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This website is dedicated to inform patients about periodontal disease, periodontal treatment and implant dentistry. Within its content you will find useful information, photos, videos and links. Moreover you will get an overview of the latest dental treatments available in the fields of periodontics and implant dentistry as well as some cosmetic dental treatments.

Dr Petros-Ioannis Moschouris

  • Specialist in Periodontics & Implant Surgeon
  • DDS(Athens) MClinDent in Periodontology(London) Cert.Perio(EFP) 
  • Graduated from UCL, Eastman Dental Institute & Hospital, London
  • Accredited by the European Federation of Periodontology 
  • Registered Specialist with the General Dental Council UK

Periodontics

Periodontics or Periodontology, is the dental specialty dealing with periodontal (gum) disease. Periodontal disease is caused by bacteria in dental plaque - the sticky white gelatinous material that continually builds up on the teeth. The bacteria cause inflammation of the surrounding tissues, which can have two consequences: 

1. Gingivitis - fairly superficial inflammation of the gums with redness, swelling and increased tendency to bleeding on brushing.

2. Periodontitis - deeper inflammation of the gums with loss of some of the bone supporting a tooth. As this progresses the tooth may loosen and perhaps eventually need to be removed. The gums may recede as bone is lost or the gum may come away from the tooth creating a 'pocket'. The progression of periodontal disease is extremely variable - a small amount of supporting bone may be lost over a period of many years in mild forms of the disease; with severe forms rapid breakdown of the supporting structures can occur.

Goal

My goal is to provide high standard dental care, based on the most advanced, state -of the-art, ethical and evidence-based approach. I like taking time to listen to my patient in order to understand their expectations. My commitment is to offer reliable and long lasting treatment which will satisfy all their concerns and needs.  Ultimately my goal is to achieve a supreme level of oral health, function and aesthetics that will last in time.

Crown Lengthening

There are two kinds of crown lengthening procedures. The first is aesthetic to improve or enhance the appearance, the second is functional in order to increase a tooth structural integrity.

Aesthetic Crown Lengthening

You may have asked your periodontist about procedures to improve a "gummy" smile because your teeth appear short. Your teeth may actually be the proper lengths, but they're covered with too much gum tissue. To correct this, your periodontist performs a dental crown lengthening procedure.

During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.

Functional Crown Lengthening

Your dentist or periodontist may also recommend crown lengthening to make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

Dental Implants

What are Implants?

Dental implants are a means of replacing missing teeth. They are small fixtures, usually made from the metal titanium, they are completely 'biocompatible' and they are placed into the jawbone and integrate with the bone to provide a solid support for a crown, bridge or denture.

A single implant may be used to replace one missing tooth, or if a number of teeth are missing then multiple implants can be used. Even if all teeth in the mouth are missing, implants may still be used as an alternative to a conventional removable denture. In this case implants are used to retain fixed bridgework, specific locator or to support a solid bar onto which a denture is firmly held.

Tooth Replacement

  • Replacing one tooth

The need to replace a missing tooth could be the result of an accident or because there was no predisposition for a tooth at birth.

  • Replacing several teeth

Some people loose teeth in the back of the mouth. This is typically caused by gum infection (periodontitis) or by teeth cracking due to previous fillings.

  • Replacing all teeth

If you have lost all your teeth in one or both jaws, you can choose a permanently anchored dental implant bridge or a removable prosthesis that is connected to two or more dental implants. This is called an overdenture. This type of overdenture remains in place more firmly than a conventional removable prosthesis. For the most natural looking solution, the permanently anchored dental implant bridge is the answer when the prerequisites are met.

Regenerative Procedures

Procedures that regenerate lost bone and tissue supporting your teeth can reverse some of the damage caused by periodontal disease.

Your periodontist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue.

During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria. Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body's natural ability to regenerate bone and tissue.

Eliminating existing bacteria and regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease. With a combination of daily oral hygiene and professional maintenance care, you'll increase the chances of keeping your natural teeth – and decrease the chances of other health problems associated with periodontal disease.

Periodontal Plastic Surgery

Periodontal plastic surgery can successfully deal with problems such as excessive recession around teeth that cause aesthetic and sensitivity problems.

Gum tissue can change or even shrink. There are many reasons for this, including receding gums (from gingivitis or periodontal disease), and loss of one or more teeth (which causes tooth-less gum tissue to shrink). 

Teeth in a Day

Usually, implants have to bond with your jaw bone before we can place your new tooth or teeth on it, a process which usually takes several months. However, thanks to  the latest CBCT scans and the extensive research in the field of dental implants, new fixed teeth in just one day is a valid treatment option.

This procedure called All-on-4, has been developed by respected implant manufacturers Nobel Biocare. This uses just four implants to support an upper or lower denture, and you can leave our practice the same day with fixed, non-removable teeth! This compares to more traditional procedures which can require six or more implants and several months of treatment.

 

 

 

11 Devonshire Place  // London, W1G 6HT

Call Us: 0207 487 2711

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