Oral hygiene and periodontology - Visodent dentalna medicina

Oral hygiene and periodontology


The later stages of gingivitis and periodontal disease, caused by poor oral hygiene, are the leading cause of tooth loss in adults.
For this reason, we recommend regular appointments to maintain oral health.


Good oral hygiene is essential for your oral health. Oral hygiene means daily brushing and flossing, as well as using an antibacterial mouthwash.
Toothbrush should be soft and brushing movements should be circular while applying slight pressure in order not to damage the gums and cause its retreat. Ask your dentist which brushing technique is best for the proper maintenance of dental hygiene. The spaces between the teeth should be cleaned with dental floss, interdental brushes or water jet. Mouthwashes help the teeth cleaning but they should not be used too often not to disturb the oral flora or to eliminate the good bacteria in your mouth.

Regular dentist visits are useful in order to maintain oral hygiene in the early stages of diseases of the oral cavity.


Plaque removal is the process of removing hard and soft plaque from the tooth surface by ways of ultrasonic electric instruments or while using a hand-held instruments.

Sandblasting is an additional procedure to remove plaque and pigmentation from the narrowest space between the teeth with the help of water and fine particles of powder under pressure.

Besides good personal hygiene habits, it is necessary to do some professional oral hygiene work in the dental office.


Periodontal disease is a chronic or acute inflammation affecting deeper structures of periodontium.  When you don’t follow the above mentioned hygiene instructions, it can lead to periodontal inflammation and if the disease is progressed, it may require antibiotic therapy. Other factors that support the development of this disease are smoking, diabetes, stress, pregnancy and hereditary factors. Inflammation of the gums is manifested in bleeding from the area along the tooth roots already at gentle contact. The treatment of periodontitis begins with cleaning plaque from teeth and  along the tooth roots area.

In advanced cases it is necessary to deep clean the plaque from the tooth pockets by curettage. In cases of extremely deep pockets with inflammation and the inability to control hygiene, the patient is referred to a surgical procedure for reducing pockets and gums. Nodding teeth are a sign of advanced bone loss and advanced periodontitis.

Loose teeth need periodontal healing first and then to be connected either by a bridge or a wire in order to extend their lifetime.


Professional oral hygiene is mandatory in patients with periodontitis ( inflammation of the gum tissues ) , dental implants and fixed dentures, as these patients alone can hardly maintain a suitable level of oral hygiene.The appointments of professional oral hygiene take about 30-60 minutes and include many treatments, such as tartar removal by supragingival ultrasonic polishing, closed root planing and open root planing.


Gummy smile, or a condition in which a person shows a larger than average amount of gum tissue when smiling, can be corrected by gingivoplasty or simple surgery procedure that includes removing parts of the gums around the teeth. This simple surgical procedure is needed to prepare a good red esthetics around future crown and to establish the ideal harmony of red and white esthetics.

The reduction of visibility of the gum tissue can be achieved by reducing the mobility of the lips by adding small amounts of botox into the muscle of the upper lip.