Periodontitis Treatment Turkey

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  Scaling and root planing, otherwise known as conventional periodontal therapy, non-surgical periodontal therapy, or deep cleaning, is the process of removing or eliminating the etiologic agents – dental plaque, its products, and calculus – which cause inflammation,thus helping to establish a periodontium that is free of disease.  Plaque is a structured resilient yellow-grayish substance that adheres tenaciously to the tooth surfaces including removable and fixed restorations. It is an organised bio-film that contains primarily bacteria in a matrix of glycoproteins and extracellular polysaccharides. This matrix makes it impossible to remove the plaque by rinsing or using sprays. Materia alba is similar to plaque but it lacks the organized structure of plaque and hence easily displaced with rinses and sprays. When this plaque gets mineralized it forms into calculus. Calculus is thus the hard deposit formed by mineralization usually covered by a layer of unmineralized plaque.   Because the bone is alive, it has cells in it that build bone, and cells that break down bone. Usually these work at the same speed and keep each other in balance. This process is known as bone remodeling. The chemical by-products of ongoing inflammation stimulate the cells that break down bone, which now start working faster than the cells that build bone. The net result is that bone is lost, and the loss of bone and attachment tissues is called periodontal disease.        The objective for periodontal scaling and root planing is to remove dental plaque and calculus (tartar), which house bacteria that release toxins which cause inflammation to the gum tissue and surrounding bone.

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