on 50 reviews

Gregor R.

7 days ago

Odlična izkušnja od začetka do konca. Vse je odlično organizirano, ekipa je prijazna, delo pa opravljeno strokovno in natančno. Zelo zadovoljen tako z rednimi obiski pri ustni higieničarki Evi Rus, kot tudi z ortodontsko terapijo z nevidnimi zobnimi opornicami pri dr. Rusu in končnim rezultatom. Vsekakor priporočam! 🙂

TM M.

9 months ago

Vse pohvale celotni ekipi! Če imate strah ali dvom pred zobozdravniki, toplo priporočam Oasis Dental. Od prvega pregleda do kirurških posegov je vse potekalo brez bolečin, profesionalno, hitro in učinkovito. Mlada ekipa s svojim strokovnim in človeškim pristopom poskrbi, da se pacient počuti sproščeno in varno. Z rezultati sem izjemno zadovoljen in jih brez zadržkov priporočam naprej.

Enisa H.

1 year ago

Vse pohvale za kliniko. Ko me nihče ni sprejel so me vzeli oni. Tako prijaznega, profesionalnega in toplega kadra že dolgo nisem srečala. Res toplo priporočam vsem, ki rabijo zobozdravnika,da se obrnejo na njih. Ne rabite zastojn hodit na Hrvaško,da bi bili deležni dostojnega zdravljenja saj tudi pri nas obstajajo dobri in sočutni ljudje. Če se bojiš zobozdravnika pridi k njim saj se boš počutil kot,da si v kozmetičnem salonu in ne pri zobarju z svojim odnosom poskrbijo, da na strah enostavno pozabiš. Hvala,hvala in še enkrat hvala za vse ❤️

Andreja P

2 years ago

Nedavno sem obiskala Oasis Dental in imela termin pri dr. Dediću in se odložila da napišem mnenje, ker sem bila nad vso izkušnjo resnično navdušena tako, da jo želim deliti z drugimi, ki morda iščejo novega zobozdravnika. Že ob prihodu v ordinacijo sem se počutila dobrodošlo – prijazno osebje in zelo lepo urejena ordinacija sta me takoj pomirila. Pristop dr. Dedića je zelo človeški - vzel si je čas, da mi je razložil vse, kar me je čakalo, in mi dal priložnost, da postavljam vprašanja. Kot nekdo, ki se je vedno bala obiskov pri zobozdravniku, sem bila presenečena, da lahko rečem, da je bil postopek popolnoma brez bolečin. V ordinaciji imajo najnovejšo tehnologijo, kar se je občutilo pri vsakem postopku in pripomoglo k tako zelo prijetni izkušnji. To je bila zame velika sprememba, saj sem imela slabe izkušnje z drugimi zobozdravniki in vedno odlašala obiske. Živela sem tudi v tujini in obiskala nekaj "vrhunskih" zobozdravnikov, a nobeden ni bil tako prijazen in skrben kot dr. Dedić. Z veseljem priporočam dr. Oasis Dental in specifično dr. Dedića vsem, ki iščejo odličnega zobozdravnika.

Anja B.

2 years ago

Če te je strah in imaš slabo izkušnjo z zobozdravniki ali če teh težav sploh nimaš, obišči Oasis Dental! Iskrena zahvala dr. Juretu, Evi in celotni ekipi. Poskrbeli ste, da sem premagala strah pred kompleksno odstranitvijo modrostnega zoba. Kljub zahtevnemu posegu, je ta potekal predvsem natančno, mirno, nežno ter brez nepotrebnih zapletov. Poleg tega pa je v njihovih ordinacijah poskrbljeno še za udobje. Hvala celotni ekipi, da vam je dejansko mar za pacenita in da si zanj vzamete čas. Res ste profesionalci na najvišji ravni, z vrhunsko opremo in nadstandardnimi storitvami. Hvala še enkrat za odlično izkušnjo! ❤️ Se zagotovo vrnem!

Monika F.

3 years ago

Zobozdravstvene storitve na najvišjem nivoju. Strokovna in profesionalna ekipa, ki jim je mar za paciente. Dr. Rus je zelo natančen in vidi se, da ima ogromno znanja ter izkušenj. Tudi ustna higieničarka Eva si vedno vzame dovolj časa in poskrbi za temeljito čiščenje zobnega kamna. Pristop in kvaliteta storitev kot se spodobi. Priporočam!