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Berezinskaya Anna Sergeevna Dentist-therapist, periodontist, doctor of the highest category Make an appointment
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In dentistry, a periodontist deals with the diagnosis, treatment and prevention of periodontal pathologies. This word refers to all those tissues and structures that surround and fix the tooth in a certain place. Thus, the periodontium includes the bone tissue of the jaws, which contains the tooth root, the ligamentous apparatus located around it, as well as the soft tissue of the gums. According to statistics, periodontal diseases today occur in approximately half of all dental patients.
When is it necessary to see a specialist?
The following symptoms should be the reason for making an appointment with a periodontist:
- bleeding from the gums during brushing your teeth, while eating, or even occurring without any apparent reason;
- purulent discharge from behind the gum edge;
- sore gums when chewing food;
- change in the shade of gum tissue or swelling;
- the appearance of bad breath;
- mobility of one or more teeth, their looseness in the socket;
- exposure of the dental neck, which leads to pathological sensitivity and pain upon contact with hot, cold, etc.;
- buildup of plaque or tartar.
What functions does periodontal tissue perform?
Periodontal tissues perform 4 important functions:
- They serve as a support for the teeth, holding them firmly in the socket, and, due to the presence of collagen fibers, they cushion, evenly distributing the load when chewing food.
- They protect the tooth root from the penetration of pathogenic microflora, which can cause severe inflammation and significant pain.
- Due to the branched capillary network, blood microcirculation is ensured in accordance with the chewing load.
- They reflexively regulate chewing pressure due to nerve endings - receptors.
Periodontal tissues are easily injured by tartar, hot foods and drinks, spicy foods, toothpicks, etc., and the oral cavity is constantly home to several hundred varieties of pathogenic microorganisms. Therefore, the consequences of injuries are infectious inflammatory diseases - gingivitis and periodontitis. Gum inflammation often has a long course and leads to serious disruptions in the functioning of the digestive, endocrine and cardiovascular systems.
In addition, every third to fifth periodontist patient suffers from periodontal disease, a dystrophic disease that also leads to gum atrophy, the causes of which are still unclear.
What services does a periodontist provide?
At the first appointment, the specialist asks about complaints, examines the oral cavity, and assesses the health of the maxillofacial area and surrounding lymph nodes. Next, he prescribes an instrumental examination and computer diagnostics of the periodontal condition. It will include, at a minimum, x-rays of the dentition and jaw bones.
After the consultation, the periodontist will be able to talk about the identified problems and propose a treatment plan, for example, techniques such as:
- Laser treatment of periodontal diseases. In this case, the gums and identified pathological pockets near the teeth are treated with a laser. Laser radiation removes areas of inflamed tissue, sterilizes the pocket and activates healing processes.
- Vector therapy. For treatment, the Vector device is used, which acts on tissues using a combination of ultrasound and a special suspension that fills the pockets. Vector therapy allows you to quickly and painlessly remove inflammation, reduce gum bleeding, remove dental plaque and polish the surface of the roots.
- Carrying out flap surgery. It can consist of either removing excess tissue or transplanting a mucosal flap from another area. Thanks to this, the doctor fills the bone pockets that have arisen as a result of receding gums (recession) and also restores its contour.
How to make an appointment with a periodontist on the Meds.ru portal
Today in Moscow, a large number of clinics offer dental services. With such a wealth of offers, it is not so easy to find a periodontist who provides quality services at an adequate price. However, this problem does not exist for users of the Meds.ru portal.
The Meds.ru information base contains information about the best Moscow clinics and specialized specialists with a good reputation and positive patient reviews. To find a competent periodontist, you need to open the “clinics” tab on the Meds.ru main page and select the “dentistry” specialization in the column on the right. Then on the page that opens, also on the right, select “periodontist consultation” and enter the area of the capital or metro station of interest in the top control panel. After this, you will see a list of clinics that meet your requirements and are attended by a periodontist. You can make an appointment with him by filling out the feedback form on Meds.ru, or by calling the portal’s call center.
