Periodontology Varna
Periodontitis is a chronic disease of the supporting structures of the teeth – the gum and the bone around them. Without timely treatment it leads to progressive bone loss and tooth loss. Dr. Yordanova specialises in the diagnosis and treatment of periodontal diseases using modern methods and equipment.
What is periodontitis?
Periodontitis is an inflammatory disease of the tissues supporting the teeth (gum, periodontal ligament, cementum, alveolar bone). It is caused by bacteria in tartar and plaque below the gum line. Without treatment it can lead to tooth loss even in otherwise healthy patients.
Stages – from gingivitis to periodontitis
- Gingivitis – early stage. Gums are red, swollen and bleed when brushing. Fully reversible with correct treatment.
- Mild periodontitis – beginning of bone loss. Pocket depths of 4–5 mm.
- Moderate periodontitis – progressive bone loss, pockets 5–7 mm, teeth may begin to loosen.
- Severe periodontitis – significant bone loss, pockets >7 mm, tooth mobility, risk of tooth loss.
Treatment methods
The treatment plan is determined by the stage of disease:
- Scaling and root planing (SRP) – deep ultrasonic cleaning below the gum line. The primary non-surgical treatment for periodontitis.
- Curettage – mechanical cleaning of pockets to remove infected cementum and granulation tissue.
- Periodontal surgery – for advanced periodontitis. Includes flap surgery and guided tissue regeneration.
- Supportive periodontal therapy – cleaning every 3–4 months to maintain results after active treatment.
Connection to general health
Periodontitis is not just a dental problem – research shows links to:
- Cardiovascular disease – oral bacteria can enter the bloodstream and damage blood vessels
- Diabetes – periodontitis worsens blood sugar control
- Pregnancy – associated with risk of premature birth
- Respiratory disease – aspiration of oral bacteria into the lungs
Frequently Asked Questions
Is periodontitis reversible?
Gingivitis is fully reversible with correct treatment and hygiene. Periodontitis (with bone loss) is not reversible, but can be halted and stabilised with timely treatment and regular supportive therapy.
Is the treatment painful?
Deep cleaning is performed under local anaesthesia and is painless. Some mild sensitivity for 2–3 days after is normal. Periodontal surgery is also performed under anaesthesia.
How many visits are needed?
Active treatment usually involves 2–4 visits for deep cleaning, followed by a reassessment at 6–8 weeks. Advanced cases may require surgery.
Can I lose teeth from periodontitis?
Yes – untreated periodontitis is the leading cause of tooth loss in adults. This is why early treatment and regular supportive therapy every 3–4 months are so important.
How much does periodontitis treatment cost?
The cost depends on the stage of disease and the number of teeth affected. Contact us for a free consultation and treatment plan.