In cases where oral care is inadequate, a bacterial plaque that is a rich, soft, sticky layer of microorganisms on the tooth surface accumulates. This layer causes gingivitis with tooth decay. Healthy gums are pale pink in color, with orange peel appearance and hardness. When the gums lose their health they are swollen, red, bleeding and moving. If the treatment is delayed, the tooth stones accumulate causing the bone surrounding the tooth to erase. The gums start to pull out. This condition is both sensitive to heat changes and causes aesthetic problems as well as oral odor and even dental inflammation in very advanced conditions. If they go further, tooth loss starts. Gum disease also occurs in the case of inadequate oral care, hormonal changes, genetic factors, drug use, some systemic diseases; If there is a problem already existing, it progresses rapidly.
There is a gap between the tooth and the gum called pocket which we can not see with eyes. It should be treated when it reaches a certain depth. In the first phase of gingivitis, a vibrating device called cavitron will suffice for professional dental cleaning and good oral care treatment. However, if the treatment is delayed, the bone around the tooth also goes into the phase of periodontitis, which begins to be affected. In this phase, a deeper cleaning is first performed with special hand tools under local anesthesia called curettage. The goal is to flatten the root surfaces of the tooth stones in areas that can not be reached by the nation, which causes the inflamed tissues to be cleaned and dental caries to cling excessively.
In the cases of advanced periodontitis, gingiva, which is called flap operation under local anesthesia, is gently opened and cleaned and closed with suture.
Although some people do not have inflammation, the position of the muscles, brushing the wrong tooth may cause gum removal. If necessary, treatment with various periodontal surgical techniques can be performed.

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