How will an appointment with a periodontist help?
Periodontitis is the most common problem in dentistry. Its main danger is the high risk of irreversible tooth loss. And not only the one around which tissue inflammation manifested itself most strongly. If you do not see a doctor in time, the inflammatory process can spread to the jaw bone. And this complication will lead to severe loosening and loss of neighboring, completely healthy teeth. Periodontists at SM-Dentistry will help prevent such an unpleasant development of the situation.
Features of periodontal diseases
Gingivitis and periodontitis are different stages of the same inflammatory process. Gingivitis, in which the superficial tissue of the gums suffers, is manifested by its swelling, mild soreness and hyperemia. In addition to pinpoint hemorrhages, ulcerations of the mucous membrane can be observed.
If left untreated, the process spreads to adjacent tissues, and the symptoms of periodontitis depend on the degree of its development. At the initial stage, the process of formation of periodontal pockets occurs, which is accompanied by sensations of swelling of the gums and increased halitosis. And with a very advanced disease, putrefactive contents are already coming out of the deep pockets, the teeth become very loose and fall out, and the patient loses the ability to chew.
Prevention
Unlike many pathologies, gum disease can be prevented quite successfully. Preventive measures are simple and do not require any special effort.
Prevention is divided into two types:
- independent;
- professional.
Independent preventive measures include mandatory regular brushing of teeth using dental floss, rinses and other oral hygiene products. If signs of gum inflammation appear, it is recommended to rinse with antiseptic solutions.
Professional prevention consists of hygienic cleaning in a dental clinic. It is recommended to carry out such hygiene at least 2-3 times a year. Procedures can be carried out to cleanse soft and hard plaque from tooth enamel or strengthen teeth and gums through remineralization or polishing. There are other innovative techniques aimed at strengthening the periodontium.
Specifics of children's specialists
Children also experience periodontitis. The disease is diagnosed in approximately 3-5% of young children and adolescents, although most often it develops at the age of 9-10 years1. The problem is that the tissues of the oral cavity are still immature, constantly changing and rearranging, which is why they can react sharply to the slightest inflammation. In this case, the therapy will be little different from the treatment of an adult patient. Professional hygiene and physiotherapeutic measures will be required. Sometimes the lip frenulum is corrected if it has become one of the prerequisites for the development of periodontitis. In general, an integrated approach to diagnosis and treatment is required, since the causes may also lie in systemic pathologies.
Recently, lasers have been increasingly used to correct frenulums.
Rating and 10 best periodontists in Moscow in 2020 according to patient reviews
There are many good periodontists in Moscow. We've selected the 10 best ones based on:
- the level of clinics in which doctors work;
- qualifications of doctors - their experience, skills, education, scientific contributions, specialized courses and master classes;
- real patient reviews - responses taken from medical sites that provide truthful information - https://docdoc.ru/, https://prodoctorov.ru/, https://1dentist.ru/, https://zoon.ru/ and etc.
At the top you will find a table with brief information about dentists. And below are detailed descriptions of specialists.
Dentist name | Patient assessment | Place of work | Experience | Titles and regalia |
Filimonova Olga Valerievna | 4,9 | Honey on Tsvetnoy Boulevard. | 21 years old. | – |
Platonov Dmitry Vladimirovich | 4,8 | "President" in Maryino. | 19 years | – |
Fisenko Marina Nikolaevna | 4,7 | JSC "Medicine" | 44 years old. | Doctor of the highest category. Member of the International Federation of Dental Anesthesiology Societies (IFDAS). |
Isajanyan Karina Ervandovna | 4,6 | Dentistry "LeaderStom" on Dostoevskaya. | 5 years. | Candidate of Medical Sciences, Vice-President of the Independent Association of Periodontists of Russia, Member of the European and Russian Association of Periodontists. |
Martynova Elena Yurievna | 4,6 | "SM-Clinic" in Staropetrovsky Proezd. | 19 years. | Doctor of the highest category, Candidate of Medical Sciences. |
Kulikova Svetlana Germanovna | 4,5 | Treatment center on the street. Timur Frunze. | 30 years. | – |
Anisimova Natalya Yurievna | 4,5 | Honey on Tsvetnoy Boulevard. | 25 years. | Doctor of the highest category. |
Buravtsova Elena Alekseevna | 4,4 | Clinic "Denta-El" on Polezhaevskaya. | 25 years. | Doctor of the highest category, Candidate of Medical Sciences, member of the Russian Association of Periodontists. |
Kartashov Igor Ivanovich | 4,3 | Clinic "Soyuz" on Matrosskaya Tishina. | 31 year. | Doctor of the highest category. |
Savina Anna Valerievna | 4,1 | "Denta-El" in Butovo and on Adm Boulevard. Ushakova. | 25 years. | Doctor of the first category. |
Olga Filimonova
Olga Valerievna is one of the best dentists in Moscow. Her main specialty is periodontology, but she has several specializations. Therefore, she provides comprehensive treatment and alone can guide the patient from beginning to end.
