Saint Petersburg, ul. Gagarinskaya, 30
Mo - Fr / 10:00 - 21:00
Sa - Su / 10:00 - 19:00

Periodontitis treatment

Treatment under a microscope
In-house dental laboratory
In-house visiograph and orthopantomograph (Sirona)
We are located in the centre of Saint Petersburg

It is possible to receive high quality periodontal treatment in Saint Petersburg at Axioma Dental Clinic. Periodontitis refers to the inflammation of tissues (ligaments) which surround the tooth root. Periodontitis is diagnosed based on complaints, the clinical picture and the most important examination - 3D tomography or a radiographic image. You need to visit a professional dentist if you experience toothache, since only they can diagnose and treat the disease.


  • A deep caries lesion (pathogenic flora from a carious cavity penetrates canals and causes inflammation);
  • A tooth injury (a vascular-nervous bundle tears off and pulp becomes necrotic);
  • Previous improper root canal treatment.

Symptoms and types

There are acute and chronic forms of the disease. They have significant differences in terms of signs, development and therapy. Advanced periodontitis may have to be treated by surgical means.

Acute forms

Periodontitis may have an acute form when the patient complains about a nagging toothache, experience a feeling of a “grown” tooth and pain when biting down. There can also be mucosal oedema or cheek swelling on the side of the affected tooth.


Chronic periodontitis forms can exist for a long time giving the patient very little cause for concern. Such teeth are often identified by the doctor quite accidentally on a dental image. However, it is absolutely necessary to have the disease treated, as this is a chronic site of infection for the whole organism. Any chronic form can exacerbate and cause acute symptoms, so it must be treated as soon as possible.

Treatment methods

All periodontal treatment methods can be classified as therapeutic or surgical ones. Therapeutic methods involve root canal treatment and eliminating inflammation at the root apex using medication. Surgical ones relate to removing the site of infection from the roots or extracting the tooth together with the infection.

Therapeutic treatment

First of all, the dentist will perform examination, diagnostics, radiography and prepare a treatment plan.

Treatment stages:

  • Anaesthesia.
  • Tooth preparation, removing the old filling or decayed tissues.
  • Cleaning the root canals: removing the nerve or old filling material, antiseptic and mechanical treatment.
  • Temporary filling material is placed into the canals, and the tooth is closed with a temporary filling.
  • Medication treatment of root canals can sometimes be repeated and the drug replaced at the next visit.
  • If there are no inflammation signs, the root canals are filled.
  • Then the tooth is restored with a filling or a crown.

If no effect, it is decided to resort to a surgical procedure. The following surgical procedures may be performed:

  • Root apex resection. It is a minor surgery which involves cutting off the tooth root together with the chronic site of infection. A small opening in the bone is made on the lateral side of the alveolar ridge, the pathologically changed tissues are removed and the space is filled with a bone material. As a result of this intervention, the tooth is preserved and the disease is eliminated.
  • Surgical removal is performed if the disease exacerbates persistently and tooth preservation procedures are ineffective. In this case, the tooth is restored with implants or prostheses. Implantation is recognized to be the best, most effective and comfortable treatment method.

Post treatment recovery process

After the elimination of the inflammation in the jaw, the dentist fills the canals and restores the anatomical shape of the tooth with a filling material, or with crowns and prostheses in case of severe damage.

Complications may occur in case of improper treatment. They may include transition to a chronic stage, spreading of the infection into the jaw, cyst formation, abscess, periostitis and osteomyelitis. To prevent the disease, it is necessary to visit the dentist for preventive treatment and properly perform oral hygiene.

Medical expert:
Lina Victorovna Makanina
Dental therapist

Doctors in this area

Lina Victorovna Makanina


19 years
Dental therapist

Tatyana Leonidovna Aleshkova


15 years
Dental therapist, surgeon, periodontist

Tell about us:

191028, Russia, Saint Petersburg, ul. Gagarinskaya 30

Mo - Fr / 10:00 - 21:00
Sa - Su / 10:00 - 19:00