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.

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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

swollen, red, or receding gums

bad breath (halitosis)

loose teeth

pain or sensitivity of the gums

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)

periodontal status check-up

thorough home care

proper cleaning of the gingival margin/pocket

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

Alona Nehrya

Dentist

Accepting clients

Smile Centrum Eliška

Czech

English

Ukrainian

Russian

Endodontics

Prophylaxis

Prosthetics

Initial examination

Details

Vitalii Lysenko

Dentist

Not accepting clients

Smile Centrum Letňany

Smile Centrum Horní Počernice

Smile Centrum Mini – Prosek

Czech

Ukrainian

Russian

Endodontics

Prophylaxis

Initial examination

Details

Nazar Novosilskyi

Dentist

Accepting clients

Smile Centrum Eliška

Czech

Periodontology

Prophylaxis

Implantation

Prosthetics

Gnatology

Initial examination

Details

Tatiana Belkovskaia

Dentist

Accepting clients

Smile Centrum Šumperka

Czech

Ukrainian

Russian

Endodontics

Prophylaxis

Extraction

Details

Laura Kováčiková

Dentist

Accepting clients

Smile Centrum Vysočany

Czech

English

Slovak

Endodontics

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Extraction

Details

Dmytro Zakharovskyi

Dentist

Accepting clients

Smile Centrum Vinohrady

Smile Centrum Mariánské Lázně

Czech

Ukrainian

Russian

Tooth decay treatment

Prophylaxis

Implantation

Prosthetics

Initial examination

Details

Taras Zakharovskyi

Dentist

Accepting clients

Smile Centrum Vinohrady

Smile Centrum Mariánské Lázně

Czech

Ukrainian

Russian

Tooth decay treatment

Prophylaxis

Initial examination

Details

Volodymyr Kovalchyn

Senior dentist

Accepting clients

Smile Centrum Vinohrady

Czech

English

Ukrainian

Russian

Endodontics

Tooth decay treatment

Prophylaxis

Implantation

Prosthetics

Initial examination

Details

Serhii Marikutsa

Senior dentist

Accepting clients

Smile Centrum Holešovice

Czech

Ukrainian

Russian

Endodontics

Ceramic veneers

Tooth decay treatment

Prophylaxis

Dental surgery

Implantation

Prosthetics

Initial examination

Details

Alena Aniskevich

Dentist

Accepting clients

Smile Centrum Eliška

Czech

English

Russian

Endodontics

Ceramic veneers

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Extraction

Details

Oleksandr Shevchenko

Dentist

Accepting clients

Smile Centrum Vinohrady

Czech

Ukrainian

Russian

Endodontics

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Details

Tatiana Pribulová

Dentist

Accepting clients

Smile Centrum Eliška

Czech

English

Slovak

Tooth decay treatment

Prophylaxis

Pediatric dentistry

Initial examination

Details

Sergii Klanovets

Senior dentist

Accepting clients

Smile Centrum Horní Počernice

Czech

English

Ukrainian

Russian

Prophylaxis

Initial examination

Details

Vasileios Papadopoulos

Dentist

Accepting clients

Smile Centrum Eliška

Czech

Ukrainian

Russian

Greek

Endodontics

Ceramic veneers

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Extraction

Details

Olha Matyash

Senior dentist

Accepting clients

Smile Centrum Vysočany

Czech

English

Ukrainian

Russian

Endodontics

Ceramic veneers

Tooth decay treatment

Prophylaxis

Implantation

Prosthetics

Initial examination

Details

Martin Michálek

Dentist

Accepting clients

Smile Centrum Horní Počernice

Czech

Prophylaxis

Prosthetics

Initial examination

Details

Marianna Palok

Dentist

Accepting clients

Smile Centrum Horní Počernice

Czech

Ukrainian

Russian

Prophylaxis

Prosthetics

Initial examination

Details

Maryna Hordyk

Dentist

Accepting clients

Smile Centrum Holešovice

Czech

English

Ukrainian

Russian

Endodontics

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Details

Fatemeh Parandis Shahbaz

Dentist

Accepting clients

Smile Centrum Vinohrady

Czech

English

Persian

Endodontics

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Details

Tetiana Hornostaieva

Dentist

Accepting clients

Smile Centrum Holešovice

Czech

Russian

Endodontics

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Extraction

Details

Soroosh Mirshafiei

Dentist

Accepting clients

Smile Centrum Šumperka

Czech

English

Arabic

Endodontics

Prophylaxis

Prosthetics

Details

Anna Lysenko

Dentist

Accepting clients

Smile Centrum Letňany

Smile Centrum Mini – Prosek

Czech

Ukrainian

Russian

Endodontics

Prophylaxis

Prosthetics

Initial examination

Details

Kateryna Varavina

Dentist

Accepting clients

Smile Centrum Eliška

Czech

English

Ukrainian

Russian

Endodontics

Ceramic veneers

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Extraction

Details

Gontar Jaroslav

Dentist

Accepting clients

Smile Centrum Eliška

Czech

English

Ukrainian

Russian

Endodontics

Ceramic veneers

Tooth decay treatment

Prophylaxis

Implantation

Prosthetics

Initial examination

Extraction

Details

Anna Kitaieva

Dentist

Accepting clients

Smile Centrum Holešovice

Czech

English

Ukrainian

Russian

Spanish

Endodontics

Tooth decay treatment

Prophylaxis

Prosthetics

Initial examination

Extraction

Details

Inna Mosiichuk

Dentist

Accepting clients

Smile Centrum Holešovice

Czech

Ukrainian

Russian

Prophylaxis

Initial examination

Details

Chun Yu Kuo

Dentist

Accepting clients

Smile Centrum Vinohrady

Czech

English

Mandarin Chinese

Endodontics

Tooth decay treatment

Prophylaxis

Pediatric dentistry

Prosthetics

Initial examination

Details

Šárka Topičová

Dentist

Accepting clients

Smile Centrum Vinohrady

Czech

Prophylaxis

Pediatric dentistry

Prosthetics

Extraction

Details

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.

smoking.

genetic predisposition.

diabetes.

chronic stress.

vitamin deficiencies (especially C and D).

untreated tooth decay or poorly executed prosthetics.

irregular visits to the dentist and dental hygienist.

7 Effective Periodontitis Treatment Methods

Improved oral hygiene – proper brushing technique, using interdental brushes.

Professional dental hygiene – removal of tartar and plaque.

Antibiotic therapy – as recommended by your doctor.

Surgical procedures – scaling and root planing, access to deeper pockets.

Healthy lifestyle – diet rich in vitamins, limiting sugar intake.

Quitting smoking – essential for treatment success.

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.

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.

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