Periodontal Treatment

Gum Disease

Take control of your own oral health and ask your dentist about all the advanced procedures available to eliminate the most common cause of tooth loss mostly anywhere in the world today.

Stop lending your ears to advertisements. Mouthwash for gum disease does not work. Don’t be fooled into believing their product is the only way to cure gum disease. In any mouth there is good and bad bacteria. For various reasons you do need the good guys. An effective mouth wash kills indiscriminately. Its like using a shot gun to kill one bird in a flock. Rather take control of your oral health by developing good habits and disciplines for you and your entire family.

Few people realise the dangers associated with gum disease. Many are oblivious to the fact that more people lose their teeth due to gum related diseases than any other disease affecting the dentition. The important general health risks and hazards associated with this disease are hugely underestimated and tooth loss is just the beginning of what could become serious general health concerns.

What Causes Gum Disease

The main cause of periodontal (gum) disease is PLAQUE, a soft sticky film building up on your teeth containing millions of bacteria. If not removed regularly by brushing and flossing, it leads to tooth decay and gum disease. If left for too long it turns into calcified plaque (tartar) making successful removal even harder to achieve. It does not take long to develop bleeding gums and subsequent gum disease as a result.

Further causes and risk factors include:

POOR NUTRITION AND OBESITY
Because periodontal disease begins as an infection, poor nutrition can worsen the condition of your gums. In addition, research has shown that obesity may increase the risk of periodontal disease.
SMOKING
Apart form its link to many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems smokers also are at increased risk of periodontal disease. Tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease.
CLENCHING OR GRINDING YOUR TEETH
Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which periodontal tissues are destroyed.
MEDICATIONS
Just as you notify your pharmacist and other health care providers of all medicines you are taking and any changes in your overall health, you should also inform your dental care provider, because some medication could have a serious adverse affect on the progression of gum disease.
STRESS
Yes, stress also is a risk factor for periodontal disease, making it more difficult for the body to fight off the infection of periodontal disease.
OTHER SYSTEMIC DISEASES
Other systemic diseases including cardiovascular disease, diabetes, and rheumatoid arthritis may interfere with the body’s inflammatory system and worsen the condition of the gums.
AGE
Older people have the highest rates of periodontal disease, but tend to respond more favourably to treatment. If you are younger than 30 years suffering for the symptoms mentioned on this page, you should seriously seek advice if your teeth are important to you.
GENETICS
Some people may be genetically susceptible to gum disease.
Important! Despite all the above factors, plaque remains the number one culprit. Once you are able to achieve optimum plaque control, you may be subjected to any of the above factors.
If your gums bleed during tooth brushing even after several visits to your dentist or oral hygienist, it is time for a second opinion. Please call 01249 445111 and make a free informative consultation to discuss the matter and take control. Its never too late!

Gum Disease Symptoms

If you happen to have the following signs of gum disease please consult your dentist ASAP:
  • Red gums, swollen, tender or bleed during flossing/brushing
  • Loose teeth
  • Bad breath
  • Exposed root surfaces

Periodontal (or gum-) disease can affect your overall health seriously. Remember, this is also called the “silent disease” for a particular reason: You are not aware of it since you do not necessarily experience any pain! Only when your gums are healthy you can safely proceed with any further important treatment. Your dentist should be able to provide you with all the options of treatment varying from preventative, restorative or cosmetic care. The patient should always be in the fortunate position to make informed choices about the dental treatment required.

How to cure gum disease:

In the real world you and your partner, your dentist, can achieve complete gum health. A perfect smile is not the highest priority whilst suffering from gum disease. First achieve healthy gums, which is relatively easy, and only then attend to that important smile. Remember, the “razzle dazzle” part of dental treatment is the cherry on the cake and with healthy gums you will most likely retain that smile for a lifetime.

Good oral hygiene after completion of a treatment course will ensure that the 6- or 9-monthly visits to the dentist is only to confirm that all is OK. Dental Health for Life is fact – not fiction.

Did you know that gum disease has been linked in studies with diabetes, cardiovascular diseases and arthritis.

In a British study, men ranked bad teeth as the No. 1 turn-off. And yet, men are notoriously more likely than women to ignore their oral health!

Breaking News Heart Disease:

Did you know there’s a link between periodontal disease and heart disease? Researchers have found that people with periodontal disease are almost twice as likely to suffer from coronary artery disease as those without periodontal disease.

Stroke! Additional studies have pointed to a relationship between periodontal disease and strokes.

Check out this page on www.perio.org about: GUM DISEASE AND HEART DISEASE Test yourself with a few Risk Factors:
  • Are you older than 35?
  • Do you avoid dental care?
  • Do you smoke?
  • Have you ever smoked?
  • Do you have diabetes?
  • Do you have high blood pressure
  • Do you have rheumatoid arthritis?
  • Do you have bad breath?
  • Do your gums bleed?

If you find yourself answering YES to two or more of the above questions, you should visit your dentist as soon as possible.

You may not know if you have gum disease without visiting your dentist, but gum treatment can halt the progress of gum disease very effectively and can reverse its effects. Combined with a good routine of home care, you can have a fresh, wholesome, attractive smile in no time. We encourage you to enjoy the benefits of excellent oral health and to be free of decay and gum disease. We want you to feel good about your smile as well as your health.

General Periodontal Treatment

Before
After
Generally gum disease treatment is only a thorough cleaning and de-scaling, widely available to patients from both NHS and private dentists and dental hygienist and usually performed routinely as part of a six month check up.

