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Treatment
Comprehensive diagnosis and treatment of all gum conditions, from early gingivitis to advanced periodontitis, using the latest laser and regenerative techniques.
About the treatment
Gum disease — known clinically as periodontal disease — is a bacterial infection that attacks the gums, the ligaments, and the bone that hold your teeth in place. It begins as gingivitis, an inflammation of the gum tissue caused by plaque build-up along and below the gum line. At this stage, symptoms are often subtle: slightly red or puffy gums, occasional bleeding when brushing, and persistent bad breath. Many people dismiss these signs, which is exactly why gum disease is the leading cause of tooth loss worldwide. When gingivitis is left untreated, it progresses to periodontitis. The bacteria migrate deeper, forming pockets between the gum and the tooth root. Inside these pockets, toxins destroy the connective fibres and begin to dissolve the supporting bone. Teeth gradually loosen, shift position, and can eventually fall out — not because they are decayed, but because they have lost their foundation. Research also links chronic periodontitis to serious systemic conditions including cardiovascular disease, poorly controlled diabetes, adverse pregnancy outcomes, and respiratory infections. At BestDent, our periodontists use a combination of advanced diagnostics and evidence-based therapies to halt the disease at whatever stage it has reached. Full-mouth periodontal charting measures pocket depths at six points around every tooth. Digital X-rays and, where necessary, cone-beam CT scans reveal the exact pattern and severity of bone loss. This data drives a personalised treatment plan that may include non-surgical deep cleaning, laser-assisted pocket decontamination, guided tissue regeneration, or — in severe cases — surgical flap procedures with bone grafting. Modern laser periodontal therapy deserves special mention. Using an Er:YAG or diode laser, we can selectively remove infected tissue and bacteria from periodontal pockets while preserving healthy gum and stimulating new tissue attachment. Studies show laser-assisted treatment reduces pocket depths more effectively than scaling alone, with less post-operative pain and faster healing. For international patients, this means a shorter recovery window before flying home. Perhaps most importantly, gum disease treatment is not a one-time event. Maintenance therapy — professional cleanings and pocket monitoring every three to four months — is essential to prevent recurrence. BestDent provides each patient with a long-term maintenance calendar and offers remote follow-up consultations so that patients abroad can stay on track between visits.
We can make your smile look great
Comprehensive diagnosis and treatment of all gum conditions, from early gingivitis to advanced periodontitis, using the latest laser and regenerative techniques.
Keep your teeth healthy
Your periodontist performs a comprehensive assessment including six-point pocket depth measurements around every tooth, bleeding-on-probing analysis, and tooth mobility testing. Digital periapical and panoramic X-rays are taken to map bone levels precisely. This data is recorded in a periodontal chart that serves as the baseline for tracking your progress.
The benefits of our dental treatments
- Halting the progression of infection before it causes irreversible bone and tooth loss
- Elimination of chronic bad breath caused by bacterial colonies in deep pockets
- Reduced risk of systemic health complications linked to periodontal bacteria
- Stabilisation of loose teeth through regenerative bone and tissue procedures
- Healthier, firmer gum tissue that no longer bleeds during daily oral care
- Improved aesthetics — gums return to a natural pink colour and firm texture
- Less invasive treatment when caught early, often requiring only non-surgical cleaning
- Laser-assisted options that shorten healing time and minimise discomfort
- A personalised long-term maintenance plan to keep your gums healthy for life
- Better overall health outcomes supported by current medical research
За кога је погодно?
- Anyone experiencing bleeding gums during brushing or flossing
- Patients with persistent bad breath that does not improve with oral hygiene
- Those who notice swollen, red, or tender gum tissue
- People whose teeth feel loose or have shifted position over time
- Patients with visible gum recession or teeth that appear longer than before
- Individuals with diabetes, as high blood sugar significantly increases gum disease risk
- Smokers, who are up to six times more likely to develop periodontitis
- Patients with a family history of gum disease or early tooth loss
- Those who have been told they have deep periodontal pockets at a dental check-up
- Anyone who has not had a professional dental cleaning in over a year
Процес третмана
Full Periodontal Examination
Your periodontist performs a comprehensive assessment including six-point pocket depth measurements around every tooth, bleeding-on-probing analysis, and tooth mobility testing. Digital periapical and panoramic X-rays are taken to map bone levels precisely. This data is recorded in a periodontal chart that serves as the baseline for tracking your progress.
Professional Supra-Gingival Cleaning
Before addressing deep pockets, all visible plaque, tartar, and stain above the gum line are removed using ultrasonic scalers and hand instruments. This initial cleaning reduces the overall bacterial load in your mouth and gives your periodontist a clearer view of the underlying condition.
