PERIODONTOLOGY

GUM DISEASES

A periodontic dentist is a specialist dentist who has studied the supporting structures of teeth, diseases and the conditions that can cause them. 

Gum Disease is a common problem caused by poor oral hygiene but can also be caused by poor nutrition, smoking or medical issues such as diabetes.

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Dr.Dt. Betül Çalışkan Batı / Periodontology & Implantology

2015 – Graduated from Ege University Faculty of Dentistry

2021-  Graduated from Ege University - Periodontology

2021- Joined to Holident Team

Dr.Dt. Betül Çalışkan Batı / Periodontology & Implantology

 

2015 – Graduated from Ege University Faculty of Dentistry

2021-  Graduated from Ege University - Periodontology

2021- Joined to Holident Team

 

Certifications &Advanced Education

2012- 18th TDB Congress

2013- FDI 101.st Annual World Dental Congress / İstanbul

2014- 21st TDB Congress

2016- Dental Photography

2017- 24th TDB Congress

2017- K3Pro Immediate Implantation and Direct Restoration Congress

2018- 25th TDB Congress

2018- EuroPerio 9 / Amsterdam-Holland

2018- Medentika Oral İmplantology Seminar

2019– Turkish Society of Oral Implantology Congress

2019- Use of Operation Microscope and Loop

2020- Maksillar Sinus Complications and Solutions: Endoscopic Approach

2020- Providing and Maintaining Pink Aesthetics Around Implants

2020- Implant Treatments in Aesthetic Area

2020- Biologically Driven Implantology in Aesthetic Area

2020- Treatments of Hopeless Teeth

2020- The Effects of Covid-19 Pandemic on Dentistry Practices and Education

WHAT ARE THE TREATMENTS OF PERIODONTOLOGY

Descale & Polish

Non-surgical Periodontal Treatments

Subepitelial Connective Tissue Graft

Peri-implantitis

Gingivectomy

Gummy Smile Improvement

Hard-tissue Grafting

Free Gingival Graft

Epulis Excition

Operculectom

Flap operation

Alveoplasty

 Gum Diseases

Bleeding, redness and swelling in the gums are indicators of gum disease. If disease left untreated, the disease progresses and causes loss of bone tissue that holding the tooth, tooth mobility and tooth loss.

 

For people with advanced disease, deep cleaning is required following dental cleaning. After the flap operation, dentist should ensure that the patient performs correct oral care.

 

Regular dental check-up every 6 months is important for early diagnosis and treatment.

 

How long and how much does it take?

Although the treatment duration varies depending on the number of treated teeth, it takes 30-60 minutes.

 

In Holident Oral and Dental Health Center, the prices that suggested by Turkish Dental Association is taken as reference.

The cost of flap operation varies depending on the number of treated teeth and starts from 395 TL for a single tooth.

 

 

Gingival Recession

Gum recession can be seen due to many reasons such as traumatic brushing, aberrant frenum or orthodontic treatment.

 

Complaints such as sensitivity and aesthetics can be treated surgically.

 

How long and how much does it take?

Although the treatment duration varies depending to the number of treated teeth, it takes 45-90  minutes.

In Holident Oral and Dental Health Center, the prices that suggested by Turkish Dental Association is taken as reference.

Get a free examination appointment from our specialists to have an ideal treatment plan for you.

Pink Aesthetics / Gum Aesthetics / Gummy smile

Do you feel your teeth look too short and your smile is too gummy or your gums cover too much of some teeth while leaving the others the right length? If so, dental crown lengthening might be the solution for you. During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile. Then your gumline is sculpted to give your new smile just the right look.

 

In some of the patients with excessive appearance of the gums, the lip position can be changed and the patient can have an aesthetic smile with an operation called "Lip repositioning".

How long and how much does it take?

Although the treatment duration varies depending on the number of treated teeth, it takes 30-60 minutes.

In Holident Oral and Dental Health Center, the prices that suggested by Turkish Dental Association is taken as reference.

For detailed information and costs, get a free examination appointment from our experts.