Gum disease treatment for the more advanced peridontitis, however, is rather more complex, and may not be as widely available on the NHS. To begin with, the patient will require far more intensive de-scaling, which may take several sessions and include the use of local anaesthetics. Following this, some cases may require surgery to allow access to plaque that has invaded the base of the tooth, far beneath the gum line.

Sometimes a dentist has no choice but to refer their patients for more involved gum disease treatment as it simply may not be feasible to perform these procedures at their own practice.

Nigel Carter, Chief Executive of the British Dental Foundation recently went on record to say that “”Plenty of NHS dentists can perform this gum disease treatment, technically; the trouble is they can’t afford to. If gum problems take a dentist three hours to treat, the current fee structure means they might get paid around £40, which roughly equates to just over half an hour of work; so over two hours, or up to five sixths of the job are on the house. Altruism has its limits.”

You may be a private dentist who does not provide this service to your patients or, an NHS dentists that are squeezed by the new fee structure introduced in recent years and simply unwilling to undertake such complex work. We will gladly look after those patients for you. Fees are reasonable and dentists are kept up to date with their patient’s progress. Afterwards patients are returned to their dentists for any non-related follow-up treatment.

Although we continue to offer periodontal treatment to patients of dental practices around Wiltshire and neighbouring counties, we also offer full treatment plans for orthodontic problems.

If you wish to refer patients, please phone our reception directly at 01249 445111. Once we have the patient details we will arrange an appointment for a consultation. We currently offer a free informative consultation to all referred patients.

If there are specific issues needing additional specialised treatment we will contact you so we could work together towards achieving the best outcomes for the patient.

Referrals for bone grafting, crown lengthening and free gingival grafting are much appreciated and enable us to assist local dentists to ensuring optimal oral health to their patients.

Bone Grafting/Guided Bone Regeneration in Periodontal Disease

Today, more than ever, advances in dentistry have led to new and expanded areas of treatment. Two such areas, bone grafting and guided bone regeneration (GBR) in the jaw bones and around the teeth, have recently experienced tremendous growth. Procedures to repair and grow new bone, unheard of just a few years ago, are now part of routine dental surgical care.

Bone/periodontal defects surrounding roots of teeth or those defects following tooth extraction are now successfully treated by not only replacing the lost bone, but also by helping the body re-grow lost bone. This happens over time when newly formed bone will replace much of the grafted material. The membrane placed over the bone graft site further encourages new bone to grow and also prevents the growth of scar tissue into the grafted site.

Before
After 2 Years

Is it a painful procedure?


These procedures are done in the chair under local anaesthesia. The procedures themselves are without pain. Post-operatively, there may be some swelling and some mild to moderate discomfort, mostly from other procedures performed simultaneously, such as tooth extraction, cyst removal, etc. Although post-operative discomfort may increase after more invasive procedures, it is still manageable through the prescription of analgesics but often not even necessary after less invasive grafting for single tooth treatment.

To refer your patient, please call us on 01249 445111, or, email your patient’s details to us. We will keep you informed about your patient’s progress at all times and after treatment your patient will be referred back to you for general maintenance. Cost of these procedures ranges from £250 to £390 (excluding cost of material), depending on the extent of treatment necessary.

Connective Tissue (Free gingival) Grafting

With the wear and tear of time, normal attached gum can be worn away. This often happens in people with naturally thin tissues, generally from vigorous brushing; or when the tissues have been stretched during orthodontics. If there is still adequate attached gum to act as a barrier to the muscle, the treatment for recession is to ensure further damage isn’t done when brushing. However, if the attached gum is worn to the point where it cannot resist the constant pull of the mucosa, recession will continue unless a new hard band of gum is placed. Unchecked, the recession can cause tooth loss as the bone recedes with the tissue and tooth support weakens. I frequently saw patients where attempts were made to solve the problem by only performing root treatment which may end up not to be successful
Connective Tissue Grafting Aft

The replacement of missing attached gum is called gingival grafting. The muscle that is pulling down on the edge of the gum is first surgically resected and repositioned away from the gum margin. Then a small piece of attached gingiva is taken, (usually from the roof of the mouth, just adjacent to the back teeth) and transplanted to the site in question


pd-img9-102x204The new tissue reattaches and reforms a new layer of attached gum, which should last a lifetime with proper care (See picture below). The roof of the mouth heals quickly, just like a skinned knee might. Routine gum grafts (“gingival grafts”) do not cover up the exposed root surface – if this is desired, a different technique is used. Covering the root does not make the tooth stronger, for the bone, which actually holds the tooth in place, does not change regardless of the new gum level. Rather, root coverage procedures are primarily done for cosmetic reasons, or when there is exceptional root sensitivity after.
Connective Tissue Grafting Bef

In this case the root was not covered, and the tissue stays at the same level as before, except with attached gingiva at the margin. These procedures are very easy on the patient, and rarely require more than over-the-counter pain pills post-operatively (Ibuprofen).


Attached gum is vital for the long term success of implants

Attached gingival only a small strip at the crest of the ridge
Graft is securely fixed on to implant site
3 Weeks post-operative
10 Months post operative with implant and restorations in place
If you happen to need this kind of procedure on any of your patients, please use the enclosed referral form or kindly call us on 01249 445111, leaving details of the patient. We will immediately proceed to contact the patient and arrange for an appointment. You will be kept informed about the patient’s progress at all times and the patients will be referred back to you for any subsequent treatment. Cost of these procedures ranges from £280 to £480, depending on the size of the area affected.
*Results shown on this website are all photographs of our own patients taken and placed with their permission . Teeth and smiles are not enhanced with photographic tools. What you see is what you get!
Contact Details



63 St. Mary Street, Chippenham, Wiltshire, SN15 3JF
+44 1249 445111 or
+44 1249 655066

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