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:

• Depth of periodontal pockets from 4 to 6 mm
• Subgingival calculus that cannot be removed with standard cleaning
• Inflammation of the gums that does not go away after professional hygiene
• Preparation for implantation or prosthetics: the condition of the periodontium is assessed before any serious treatment
• Supportive therapy for chronic periodontitis

For pockets deeper than 6 mm, closed access no longer helps. recommends flap surgery.

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:

• Soft food in the first 2-3 days
• Gentle but regular brushing of teeth in the intervention area
• Stopping smoking: it slows down healing and reduces the result of the procedure
• Control visit after 4-6 weeks: the doctor will evaluate how the depth of the pockets has decreased and whether the tissues have recovered

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.

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.