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What is the curettage of parodontal recesses

Periodontal curettage pdf
Curettage of parodontal recesses is a stomatological procedure used to cure gum diseases. Nowadays the most spread stomatological problems are gum diseases like periodontitis, gingivitis and so on. Treatment of gum diseases consists of a complex of various procedures aimed at elimination of the cause of the disease, the possible complications and relapses. Curettage of parodontal recesses is a necessary procedure used in treatment of all gum diseases.

Parodontal recess is a small valley (fissure) placed between the cervical part of the tooth and the edge of the gum. Bacteria and food debris remain in the fissure. The normal depth of the parodontal recess is no more than 3 mm. In this case it is easy to clean the recess by following the simple rules of the mouth cavity hygiene.

If the depth of the recess is more than 3 mm it is becoming increasingly difficult to clean it.

The risk of gum diseases increases. Moreover, dental deposit and dental calculus can be formed. This is followed by the destruction of tissues holding the tooth in the alveolus. Loss of tooth is also possible. It is anomalous if the parodontal recess is deeper than 3 mm. It is the first symptom of the disease. In this case you should turn to your dentist to eliminate the problem.

Indications for the procedure

  • inflammation of gums
  • abundant dental deposit and calculus
  • pathologic depth of the parodontal recesses: more than 3 mm.

Kinds of the procedure

Curettage of parodontal recesses and professional cleaning of the teeth are different procedures but they have much in common. Professional cleaning of the teeth is a procedure that consists in elimination of dental deposits from the teeth surface and polishing of the teeth enamel. Curettage does not only eliminate dental deposit but destroys the pathologic tissues of the parodontal recess: particles of softened cement, granulation tissues and so on. Moreover, it helps to get rid of decay products. The specialists distinguish 2 types of the procedure depending on the type of the intervention and the depth of pathologic parodontal recesses. These 2 types of the procedure will be described below.

Closed curettage of parodontal recesses.

When the depth of pathologic parodontal recesses is not more than 5 mm this type of procedure is used and you can avoid surgical dissection of the gum. There are some stages of the procedure:
  1. Diagnostics of the condition of the gums. Local anesthesia
  2. Cleaning of the pathologic parodontal recesses with the help of special instruments but without crippling of tissues
  3. Polishing of the roots of teeth
In most cases closed curettage of parodontal recesses helps to cure small parodontal recesses and decrease the depth of deeper ones.

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