So, among Filimonova’s skills:
- hygiene – professional cleaning, whitening, prevention of dental diseases;
- therapy – treatment of caries, filling cavities;
- endodontics – root canal therapy;
- prosthetics – aesthetic restorations, microprosthetics, splinting of teeth;
- therapeutic periodontology – Vector therapy, Air Flow, ultrasound;
- surgical periodontology – curettage, root replica, closure of gum recession, bone regeneration.
Olga Filimonova’s leading profile is periodontology, but she has several specializations
Filimonova regularly takes master classes, seminars, and advanced training courses: domestic and foreign - in Brazil, Chicago.
Olga: “The doctor was attentive and explained everything clearly. She didn’t impose services, she just conducted a consultation and took a panoramic photo. I will be treated by her.”
Antonina: “I suffered for a long time with problem teeth and pain. All the time I ended up with bad specialists, until I made an appointment with Olga Valerievna. She is a true professional, provided the treatment at the highest level, without pain or discomfort.”
Dmitry Platonov
Dmitry Vladimirovich combines 2 specializations - therapy and periodontology. He treats:
- dental plaque and tartar;
- gingivitis;
- periodontitis;
- periodontal disease;
- hyperesthesia - increased sensitivity;
- caries;
- non-carious lesions of teeth.
Platonov also implements ultrasonic teeth cleaning, enamel whitening, and soft tissue regeneration.
Armine: “A sensitive and attentive doctor. He did all the necessary procedures and prescribed effective treatment. I am very pleased with the doctor!”
Maria: “High-class doctor. After the first visit, my gums felt better. Very caring and responsive."
Dmitry Vladimirovich combines therapy and periodontology
Marina Fisenko
Marina Nikolaevna has standard periodontist skills in her arsenal. So, she does:
- removal of pigmented and mineralized deposits with ultrasound;
- elimination of hyperesthesia;
- treatment of gingivitis, periodontitis, periodontal disease;
- enamel whitening.
Fisenko's special skill is laser surgery. Using this technology, the doctor painlessly and most effectively eliminates serious periodontal defects.
Lyubov: “A pleasant woman to talk to and an excellent doctor: she immediately found what the problem was and prescribed the appropriate treatment. She also gave a personal phone number for every firefighter - not every doctor does this.”
Anton: “I am immensely grateful to the doctor. An excellent professional, quickly diagnosed the disease, treats gums well. I will contact her in the future.”
Fisenko uses a laser to painlessly and most effectively eliminate serious periodontal defects
Karina Isajanyan
Karina Ervandovna is a young but highly professional doctor. She constantly participates in international congresses on periodontology, teaches specialized courses, and has published over 30 scientific papers on periodontal treatment.
Isajanyan has skills in therapeutic and periodontal dentistry. In her work she uses ultrasound, the Vector system, methods of biotechnology, tissue engineering and oxygen therapy.
Karina Isajanyan has an official website where you can get an online consultation.
