Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.
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At Liv Hospital, our treatment plan for bleeding gums is thorough and based on the latest research. We focus not just on stopping the bleeding, but on changing the mouth’s environment to reduce harmful bacteria and calm inflammation. Treatments can range from simple cleaning to more complex surgery, depending on how advanced the disease is. We believe that working together with our patients is just as important as the treatment itself.
The initial phase aims to eliminate the microbial etiology and local contributing factors. This is the “gold standard” first-line treatment.
Scaling and Root Planing (SRP)
Often termed “deep cleaning,” SRP is distinct from a routine prophylaxis.
Mechanical cleaning is often supplemented with chemical agents to reduce bacterial load.
Plaque Control Education
The success of Phase I relies on the patient’s ability to maintain cleanliness. Personalized instruction on brushing technique, interproximal cleaning (floss, interdental brushes), and the use of disclosing agents is provided.
Four to six weeks after initial therapy, a comprehensive re-examination is performed.
When non-surgical therapy is insufficient to access deep calculus or reduce pockets to a maintainable depth, surgery is indicated.
Flap Surgery (Open Flap Debridement)
This procedure involves making incisions in the gum to lift the tissue back (reflect a flap). This provides direct visual access to the alveolar bone and root surfaces.
Osseous Surgery: Irregular bone contours (craters, ledges) created by the disease are reshaped (osteoplasty/ostectomy) to create a positive architecture that allows the gum to lie flat, eliminating pocket
The ultimate goal is to regrow lost support.
Mucogingival Surgery
Soft tissue grafts are used to correct gum recession and increase the zone of keratinized tissue.
Connective Tissue Grafts: Tissue is harvested from the palate and tucked under the gum at the recession site to cover the root and thicken the tissue.
Lasers (LANAP – Laser Assisted New Attachment Procedure) offer a minimally invasive alternative.
Mechanism: A specific wavelength laser (Nd: YAG) is used to selectively vaporize diseased pocket epithelium and kill pigmented bacteria without cutting healthy tissue. The laser energy also interacts with the blood to form a stable clot that seals the pocket and promotes regeneration.
Periodontitis is a chronic disease that can be controlled but rarely “cured” in the traditional sense. Lifelong maintenance is required.
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CT scans use X-rays to create detailed cross-sectional images and are excellent for visualizing kidney stones, detecting tumors, and evaluating traumatic injuries. They are fast and widely available. MRI uses strong magnetic fields and radio waves to produce detailed images of soft tissues, making it superior for staging prostate cancer, evaluating bladder wall invasion, and assessing pelvic floor disorders without ionizing radiation.
Contrast dye, usually iodine-based, is injected into a vein to highlight the blood vessels and urinary tract organs. As the kidneys filter the dye from the blood, it opacifies the urine. This allows the radiologist to see the internal structure of the kidneys, the ureters, and the bladder clearly, revealing blockages, tumors, or structural abnormalities that would be invisible on a non-contrast scan.
Multiparametric MRI is an advanced imaging technique that combines standard anatomical sequences with functional sequences like Diffusion-Weighted Imaging and Dynamic Contrast-Enhanced imaging. This provides a comprehensive assessment of the prostate, allowing doctors to distinguish between benign conditions like BPH and significant prostate cancer, and to guide targeted biopsies.
CT scans do involve exposure to ionizing radiation, which carries a small theoretical risk of cellular damage over time. However, modern CT scanners use dose-modulation technology to minimize this exposure to the lowest level necessary for a diagnostic image. The benefit of an accurate and timely diagnosis for serious urological conditions typically far outweighs the minimal risk of radiation.
Many modern orthopedic implants are MRI-safe, although they may cause some image distortion. However, older pacemakers, defibrillators, and certain metal clips may be unsafe in the strong magnetic field. It is critical to inform the imaging team of any metallic implants so they can verify their safety compatibility or recommend an alternative test like a CT scan.
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