Obala kneza Trpimira 9a, 23000 Zadar, Croatia


The build-up of plaque and calculus can, if not removed from the surface of the teeth, cause inflammatory changes on the gingiva and the periodontium.

Those inflammatory changes are called gingivitis and periodontitis.

Gingivitis is an inflammation of the gums (gingiva). The bacteria and the plaque play an important role in the occurrence of gingivitis. This type of inflammation is more easily formed in the conditions of insufficient oral hygiene, during puberty or pregnancy, during therapy with certain medications etc.

If the gingivitis advances it can easily turn into periodontitis, where apart from the gingiva, the periodontal ligament is inflamed as well. In the occurrence of periodontitis it is important to, apart from the bacterial basis, take into consideration other conditions such as e.g. diabetes and specificities of the immune system of each patient.

What is the periodontium and what is the role of the periodontal tissue?
What is the connection between bacteria, calculus and periodontitis?

Therapy of periodontal conditions at Milardović Dental

The periodontal therapy starts with a correct diagnosis, conversation and information of the patient, therapy plan, examination of x-ray images, measuring the depth of pockets and making the periodontal status, which is followed by a detailed removal of plaque and calculus.

At any moment during therapy we will take into consideration the specificities of each patient, the individual microbiological basis and the overall health of the patient.

Only a thorough and detailed therapy will yield satisfying and long-term results: a healthy periodontium and oral cavity.

Particular attention should be paid if you notice one of the following signs:
- red and swollen gums which easily bleed, especially when brushing your teeth
- receding gums in one or more places
- if food gets stuck between the teeth
- if the teeth have become too sensitive
- if one or more teeth have become loose
- if your breath is unpleasant
- if you notice pigmented deposits on the teeth that you cannot clean with the usual methods of oral hygiene maintenance

We want to completely remove the calculus form the surface of the teeth, but that is not the case with dental plaque. It is not possible to permanently and completely remove the dental plaque, but with different methods of oral hygiene and preventive methods, it is possible to keep it under control.

To keep the dental plaque and calculus under control, to keep the surface of the teeth clean and to properly advise you on oral hygiene, it will oftentimes be necessary to schedule control examinations.

Periodontal conditions, due to their inflammatory and microbiological character, represent a risk for cardiovascular diseases as well. Their treatment is therefore an important element of the modern approach to the overall health.

In the removal of deposits and treatment of periodontitis, the basic therapy is ultrasonic removal of calculus whereby mechanical motions supported by ultrasonic vibrations efficiently remove the deposits on the surface of the teeth and roots.

To keep the surface of the teeth smooth and polished after the ultrasonic cleaning, we sandblast the teeth with Airflow dental sandblasting device. Along with the therapy we conduct at our office, we will recommend individual preventive methods to every patient, and if necessary prescribe antibiotics and probiotics, to restore the balance of the oral flora.

After the cleaning treatment, if necessary, we treat the gingival area with ozone with Biozonix device.

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