Detection and treatment of periodontal disease
Periodontics treats diseases of the tissues that support the tooth: gums, ligaments and alveolar bone. Untreated gingivitis can progress to periodontitis, the leading cause of tooth loss in adults. At Cabinet Côté Gare, we carry out a complete periodontal assessment with probing and X-rays to evaluate the condition of your gums. Bleeding, bad breath, gums that recede or teeth that move, signs of gum recession: none of these signs should be ignored.
Clinical cases
Cases by Dr Thierry Caro, published with the patients' written consent. Click on a case to see all its photos. Results vary from one person to another.
Non-surgical treatment and follow-up
Basic treatment consists of deep scaling (root planing) under local anaesthetic to remove tartar and subgingival bacteria. In advanced cases, surgery may be necessary. Regular follow-up every 3 to 4 months is essential to stabilise the disease and preserve your teeth. Good daily hygiene complements the effectiveness of the treatment.
Gum graft and periodontal surgery
When gum recession exposes a root or the gum is too thin, a gum graft (gingival graft) can cover and strengthen it. Gum grafts and periodontal surgery are carried out at the practice by Dr Thierry Caro, oral surgeon. See gum graft cases.
Frequently asked questions
What are the signs of periodontal disease?
Bleeding gums, red and swollen gums, persistent bad breath, gum recession or tooth mobility are warning signs.
Is periodontitis reversible?
Gingivitis is reversible with appropriate treatment. Periodontitis can be stabilised, but lost tissue does not regenerate spontaneously.
How often should periodontal follow-up take place?
Professional maintenance every 3 to 4 months is recommended for patients who have had periodontitis.
How much does periodontal treatment cost?
It depends on the number of teeth affected and the number of sessions required. A detailed treatment plan and a personalised quote are given to you at the first consultation, before any treatment begins.
Does smoking make periodontitis worse?
Yes. It is the most important risk factor after dental plaque: it reduces circulation in the gum and masks the bleeding that serves as a warning sign.
Can loose teeth stabilise?
When the inflammation is brought under control, mobility often decreases. Bone that has already been lost does not grow back on its own: the aim of treatment is to halt progression.
What is gum recession?
Gum recession is the withdrawal of the gum and bone around the tooth, most often caused by periodontitis. The root becomes exposed, the tooth becomes sensitive and may move. A periodontal assessment looks for the cause; depending on the situation, gum care is complemented by a gum graft.
What is a gum graft?
A small graft of gum tissue, most often taken from the palate, is placed where the gum has receded. It covers the root, reduces sensitivity and thickens the gum. The procedure is performed under local anaesthetic, at the practice, by Dr Thierry Caro.
Is periodontitis contagious?
The bacteria involved can be passed on through saliva, but the disease depends above all on each person's individual predisposition: hygiene, smoking, diabetes, heredity.
Is there a link with general health?
A link has been established between periodontitis and cardiovascular disease or diabetes. Treating the gums is part of comprehensive care.
