Periodontics is the medical-dental specialty that treats diseases that affect the tissues that support the tooth: gum, root, periodontal ligament and bone. Inflammation of the gums is usually caused by the buildup of bacterial plaque and tartar. When the infection occurs in the gum line we call it gingivitis; when it advances and affects the innermost part we call it periodontitis.

The dental cleaning we do daily at home keeps our teeth clean but does not remove the accumulated scab. Prophylaxis or professional dental cleaning with the use of ultrasound allows the removal of tartar and the bacteria that live there.

Insufficient oral hygiene is the main cause of gingivitis and periodontitis. We often have a blemish that we do not detect and only a professional cleaning can remove.

Do you have gum inflammation?

According toSpanish Society of Periodontics and Osteointegration, gingivitis and periodontitis are themost common oral diseases in adults.

How can the patient detect it?

  • Bleeding gums when brushing
  • Changing the height of the gum (the root can be seen)
  • Sensitivity (in the air or drinking cold or hot liquids)
  • Bad breath
  • Tooth mobility (advanced stages)

Inflammation of the gums or gingivitis can sometimes also have certain etiological factorssystemic diseases, tobacco, certain drugs, stress and hormonal changes strong. Although most often it is caused by onepoor oral hygiene.

In order to maintain proper oral hygiene and prevent inflammation of the gums and bleeding, we recommend that areviewat least once a yearand make aprofessional dental cleaning yes lime

When is Periodontal Surgery Needed?

Periodontitis develops when the infection has progressed tothe innermost part of the gumsand affects the structure that supports the tooth (root, bone, and periodontal ligament).

In all periodontitis it is necessary to carry out cleaning the inside of the gums through what we call root scraping and smoothing (removal of the cling to the root and smoothing of its surface to allow adhesion of the gum).

Quan l’afectació és profunda sabem que caldrà cirurgia, el raspat i allisat previ millorarà la situació bacteriana i inflamatòria de la zona però serà la cirurgia la que ens permetrà solucionar el problema de forma realment efectiva.

At the Gisbert Dental Clinic we use minimally invasive surgery with which we minimize surgical incisions and we favor one faster recovery and less hassle.

Periodontics, scraping and smoothing
periodontal surgery
Regenerative periodontal surgery

Pinhole technique

The Pinhole technique is a new periodontal surgical treatment, researched and developed in the United States (Los Angeles) by Professor Chao (owner of his patent).
In order to carry out the training in this technique and to be able to apply it in the clinical day to day with our patients, complete theoretical and practical days are taught where the knowledge of this can be acquired; these days are realized in his installations, that have been prepared of specific way for this.
After these days, the clinicians present there (periodontists) obtain an official accreditation that gives them the virtues of being able to carry out the clinical application in the indicated way, always under the rigorous protocols that it requires for its final success. .

When is the Pinhole technique used?

Recessions are the loss of the supporting structures of both the gums and the bone of one or more teeth. This loss of tissue creates a long tooth image as a result of root exposure, creating sensitivity and functional weakness. Given this scenario, different types of tissue regenerative techniques can be performed to improve the support structure, reduce sensitivity and improve aesthetics. Within the wide range of periodontal surgeries for gum coating that exist today as treatment options, the * Pinhole technique is the most innovative and least traumatic compared to other techniques.
Over the years, surgical techniques in general – and in the oral environment in particular – have progressed to become less traumatic, with better postoperative and, in a high percentage, with detailed entry areas for where the operation is performed (arthroscopy).

How is the Pinhole technique performed?

The * Pinhole technique has the same bases as arthroscopy, as no incisions are made, only a small perforation is needed; it is performed without grafts from the palate, thus avoiding a surgical area added to the area to be treated; and finally, because of how small the perforation we work for is, it doesn’t need sutures.

If we enter in detail with the technique through a drilling a little further away from the affected area, we get direct access to the surgical area and through some instruments (which can only be acquired in the course, as they are specific and patented for the technique ) the tissues are released (released) until we manage to create a zone without tension and therefore the smooth replacement of the tissues in their place, covering the recessions that had been previously generated.

Finally, as if it were a balloon, strips of collagen are inserted into the initial perforation, thus favoring its natural production and its healing by second intention.

Advantages of the Pinhole technique

One of the virtues of the selection of this technique is the improvement in the commitment of vascularization. Bleeding in the area is key to the success of any periodontal treatment and this technique, having no incisions and not altering any vascular structure, ensures that the vascularization remains almost complete as at the beginning. This improves healing and makes the results tremendously satisfactory for the clinician and obviously for the patient.

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