Olesya: “Karina Ervandovna is the third doctor I contacted. Several teeth hurt at once, no one could determine the exact cause. The doctor immediately understood what the problem was. I did the treatment: it wasn’t the most pleasant, but it really helped. Now everything is all right!".
Nika: “Isajanyan treats teeth well. At the reception she is calm and not scary. Works neatly, light hand. Fixed the problem quickly and professionally."
Karina Isajanyan constantly participates in international congresses on periodontology
Elena Martynova
Elena Yuryevna is one of the best periodontists in Moscow. She is constantly developing, attends advanced training courses, participates in national and international forums and meetings, and has written 12 scientific papers.
As a periodontist, Martynova conducts:
- conservative treatment of periodontal pathology;
- laser therapy;
- whitening;
- Vector therapy.
Elena Martynova, in addition to periodontics, is engaged in therapeutic, endodontic and orthopedic treatment.
Elena: “Attentive and careful doctor. It’s clear that she is a professional and knows her business perfectly.”
Ekaterina: “I really liked the treatment. Everything went to the highest standard, the doctor has golden hands.”
Elena Martynova attends advanced training courses, participates in national and international forums and rallies
Svetlana Kulikova
Svetlana Germanovna is a general specialist. It eliminates any pathology of periodontium and oral mucosa:
- all types of gingivitis;
- any types of stomatitis;
- acute and chronic stages of periodontitis and periodontal disease;
- candidiasis;
- cheilitis.
Svetlana Kulikova also has skills in therapeutic dentistry and laser therapy.
Kulikova receives pregnant women. This category of patients most often comes to her with gingivitis.
Natalya: “The doctor is very polite and attentive. She gave me a full consultation, although I was 20 minutes late. She didn’t force services, she simply explained what the problem was and how to treat it.”
Tatyana: “I was treated with periodontal disease for implantation. The doctor explained what I should do and which specialist to make an appointment with. A very friendly and balanced woman: with her you don’t feel fear or negative emotions.”
Natalia Anisimova
Natalya Yuryevna combines a periodontist, therapist, endodontist, orthopedist and surgeon. She is a highly qualified specialist: every six months to a year she takes medical courses and expands her specialization.
Anisimova treats patients with gum diseases of any complexity
People contact Anisimova if necessary:
- cure gum pathologies;
- eliminate diseases of the oral mucosa;
- eliminate caries, pulpitis and periodontitis using modern methods: Veber, ICON;
- perform oncological diagnostics;
- whiten crowns;
- splint units;
- restore teeth using modern aesthetic materials: dentures made using CAD/CAM technology;
- carry out prosthetics on implants.
Thanks to the combination of so many specializations, Anisimova treats patients with gum diseases of any complexity: from ordinary inflammation to severe pathologies with bone loss and tooth loss.
Milana: “The doctor examined me, quickly assessed the situation, and then explained clearly and in detail what the problem was and what to do. She told me from the picture what was wrong and where, and gave recommendations for caring for teeth and gums. I plan to return to her.”
Thai: “After my visit to Anisimova, I had good impressions. She gave complete information, explained everything in the smallest nuances and prescribed comprehensive treatment. The doctor is attentive, experienced, inspires confidence, and treats the problem comprehensively.”
Elena Buravtsova
Elena Alekseevna is engaged in therapeutic and surgical periodontology. She provides comprehensive treatment of periodontal diseases: from the use of medications to surgical interventions for loose teeth and bone loss.
Buravtsova treats the standard “periodontal set”: inflammation of the gums and lesions of the oral mucosa. She also provides professional teeth cleaning and whitening.
Mikhail: “Elena Alekseevna is a Doctor with a capital letter. She is a competent specialist and a wonderful person. I like that she writes down the treatment instructions on paper - so you won’t forget anything. I’ve been being treated by her for several years now, and I’ve never had any complaints.”
Evgeniya: “When I signed up for a professional cleaning at the clinic, they told me one price. And upon arrival at the clinic, they quoted an amount twice as large, arguing that Buravtsova was a high-class specialist, and not a mediocre one. Moreover, it turned out that they would clean it with other equipment, and after that another procedure would be needed, costing 20 thousand. Such actions are similar to money swindling.”