Aberrant Frenum / Frenectomy

It may be necessary to remove the tissue connection between the lip and the gum due to its location close to the edge of the gum or to cause diastemas between the teeth.

 

When the tissue connection causes gingival recession or inability to close the gap between the teeth, it can be removed surgically.

 

How long and how much does it take?

The treatment takes 30-45 minutes.

In Holident Oral and Dental Health Center, the prices that suggested by Turkish Dental Association is taken as reference. The cost of the frenectomy operation starts from 655 TL.

 

Wisdom Teeth

Wisdom teeth that can not find a place to erupt in the jaw may remain impacted or semi-impacted. This can cause pain and infection. Normal or surgical extraction of the problematic wisdom tooth is required.

 

How long and how much does it take?

Although the treatment duration varies depending to the position of the wisdom tooth, it takes 30-60 minutes on average.

 

In Holident Oral and Dental Health Center, the prices that suggested by Turkish Dental Association is taken as reference. The cost for the removal of impacted wisdom tooth varies depending on the tooth position and starts from 1120 TL.

Bone Augmentation / Sinus Lifting

Due to bone loss in jaws, there may not be enough bone for implant placement. This may result in improper implant placement.

 

Various bone grafts and biomaterials can be used for hard tissue augmentation. By this way we can create a suitable environment for implant placement in patients with bone deficiencies. After 4-6 months, ossification is completed, the implants can be placed ideally.

How long and how much does it take?

Although the duration of treatment varies depending on the bone deficiency, it takes 60-90 minutes.

 

Bone augmentation price varies depending on the bone deficiency and the products to be used. To get a clear treatment plan and price information, ask for a free examination appointment with our specialist dentists.

FREQUENTLY ASKED QUESTIONS

How can I recognize that I have gum disease?

When the gums are healthy, they do not bleed. If you notice bleeding while brushing your teeth or for any other reason, this may be a symptom of gum disease. If there is redness, swelling or pus in the gums, make an appointment immediately. You can ask for an appointment with our periodontists, free of charge.

 

Why does gum disease occur?

The main cause of gum diseases is dental plaque located on gumline and increases its severity. Good oral hygiene is the primary factor for prevention from gum disease.

 

What if I don't get treatment for gum disease?

Untreated disease results with increased severity and progress. Bone loss, gingival recessions and tooth mobility can occur and this can cause tooth loss.

 

If I only use mouthwash or antibiotics, can disease be recovered?

For the disease to be recovered, the causative factors must be removed. For gum diseases, this factor is dental plaque and tartar. Using antibiotics or mouthwash does not eliminate the causative factor, it only suppresses acute complaints. When the period of use come to an end, the disease continues in the same way. Unless treatened by a periodontist, the gum disease does not get better by using mouthwash or antibiotics.

 

How should I clean my teeth?

The teeth should be brushed twice a day by applying the correct technique with a correct toothbrush. Most of us brush our teeth twice a day and while you may think your technique is working well it might not be the most efficient way to remove all the plaque from your teeth. Place your brush at a 45 degree angle against your gumline. Gently start to brush your teeth in short circular strokes away from the gumline. Again using short back and forth strokes gently brush all the surfaces in your mouth, the inner, the outer and the chewing or biting surfaces of your teeth. In addition to the toothbrush, the areas between teeth must be cleaned. Dental floss and interdental brushes should be used according to the size of the gaps between teeth. For some specific areas, your dentist may recommend different cleaning tools. Consult your dentist about what is necessary to have a correct oral care. Come to regular check-ups every 6 months.

 

Does tooth cleaning harm the teeth?

Tartar cleaning is not harmfull for the teeth. The treatment will be succesfull by removing the tartar and factors that cause the disease. With the root planning process performed by hand tools, the attachments are completely removed and a smooth surface is obtained. This procedure, which is performed by periodontists, does not harm the tooth.

 

I had sensitivity after cleaning my teeth. Is this normal?

Patients with gingival recession, when the tartar that covering the root surface is removed, tooth sensitivity can occur. This situation is normal. You can use desensitizing toothpastes.