Scaling and Root Planing (Deep Cleaning)
Under local anaesthesia, specialised curettes and ultrasonic tips are used to clean below the gum line, removing bacterial deposits from the root surfaces and smoothing any roughened areas where bacteria tend to reattach. This is the cornerstone of non-surgical periodontal therapy and is often performed over two visits, treating one side of the mouth at a time.
Laser Pocket Decontamination
Following scaling, a dental laser is directed into the cleaned pockets to eliminate residual bacteria, remove diseased tissue lining, and stimulate blood clot formation that promotes new tissue attachment. Laser therapy enhances the results of scaling and root planing and is particularly effective for moderate pockets of 5–7 mm depth.
Surgical Intervention (Advanced Cases)
When pockets exceed 7 mm or bone loss is severe, flap surgery may be recommended. The gum is gently reflected to provide direct access to the root surface and underlying bone. Infected tissue is removed, bone defects are filled with grafting material, and a resorbable membrane may be placed to guide tissue regeneration. The gum is then sutured back into a tighter, healthier position.
Re-Evaluation Appointment
Six to eight weeks after active treatment, your periodontist re-measures all pocket depths and compares them to the initial chart. Most patients see a significant reduction in pocket depth and bleeding. Any remaining problem areas are identified and a decision is made on whether additional localised treatment is needed.
Ongoing Maintenance Therapy
You are placed on a structured maintenance programme with professional cleanings every three to four months. Each visit includes pocket monitoring, targeted cleaning of any areas showing early signs of relapse, and reinforcement of home care techniques. For international patients, BestDent coordinates maintenance schedules with your dentist at home and offers remote consultations between visits.
Home Care Coaching
Effective daily care is critical to long-term success. Your periodontist or hygienist provides hands-on instruction in modified brushing techniques, interdental cleaning with brushes or floss, and the use of antimicrobial mouth rinses tailored to your situation. You leave with a personalised home care kit and clear guidance on what to use and when.
Често постављана питања
Can gum disease be completely cured?
Gingivitis — the early stage — can be fully reversed with professional cleaning and improved home care. Once it has progressed to periodontitis, the disease can be controlled and stabilised, but any bone that has already been lost cannot regenerate on its own. Bone grafting procedures can restore some of the lost structure in suitable cases.
Is bleeding when brushing a sign of gum disease?
Yes, healthy gums should not bleed during normal brushing or flossing. Bleeding is one of the earliest warning signs of gingivitis and should prompt a dental visit. The sooner you act, the simpler and less invasive the treatment will be.
How does gum disease affect overall health?
Chronic periodontal infection allows bacteria and inflammatory molecules to enter the bloodstream. Research has established links between periodontitis and an increased risk of heart disease, stroke, poorly controlled diabetes, and complications during pregnancy. Treating gum disease is genuinely an investment in your general health.
Does gum disease treatment hurt?
Scaling and root planing is performed under local anaesthesia, so you feel no pain during the procedure. Some patients experience mild sensitivity for a few days afterwards. Laser-assisted treatment typically results in even less post-operative discomfort than conventional methods.
How long does it take to treat gum disease?
Mild gingivitis can often be resolved in one or two cleaning appointments. Moderate to advanced periodontitis may require several sessions of scaling and root planing spread over two to four weeks, followed by a re-evaluation. Surgical cases add a further healing period of four to six weeks before reassessment.
Can I keep my loose teeth or do they need extraction?
In many cases, loose teeth can be stabilised through deep cleaning, bone grafting, and splinting. The decision depends on the amount of remaining bone support and the tooth's long-term prognosis. At BestDent, extraction is always a last resort — we exhaust every option to save your natural teeth first.
Why do I need cleanings every three months instead of every six?
Periodontal bacteria can repopulate deep pockets within 8–12 weeks. A three-month maintenance interval prevents bacterial colonies from re-establishing and causing further damage. Once your condition has been stable for an extended period, your periodontist may gradually extend the interval.
Does smoking make gum disease worse?
Significantly. Smoking restricts blood flow to the gums, impairs the immune response, and masks early warning signs like bleeding. Smokers are up to six times more likely to develop periodontitis and tend to respond less favourably to treatment. Quitting smoking is one of the most impactful things you can do for your gum health.
Is gum disease hereditary?
Genetics do play a role — some people are more susceptible to aggressive forms of periodontitis regardless of their oral hygiene habits. If your parents or siblings lost teeth to gum disease, you should inform your dentist so that monitoring can be more frequent and proactive.
Can I travel home soon after gum treatment?
For non-surgical deep cleaning, most patients can fly within a day or two. Surgical procedures typically require a follow-up appointment at five to seven days before travel is recommended. BestDent schedules international patient timelines carefully and provides remote monitoring once you are back home.
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