Periodontology
Periodontology – treatment of gums and periodontitis. Preserve your teeth and healthy gums with timely care.
Periodontology is a specialized field of dentistry that focuses on the prevention, diagnosis, and treatment of diseases affecting the supporting structures of teeth – namely the gums, periodontal tissues, and surrounding bone structures of the jaw.
One of the most common diseases is periodontitis (commonly known as “periodontal disease”), which affects up to half of the adult population. This inflammatory gum disease can lead to tooth loss if left untreated.
Stages of Periodontitis Treatment
At Smile Centrum Prague, we offer comprehensive periodontal care that takes place in three phases:
- Professional dental hygiene – removal of tartar, plaque, and pigments
- Treatment of gum inflammation
- Education on proper tooth brushing technique and interdental cleaning methods
- Use of antibacterial mouthwashes and possibly local antibiotic therapy
- Professional dental hygiene – removal of tartar, plaque, and pigments
- Treatment of gum inflammation
- Education on proper tooth brushing technique and interdental cleaning methods
- Use of antibacterial mouthwashes and possibly local antibiotic therapy
Our Work – Before and After
What is Periodontitis and How Does it Develop?
Periodontitis is a chronic inflammation that develops due to the accumulation of plaque and tartar at the junction between the tooth and gums. Plaque contains bacteria that cause gum inflammation, known as gingivitis. If left untreated, the inflammation progresses deeper – leading to ligament breakdown, loss of tooth attachment in the socket, and bone loss in the jaw.
The main symptoms include:
bleeding gums during brushing
bleeding gums during brushing
swollen, red, or receding gums
swollen, red, or receding gums
bad breath (halitosis)
bad breath (halitosis)
loose teeth
loose teeth
pain or sensitivity of the gums
pain or sensitivity of the gums
increasing spaces between teeth
increasing spaces between teeth
Without timely treatment, it can lead to tooth loss, even in otherwise healthy individuals.
Prevention is Key
The goal of periodontal treatment is not only to stop the inflammation but also to preserve natural teeth for as long as possible. The foundation is:
regular dental hygiene appointments (every 3-6 months)
regular dental hygiene appointments (every 3-6 months)
periodontal status check-up
periodontal status check-up
thorough home care
thorough home care
proper cleaning of the gingival margin/pocket
proper cleaning of the gingival margin/pocket
professional teeth whitening only after stabilization of the condition
professional teeth whitening only after stabilization of the condition
Our Benefits
Guarantee
A guarantee of quality and pain-free treatment
Top-tier equipment
Advanced equipment for superior care
Comprehensive Care
Comprehensive care for our patients
Opening Hours
Extended opening hours including Saturdays
Contracts
Contracts with health insurance providers
Dental laboratory
Our own modern dental laboratory
Location
Excellent transport accessibility
Reception Services
A pleasant and calm environment
Languages
We speak more than five languages
Availability
We have short waiting times for appointments
Our team
Oleksii Bezvershenko
Dentist
Accepting patients
Smile Centrum Vysočany
Czech
Ukrainian
Russian
Endodontics
Dental crowns
Dental bridges
Tooth decay treatment
Prophylaxis
Prosthetics
Initial examination
Extraction
Details
Nazar Novosilskyi
Dentist
Accepting patients
Smile Centrum Eliška
Czech
Periodontology
Dental crowns
Dental bridges
Ceramic veneers
Prophylaxis
Implantation
Prosthetics
Gnatology
Initial examination
Sergii Klanovets
Senior dentist
Accepting patients
Smile Centrum Horní Počernice
Czech
English
Ukrainian
Russian
Endodontics
Dental crowns
Dental bridges
Ceramic veneers
Tooth decay treatment
Prophylaxis
Prosthetics
Initial examination
Who is at Risk for Periodontitis?
Periodontitis most commonly occurs in adults over the age of 35, but it can also affect younger individuals. Risk factors include:
poor oral hygiene.
poor oral hygiene.
smoking.
smoking.
genetic predisposition.
genetic predisposition.
diabetes.
diabetes.
chronic stress.
chronic stress.
vitamin deficiencies (especially C and D).
vitamin deficiencies (especially C and D).
untreated tooth decay or poorly executed prosthetics.
untreated tooth decay or poorly executed prosthetics.
irregular visits to the dentist and dental hygienist.
irregular visits to the dentist and dental hygienist.
