Periodontal treatment

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Periodontology is a sub-sector of dentistry that deals with treating supporting tissue of the teeth. The supporting tissue does as the name suggests – it ensures fixation of your natural teeth in the mouth; the deterioration of this tissue as a result of inflammation causes pathological mobility and loss of teeth. This disease affects patient groups of all ages and only prompt and regular therapy can preserve your natural teeth and the supporting tissue thereof.

Periodontology identifies 2 types of inflammation of supporting tissue of teeth:

  • Gingivitis, which is inflammation of the gums and mostly affects younger patients. This disease can be treated, if the patient continues thorough oral care, as well as regularly visits dental hygienist. If the inflammation of the gum tissue is not treated, gradual deterioration of the bone tissue that supports the teeth is observed. It is called periodontitis;
  • Periodontitis cannot be treated, the progress of the disease can only be stopped, and its manifestations can be prevented, provided that the patient regularly undergoes treatment at the clinic, as well as strictly observes dental hygiene in accordance with the instructions of the periodontologist.


Periodontist consultation
Compilation of the periodontological chart
Cleaning of one quadrant of teeth
Periodontal examination, determination of hygiene status, instructions, motivation, cleaning of soft plaque and plaque above gums (up to 60 minutes)
Periodontal examination, determination of hygiene status, instructions, motivation, cleaning of soft plaque and plaque above gums (from 60 to 90 minutes)
Mechanical removal of plaque and tartar, polishing of roots (up to 60 minutes)
Mechanical removal of plaque and tartar, polishing of roots (from 60 to 90 minutes)
Peri-implantitis treatment (one session)
Maintenance treatment (one session)
Gingivectomy for 1 tooth
Gingivectomy for 2 - 3 teeth
Gingivectomy for 4 - 5 teeth
Gingivectomy for 6 or more teeth
Flap surgery in 3 to 4 teeth area (biomaterial costs are not included in the service price)
Flap surgery in 6 to 7 teeth area
Opening and treatment of sublingual abscess
Tooth clinical crown lengthening with osteotomy for 1 tooth
Tooth clinical crown lengthening with osteotomy for every additional tooth
Temporary teeth splinting
Teeth splinting with composite material in the area of 3 to 4 teeth
Teeth splinting with composite material in the area of 6 to 8 teeth
Frenectomy (tongue or lip tie release procedure)
Application of additional sutures after periodontological cleaning
IL-1 gene test for determining the probability of periodontitis and peri-implantitis
Determination of periodontitis and peri-implantitis markers – 5 pathogens
Determination of periodontitis and peri-implantitis markers – 11 pathogens
Emdogain application (0.15ml)
All prices

Before & after

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Inguna Grīnvalde
Certified Periodontists
Justīne Iļjina
Certified Periodontists



You observe:

  • Bleeding of gums;
  • Swelling and redness of gums;
  • Unpleasant smell and taste in the oral cavity;
  • Mobility of the teeth.

What must you do?
Immediately call us and apply for a visit with a periodontologist. To ensure the recovery of gums and supporting tissue, treatment of the periodontium will be planned and performed. The treatment will consist of several phases, which are explained in the next FAQ section.


Principal treatment phase
A thorough periodontal examination (clinical and X-Ray) will be performed and the required therapy tactics will be explained to you.

You will be informed about the use of the required means and technical aids of dental hygiene, as well as you will be motivated to do it regularly and thoroughly, because the causative agent of periodontal diseases is dental plaque. The periodontologist will recommend the extraction of untreatable teeth, as well as inform you about the specialist that will continue the restoration of your teeth.

Afterwards, the removal of soft deposits, supragingival and subgingival dental plaque will be performed, as well as the removal of the infected cement of the dental root and curettage of the gingival pockets.

Assessment of the principal phase of treatment
The result of the principal therapy phase is evaluated after 6-8 weeks, the status of oral hygiene is determined and the need for surgical therapy is evaluated, as well as the scope of such therapy.

Correcting (surgical) phase of periodontal therapy
This therapy phase will only be performed if the need for this phase has been determined during the first phase.

At this phase, surgical treatment of gingival tissue is performed, which may include the following therapy procedures:

  • Reduction of gingival pockets;
  • Enhancement of bone contour;
  • Elimination of mucogingival problems;
  • Preparation of teeth for prosthetic therapy (extension of clinical crown of the tooth).

Maintenance therapy phase
After the completion of therapy, your periodontologist will provide instructions on how to maintain the obtained results and will tell you how frequently you need to visit a periodontologist in the future. Usually they are 2-4 visits per year. During the examination, the condition of your oral hygiene will be evaluated and, if required, a maintenance therapy procedure will be performed by removing supragingival and subgingival plaque and soft deposits and curettage of the gingival pockets.

Remember that only regular preventive care for natural teeth, dental implants and crowns performed in a home setting and in the clinic will protect you from the loss of natural teeth and implants!

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