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Subgingival Curettage

Subgingival curettage is a periodontal treatment method used in the management of gum diseases, aiming to clean the inside of periodontal pockets using specialised hand instruments. By removing bacterial plaque, calculus, and inflamed tissues accumulated beneath the gum line, the procedure aims to restore gingival health. It is an important step in halting the progression of gum inflammation and reducing the risk of tooth loss.

What is subgingival curettage?

Subgingival curettage is the procedure of removing infected tissues from the inner surface of the periodontal pocket as well as bacterial deposits adhered to the root surfaces. Performed under local anaesthesia, this method supports the healing of the gingival tissues and contributes to strengthening the attachment between the tooth and the gums.

In which cases is subgingival curettage performed?

It is performed in cases of advanced periodontal disease, deep periodontal pockets, persistent gum bleeding, and halitosis. In situations where adequate healing cannot be achieved following scaling and polishing, it offers an effective non-surgical treatment alternative. It is preferred to prevent the progression of periodontal disease.

Points to consider before subgingival curettage

Before treatment, a detailed periodontal examination should be carried out to assess pocket depths and bone condition. The patient’s general health status, medications in use, and any systemic conditions should be reported to the dentist. Maintaining good oral hygiene prior to the procedure enhances treatment success.

Points to consider after subgingival curettage

After the procedure, hard, hot, and spicy foods should be avoided during the first day. Mouthwashes prescribed by the dentist should be used regularly, and teeth should be brushed gently. Temporary sensitivity and mild discomfort may occur, but these symptoms usually resolve within a short period. Regular follow-up visits and good oral care support the long-term success of the treatment.

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