Medical and dental clinic | Periodontology


The information and the language of the text is prepared and adapted for patients. Prepared by periodontist Rokas Borusevičius.

Identification and treatment of periodontitis

The disease is diagnosed during the consultation, based on the findings of the examination and the X-rays.
Periodontal treatment can be conservative or surgical. Conservative treatment is usually the first step, starting with a local anaesthetic, instrumental cleaning of the roots of the teeth and periodontal pockets (sometimes called “deep cleaning” or “curettage”), and a medicated cleaning.

Later, surgical treatment (periodontal flap surgery) is indicated.

How many visits are needed?

In most cases, treatment requires at least 2-4 visits if the disease is widespread and advanced (especially if it has been undiagnosed and untreated for years). In rare cases, more visits are needed if the disease is very severe, surgical periodontal treatment is needed, or if the patient does not ensure adequate personal prophylaxis and the disease continues to progress.

Do you have further questions? Call +370 692 38498 or email

Periodontology is the science and field of dentistry that deals with the health, disease and treatment of the tissues surrounding the tooth (gums, ligaments, bone) and the lining of the mouth. Periodontology also covers dental implants, gum and bone augmentation, and the health, disease and treatment of the tissues surrounding implants.

The periodontium is the tissue around the tooth (gums, ligaments and bone).

A periodontist is a specialist who understands periodontology and treats periodontal disease.

Periodontal disease is primarily caused by a lack of prevention.

a) Improper personal oral hygiene(which is tailored to each patient’s periodontal and dental health and genetic predisposition):

  • Improper or insufficient brushing (not only the timing, but also the brushing movements used);
  • Irregular cleaning or improper cleaning of the gums;
  • Inadequate dental care products (toothbrush too hard or too soft, etc.).

b) Infrequent professional oral hygiene – recommended for each patient individually according to the risk of periodontal disease from once every 12 months. up to 1 time every 3 months
c) Irregular preventive check-ups – comprehensive examination of periodontal tissues, probing, X-rays as indicated.
d) Harmful habits (especially smoking and other tobacco use);
e) Traumatic factors (e.g. tongue or lip piercings, old, faulty or unsuitable dentures, incorrectly distributed forces during biting).
f) Healthy and complete diets and lifestyles. There is a growing body of scientific evidence on the impact of these factors (including stress and psycho-emotional strain) on periodontal tissue health.

Although there are general principles, prophylaxis is recommended for each patient on a personalised basis, depending on the individual situation. This is due to different genetic predispositions to disease, as well as possible co-morbidities and conditions (e.g. diabetes), medications, age, etc.

The most common periodontal diseases are gingivitis, periodontitis, peri-implantitis and gingival recession.

Gingivitis is an inflammation of the gums, usually caused by bacterial plaque (if the plaque is not effectively controlled by preventive measures).

Gingivitis is characterised by red, swollen and bleeding gums. If gingivitis is not treated in time, it progresses to periodontitis.

Periodontitis (commonly known as “periodontitis”, “periodontitis”, “periodontitis”, “periodontitis”, etc.) is an inflammation that involves not only the gums, but also the tooth’s surrounding ligament and bone. As periodontitis progresses, the ligament and the bone surrounding the tooth are destroyed (bone “melting” and resorption), and periodontal pockets (where plaque and bacteria accumulate) are formed. The disease is quite deceptive and therefore dangerous, because for a long time patients may not notice any significant symptoms other than bleeding gums. The resulting bad breath is often unnoticeable to the sufferer (either by relatives, bystanders or by oral health professionals). If periodontitis is left untreated for a long time, more and more of the ligament and bone support is lost, the tissues supporting the tooth are reduced and the tooth may become crooked (i.e. it may start to move, ‘stick’), and the gums may become swollen and abscessed. These signs are typical of the late stages of advanced periodontitis. If periodontitis is diagnosed too late, it can lead to tooth loss (either spontaneously or to remove infection foci and prevent their spread).

Peri-implantitis is an inflammation of the tissues surrounding the implant (gums and bone), which leads to bone “melting” (resorption). This is the equivalent of periodontitis with dental implants, but the disease progresses faster. Symptoms and stages of disease development are similar to those of periodontitis.
Gingival recession is the receding of the gums, which causes the roots of the teeth to become exposed. Gum recession can lead to an unaesthetic appearance (‘elongated teeth’, visible yellowish roots or ‘exposed crotch’), and exposed roots are sensitive to thermal changes, especially cold stimuli. Gum recession is often a consequence of periodontitis (accentuated by periodontal treatment and shrinking periodontal pockets), but it can also be caused by other reasons: improper brushing movements, a toothbrush that is moderately hard or hard, orthodontic treatment, smoking, or lip or tongue piercings.
Diseases of the oral mucosa – includes various diseases of the lips, tongue, jaws or other areas of the mouth: rashes, lesions, discolouration, etc. Causes can be various: infectious (viruses, fungi), traumatic or irritating, allergic, autoimmune and others.

Before seeking periodontal treatment, it is recommended to first have a professional oral hygiene (especially if it was done more than 1 year ago). This procedure can be carried out by an oral hygienist or dentist.
Before treatment, it is recommended that you first consult a periodontist to discuss the indications, principles and possible results. During the consultation, a detailed clinical periodontal examination of the tissues is carried out – plaque assessment, bleeding assessment, probing of the gums and periodontal pockets, and assessment of tooth mobility. It is recommended that a panoramic dental X-ray is taken to get a full consultation with a periodontist (before starting periodontitis treatment). Ideally, the photo should be recent (no older than 2-3 years) to reflect the current periodontal tissue situation.
Additional tests may vary according to each patient’s individual situation.

This procedure is performed by periodontist Rokas Borusevičius (experience since 2014). Competence as a periodontist is obtained by completing an additional 3 years of university studies after general university studies in dentistry (5 years).
Periodontist Rokas Borusevičius, in addition to periodontal and oral mucosa diseases, also specialises in dental implantology, and is preparing his PhD thesis at Vilnius University.
He is a member of various societies (including the Lithuanian Society of Periodontology, the European Federation of Periodontology, the European Association of Osseointegration), he gives lectures and presentations at Vilnius University, as well as at Lithuanian and international conferences and congresses, and he is constantly developing his skills at international events and practical courses.



    • Periodontal surgery on one tooth 79-99€
    • Deep periodontal cleaning of one tooth 19€
    • Deep periodontal cleaning of one dental arch 149€
    • Aesthetic/functional crown lengthening with gingivoplasty 99€
    • Recession cover (1 tooth) 149€
    • Gum augmentation (augmentation) 199€
    • Plastic surgery of the oral vestibule 159€
    • Laser periodontal treatment 59-99€
    • Gingivectomy / gum correction (1 tooth) 69€
    • Fixing (splinting) of teeth with wire or glass fibre tape 99€
    • Root resection (excluding cost of materials, instruments) 159-189€
    • Cleft lip surgery 69€
    • Periodontal rinsing with antiseptics/gel application 20€
    • Conservative treatment of peri-implantitis (1 implant) 90€
    • Surgical treatment of peri-implantitis (1 implant) 130€