Stage I
Stage II
Stage III
Stage 4
Stage I | Stage II | Stage III | Stage IV |
Yes. Bleeding gums is in most cases the only visible sign of a periodontal disease. If nothing is done to locate the origin of the problem and care for the bleeding, the disease will develop further and gums bleeding will recur. Healthy gums never bleed even during vigorous teeth brushing.
– Locally:
a) Clinical examination of the gums (color, aspect, consistence, bleeding occurrence)
b) Examination of the dental plaque using a specific state of the art optical microscope. The patient can see on a screen what the dentist sees with the microscope
We collect dental plaque located under the gums (periodontal pockets), between the tooth roots and the diseased gums.
We generally collect samples around the molar teeth and around suspect teeth.
The sample collection is performed with a round tool and is pain free.
The microscopic observations help evaluate the type and stage of the disease.
The localization of bacteria and microbial communities, and their activity is a major element in diagnosing and curing periodontal diseases.
Here is for example an illustration of a healthy dental plaque:
c) We analyze the occlusion and how teeth adjust in the mouth.
d) A partial or complete x-ray examination will reveal possible bone losses and a bad tooth support.
– Generally:
a) We will proceed to an exhaustive understanding of the situation by filling a medical form.
b) In cases where it is found justified, we will study the patient’s general eating habits, possible tobacco use, etc.
c) In the most severe cases, we will explore possible food allergies or intolerances (blood test involved).
d) We will explore the different human body systems (digestive, hormonal, immune, etc.) with an electrosommatogram (ESG) device. It’s a 2-3 minute non invasive examination, done in our practice, which detects the possible body systems’ general dysfunctions, which we will further confirm with a blood test.
– Medical form and clinical examination
– X-rays and dental plaque examination with the microscope
– Diagnosis
– According to the diagnosis, we set up local or general treatments with medicine adapted to the examination findings.
– Teaching of techniques to control the dental plaque
– Disinfecting and cure of diseased gums
– Soft and deep scaling and planing of the teeth and their roots.
The treatment lasts 4 to 8 dental visits.
It is followed by a certain amount of maintenance care visits during the first year.
The point is to quickly go back to healthy gums and control the dental plaque with routine visits every 2 to 6 months depending on how prone the patient is to gum diseases.
Despite what we might think, the treatment is absolutely pain free and requires anesthesia only in exceptional cases.
The reason is that we work on teeth roots only when the gums are not swollen anymore. More importantly, the tools used during the treatment are adapted to this specific care with finely narrow ends vibrating at a weak frequency (15 times weaker than classic ultrasounds)
With the help of a unique device, the PERIOSCAN (picture), which is the only device that can detect plaque under the gums with a luminous and audible signal and remove it at the same time. This device prevents having to use surgery and prevents gum pockets.
Yes in severe cases by kissing or by other direct or indirect oral contacts (sharing toothbrushes, cups, etc.)
The presence of bacteria in the mouth is indeed normal, but in a healthy mouth, these bacteria help your mouth to be healthy. In other words, there are good and bad bacteria and other microbial communities for our gums.
Some general conditions and diseases affect the health of our gums, such as diabetes, weaker immune systems, smoking tobacco, etc.