Open curettage/dent

The development of periodontitis is often accompanied by the spread of infection not only to the gums, but also more deeply to the bone and the connection of the tooth with the bone. Under the influence of bacteria and toxins produced by them, the bond is broken and periodontal pockets are formed in its place.

A periodontal pocket is a gap, a “pocket”, which forms between the gums and the tooth, and then between the bone and the tooth. The more serious the stage of periodontitis, the deeper the pockets become, and the less the tooth is held in the socket.

Curettage – procedure for cleaning periodontal pockets from bacteria, dental deposits and other pathogenic formations. Only after high-quality cleaning of the pockets, the gums and surrounding tissues can gradually attach back to the tooth.

Open curettage – this is a tooth-sparing surgical operation that can handle even difficult cases when the depth of the pockets has reached 5 mm or more.

Curettage of gums is one of the main dental procedures, which consists in the mechanical removal of dental plaque, stone and pathogenic bacteria from the surface of the tooth and periodontal pockets. This procedure helps to avoid the development of various diseases of the oral cavity, such as periodontitis, and is key in the treatment of inflammatory processes in the gums.

Open curettage

Open curettage is a type of curettage in which the doctor makes a small incision in the gum to provide better access to the pathological focus. Thanks to this, deep cleaning of gums and teeth from plaque, stone and infections is possible. After the procedure, the wound is sutured, and it heals quickly, leaving no traces.

Differences between open and closed curettage

The main difference between open and closed curettage is the method of access to the gums. Open curettage involves dissection of the gums for deep cleaning, while closed curettage is performed without dissection, using only specialized instruments. Both methods have their advantages: open curettage allows deeper cleaning, and closed curettage is less traumatic and faster in recovery. The choice of method depends on the specific diagnosis and recommendations of the doctor.

Open gingival curettage: procedure and indications

Stages of open curettage

1. Review and diagnosis: Consultation and examination of the oral cavity are key to determining the stage of periodontitis, drawing up a treatment plan and prescribing curettage.
2. Professional hygiene: Removal of tartar and plaque, which allows you to clean the surface of the teeth and remove the provoking infection before the actual surgical stage.
3. Open curettage: Under local anesthesia, periodontal pockets are cleaned, infected tissues are removed, medical treatment is performed, after which the gums are sutured.
4. Examination and removal of stitches: After 7-10 days, the patient visits the clinic again for a control examination and removal of stitches.
5. Control and continuation of treatment: After curettage, additional procedures may be prescribed to improve the condition. It is extremely important to follow your doctor’s instructions for the best results.

Indications for open curettage

• Moderate and severe periodontitis.
• Periodontal pockets with a depth of more than 5 mm.
• The ineffectiveness of conservative treatment methods when a more radical intervention is required.

Curettage of periodontal pockets

Reasons for the formation of periodontal pockets

Periodontal pockets are pathological gaps between the gums and the surface of the tooth, which can develop due to a number of reasons:

1. Bacterial plaque: Accumulation of bacteria on the surface of the tooth, which leads to inflammation of the gums.
2. Tartar: Hard deposits that form on the teeth and become the main source of infection.
3. Improper oral care: Lack of regular hygiene can contribute to the development of periodontitis.
4. Diseases and conditions: Some systemic diseases, such as diabetes, can affect the risk of developing periodontitis.

How will curettage help in treatment?

Periodontal pocket curettage is a procedure aimed at removing bacteria, plaque and calculus from the gums. It has a number of advantages:

1. Removal of infection: Direct removal of sources of infection ensures reduction of the inflammatory process.
2. Stimulation of tissue regeneration: Cleaned gums can bond better to the teeth, promoting recovery.
3. Prevention of complications: Early curettage can prevent serious complications such as tooth loss.
4. Increasing the effectiveness of other treatment methods: Clean gums allow drug treatment to work more effectively.

Don’t let periodontitis affect your quality of life. Contact our clinic in Lviv for an open curettage procedure.

Advantages of curettage in our clinic

• Efficiency: Open curettage is considered one of the most effective surgical manipulations in the treatment of periodontitis. This method will help even in cases where therapeutic treatment does not bring the expected result.
• Deep cleaning: The procedure allows the doctor to reach the deepest periodontal pockets, which guarantees complete removal of the infection.
• Predictive results: With open curettage, patients gain dental stability and improved gum health.
• Modern equipment: At “NOWA” we use only the latest equipment that ensures high efficiency and comfort during each procedure.
• Experience: Our team of doctors has extensive experience in curettage, thanks to which we can guarantee an optimal approach to the treatment of each patient.
• Individual approach: For us, every patient is special. We develop an individual treatment plan that meets the specific needs and characteristics of each patient.
• Comfort: Patients of our clinic always note the friendly atmosphere, lack of stress during procedures and a high level of comfort.

Entrust the care of your health to real professionals. We strive to provide our patients with only the best. Choosing our clinic for curettage guarantees a high level of professionalism of doctors and quality service.

Open curettage of the gums: Recommendations after the operation

After curettage, it is necessary to follow some rules for better healing:

• Take care of dental hygiene carefully to avoid damage in the intervention area.
• Avoid intensive rinsing, giving preference to delicate baths.
• Limit physical activity, avoid smoking and eat bland food.
• Follow the medical recommendations of your dentist.

Possible side effects, such as swelling or bleeding, usually disappear within 1-2 days. After open curettage, the periodontal pocket is eliminated, and then the patient can continue with supportive treatment.

Swelling, bleeding and discomfort are possible for 1-2 days after the operation. After a certain time, these symptoms pass. Repeating the procedure is usually not necessary – after open curettage, the periodontal pocket disappears, and you can switch to maintenance therapy.