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Dr Victor HazoutOral and implant surgeryPeriodontist

Frequently asked questions

Brief answers to the questions patients ask most often before seeing a periodontist, each linked to the page of this site that explores the subject in depth.

Contents4 sections
  1. Gums and periodontitis
  2. Treatment
  3. Implants
  4. The practice

Gums and periodontitis

My gums bleed when I brush: is it serious?

Bleeding signals gum inflammation. It may be gingivitis, which is reversible, or periodontitis, which destroys the bone supporting the teeth. Only a full periodontal examination, clinical and radiographic, can settle the question. Recognising the signs of periodontitis.

Can periodontitis be cured?

Lost bone does not grow back on its own, but the disease can be halted and the situation kept stable over time, provided the pockets are treated and regular maintenance is kept up afterwards. How periodontitis is treated.

Is periodontitis contagious?

Not in the usual sense. The bacteria involved travel in saliva and can pass from one person to another, but whether the disease takes hold depends mostly on each person's response: heredity, smoking, diabetes, oral hygiene. There is no need to keep apart; an examination of a partner is worthwhile if they show symptoms. The signs that should prompt a visit.

My teeth are loose: is it too late?

Not necessarily. Treatment halts the destruction and mobility often lessens; when it persists after substantial bone loss, teeth can be joined with a bonded splint. The examination shows which teeth can be kept. Periodontal splinting.

What are receding gums?

The everyday term for a gum that draws back and leaves the root exposed. It may be a localised gum recession, for instance on thin gum brushed too hard, or periodontitis eating away the supporting bone. The two are not treated the same way; the examination tells them apart. Gum recession and gum grafts.

Treatment

Is treatment done in one visit or several?

Initial periodontal treatment is carried out on the whole mouth, in a single session, and covers all six sextants. At the practice, it is done under local anaesthetic if needed. Treating the whole mouth at once avoids an area already cleaned being recolonised from an area still infected. A first follow-up takes place one month later, then maintenance becomes six-monthly, closer together depending on your level of risk. Periodontal maintenance.

What is the laser for?

At the practice, the diode or Er:YAG laser complements debridement in certain pockets and is used in gum surgery, with little bleeding. It does not replace mechanical cleaning. Diode and Er:YAG lasers.

Does gum recession always need a graft?

Not always. A stable recession that is barely visible and not sensitive, on healthy gum, can simply be monitored; a graft is discussed if it progresses, if sensitivity sets in or if the appearance genuinely troubles you. When a graft is worthwhile.

Implants

Can I have an implant after periodontitis?

Usually yes, once the disease has been treated and stabilised, with regular maintenance afterwards: a history of periodontitis raises the risk of peri-implantitis, the inflammation with bone loss around the implant. Dental implants: the pathway, and who they suit.

I don't have enough bone: is it still possible?

Often, thanks to a bone graft or regeneration, sometimes with a custom-made titanium mesh; the choice depends on the shape and extent of the defect, measured on 3D imaging. Bone grafting before an implant.

Illustration: an implant and its crown.
Illustration: an implant and its crown.

The practice

Which days does Dr Hazout see patients?

Dr Hazout sees patients Monday to Thursday, 9 am to 7 pm, by appointment, at 119 rue du Président Wilson, Levallois-Perret. Appointments and contact.

How do I get there?

Metro line 3, Pont de Levallois–Bécon station, a 7-minute walk; bus 94, Baudin stop; a public car park open 24 hours a day, 5 minutes away. Getting to the practice.

Is treatment reimbursed?

The consultation is covered by French national health insurance at the agreed rates. Root surface debridement, with or without laser, is not, and neither are implants; a written estimate is given to you before any treatment and sets out what you will pay. Fees.

Appointments

See Dr Hazout in Levallois-Perret

Monday to Thursday, 9 am to 7 pm, at 119 rue du Président Wilson.