Igor Kartashov
Igor Ivanovich combines 2 specializations: therapist and periodontist. He conducts:
- therapy for gum diseases;
- treatment of dental and root canal pathologies: caries, pulpitis, periodontitis;
- diagnosis and elimination of non-carious defects of hard dental tissues;
- professional oral hygiene;
- enamel whitening.
Igor Ivanovich combines 2 therapists and periodontist
Kristina: “I liked everything at the appointment, I was left with only positive emotions. The doctor explained to me what to do with my gums: it turned out that no treatment was needed, only competent care. A doctor with a good sense of humor, tact and an excellent attitude: he explained everything for a long time and carefully, and calmed me down.”
Karina: “Igor Ivanovich saved my teeth. He did a great job: now my gums don’t hurt, and the crowns stay in place tightly. He provided detailed advice on how to care for teeth at home and recommended hygiene products.”
Anna Savina
I have known Savina for three decades and my patients love him. Her professional skills:
- therapeutic dentistry;
- treatment of periodontal diseases using conservative methods;
- surgical methods of gum treatment, including soft tissue plastic surgery;
- aesthetic restoration;
- removal of benign tumors in the oral cavity.
Anna Valerievna is the chief doctor of the Denta-El dentistry department in Butovo and a leading specialist at the b. Admiral Ushakov.
Maria: “Professional and caring doctor. I have serious problems: my whole mouth is inflamed and half of my teeth are missing. Savina explained everything, outlined the treatment plan and told me what to do step by step.”
Alla: “Attentive and good doctor. Already at the first appointment, she identified the problem, provided advice and prescribed treatment. She explained how to care for your gums and what to do.”
Professional dental hygiene is best done by a periodontist
A periodontist will be needed even if there are no problems with the gums. It is with a specialist of this profile that it is better to carry out professional dental hygiene: he will fully remove all supragingival and subgingival deposits, prescribe correct anti-inflammatory therapy, and notice in time the diseases that have just begun. The next time you are ready to remove plaque and stones, return to the review. He will help you choose the best hygienist.
Treatment methods
Patients of the A-Medic clinic can make an appointment with a periodontist, or for a consultation with a dental therapist, who, if indicated, will refer the patient to a more specialized specialist.
At the initial appointment, the doctor interviews the patient and examines the oral cavity. Diagnostics are possible. Based on symptoms and examination results, the doctor makes a diagnosis. Before starting treatment, it may be necessary to carry out hygienic procedures (for example, removing tartar).
Periodontist services may include both therapeutic and surgical treatment - the method depends on the diagnosis and the stage of its development.
Methods used in periodontology:
- antiseptic treatment (use of solutions of Chlorhydroxydine, Furacilin, Hydrogen Peroxide, etc.);
- antibiotic therapy (taking systemic and using local drugs);
- injections of calcium chloride into the gum papillae;
- electrophoresis with drugs;
- laser therapy (for example, gum excision);
- orthopedic (installation of bridges, prosthetics, splinting, etc.);
- remineralization (fluoridation of enamel);
- dental filling;
- taking vasotropic and antisclerotic drugs.
Surgical treatment of diseases related to periodontology can be carried out by gum resection, gingivectomy, transplantation, implantation of soft or bone tissue and plastic surgery.
Cost of services
Periodontology rub.
