Periodontology · Gum treatment · Prague
Healthy gums are the foundation of everything else.
Implants, crowns and aesthetic restorations cannot last in an environment of uncontrolled inflammation. So we first stabilise the biological conditions — and only then build.
We speak English. The booking form is in Czech — email or call us if you prefer.
Our philosophy
Inflammation can’t be built over. It has to be stopped first.
We don’t treat periodontology as an add-on but as the first phase of the plan.
We decide on measured values, not impressions — and the same logic applies to implants: a restoration that cannot be cleaned is not finished work.
Why it comes first
Periodontitis is not just “bleeding gums”.
It is an inflammatory disease in which the bone and fibres holding the tooth are gradually lost. Lost support does not come back on its own — so what matters is how soon the inflammation is stopped.
Treatment
How treatment works
Pocket measurements, X-rays, risk assessment and a defined treatment goal.
Without working home hygiene, further treatment has no lasting effect.
Thorough cleaning of the root surfaces and removal of the source of inflammation.
Repeat measurements after healing — we compare numbers, not impressions.
For deep defects that cannot be cleaned or regenerated non-surgically.
Regular check-ups and hygiene at intervals based on your risk.
Evidence-based
Periodontitis can’t be “cured in one visit”.
It can be stopped and kept stable — so maintenance is part of the treatment, not an optional extra.
Our approach follows the four steps of the European EFP S3 clinical guideline for treating periodontitis: control of risk factors and hygiene, subgingival treatment, surgery of residual pockets and supportive care.
Smoking and gums
Smoking is the strongest risk factor you can change
Nicotine constricts the blood vessels in the gums, so they bleed less even when inflamed. Smokers often miss the main warning sign — and discover the disease only when teeth start to loosen.
We don’t refuse to treat smokers. But we say openly how smoking changes the prognosis — and for planned surgery we recommend at least a temporary break.
- —Poorer healing after periodontal treatment, surgery and implant placement.
- —Smaller treatment effect — pockets shrink less than in non-smokers.
- —Higher risk of peri-implantitis and implant loss.
Peri-implantitis
An implant can lose bone just like a tooth
Two diseases can develop around an implant. Inflammation of the mucosa (peri-implant mucositis) is reversible — with early treatment the tissues heal completely. Peri-implantitis already means bone loss and, without treatment, usually progresses.
The reason is biological: an implant has no periodontal ligament, and the tissue around it has a poorer blood supply. Inflammation reaches the bone more easily and the defence is weaker.
- —Bleeding or pus when probing or cleaning.
- —Swelling, redness, a change in the gum profile.
- —Exposed implant threads.
- —A bad smell or taste around the implant.
- —The implant may not hurt or feel loose at all.
If bone loss is so extensive that the implant cannot be kept, we say so openly. Removing it and finding a new solution is sometimes better than repeated unsuccessful treatment.
FAQ
About gums and periodontitis
How do I know I have periodontitis?+
Typical signs are bleeding gums, receding gums, bad breath or loosening teeth — but early on it may cause no symptoms. A periodontal examination with pocket measurements gives a clear answer.
Can periodontitis be stopped?+
Yes. Lost support usually does not come back, but the inflammation can be stopped and the condition kept stable with treatment and regular maintenance.
Can I have an implant if I had periodontitis?+
Often yes — but only once the periodontitis is treated and stable. Patients with a history of periodontitis have a higher risk around implants, so maintenance is especially important.
How do I know there is inflammation around my implant?+
Bleeding, swelling, pus or exposed threads are warning signs. The implant may not hurt. Regular check-ups detect the problem early.
Bleeding gums, or were you told you have periodontitis?
An examination gives specific numbers — and from them we can tell what can realistically be kept.
The online booking form is in Czech — you can also email info@d3nt.cz or call +420 777 585 233.