Curettage of pockets

Teeth curettage is a minimally painful periodontal procedure that removes the accumulated plaque from the surface of the teeth and below the surface of the dental flesh, or plaque from the root of the teeth.

Depending on the tissue that is removed during curettage, we distinguish two types of teeth curettage:
Curettage of the gums or gingival curettage – removal of the inflamed and connective tissue of that part of the soft tissue that lies laterally from the periodontal pocket, the gap between the teeth and the bone,
Subgingival curettage – removal of the tissue of the periodontal pocket and connective tissue that is above it, all the way to the end of the alveolar bone.

Just as, due to the accumulated plaque, the dental tartar forms between the teeth and around them, it is formed also below the surface of the dental flesh. In this area it can do much more damage. The dental tartar is a suitable soil for propagation of various bacteria that can lead to inflammation, loss of bone support, and ultimately to loss of teeth.

Teeth curettage is most commonly used in the treatment of paradentosis, inflammation and gum infection (above in the picture). It can be used in combination with other periodontal surgeries and procedures, and in case of repeated periodontal infections.

Teeth curettage is performed on a single tooth or if a larger area is affected, by quadrants. It is performed by mechanical scraping and laser, although the combination of these two procedures is the best method.

Curettage cannot completely eliminate the cause of periodontal infection and is always preceded by scraping and polishing the root of the teeth. Before the procedure, mild local anesthesia is given to make the procedure as painless as possible. The curettage itself is performed by an instrument called the curette. There are several types of them, depending on the side of the tooth that is scraped.

The top of the curette dips into the periodontal pocket to check its depth. Laser or mechanical scraping removes bacteria and damaged tissue and additionally treats the surface of the teeth, due to bacteria and for easier healing. After the procedure, the gum grows on the clean surface of the tooth.

The curettage itself does not last long and quickly heals. But until it’s completely healed, it’s more likely that you go to regular check-ups. Also, it is not immediately visible if all traces of periodontitis have been removed. Your doctor may recommend additional therapy in the form of a medicine after curettage, and special attention should be paid to dental hygiene.

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PhD Milica Čelebić

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