Gum Curettage in Chișinău

Gum curettage is a periodontal procedure that cleans the areas under the gum, the tooth roots and the periodontal pockets, the gaps between the gum and the tooth, of bacterial plaque and deposits.

Depending on the depth of the pockets and the condition of the tissues, the doctor may recommend closed or open curettage. We choose the method after an examination and diagnosis.

The main aim of subgingival curettage is to remove the deposits under the gum and create the conditions for reducing inflammation and stabilising the tissues around the teeth.

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Periodontal treatment

What is
gum curettage

Gum curettage, also called subgingival curettage, is the cleaning of periodontal pockets and the surface of the tooth roots from deposits under the gum and bacterial plaque. It is used for periodontal disease, when ordinary professional teeth cleaning is not enough to clean the areas beneath the gum fully.

Depending on the depth of the damage and the access needed to the tooth root, curettage can be carried out in a closed or an open way:

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  • without incisions (when the inflammation is shallow)
  • with deeper access (when infection has gone under the gum and into the bone)

This is not a cosmetic procedure and not prevention. It is treatment, carried out when it is indicated.

When curettage is needed

We recommend the procedure if:

  • your gums bleed regularly
  • you have bad breath that does not go away
  • you feel that the gums are pulling away from the teeth
  • your teeth have become sensitive near the gum
  • periodontal pockets have appeared
  • the doctor sees inflammation and bone loss on the X-rays
  • inflammation quickly returns after ordinary cleaning

In these situations surface cleaning is not enough, because the source of the problem is under the gum. Only subgingival curettage reaches it.

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How curettage differs from professional teeth cleaning

Professional teeth cleaning

It suits regular prevention and keeping the gums and teeth healthy when:

• there is little plaque and tartar
• the gums are generally healthy
• the inflammation is superficial, with no deep problems
• you want to keep your mouth clean and fresh
• you have cleaning done regularly, without long breaks

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Gum curettage

Subgingival curettage is needed when you require more than cleaning the surface of the teeth, namely treatment of inflammation deep in the tissues:

• inflammation has spread under the gum
• the tooth roots need to be cleaned of infection and deposits
• the gums bleed or do not recover after cleaning
• the destruction of tissue around the teeth needs to be stopped

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Results of treatment

1
Gum inflammation decreases or disappears.
4
Bleeding decreases or disappears.
2
Treatment helps stop further bone loss.
5
The risk of tooth mobility and tooth loss falls.
3
The gums become more stable around the teeth.
Subgingival curettage does not regrow new bone, but it helps stop the process that leads to tooth loss.

Gum curettage prices

Gum curettage
(1 tooth)
200
MDL
The price depends on the number of teeth, the depth of the inflammation and the complexity of the case.
Problems with your gums?
Book a consultation: the doctor will assess the condition of your gums and explain whether you need curettage in your particular situation.
BOOK A CONSULTATION

How the procedure is carried out

1
Examination and treatment planning

The doctor examines the gums, measures the depth of the periodontal pockets, and assesses tooth mobility and the condition of the bone on X-rays.
Then we explain which areas need treatment and what result you can expect after treatment.

2
Anaesthesia

Local anaesthesia is given so that the procedure is comfortable.
There is no pain: during the work you feel only touch or pressure.

3
Cleaning under the gum

Hard deposits, bacterial plaque and inflamed tissue are removed from the tooth roots, and access may be shallow or deeper depending on the situation. The tooth root is then smoothed so that bacteria do not build up again and the gums can stabilise.

4
Closing the area and advice

The gum is returned to its place and, if needed, stitches are placed.
The doctor explains in detail how healing will go and what to do in the first days.

How long treatment and healing take

  • The procedure takes 60 to 120 minutes, depending on its extent
  • Initial healing takes a few days
  • Full stabilisation of the gums takes a few weeks

The doctor gives the exact timing after the examination.

What happens if you do not have curettage

1
The inflammation keeps getting stronger.
2
The bone around the teeth is destroyed further.
3
The teeth become loose.
4
The risk of losing teeth grows.
5
Later treatment becomes more complex and more expensive.
Open curettage is a chance to step in on time, while the teeth can still be saved.

Frequently asked questions

Is gum curettage painful?

No. The procedure is done under anaesthesia. Afterwards you may have moderate discomfort, which passes and is controlled by following the doctor's advice.

Will there be swelling after the procedure?

Slight swelling is possible and is a normal reaction. It usually goes down within a few days.

Does this mean my teeth are already doomed?

No. On the contrary, the procedure is carried out precisely to save the teeth.

Is one procedure enough?

In most cases, yes. After that you need supportive hygiene and check-ups.

Can the problem come back?

Without proper care, it can. That is why we always give you advice on prevention after treatment.

Can I manage without surgery?

If open curettage is recommended, it means that less invasive methods will no longer give a stable result.

Not sure whether you need curettage?
Book a consultation: the doctor will examine your gums, tell you which method suits you and explain the cost before treatment begins.
BOOK A CONSULTATION

Don't put off your dental health

The Cristi Dent team at the clinic entrance in Chișinău
Treatment room at Cristi Dent dental clinic
A Cristi Dent doctor goes through a CBCT scan with a patient before treatment
Cristi Dent reception desk with an administrator and New Year decorations
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