 

My dentist told me to have flap operation / open cleaning / surgical cleaning. What does it mean?

In places where gum disease was progressed and does not heal, dental pockets should be eliminated. The flap operation is performed so that the periodontist can clean subgingival attachments  more easily by eliminating the gums. And then the patient can keep those areas clean after. This treatment is a surgical procedure. The pocket elimination procedure is performed under local anesthesia and the operation area is closed with stitches after the roots are cleaned. Sutures are removed after 1-2 weeks. At the end of treatment, visible length of the teeth will be increased. An increase of sensitivity can occur after treatment.

 

Is it possible to cover gingival recession?

Gum recession occurs due to various factors. The characteristics of gingival reccesion varies according to this causal factor. For example, it is possible to close a deep and narrow gingival recession caused by inappropriate brushing, while it is not possible to close the recessions caused by common gum disease. If you have gingival recession, you can have a free examination appointment with our periodontists.

 

How is gingival recession surgery performed?

For covering the gingival recession, gingival tissues obtained from the upper palate are used. The tooth area with recession and the donor area are locally anesthetized. Then, a recipient bed is prepared surgically on the relevant tooth. A piece of gum obtained from the palate is placed in the area of ​​recession and covered with gum. Tissues are fixed with stitches. Sutures are removed after 1-2 weeks.

 

Will I experience pain after gingival recession surgery?

Having pain is normal for a few days after the operation. You can use pain killers to relieve the pain.

My gums appear too much when I laugh and it bothers me. Is there a solution to this?

There are various treatment methods for overly visible gums. Orthognathic surgery, crown lenghtening surgery, lip repositioning, botox applications may be among these. You can ask for a free examination appointment from our experts to recommend the most suitable treatment for you.

 

My dentist told me that I need a Frenectomy / High frenum operation. What does it mean?

Frenum is a tissue connection which located between the gum and lips, and sometimes this connection can place at the edge of gum. This can cause gum recession and gaps between the teeth. Frenectomy is a surgical procedure which consists removal of this tissue connection. After this process, you will have stitches which will be removed 1-2 weeks later.

 

Will I experience any change in my lip movements when the tissue connection is removed with frenectomy?

No. It does not cause any change in the lip movements.

 

Should wisdom teeth be pulled out?

It may not be necessary to pull out wisdom teeth, which do not cause discomfort for the patient. Wisdom tooth can be erupted, semi-impacted or impacted.Wisdom teeth remaining semi-impacted can cause problems such as pain, cheek or tongue biting, decay in the tooth in front of it, and then may require extraction of the tooth. You can ask for a free examination appointment from our experts to recommend the most suitable treatment for you.

Do I experience a lot of pain after wisdom tooth extraction?

It may be difficult or easier to extract the tooth, depending on the position of the tooth. The level of pain you will experience varies according to the procedure and your pain threshold. If you have pain, you can take pain killers. In case of severe pain, there is a possibility that alveolar osteitis has developed. If you have wisdom teeth, you can have a free examination from our experts.

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Do you wish to discuss your treatment?

What are the noticeable symptoms?

Bleeding during brushing, gums which have pulled away from the teeth, bad breath, redness and swelling. 

Brush and floss regularly, stop smoking if you can and schedule regular visits to your dentist to help keep your smile healthy.

 

How long does it take to scale and polish my teeth? 

If you take care of your dental hygiene and if your visit your hygienist regularly, the process shouldn’t take more than 30-45 minutes. Larger deposits of plaque which have hardened on can take longer to remove so the procedure may take a little longer.

 

What are the procedures?  

During the procedure, the dentist will remove potentially harmful plaque, calculus and stains which cause gum disease, poor aesthetics and even more severe dental issues. 

 

What factors can increase the risk of periodontal disease?

As well as irregular visits to your dentist, gum disease can be caused by smoking or using chewing tobacco, diabetes, certain types of medication, bridges that no longer fit properly, crooked teeth, old fillings and even pregnancy.