7 Effective Periodontitis Treatment Methods
Improved oral hygiene – proper brushing technique, using interdental brushes.
Improved oral hygiene – proper brushing technique, using interdental brushes.
Professional dental hygiene – removal of tartar and plaque.
Professional dental hygiene – removal of tartar and plaque.
Antibiotic therapy – as recommended by your doctor.
Antibiotic therapy – as recommended by your doctor.
Surgical procedures – scaling and root planing, access to deeper pockets.
Surgical procedures – scaling and root planing, access to deeper pockets.
Healthy lifestyle – diet rich in vitamins, limiting sugar intake.
Healthy lifestyle – diet rich in vitamins, limiting sugar intake.
Quitting smoking – essential for treatment success.
Quitting smoking – essential for treatment success.
Stress reduction – positive impact on the immune system.
Stress reduction – positive impact on the immune system.
Prices for Initial Examination
Administrative Fees
|
Administrative Fee / Medical Record Extract |
550 Kč |
|
Missed or Cancelled Appointment (per 30 minutes) |
950 Kč |
|
Initial Examination including Panoramic X-ray |
Covered by Health Insurance |
|
Preventive Check-up 2x per year |
Covered by Health Insurance |
|
Initial Examination for Uninsured Patients / Not Covered by Health Insurance |
1950 Kč |
|
Emergency Fee for Uninsured Patients / Not Covered by Health Insurance |
950 Kč |
X-ray – Examination
|
Evaluation of OPG and X-ray |
Covered by Health Insurance |
|
Intraoral X-ray (for private patients) - Taking + Evaluation |
250 Kč |
|
OPG X-ray (for private patients) - Taking + Evaluation |
890 Kč |
|
CBCT scan quadrant |
1190 Kč |
|
CBCT scan 1 jaw |
1490 Kč |
|
CBCT scan |
1790 Kč |
(*) price including 21% VAT
Indications and Contraindications for Periodontal Treatment
Periodontology focuses on the prevention, diagnosis, and treatment of gum disease and the supporting tissues of the teeth (the periodontium). Its goal is to maintain the health and stability of teeth in the bone. Here you will find an overview of situations where periodontal treatment is appropriate, and when it may be necessary to consider alternative procedures or postpone treatment temporarily.
Indications (When is treatment recommended?)
1. Bleeding gums
The most common and first sign of gum inflammation (gingivitis), often during brushing or spontaneously.
1. Bleeding gums
The most common and first sign of gum inflammation (gingivitis), often during brushing or spontaneously.
2. Red, swollen, or tender gums
Signs of inflammation that can progress to more severe periodontitis.
2. Red, swollen, or tender gums
Signs of inflammation that can progress to more severe periodontitis.
3. Bad breath (halitosis)
Often caused by bacteria in periodontal pockets and gum inflammation.
3. Bad breath (halitosis)
Often caused by bacteria in periodontal pockets and gum inflammation.
4. Gum recession
Exposed tooth roots that can cause sensitivity and threaten tooth stability.
4. Gum recession
Exposed tooth roots that can cause sensitivity and threaten tooth stability.
5. Tooth mobility (increased looseness)
A sign of advanced periodontitis with bone loss around the teeth.
5. Tooth mobility (increased looseness)
A sign of advanced periodontitis with bone loss around the teeth.
6. Changes in tooth position, spacing between teeth
Tooth migration or spacing between teeth, often caused by weakening of the supporting tissues.
6. Changes in tooth position, spacing between teeth
Tooth migration or spacing between teeth, often caused by weakening of the supporting tissues.
7. Periodontal pockets
Increased space between the tooth and gum where bacteria accumulate and bone loss occurs.
7. Periodontal pockets
Increased space between the tooth and gum where bacteria accumulate and bone loss occurs.
8. Diabetes mellitus (diabetes)
Patients with diabetes are at higher risk of periodontitis and require specialized periodontal care.
8. Diabetes mellitus (diabetes)
Patients with diabetes are at higher risk of periodontitis and require specialized periodontal care.
