To make the tartar removal using sonic or ultrasonic instruments driven by compressed air or electrically. This makes it possible to remove not only plaque but also the dental calculus and exogenous stains from teeth.
As periodontal disease progresses treatments to be performed will be more complex and aggressive. The aim is always to the removal of plaque and tartar or calculus, responsible for inflammation of the periodontium.

In this line of treatment would be the next therapeutic option curettage and root planing. For these techniques using an instrument called a “curette” which is the tool princeps of the periodontist. The uterus has a cutting edge which facilitates polishing of the root surface and the removal of bacterial colonies and the mechanical and chemical irritants that cause inflammation. This treatment allows reaccession gum to the tooth and the disappearance or reduction of periodontal pockets (pouch formed between gum disease and tooth and occupied by inflammatory products and dental calculus). The complete disappearance of the pocket and good adhesion of the gum to the tooth are more reliable markers of the success of our treatment, the result perseguido.

Si, after the application of these treatments, failure to achieve a stabilization of periodontal disease continue with the next link therapeutic in this case, that would be surgical. The periodontal surgery is done also in consultation, but this case, under local anesthesia and accessing the pocket directly by lifting the gum surgically, is what we call “gum flap.” There are several surgical techniques, depending on the severity of the disease. It ruled out the use of antibiotics in a reinforcing or added to previous treatment in order to optimize performance and eliminate germs mouth opportunistic superinfection ill. Not a treatment protocol but it is commonly utilized for more refractory cases.

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Despite the many risks still do not have accurate data. Some countries have provided statistics on accidents and diseases related to the world of medicine, within this are included dentistry.

Austria: in 1982 there were 106 accidents (2.8% of total) and 138 cases of occupational diseases (13% of total)., The most frequent infectious diseases (96).
Japan: In 1982 there were 11 deaths due to occupational accidents and six in 1983
Mexico: In the first half of 1984, 7195 reported 20 accidents and occupational diseases.

The dental and disease transmission
For any health professional there are a number of dangers to come into contact with hundreds of irritants, carcinogenic, mutagenic, without HIV, hepatitis and others.

Among the most frequently borne diseases include hepatitis B, tuberculosis, rubella, herpes infections, sore throats, dermatitis and allergies among others. And accidents caused by sharp materials and chemical poisoning.

The diseases are transmitted either by accident or nosocomial infection.

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