Closed curettage is the cleaning of periodontal pockets without making an incision in the gums. The doctor uses special instruments to work through the gingival margin, removing bacterial plaque, tartar and altered tissue from the root surface. The procedure is performed under anesthesia and takes about an hour. At the KAN clinic in Tashkent, closed curettage is prescribed only when the depth of the pockets requires intervention, which professional hygiene will no longer solve.
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Professional hygiene works with the surface of the tooth and the upper part of the gingival sulcus. This is effective for healthy gums or in the early stages of inflammation. But when a periodontal pocket with a depth of 4 mm has formed, ordinary cleaning to its bottom is no longer possible enough.
Closed curettage works deeper. The doctor inserts thin curved instruments - curettes - into the pocket and thoroughly cleans its walls, removes subgingival stone and smoothes the root surface. This creates conditions under which the gum can reattach to the tooth, and inflammation can be eliminated. subside.
The procedure is indicated for mild to moderate periodontitis. Specific indications:
For pockets deeper than 6 mm, closed access no longer helps. recommends flap surgery.
The periodontist uses a special probe to measure the depth of the pockets around each tooth. The image is analyzed by Diagnocat: the system identifies changes in bone tissue that are easy to miss during a visual examination. Based on the diagnostic results, the doctor draws up a treatment plan and explains how many visits will be required.
Before curettage, the doctor removes supragingival deposits. Without this step, work inside the pocket loses its meaning: the source of bacteria must be eliminated before starting the main one. procedures.
The intervention area is completely anesthetized. Work begins only after anesthesia. worked.
The doctor cleans the walls of the pocket from the inside, removes subgingival stone, altered root cement and granulation tissue - inflamed overgrown cells that support the pathological process. Then he carefully smoothes the surface of the root: a smooth surface retains bacterial plaque worse and creates better conditions for it. attaching the gum back to the tooth.
The pocket is washed with an antiseptic, and if necessary, a periodontal bandage is applied. The patient goes home in the same place. day.
The first 2-3 days, the gums may be sensitive and slightly swollen. This is a normal reaction that goes away on its own. The doctor will prescribe painkillers and antiseptic rinses.
A few rules that will help the recovery proceed faster:
In most patients, after closed curettage, the depth of the pockets decreases by 1–2 mm, the inflammation goes away and the gums stop bleeding.
Both methods solve one problem - to clean the affected tissue and create conditions for healing. The difference is in access and indications.
With closed curettage, the doctor works through the gingival margin, without an incision. The method is effective for pockets up to 6 mm, recovery is complete quickly and comfortably.
In a flap operation, the doctor peels off the gum and gains direct access to the root and bone. This is necessary for deep pockets, when a closed approach no longer allows high-quality treatment of the entire area. The operation gives the best result in complex cases, but requires a longer recovery.
The choice of method is determined by the doctor after diagnosis - based on the depth of the pockets and the condition of the bone. fabrics.
Since 2011, KAN was the first in Uzbekistan to begin using Korean technologies in dentistry. Over 14 years, more than 7,000 patients have passed through the clinic, 1,200 complex cases have been completed.
Artificial intelligence analyzes the image in parallel with the doctor and helps to accurately assess the condition of the bone tissue before and after treatment.
If professional hygiene is sufficient, they prescribe it. If flap surgery is needed, they talk about it honestly. The scope of treatment always corresponds to real clinical care. situation.
If the dentist told you about periodontal pockets or your gums are bothering you, come for a consultation with a periodontist at KAN in Tashkent. The doctor will measure the depth of the pockets, evaluate the condition of the tissues and tell you whether closed curettage is suitable for your case.
Call by phone +998 (78) 113-73-33 or leave a request - the administrator will call you back and select a convenient time.
Address: Tashkent, Mirzo Ulugbek st., 51B - Mon-Sat from 9:00 to 21:00, Sunday - day off.
Strong, experienced top-level dentists. We work according to international protocols. We guarantee the highest quality of treatment and your peace of mind.
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Лечение десен (пародонтология)
Лечение десен (пародонтология)
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We name the cost of treatment before the start and do not change it during the process.
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If you are afraid of the procedure, we perform it in sedation or medicated sleep.
Clinic on Mirzo street. Ulugbeka, 51B, parking nearby. Open Mon-Sat from 9:00 to 21:00, closed on Sunday.
