Periodontitis (loosening of the teeth)


By a treatment sequence including non-surgical sanitation initially followed by a reassessment at 6 to 8 weeks, which will determine the need or not for surgery. The next step in ensuring that the initial treatment is sustained throughout life is maintenance, an essential step in controlling the stability of the disease.

Surgical therapy should be set up when, on re-evaluation, despite non-surgical treatment, “pockets” still persist.

These surgeries, more commonly called sanitation flaps, correspond to the fact of receding the gum in order to have visual access to the entire tooth root opposite the pocket and to allow its perfect cleaning (sometimes difficult to obtain during non-surgical therapy with deep pockets).

These surgeries often use biomaterials which will allow periodontal regeneration techniques to be carried out. The tissues are then repositioned and closed with sutures


We carry out retro-alevolar radiographic assessments as well as chartings of our patients.

The retro-alveolar assessments are analyzed every month by all the practitioners in the office in order to have the finest possible diagnosis.


What are the factors that contribute to periodontal disease?

Although plaque is the direct cause of periodontal disease, other factors can contribute to its development or worsening.


Dental plaque


It is a deposit that will form on the surface of the teeth from molecules from saliva, bacteria found naturally in the mouth and food debris.



It corresponds to a mineralization of dental plaque.

Calculus results from the mineralization of dental plaque, if dental plaque is removed correctly, it does not have time to mineralize and tartar does not have time to form.

Some people salivate more than others, they will have faster mineralization of this dental plaque and faster tartar formation.

Smoking, an important risk factor in periodontal disease, inhibits micro-vascularization in the mouth

Certain hormonal changes can make the gums more red, tender with an increased tendency to bleed. Pre-existing periodontitis can become more severe.

Stress reduces the body’s immunity to infections, including periodontal disease.

Certain medications such as birth control pills, antidepressants and antiepileptics or others for heart disease for example can affect your oral health. To do this, you should regularly inform your dentist about the medications you are taking and any changes in your general health.

These habits put excessive loads on the teeth which can speed up the process of tissue destruction.

Malnutrition will reduce the body’s ability to defend itself and therefore promote the development of periodontal diseases.

Diseases that affect the body’s immune system can make some forms of periodontal disease worse.