London Centre for Periodontics and Implant Dentistry

About gum (periodontal) disease

Treatment for gum disease in London W1G

Periodontal disease is caused by some of the bacteria (germs) which live in the mouth.

These bacteria stick to the teeth and if they are not removed regularly, they can cause gum inflammation (gingivitis)

This inflammation can cause the gum to come away from the neck of the tooth forming a gum “pocket”.

Bacteria can live in these pockets under the gum line and cause deeper inflammation and eventually, supporting bone loss around the teeth (periodontitis).

If you are suffering from gum disease in Westminster, Kensington, Chelsea or further afield in London, please call our friendly team to make an appointment. We will be pleased to provide an appropriate course of personalised dental treatment.

Gum Disease FAQ's

How will I know if I have gum disease ?

Bleeding gums are NOT normal

You may notice that :

  • Your gums are red and swollen
  • Your gums bleed easily when you brush or eat hard foods
  • You have bad breath

With severe disease you may notice that :

  • Your teeth may become wobbly
  • Your gums may recede making the teeth look longer
  • Spaces may open up between the teeth or some teeth may become more prominent

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Who can get gum disease ?

Anyone can get mild gum disease (gingivitis). Some people get more severe gum disease than others :

  • People who smoke.  Gum disease can be 5 – 8x more severe in smokers
  • People with poorly controlled diabetes
  • People with a family history of gum disease

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Can gum disease be treated ?

Treatment is based on controlling the bacteria.

In most people the treatment aims to prevent the disease from getting worse and cannot reliably replace the support your teeth have already lost.

  • The bacteria can be cleaned away from both above and below the gum line to reduce the gum inflammation (deep cleaning or root surface debridement). This is usually done with a local anaesthetic to make sure that this process is completely comfortable for you. It is like having a very thorough scale and polish
  • You can be taught the best methods of cleaning your teeth and gums to remove the bacteria on a daily basis.
  • These cleaning methods will be different for different people.
  • If you have severe gum disease you may need to clean your teeth better than someone with less severe disease.
  • Your response to treatment can be checked and monitored to make sure that the problem doesn’t reoccur.
  • In some instances once all the gum inflammation has disappeared, a surgical procedure can be carried out to grow new bone and gum around the teeth.

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What are the benefits of treatment ?

  • Any bleeding or swelling of the gums should reduce or disappear
  • If your teeth are loose they should become firmer
  • Your breath will become fresher

Healthier gums mean that you should be able to keep your teeth longer. The improvement will depend on how good your cleaning becomes and how severe your disease was to begin with

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What are the risks / side effects of treatment ?

  • The gums may feel a little sore for 24 hours after deep cleaning
  • The gums may recede a little way (0.5 – 2 mm) as they heal and become healthier after deep cleaning. In severe cases this can be masked using a gingival veneer
  • Your teeth may temporarily become more sensitive to hot and cold. This can usually be managed with the use of special de sensitising pastes and mouth washes.

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What does the Periodontist do ?

A Periodontist is a qualified dentist who has had a minimum of 3 years extra post graduate training in the detection, diagnosis and management of patients with periodontal problems and in the planning and placement of dental implants

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At your first appointment

  • At your first appointment at our practice (Dr Giedrys-Leeper or Dr Sodeinde) will discuss with you in detail your particular concerns about your general oral health and will carry out a thorough examination with appropriate xrays, if necessary, in order to arrive at a proper diagnosis.
  • The periodontist will then discuss with you in detail, different treatment options and associated costs and the time commitments involved with different treatments.
  • This discussion will be summarised and sent to you for your further consideration.
  • If you decide to go ahead with a proposed treatment then any initial deep cleaning and focused oral hygiene instruction may be carried out either by the periodontist or our dental hygienist (depending on the severity of your periodontal problems.)
  • The periodontist will carefully examine you about 4 – 6 weeks after the completion of any deep cleaning to assess your gum healing. At this reassessment appointment there will be further discussions about your periodontal health and what you may or may not need in terms of long term monitoring and maintenance care or other periodontal treatment.

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What does a hygienist do ?

Dental hygienists, in common with the rest of the dental team, are concerned with your total oral health.

A dental hygienist may quiz you in detail about your diet in order to identify risk factors for tooth sensitivity, tooth decay, or tooth surface erosion.

Dental hygienists carry out superficial and deep cleaning (with local anaesthesia if required) and personalised oral hygiene instruction. They may suggest specific treatments for tooth sensitivity.

They are also vital in monitoring your general oral health and your specific periodontal status.

Dental hygienists are an essential part of a comprehensive dental team, particularly in a periodontal practice. They work under the supervision of the periodontists.

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Laser treatment for gum disease

We do not offer this type of treatment as the evidence for the efficacy of this technique is weak at the moment, compared with conventional deep cleaning.

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Antibiotics in the management of periodontal disease

With some more advanced types of periodontal disease, we may recommend a week's course of antibiotics at the end of any  deep cleaning, in order to eliminate more bacteria in the mouth so as to maximise the healing and pocket shrinkage.

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What are the fees for gum disease treatment?

Please see our Fees Page for a guide to fees for gum disease treatments.

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