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Treatment of periodontal disease td>
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Periodontal disease is a chronic disease, so treatment will be long-term. In order to maintain healthy teeth, 1) the patient's daily steady brushing, 2) regular examinations at the dentist's office, 3) tartar removal (scaling), 4) professional tooth surface stains. Cleaning (PMTC) is important.
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1) Inspection of gingival condition
Inspect the color tone and swelling of the gingiva, the depth of the groove (periodontal pocket) between the tooth and the gingiva, the presence or absence of bleeding, and the presence or absence of tartar.
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2) Inspection of tooth condition
Inspect the number of teeth, the presence or absence of tooth decay, the status of past treatment, tooth occlusion, the degree of tooth mobility, and whether there is bruxism.
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3) Inspection by X-ray (X-ray) photograph
If necessary, take an X-ray.
X-rays show the condition of the bones that support the teeth (alveolar bone), which cannot be seen with the naked eye.
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4) Removal of tartar (scaling) strong>
Remove tartar with a specialized dental instrument.
If periodontal disease is significantly advanced, partial anesthesia may be used to gently remove tartar behind the gingival sulcus.
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5) Removal of plaque and guidance on brushing teeth
We will stain the surface of the teeth such as unpolished food residue and plaque, and give brushing instructions.
Also, carefully remove dirt (PMTC).
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6) End of treatment
It is assumed that the condition of periodontal disease has calmed down and the gums have stabilized due to the professional cleaning at the dental clinic and the guidance of brushing teeth at home.
However, periodontal disease is a disease that tends to recur. Even after the treatment is completed, the period varies depending on the symptoms, but we recommend regular examinations every one month to six months.
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Insurance points and fee calculation for the above treatments
Periodontal disease is treated little by little, so it takes a lot of times.
The initial treatment lasts about a month. The calculation depends on the number of teeth. (The table below shows the case where all the teeth are left and the treatment is done as a whole)
number of times td>
| Treatment td>
| Explanation td>
| Points (points) td>
| Amount (yen) td> tr>
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Day 1 td>
| First visit td>
| We will diagnose periodontal disease. td>
| 218 td>
| td> tr>
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td>
| Basic periodontal examination (I) td>
| Investigate the depth of the groove between the teeth and gums, dirt, bleeding, and the degree of tooth mobility. td>
| 200 td>
| td> tr>
|
td>
| X-ray photography td>
| Take a picture of the entire mouth. td>
| 317 td>
| td> tr>
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td>
| Dental disease management td>
| Brushing instruction, commentary on the condition of periodontal disease, etc. td>
| 130 td>
| td> tr>
|
td>
| Tartar removal (upper tooth) td>
| Generally remove tartar and plaque from the upper dentition. td>
| 64 + 38x2 td>
| td> tr>
|
td>
| td>
| Total td>
| 1,005 td>
| 3,020 td> tr>
|
Day 2 td>
| Revisit td>
| Check the prognosis of the previous cleaning. td>
| 42 td>
| td> tr>
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td>
| Tartar removal (lower tooth) td>
| Generally remove tartar and plaque from the lower dentition. td>
| 64 + 38x2 td>
| td> tr>
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td>
| td>
| Total td>
| 182 td>
| 550 td> tr>
|
Day 3 td>
| Revisit td>
| Check the prognosis of the previous cleaning. td>
| 42 td>
| td> tr>
|
td>
| Periodontal basic examination (II) td>
| We will check again to see how much it has improved. td>
| 200 td>
| td> tr>
|
td>
| Root surface cleaning (upper front tooth) td>
| Remove tartar and other stains in the groove between the teeth and gums one by one. td>
| 58 x 6 td>
| td> tr>
|
td>
| td>
| Total td>
| 566 td>
| 1,700 td> tr>
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Day 4 td>
| Revisit td>
| Check the prognosis of the previous cleaning. td>
| 42 td>
| td> tr>
|
td>
| Root surface cleaning (lower front teeth) td>
| Remove tartar and other stains in the groove between the teeth and gums one by one. td>
| 58 x 6 td>
| td> tr>
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td>
| td>
| Total td>
| 366 td>
| 1,100 td> tr>
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Day 5 td>
| Revisit td>
| Check the prognosis of the previous cleaning. td>
| 42 td>
| td> tr>
|
td>
| Root surface cleaning (premolars) td>
| Remove tartar and other stains in the groove between the teeth and gums one by one. td>
| 62 x 8 td>
| td> tr>
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td>
| td>
| Total td>
| 538 td>
| 1,610 td> tr>
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Day 6 td>
| Revisit td>
| Check the prognosis of the previous cleaning. td>
| 42 td>
| td> tr>
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td>
| Root surface cleaning (molars) td>
| Remove tartar and other stains in the groove between the teeth and gums one by one. td>
| 68 x 8 td>
| td> tr>
|
td>
| td>
| Total td>
| 586 td>
| 1,760 td> tr>
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Day 7 td>
| Revisit td>
| Check the prognosis of the previous cleaning. td>
| 42 td>
| td> tr>
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td>
| Basic inspection (Ⅲ) td>
| We will check again to see how much it has improved. td>
| 200 td>
| td> tr>
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td>
| td>
| Total td>
| 242 td>
| 730 td> tr>
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(after) td>
| td>
| If periodontal disease is serious, periodontal surgery will be performed further. td>
| td>
| td> tr>
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td>
| td>
| Total td>
| 3,485 |
10,470 | |
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