Periodontics is the specialty of dentistry dedicated to preventing, diagnosing and treating diseases that affect the tissues that give stability to the tooth. These tissues are the gingiva, periodontal ligament, root cementum, and alveolar bone.

Early detection is key, so it is important to be aware of possible symptoms. Bleeding, whether spontaneous or during brushing, and reddening of the gums are obvious signs that something is wrong, even if there is no bone loss, as occurs in gingivitis. That bleeding gums is not normal and should trigger the first alarm signals. Other symptoms of periodontitis or periodontal disease are bad breath, hypersensitivity to cold, mobility or separation of teeth, receding gums and a perception of tooth elongation.

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Causes of periodontal diseases

The most frequent cause that gives rise to diseased gums are the bacteria that inhabit the mouth. They are deposited on the surface of the teeth and in the gingival sulcus, constituting the bacterial plaque. When the bacteria grow beyond a certain level, they are capable of producing lesions in the periodontal tissues.



Gingivitis is inflammation of the gums, usually caused by poor tooth brushing. If it is treated correctly and oral hygiene is corrected, the damage that may have occurred is completely reversible and the gums can return to their normal state of health.

This occurs because the inflammation of the gum does not affect the periodontal ligament or the alveolar bone, but if the gingivitis is not treated, it can become periodontitis, and cause irreversible damage to the teeth and the alveolar bone that supports the tooth. .

Periodontitis, or popularly known as pyorrhea, is a bacterial disease that usually starts with gingivitis that is not treated correctly. Periodontitis is an irreversible disease since it causes damage to the tissues of the mouth that can never return to its original state.

Periodontal Treatments

Dental hygiene
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Dental hygiene or prophylaxis is a fundamental treatment to maintain careful and correct oral hygiene. It mainly consists of removing tartar and stains from the teeth and under the gums and must be performed by professionals.

The reasons for having a dental cleaning go beyond having an aesthetic and stain-free smile. The truth is that tartar, in addition to being unsightly, can be very dangerous to our health. In addition to being important for the maintenance of oral health, it also helps in the prevention of possible dental diseases.

Curettage or scaling and root planing
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Curettage or also known as scaling and root planing is the treatment performed when there is inflammation due to accumulation of tartar at deeper levels of the gum as a cause of gingivitis or periodontitis. Its purpose is to eliminate said tartar and the bacterial plaque that accumulates. If these bacteria are not eliminated, periodontal pockets are created, pockets where periodontal bacteria accumulate, damaging the alveolar bone that supports the tooth and producing the feared mobility and subsequent loss of teeth.

How is a dental hygiene different from a curettage?

Dental cleaning is performed on the dental neck, the interdental spaces and the gum line, while curettage involves the internal part of the periodontium that is below the gum line.

Gingivectomy / crown lengthening

Do you show a lot of gum when you smile?
Gingivectomy or crown lengthening is the solution
What is it?

Gingivectomy or gum recontouring is a small surgical intervention in which a little gum is cut for not only aesthetic purposes, but also oral health.

This small intervention is very useful for all kinds of defects or complications related to the gums, it provides very aesthetic results and improves the patient's oral health.

In contrast, crown lengthening also implies recontouring of the periodontal bone and is a major surgical intervention.

What is it used for?
This periodontal surgery is commonly used to treat patients who have inflammation of the gums that causes tissue growth. It may also be necessary in those who have undergone a root canal and there is enlargement of the periodontal pocket.
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What is it?
Peri-implantitis is an inflammation of the tissues that surround a dental implant, or peri-implant tissues, and if it is not treated properly, it can cause bone loss that supports the implant and lead to the loss of said implant. Peri-implantitis puts the survival of dental implants at risk.
Peri-implantitis, does it happen to me?
If you are a person who has dental implants and you doubt if you have this infection, these are the symptoms:


You have bad breath? Did you know that it is due to the presence of bacteria in the mouth?
Eliminate this problem with our team of Specialists at the Laura Fernández Dental Clinic.

Bad breath is a pathology that can have multiple causes and, therefore, it is important that you treat it immediately. In this way you will not only eliminate halitosis, but you will take care of your health.

Thus, if bad breath is caused by a lack of dental hygiene, they will guide you to advise you on the use of different products (mouthwashes or special toothpastes) with which to reverse the situation, while if it is due to a periodontal disease, it will take carry out a personalized protocol to heal your mouth.

The duration of the treatment will vary depending on the origin of the bad breath, but sometimes, with a deep cleaning, it will be more than enough for you to finally say goodbye to halitosis.

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