Periodontitis is a chronic inflammatory disease of the periodontal tissues (the gums, ligaments, and bone that hold the tooth in place). As the disease progresses, teeth begin to loosen, and without timely treatment, tooth loss is a significant risk.

It is important to understand that periodontitis affects not only the oral cavity but also the overall health of the body. Bacteria from the site of inflammation can enter the bloodstream, increasing the risk of cardiovascular disease and complicating the course of diabetes and pregnancy.

At the Doctor Dent clinic in Astana, periodontitis treatment is performed by a specialist periodontist. We prescribe only necessary examinations, use modern diagnostic methods (including CBCT with analysis via the 3D Dental AI system), and operate according to the principles of evidence-based dentistry. Our dental services are focused on preserving your natural teeth and achieving stable remission.

• Redness, swelling, and increased sensitivity of the gums
• Bleeding during tooth brushing and flossing
• Persistent bad breath
• Gum recession, exposed roots, and the sensation that teeth are becoming “longer”
• Formation of periodontal pockets
• Tooth mobility (loose teeth) due to loss of bone support
• Pain or discomfort when chewing
• Appearance of pus and signs of infection

If you notice these symptoms, it is vital to book a consultation with a periodontist in Astana as early as possible.

1. Modern International Standards
   We treat gum disease following the latest international periodontal protocols.
2. Professional Hygiene via the GBT Protocol
   Dental deposits are removed using the Swiss GBT protocol—one of the most effective methods for biofilm control.
3. Working with Magnification
   Microscopes and binoculars allow for high precision and minimally invasive treatment.
4. Atraumatic Techniques
   We use delicate technologies to ensure your treatment is as comfortable as possible.
5. Surgical Treatment when Necessary
   If conservative services do not yield the required results, we offer surgical periodontitis treatment.
6. Support Until Results are Achieved
   We guide the patient to stable remission and provide training in proper home hygiene.

Periodontitis is the inflammation of the tissues surrounding the tooth. The disease can be mild, moderate, or severe. Without treatment, it leads to the destruction of bone tissue and tooth loss, and can also exacerbate systemic health conditions.

Statistics show that signs of periodontitis are detected in 20–50% of the adult population, most frequently occurring in men and older adults.

The most common symptom is gum inflammation. Gums become red, swollen, sensitive, and bleed easily. A persistent bad breath or unpleasant taste in the mouth often occurs.

As the disease progresses, gum recession develops—the gum pulls away, exposing the tooth root. Teeth may appear longer and react to hot or cold temperatures.

A characteristic sign is the formation of periodontal pockets. To diagnose them, a special probe is used. The deeper the pocket, the more complex the treatment and the higher the risk of tooth loss.

Over time, tooth mobility may appear due to the reduction of bone tissue volume. This is the body’s protective response to chronic inflammation. Without treatment, bone destruction continues.

Additional Symptoms:

• Formation of a periodontal abscess during flare-ups
• Pain when chewing
• Pus discharge

The primary cause is bacterial dental plaque—a biofilm of microorganisms that forms on the surface of the teeth. With inadequate hygiene, plaque mineralizes and turns into tartar (calculus), causing gum inflammation and tissue destruction.

Smoking: Reduces blood supply to the gums, increases pocket depth, and complicates treatment.

Genetic Predisposition: Some patients are more susceptible to periodontal inflammation.

Diabetes Mellitus: Has a two-way link with periodontitis: diabetes impairs tissue healing, while chronic gum inflammation makes blood glucose levels harder to control.

Conservative Treatment

The first stage is the correction of home hygiene. The periodontist selects individual care products and teaches proper brushing techniques.

This is followed by the removal of the microbial biofilm above and below the gumline. The procedure is performed under local anesthesia for patient comfort. If necessary, diagnostics using CBCT and 3D Dental AI analysis are performed for precise treatment planning.

Surgical Treatment

If conservative methods are not sufficiently effective, a flap surgery is applied. The surgeon gains direct access to the root surface, removes tartar and infected tissue, then returns the gum to its anatomical position and applies sutures. Medications may be prescribed after the surgery.

After the active phase of treatment is complete, supportive care is essential: regular check-ups, professional hygiene, and monitoring of the periodontal status.

• Tooth Loss: Bone destruction leads to significant mobility and the loss of teeth, affecting quality of life and chewing function.
• Cardiovascular Disease: Bacteria from the site of inflammation can enter the bloodstream, contributing to blood vessel damage and the progression of heart conditions.
• Diabetes Mellitus: Periodontitis makes sugar levels harder to control and increases insulin resistance.
• Pregnancy Complications: Chronic gum inflammation is linked to risks of premature birth and low birth weight.

The main preventive measure is regular and proper oral hygiene:

• Brushing teeth twice a day
• Using dental floss and interdental brushes
• Professional hygiene at a clinic
• Smoking cessation
• A balanced diet

Regular preventive visits to a dentist in Astana allow for the detection of the disease at an early stage and prevent its development.

If you require periodontitis treatment in Astana, contact Doctor Dent. We offer modern dental services, accurate diagnostics using 3D Dental, and a comprehensive approach to preserving the health of your gums and teeth.