Periodontology

Periodontology – treatment of gums and periodontitis. Preserve your teeth and healthy gums with timely care. Periodontology is a specialized field of dentistry that focuses on the prevention, diagnosis, and treatment of diseases affecting the supporting structures of teeth – namely the gums, periodontal tissues, and surrounding bone structures of the jaw. One of the most common diseases is periodontitis (commonly known as “periodontal disease”), which affects up to half of the adult population. This inflammatory gum disease can lead to tooth loss if left untreated.

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Stages of Periodontitis Treatment

At Smile Centrum Prague, we offer comprehensive periodontal care that takes place in three phases:

Initial Therapy – Eliminating the Cause of Inflammation

Professional dental hygiene – removal of tartar, plaque, and pigments
Treatment of gum inflammation
Education on proper tooth brushing technique and interdental cleaning methods
Use of antibacterial mouthwashes and possibly local antibiotic therapy

Deep Scaling and Root Planing (Subgingival Cleaning)

Performed when deeper structures are affected
Mechanical removal of inflammatory deposits beneath the gums
Helps to stop bone loss and strengthen tooth attachment
Price: from 350 CZK per tooth

Advanced (Surgical) Treatment – for Severe Periodontitis

Surgical opening of the gums and treatment of deep periodontal pockets/ defects
Bone tissue regeneration (augmentation)
In cases with significant tissue loss, soft tissue grafting can be used

Our Work – Before & After

What is Periodontitis and How Does it Develop?

Periodontitis is a chronic inflammation that develops due to the accumulation of plaque and tartar at the junction between the tooth and gums. Plaque contains bacteria that cause gum inflammation, known as gingivitis. If left untreated, the inflammation progresses deeper – leading to ligament breakdown, loss of tooth attachment in the socket, and bone loss in the jaw.

The main symptoms include:

bleeding gums during brushing

swollen, red, or receding gums

bad breath (halitosis)

loose teeth

pain or sensitivity of the gums

increasing spaces between teeth

Without timely treatment, it can lead to tooth loss, even in otherwise healthy individuals.

Prevention is Key

regular dental hygiene appointments (every 3-6 months)

periodontal status check-up

thorough home care

proper cleaning of the gingival margin/pocket

professional teeth whitening only after stabilization of the condition

Guarantee

A guarantee of quality and pain-free treatment

Top-tier equipment

Advanced equipment for superior care

Comprehensive Care

Comprehensive care for our patients

Opening Hours

Extended opening hours including Saturdays

Contracts

Contracts with health insurance providers

Dental laboratory

Our own modern dental laboratory

Location

Excellent transport accessibility

Reception Services

A pleasant and calm environment

Languages

We speak more than five languages

Availability

We have short waiting times for appointments

Our team

Nazar Novosilskyi

Dentist

Accepting patients

CSUKEN

Details

All doctors

Who is at Risk for Periodontitis?

Periodontitis most commonly occurs in adults over the age of 35, but it can also affect younger individuals. Risk factors include:

poor oral hygiene.

smoking.

genetic predisposition.

diabetes.

chronic stress.

vitamin deficiencies (especially C and D).

untreated tooth decay or poorly executed prosthetics.

irregular visits to the dentist and dental hygienist.

7 Effective Periodontitis Treatment Methods

Improved oral hygiene – proper brushing technique, using interdental brushes.

Professional dental hygiene – removal of tartar and plaque.

Antibiotic therapy – as recommended by your doctor.

Surgical procedures – scaling and root planing, access to deeper pockets.

Healthy lifestyle – diet rich in vitamins, limiting sugar intake.

Quitting smoking – essential for treatment success.

Stress reduction – positive impact on the immune system.

Prices for Initial Examination

Administrative Fees

Valid from:

Procedure	Details	Price
Administrative Fee / Medical Record Extract		550 Kč
Missed or Cancelled Appointment (per 30 minutes)		950 Kč
Initial Examination including Panoramic X-ray		Covered by Health Insurance
Preventive Check-up 2x per year		Covered by Health Insurance
Initial Examination for Uninsured Patients / Not Covered by Health Insurance		1950 Kč
Emergency Fee for Uninsured Patients / Not Covered by Health Insurance		950 Kč

X-ray – Examination

Valid from:

Procedure	Details	Price
Evaluation of OPG and X-ray		Covered by Health Insurance
Intraoral X-ray (for private patients) – Taking + Evaluation		250 Kč
OPG X-ray (for private patients) – Taking + Evaluation		890 Kč
CBCT scan quadrant		1190 Kč
CBCT scan 1 jaw		1490 Kč
CBCT scan		1790 Kč

(*) price including 21% VAT

Indications and Contraindications for Periodontal Treatment

Periodontology focuses on the prevention, diagnosis, and treatment of gum disease and the supporting tissues of the teeth (the periodontium). Its goal is to maintain the health and stability of teeth in the bone. Here you will find an overview of situations where periodontal treatment is appropriate, and when it may be necessary to consider alternative procedures or postpone treatment temporarily.

Indications (When is treatment recommended?)

1. Bleeding gums

The most common and first sign of gum inflammation (gingivitis), often during brushing or spontaneously.

2. Red, swollen, or tender gums

Signs of inflammation that can progress to more severe periodontitis.

3. Bad breath (halitosis)

Often caused by bacteria in periodontal pockets and gum inflammation.

4. Gum recession

Exposed tooth roots that can cause sensitivity and threaten tooth stability.