Injections of drugs 1,200 rubles
Antiseptic treatment of pathological gum pockets, sclerosing therapy 750 rubles
Application of medications (Solcoseryl, Metrogil-denta) - fragment 700 rubles
Excision of hypertrophied papilla in the area of the 1st tooth (without anesthesia) 800 rubles
Therapeutic bandage in the area of a multi-rooted tooth 800 rubles
Treatment of gums for bleeding (1 session) 500 rubles
Flap surgery in the area of the periodontal pocket of one or two root teeth (1st tooth) 5,100 rubles
Flap surgery in the area of a multi-rooted tooth (in the area of the 1st tooth) 5,900 rubles
Medical treatment of periodontal pockets in the area of 2 teeth (Demixide, Chlorhexidine) 250 rubles
Periodontal cleaning 500 rubles
Retraction of hypertrophied gums in the area of 1 tooth 750 rubles
Frenuloplasty (with anesthesia) 5,800 rubles
Frenulectomy (with anesthesia) 5,500 rubles
Splinting of 1 tooth with light-curing composites 3,050 rubles
Periodontal cleaning, deep scaling from one jaw 1,500 rubles
Ultrasonic treatment of a pocket (1 tooth) 500 rubles
Taking a free connective tissue graft 2,200 rubles
Vestibuloplasty (including anesthesia and suturing) 8,000 rubles
Open curettage in the area of the 1st tooth 4,130 rubles
Gingivoplasty in the area of 1 tooth 2,600 rubles
Surgical lengthening of 1 tooth with osteoplasty 12,980 rubles
Surgical lengthening of 1 tooth without osteoplasty 7,080 rubles
Coronal, laterally displaced flap 5,910 rubles
Gum plastic surgery in the area of one implant using local tissues 5,080 rubles
Expert of the article you are reading:
Akhmedkhanov Said Rashidovich
Dental surgeon, general dentist, implantologist, orthopedic dentist, dental therapist.
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Periodontist's recommendations
The reason for the development of pathological processes in gum tissue is often associated not only with hygiene, but also with a lack of minerals and vitamins, addiction to bad habits, diseases of other organs, and injury to oral tissues.
To reduce the likelihood of periodontal damage, experts recommend:
- quit smoking and alcohol;
- treat any diseases in a timely manner;
- do not cause dental diseases;
- Healthy food;
- Periodically take vitamin and mineral complexes.
According to patient reviews, the A-Medic periodontology clinic is one of the best in Moscow. However, specialists are not magicians, and if a patient presents with advanced pathology, it should be understood that treatment will take a long time. It will not be possible to restore the periodontal condition in one visit, even with a mild degree of damage. To achieve a full recovery, the patient must be determined to regularly visit the periodontist’s office.
How is diagnostics carried out?
As part of the diagnosis, a visual examination of the oral cavity is first performed. Next, the doctor refers the patient to the necessary examinations. Let's look at the activities that may be required to make an accurate diagnosis:
- interviewing the patient regarding complaints, current condition, past and possible chronic diseases,
- examination of the oral cavity, search for foci of caries and inflammation, assessment of the volume of dental plaque. By palpation, that is, feeling, the doctor assesses the condition of the gums and lymph nodes,
- examination of inflamed areas - assessment of the degree of bleeding and swelling, possible signs of atrophic processes,
- cytological and microbiological analyzes of microflora,
- determining the depth of periodontal pockets - allows you to identify the stage of periodontitis (mild - up to 3.5 mm, medium - up to 4-5 mm, severe - more than 5 mm),
- X-ray examination, functional diagnostics,
- collection of blood tests if necessary.
For examination, you may need to take blood tests.
In each individual clinical case, a set of diagnostic procedures is selected individually. The periodontist must carefully examine the current condition of the oral tissues and take into account all associated factors in order to make an accurate diagnosis and prescribe the necessary treatment.
Tips for choosing a good periodontist
In your search for a good, experienced specialist, reviews from real patients will help you - you can find them on the Internet or ask your friends for recommendations. When choosing a doctor, you should pay attention to the following points:
- length of service and work experience,
- status of the dental clinic,
- availability of modern equipment in the institution,
- variety of services offered.
It’s good if the specialist has a certificate of advanced training in “periodontology”, and it’s better than the state standard. This is confirmation that the doctor has completed specialized courses lasting at least 144 hours and has a specialized education.
Choose a specialist responsibly
It is important that the doctor is able to find a common language with the patient, win him over, and inspire confidence. To do this, you should pay attention to his communication skills, sincere interest in the problem and its solution. The psychological aspect actually plays an important role when choosing a doctor, although many do not attach much importance to it.