9. Smoking
Smoking is a significant risk factor for the development and progression of periodontitis.
9. Smoking
Smoking is a significant risk factor for the development and progression of periodontitis.
10. Genetic predisposition
A family history of periodontitis increases the risk and requires careful prevention.
10. Genetic predisposition
A family history of periodontitis increases the risk and requires careful prevention.
11. Pre-prosthetic preparation (preparing for dentures, implants, etc.)
Healthy gums and periodontium are essential before fabricating crowns, bridges or implants.
11. Pre-prosthetic preparation (preparing for dentures, implants, etc.)
Healthy gums and periodontium are essential before fabricating crowns, bridges or implants.
Contraindications (When is caution needed?)
1. Acute systemic infection
Feverish conditions (flu, sore throat), severe cold, cough or other acute infections that could endanger both you and the staff.
1. Acute systemic infection
Feverish conditions (flu, sore throat), severe cold, cough or other acute infections that could endanger both you and the staff.
2. Acute uncontrolled abscess
Severe acute inflammation or purulent infection (abscess) in the oral cavity that requires immediate treatment and stabilization of the condition first.
2. Acute uncontrolled abscess
Severe acute inflammation or purulent infection (abscess) in the oral cavity that requires immediate treatment and stabilization of the condition first.
3. Uncontrolled systemic diseases
Very unstable diabetes, uncontrolled high blood pressure, serious heart conditions, recent myocardial infarction, uncontrolled bleeding disorder. Requires consultation with the attending physician and possible premedication.
3. Uncontrolled systemic diseases
Very unstable diabetes, uncontrolled high blood pressure, serious heart conditions, recent myocardial infarction, uncontrolled bleeding disorder. Requires consultation with the attending physician and possible premedication.
4. Radiation therapy or chemotherapy in the head and neck area
Depending on the stage and extent of treatment, it may be necessary to postpone treatment or proceed with extreme caution after consultation with the attending oncologist.
4. Radiation therapy or chemotherapy in the head and neck area
Depending on the stage and extent of treatment, it may be necessary to postpone treatment or proceed with extreme caution after consultation with the attending oncologist.
5. Allergies to materials used or local anesthetics
Known allergy to local anesthetics, antiseptics or other substances used in periodontal procedures.
5. Allergies to materials used or local anesthetics
Known allergy to local anesthetics, antiseptics or other substances used in periodontal procedures.
6. Pregnancy (relative contraindication)
It is recommended to postpone non-urgent procedures in the first trimester. Essential treatment can be performed in the second trimester, ideally with consideration for minimal stress. Consultation with a gynecologist is always advisable.
6. Pregnancy (relative contraindication)
It is recommended to postpone non-urgent procedures in the first trimester. Essential treatment can be performed in the second trimester, ideally with consideration for minimal stress. Consultation with a gynecologist is always advisable.
7. Severe immunosuppression
For example, in patients after transplantation or with autoimmune diseases who are taking immunosuppressants - higher risk of infection and impaired healing.
7. Severe immunosuppression
For example, in patients after transplantation or with autoimmune diseases who are taking immunosuppressants - higher risk of infection and impaired healing.
8. Patient's mental or physical limitations
If the patient is unable to cooperate or follow postoperative instructions, which could jeopardize the success of treatment.
8. Patient's mental or physical limitations
If the patient is unable to cooperate or follow postoperative instructions, which could jeopardize the success of treatment.
Important note: This list is for informational purposes only. Each periodontal case is unique and requires careful individual assessment by a specialist. It is always crucial to inform your dentist or periodontist of your complete medical history and current health status so they can choose the safest and most effective treatment plan.
Client Testimonials
Patient feedback after a full-mouth restoration on implants.
Feedback from a female patient after a full-mouth restoration on implants.
Patient feedback after a full-mouth restoration on implants.
Periodontitis FAQ
The most common cause is accumulated plaque and tartar, poor oral hygiene and neglect of preventive check-ups.
The length of treatment is individual. Expect several visits during the first 3 months and subsequent regular check-ups and hygiene appointments.
Smile Centrum Reviews
92% of our patients recommend us, who leave reviews on independent portals and social networks. The clinic cannot influence them, which is why they are so valuable to us.
4,9
4,9
5,0
5,0