Dr. med. dent. Natalie Paulsen

Dentist for fearful patients

Aesthetics - Prophylaxis - Implantology

Call us at:

Your specialist for treating

fearful patients in the area Bonn / Bad Honnef

Periodontal disease, periodontitis, gingivitis

Customized and effective periodontal treatment by dentist Dr. Paulsen in Bad Honnef near Bonn, treat inflammation of the gums, loss of gum tissue, bleeding of the gums effectively


What is periodontal disease, periodontitis and gingivitis?

Periodontal disease is an inflammatory disease of the periodontium, which causes the atrophy of the gum structure surrounding the teeth. In colloquial language, periodontitis is often called "periodontal disease." Gingivitis and periodontitis are caused by specific germs and bacteria that are present in plaque, in calcified deposits at the gum line (tartar) and predominantly in calcified deposits in pockets of the gum tissue (concretions). Produced toxins cause inflammation in the pocket of the gum tissue.

Verlauf einer Gingivitis, Parodontitis (Parodontose), sanfte Parodontose Behandlung bei Zahnarzt Dr. Paulsen in Bad Honnef bei Bonn


Signs of gingivitis and periodontitis (periodontal disease)

Healthy gum tissue is characterized by its light pink color. The inter-dental spaces are completely filled and do not bleed when touched. The first signs of gum tissue disease most often are bleeding of the gums and halitosis, the gum tissue is red and swollen. This stage is called gingivitis, which can develop into periodontitis or periodontal disease if left untreated. The signs of periodontitis or periodontal disease are receding gums (gum tissue and bone recedes), longer tooth necks (teeth appear to be "longer"), damage to the entire periodontium, inflammation of the gums as well as loosening of teeth and in the end loss of teeth. Periodontitis rarely causes pain and the course is often slow and insidious. However, there are some specific forms of this disease that have a very aggressive course. In order to stop periodontitis early on, it is important to take the initial signs very seriously and have them treated by your dentist.

The consequences and risks of gingivitis, periodontitis or periodontal disease

Periodontitis not only poses a danger for teeth and the periodontium, but can have serious consequences for the entire body:

Loss of teeth:
Teeth become loose and - if this disease remains untreated - fall out. Statistical research has shown that more teeth are lost to periodontitis than to decay after the age of 40.

General illnesses:
According to the latest research, untreated periodontitis or periodontal disease can promote serious general illnesses. Bacteria that are present in the inflamed, bleeding pockets of gum tissue can gain access to the bloodstream unnoticed and trigger inflammations throughout the body. In addition, a correlation between periodontitis and cardiovascular diseases, diabetes and the risks of premature birth is currently discussed in scientific circles. Ongoing studies have shown that periodontitis patients have a 1.7 times higher risk for coronary heart disease (CHD).

What promotes gingivitis, periodontitis or periodontal disease  

Bad influences on the oral flora should be avoided. This includes, above all, insufficient oral hygiene, which can lead to gingivitis. If this is not treated it can develop into periodontitis. What many patients do not know: Stress, smoking, vitamin D deficiency and certain general illnesses, such as diabetes, can have a negative effect on the condition of the gums and the periodontium!

Treatment of periodontitis or periodontal disease

Treatment of periodontitis is not a standard therapy, but is customized, based on the severity of the periodontitis and other factors, and is performed in several steps. In order to lower the risk of losing teeth and preserving the natural teeth (or at least extend their longevity), treatment of periodontal disease is absolutely necessary.

Intensive professional teeth cleaning

When periodontal disease is suspected, we initially complete pre-treatment consisting of intensive professional teeth cleaning. In the context of PTC we also give the patient targeted instruction for proper oral hygiene at home.

Analysis of bacteria with the DNA probe

Furthermore, bacteria in the diseased pockets of gum tissue are verified or analyzed with modern molecular-biological methods (DNA and RNA probes). Samples of bacteria are removed from the gum tissue pockets with special tools and analyzed in specialized laboratories. The results assist us in finding the most appropriate antibiotic to be used along with the periodontal treatment.

Complex periodontal therapy with numerous individual measures

Based on the previous treatment and examination, the bacteria analysis as well as x-rays of all teeth, we create a customized therapy plan for periodontal disease, which is executed in several stages.

  • Removal of deposits from the gum tissue pockets and the root surfaces of the teeth (concretions) as well as removal of inflamed tissue from the gum tissue pockets.

  • Subsequently, the root surfaces are smoothed and the gum tissue is restructured, if needed, in order to create optimum conditions for healing and prevent further periodontal disease.

  • If other, especially resistant, specific germs and bacteria are present in the gum tissue pockets that continue to trigger inflammations, we perform supporting therapy with laser light and special antibiotics. The number of bacteria that cause periodontitis is significantly reduced through the use of a laser and the healing process is accelerated. Another benefit of using a dental laser during therapy for periodontal disease: Pain is avoided to a large extent.

Regenerative procedures for bone buildup

Modern therapy devices for periodontal treatment, such as ultrasound-powered instruments, are gentle on the tissue. The therapy spectrum, however, is limited. If the gum tissue pockets are very deep or if inflammations of the gums reoccur frequently, more extensive interventions of periodontal surgery cannot be avoided. With the help of regenerative procedures, such as membranes, materials for bone replacement and growth-promoting medications, jaw bones and tissue can be restored. These surgeries are elaborate, but decrease tissue loss and ensure a better esthetic appearance.

Prevention of repeated periodontitis - follow-up examination and follow-up treatment

To prevent repeated inflammations of gum tissue, regular follow up examinations are essential after periodontal treatment. The follow-up examination also serves the purpose of monitoring and motivating the patient. It also provides the dentist with the opportunity to repeat local measures (e.g. removal of hard and soft deposits) on individual supporting dental structures.

Conditions for long-term success

The success of periodontal treatment depends on several factors. How quickly long-term therapy is successful depends on the severity of periodontal disease, the condition of the periodontium, the jaw bone and teeth as well as the number and type of disease-causing germs and bacteria. In addition, general health and illnesses such as diabetes and a weakened immune system, and last but not least smoking, have an influence on the development and emergence of periodontitis. For smokers, the risk of emergence or redevelopment of periodontitis is three times as high as for non-smokers.

In order to lower the risk for periodontitis long-term, an individual
prophylaxis program is urgently recommended. Important components of this individual prophylaxis are

  • Professional teeth cleaning (PTC), were teeth and gums are cleaned and cared for, tartar, plaque and stubborn discolorations are removed and the teeth are polished. This gives new bacteria very little chance to grow.

  • And thorough, proper oral hygiene at home

Prevention is better than healing

The earlier gingivitis or periodontitis (periodontal disease) is detected and treated, the better the chances for healing. If your gums are bleeding, are inflamed or even recede, gingivitis or periodontitis has most likely developed already. Don't wait until you have pain! With regular examinations and professional teeth cleaning as well as consistent and proper oral hygiene at home, unpleasant periodontal consequences can be avoided.

Do you have questions? Please contact us - we will gladly advise you.
Telephone: +49 (0)2224 / 911033 or Email

Your dental practice team in Bad Honnef near Bonn