chiuretaj subgingival

Scaling and root planing is a form of deep cleaning recommended for the treatment of periodontal dental infectious. These procedures are used to treat infected areas through meticulous cleaning and removal of plaque and bacteria on the tooth surface and from the subgingival level.

There are two types of root planing: closed and open. Closed curettage is performed without taking off the gum and open curettage (flap surgery) is done through the incision with a scalpel to the alveolar bone interdental papillae, followed by removal of inflamed epithelial and necrotic tissue.

Open subgingival curettage

It is a surgical method that enables deep cleaning of the root surface and removal of diseased tissue in conditions of good visibility. Bone grafts and enamel matrix derived proteins can be inserted in the exposed periodontal pockets.

Closed subgingival curettage is recommended for periodontal pockets of less than 4-6 mm (not effective for greater depths). Studies have shown a reduction in the depth of periodontal pockets after curettage and stabilization of the periodontal disease for a period of approximately 5 years.

Each session of root planing depends on the number of teeth on which it occurs and the amount of granulation tissue to be removed.