5. Tooth mobility (increased looseness)

A sign of advanced periodontitis with bone loss around the teeth.

6. Changes in tooth position, spacing between teeth

Tooth migration or spacing between teeth, often caused by weakening of the supporting tissues.

7. Periodontal pockets

Increased space between the tooth and gum where bacteria accumulate and bone loss occurs.

8. Diabetes mellitus (diabetes)

Patients with diabetes are at higher risk of periodontitis and require specialized periodontal care.

9. Smoking

Smoking is a significant risk factor for the development and progression of periodontitis.

10. Genetic predisposition

A family history of periodontitis increases the risk and requires careful prevention.

11. Pre-prosthetic preparation (preparing for dentures, implants, etc.)

Healthy gums and periodontium are essential before fabricating crowns, bridges or implants.

Contraindications (When is caution needed?)

1. Acute systemic infection

Feverish conditions (flu, sore throat), severe cold, cough or other acute infections that could endanger both you and the staff.

2. Acute uncontrolled abscess

Severe acute inflammation or purulent infection (abscess) in the oral cavity that requires immediate treatment and stabilization of the condition first.

3. Uncontrolled systemic diseases

Very unstable diabetes, uncontrolled high blood pressure, serious heart conditions, recent myocardial infarction, uncontrolled bleeding disorder. Requires consultation with the attending physician and possible premedication.

4. Radiation therapy or chemotherapy in the head and neck area

Depending on the stage and extent of treatment, it may be necessary to postpone treatment or proceed with extreme caution after consultation with the attending oncologist.

5. Allergies to materials used or local anesthetics

Known allergy to local anesthetics, antiseptics or other substances used in periodontal procedures.

6. Pregnancy (relative contraindication)

It is recommended to postpone non-urgent procedures in the first trimester. Essential treatment can be performed in the second trimester, ideally with consideration for minimal stress. Consultation with a gynecologist is always advisable.

7. Severe immunosuppression

For example, in patients after transplantation or with autoimmune diseases who are taking immunosuppressants – higher risk of infection and impaired healing.

8. Patient’s mental or physical limitations

If the patient is unable to cooperate or follow postoperative instructions, which could jeopardize the success of treatment.

Important note: This list is for informational purposes only. Each periodontal case is unique and requires careful individual assessment by a specialist. It is always crucial to inform your dentist or periodontist of your complete medical history and current health status so they can choose the safest and most effective treatment plan.

Client Testimonials

Patient feedback after tooth reconstruction with a dental implant

Patient feedback after tooth reconstruction with a dental implant

Periodontitis FAQ

What is the main cause of periodontitis?

The most common cause is accumulated plaque and tartar, poor oral hygiene and neglect of preventive check-ups.

Is periodontitis hereditary?

No. A predisposition can be hereditary, but the disease itself arises due to insufficient dental and gum care. It can be completely prevented with prevention.

My gums bleed – do I have periodontitis?

Bleeding gums can be a symptom of early gingivitis. We recommend visiting a dental hygienist or dentist for an examination as soon as possible.

How long does periodontitis treatment take?

The length of treatment is individual. Expect several visits during the first 3 months and subsequent regular check-ups and hygiene appointments.

Can periodontitis lead to tooth loss?

Yes, advanced periodontitis causes loss of bone support for the teeth and their looseness. Early treatment will stop this process.

Is it possible to undergo teeth whitening if I have gum problems or periodontitis?

Teeth whitening is only possible after stabilization of gum inflammation and successful treatment of periodontitis. If you suffer from bleeding, swelling or other signs of inflammation, it is first necessary to undergo professional dental hygiene and treatment of periodontal tissues. Healthy gums are the basis for every aesthetic procedure including teeth whitening.

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Periodontology

Stages of Periodontitis Treatment

Initial Therapy – Eliminating the Cause of Inflammation

Deep Scaling and Root Planing (Subgingival Cleaning)

Advanced (Surgical) Treatment – for Severe Periodontitis

Our Work – Before & After

What is Periodontitis and How Does it Develop?

Prevention is Key

Guarantee

Top-tier equipment

Comprehensive Care

Opening Hours

Contracts

Dental laboratory

Location

Reception Services

Languages

Availability

Our team

Nazar Novosilskyi

Who is at Risk for Periodontitis?

7 Effective Periodontitis Treatment Methods

Prices for Initial Examination

Administrative Fees

X-ray – Examination

Indications and Contraindications for Periodontal Treatment

Indications (When is treatment recommended?)

1. Bleeding gums

2. Red, swollen, or tender gums

3. Bad breath (halitosis)

4. Gum recession

5. Tooth mobility (increased looseness)

6. Changes in tooth position, spacing between teeth

7. Periodontal pockets

8. Diabetes mellitus (diabetes)

9. Smoking

10. Genetic predisposition

11. Pre-prosthetic preparation (preparing for dentures, implants, etc.)

Contraindications (When is caution needed?)

1. Acute systemic infection

2. Acute uncontrolled abscess

3. Uncontrolled systemic diseases

4. Radiation therapy or chemotherapy in the head and neck area

5. Allergies to materials used or local anesthetics

6. Pregnancy (relative contraindication)

7. Severe immunosuppression

8. Patient’s mental or physical limitations

Client Testimonials

Patient feedback after tooth reconstruction with a dental implant

Patient feedback after tooth reconstruction with a dental implant

Patient feedback after tooth reconstruction with a dental implant

Periodontitis FAQ

Hodnocení Smile Centrum

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