Finchley 020 3199 4518 St John’s Wood 020 3199 4519
020 3199 4518
St John’s Wood
020 3199 4519
A periodontist is a dentist who specializes in treatment of gum disease. Here at Smile Cliniq, winner of Best Practice and Best Dentist, we are fortunate to have Dr Evdokia Chasioti as our specialist periodontist at our practice in Finchley, London. She is recognised by the GDC as a specialist periodontist, she is an international member of the American Academy of Periodontolgy and a member of the British Society of Periodontolgy and the Association of Dental Implantology, UK.
Testimonials about Dr Evdokia Chasioti
I have been seen by Ms Chasioti several times in the last few months and have had different procedures to help difficulties caused by gum disease.
On every occasion, Ms Chasioti has been very thorough and she explains possibilities and answers questions in a clear way.
She has an easy-going personality and is gentle and considerate when working.
She spends time to make sure that her work is effective and that it feels right and comfortable.
I feel very confident in the work that Ms Chasioti did and would definitely recommend her. I am very grateful for the difference she has made for me
ABOUT GUM DISEASE
Gum disease is a condition where the tissues surrounding the teeth (periodontium) have become inflamed due to bacteria. The primary cause of gum disease is plaque. Plaque is a film that surrounds the tooth and it is composed mainly of various types of bacteria, which stick to your teeth and roots over and below the gum line. Plaque begins to form within minutes after brushing and flossing and if it is not removed daily by oral hygiene plaque hardens into calculus (or tartar). Calculus can only be removed with a professional cleaning or periodontal treatment.
There are two types of gum disease: gingivitis and periodontitis. The initial stage of periodontal disease is called gingivitis and can usually be totally reversed. Gingivitis is when the gums are inflamed, swollen and have a tendency to bleed when flossing or brushing. If gingivitis is not treated, the gums begin to pull away from your teeth, leaving little pockets around the tooth. This pocket traps plaque that can't be reached with brushing and turns into calculus. Plaque and tartar build up cause further irritation. This can lead to bleeding of the gums, a funny taste and bad breath. It can also cause the gums to recede and if this occurs, dentine may become exposed and the teeth may become more sensitive to hot and cold substances. At this stage, the condition can be treated with a simple hygiene appointment with your hygienist or dentist and good oral hygiene practice at home.
Periodontitis is when gingivitis has progressed to bone loss. Pockets are formed in between the tooth and the gums. The supporting gum tissue and bone that holds the teeth in place deteriorates. The bone supporting the tooth can be lost causing the tooth to become wobbly and it affects your ability to chew and speak properly. At this stage, the lost bone and tissue cannot be re-grown. The aim of the treatment for periodontitis would be to prevent further progression of the disease in order to keep as many teeth remaining in your mouth for as long as possible.
Periodontitis refers to a number of inflammatory diseases affecting the tissues that surround and support the teeth. A diagnosis of periodontitis is established by inspecting the soft gum tissues around the teeth with a periodontal probe and by visual analysis of radiographs, to determine the amount of bone loss around the teeth.
THE CONNECTION BETWEEN PERIODONTAL DISEASE AND GENERAL HEALTH
A series of reports were recently published from the American Academy of Periodontology (AAP), in collaboration with the European Federation of Periodontology (EFP), with scientific data linking periodontitis, to other systemic diseases, including diabetes, cardiovascular disease and adverse pregnancy outcomes. There is strong evidence that periodontitis provides an increased risk for future cardiovascular disease and also that there is an independent association between periodontitis and diabetes. Periodontal treatment may provide favorable effects on diabetes outcomes in some patients and therefore regular comprehensive periodontal evaluations should be part of a diabetes management plan. Women considering pregnancy should consult with the periodontist to act towards the prevention and minimisation of periodontal bacteria when present and minimize the risk of bacteria getting into the blood stream, which happens when gum bleeding is present. Also, evidence suggests a relationship between periodontitis and other systemic diseases, including chronic obstructive pulmonary disease, pneumonia, chronic kidney disease, rheumatoid arthritis, obesity and metabolic syndrome.
An early and easy diagnosis of periodontal inflammatory processes can be of major importance for the prevention and treatment of systemic diseases.
PERIODONTAL MARKERS AND DIAGNOSTIC TESTS
Periodontal tissue damage and inflammation can be measured with quick and completely painless tests in the clinic followed by laboratory tests. The tests can discover hidden inflammation very early, even before clinical symptoms begin to appear such as periodontal destruction, bad breath and/or loosening of teeth.
SCALING AND ROOT PLANING
Scaling is the removal of plaque and calculus above the gum line and root planing is the removal of plaque and calculus below the gum line, containing millions of bacteria from the root surfaces. The periodontist will use an ultrasonic scaler to remove calculus from above and below the gums, and various hand instruments to access bacteria deeper within the pockets. This is performed under local anaesthetic in order to guarantee no pain. Treatment of periodontitis is a lifelong commitment. Even after having treatment with the best periodontist in the world, it cannot be stressed enough how important it is to follow a strict oral hygiene regime at home to keep periodontitis under control. For more information on how to look after your teeth at home, please click on our oral hygiene guide. All specialist treatments are carried out at the Smile Cliniq Dental surgery in Finchley, North London. If you think you require treatment from our Specialist Periodontist Dr. Evdokia Chasioti, or want to ask a few questions about seeing her, just simply call our number on 020 8090 9077. You can also contact us via email at email@example.com.
SURGICAL PERIODONTAL TREATMENT
The distance between your gum and your teeth (periodontal pockets) may be too deep for you and the Periodontist or hygienist to keep clean. Under such circumstances pocket elimination is one of the most common surgical procedure to treat periodontal disease. To gain access to the deep periodontal pockets the gum is pulled back gently. The periodontist can then visualize and remove thoroughly all plaque and calculus (tartar). The bone cavities caused by the disease are smoothed over and the gum tissues are positioned even with the bone level to reduce the periodontal pockets, and minimize the spaces under the gums where disease causing bacteria can hide. Tiny sutures are placed to stabilize the new gum position. A protective dressing often is placed around the teeth to cover and secure the surgical area. Sedation can be used to keep you comfortable and relaxed, if needed. You will have a follow up appointment in 7-14 days to remove any remaining sutures, evaluate your healing, and review oral hygiene.¬† Three months after surgery you will have a periodontal cleaning.
STABILIZATION OF WOBBLY TEETH-TEETH SPLINTING
When the teeth are compromised from a periodontal point of view and lost most of their bone and gum support due to periodontal disease, they become wobbly. As a result the chewing efficiency, phonetics and function is compromised. To increase patient comfort during chewing we can connect multiple teeth together (teeth splinting) to reduce mobility and improve the patients function and chewing efficacy. Also, when the teeth are used as abutments for partial dentures they can be connected together to increase support of the periodontally compromised teeth. However, splinting makes oral hygiene procedures difficult. To ensure the longevity of the connected teeth, special attention must be taken towards oral hygiene.
GUIDED BONE/TISSUE REGENERATION AROUND TEETH
When periodontal disease is established in the mouth, inflammation is present, periodontal pockets are formed around the teeth and the bone that supports the teeth is lost. The harmful bacteria that hide in the deep pockets create bone irregularities. When the shape of these irregularities allows it, we can use artificial bone substitutes with growth factors that enhance periodontal regeneration and re-grow the bone that was lost, increasing the longevity of the teeth and eliminating the depth that the harmful bacteria could hide. This periodontal surgical grafting technique is called Guided Tissue and Bone Regeneration and the most up to date procedures that contribute to periodontal regeneration are available in the clinic by Dr. Evdokia Chasioti
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