Periodontics& GumDisease Treatment

The earlier you start your hygiene and periodontal care, the better the outcome.

Elleven Dental

We can help prevent more serious damage to your teeth and gums so you can look forward to keeping your smile for life.

More than 45% of adults in the UK are affected by gum disease and, even at its most mild level, it can affect quality of life. Gum disease is the most common non-communicable disease in mankind and the main cause of tooth loss. It is the infection of the structures that surround the teeth- the gums, bone, the cementum that covers the roots and the ligaments.

People are often unaware they have gum disease because it is not painful and doesn’t affect their daily life, but if left untreated the impact can be serious, damaging the bone and tissue that support the teeth.

There are different forms of gum disease, but the most common are gingivitis and periodontitis.

Gingivitis is inflammation of the superficial soft tissue supporting the tooth, leading to swelling, redness and bleeding. Gingivitis is a prerequisite for periodontitis.

Whilst not all cases of gingivitis will progress to periodontitis, managing the former is a vital primary preventive strategy for the latter. Gingivitis is reversible and may be treated with the help of hygiene sessions and improved oral hygiene.

Periodontitis involves the deeper supporting structures including bone destruction. Sadly this bone destruction is generally irreversible.

Dental bacterial plaque is the major determinant of gingivitis and periodontitis. This is an invisible to white, sticky film that forms on your teeth.
Accumulation of plaque is the most common cause; a number of factors can contribute and aggravate the condition. These include:

  • Smoking
  • Inherited/genetic susceptibility
  • Medication that reduces saliva
  • Diabetes
  • Lifestyle-Stress, lack of sleep, mental health, alcohol
  • Nutritional deficiencies- calcium, Vitamin C and B

In subjects with active periodontitis, the periodontal ligament does not regenerate after tooth movement when there is inflammation in the periodontal tissues. When teeth are moved orthodontically, in the presence of plaque, this force can cause excessive bone and attachment loss.

Orthodontic components, which are attached to the tooth surface, may also hinder effective cleaning of teeth. This could lead to further accumulation of plaque and increase the risk for periodontal disease. Those patients who have a pre-existing periodontal disease have a higher risk of their periodontal health deteriorating further if plaque control is inadequate.

However this doesn’t mean that the patient with compromised periodontal tissues cannot benefit from orthodontic treatment. It simply means their periodontitis needs to be controlled first BEFORE, during and after the entire orthodontic treatment.

Frequently Asked Questions

People are often unaware that they have gum disease as its not painful (unless the condition flares-up causing a periodontal abscess)
Red swollen gums
Bleeding gums during brushing, eating or spontaneously
Bad breath and bad taste
Loose teeth and early loss of teeth
Gaps between your teeth- migrating teeth
Black triangles where the inter-dental gingival tip is lost
Receding gums
A change in the way the teeth fit/bite

Visit your dentist and your hygienist – it’s recommend that you attend regular appointments depending on your susceptibility.
Brush your teeth well, twice a day (morning and night) using toothpaste that contains fluoride.
Perfect a good brushing technique – brushing should last at least 2 minutes.
Using an electric toothbrush can provide you with good dexterity to reach all those important areas.
Cleaning between your teeth is essential (using inter-dental brushes of the correct size or floss).
Rinsing and gargling with a good mouthwash (medicated if necessary).
A healthy diet rich in fruits and vegetables.
Consider counselling on how to stop smoking.
Discuss approaches for weight loss and controlling sugar intake.
Studies have suggested long-term gum disease can increase your risk of heart disease, stroke and premature child birth, so preventing periodontitis could be beneficial for your general health.

The treatment administered depends on to what extent you are suffering with gum disease. Your dentist or specialist practitioner will discuss the necessary course of action for you before beginning with any treatment.

Different Types of Treatments:

Deep Cleaning.
If you have the early signs of gum disease, such as gingivitis, then your dentist or specialist periodontist will begin by cleaning your teeth. This process is known as scaling and root planing and begins with a deep clean using an electric toothbrush, gritty toothpaste and specialist instruments called scalers. This helps to remove tartar from the gum line and remove the bacteria from the tooth root where the disease is prone to develop. Extensive scaling may be required if gingivitis has developed into periodontitis. You may need a local anaesthetic injected into your gums to block the feeling, although you will remain conscious during the treatment.

Surgery.
If your gum disease is moderate to advanced you may be referred over to see a specialist periodontist for further treatment including surgery.
Antibiotics and other medications.

Medications may be prescribed in conjunction with a deep cleaning treatment. Antibiotics, alone, are not considered an effective way of treating periodontitis but are still used as therapeutic adjuncts in severe cases of gum disease. Over the counter paracetamol and ibuprofen are generally effective at relieving any post-operative discomfort.
Medicated mouthwash.

Your dentist may recommend using an antiseptic mouthwash to incorporate into your daily routine. By using a mouthwash after brushing, it helps to control the build up of bacterial plaque that forms around the teeth. Gargling your mouth with a medicated rinse ensures any residue is cleared away after brushing.

The loss of periodontal support may lead to the migration of a single tooth or a group of teeth which will eventually cause tipping/proclination, rotation, over-eruption, spacing, loss of teeth or traumatic bite.
These conditions, not only impair function and aesthetics but also reduce the success rate of periodontal treatment as patients find it hard to maintain good oral hygiene.
Orthodontic treatment (braces) can be used to improve the aesthetics, function and periodontal health of a person’s dentition. Properly aligned teeth are easier to clean and promote healthier periodontal tissue. Some studies have found that there is improvement of the periodontium due to less plaque accumulation on the orthodontically up righted teeth.
A systematic review concluded that subjects with malocclusion have worse periodontal health than those without malocclusion. However, there is a lack of evidence to suggest that orthodontic treatment may prevent periodontal problems.

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Clinical Consultation

£240

  • At our awarding-winning clinic

  • With a Senior Clinician

  • Full & thorough clinical examination

  • Includes X-Rays

  • Dedicated Treatment Co-ordinator

  • Discussion on your personalised treatment plan, payment options with a detailed report

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  • Video Consult in the comfort of your home

  • Includes a free smile assessment

  • Live 1-2-1 with our award-winning clinicians

  • Choose between Dr Sameer Patel for Cosmetic Dentistry and Dr Anthony Lam for Orthodontics

  • Discussion to explore your smile aspirations or clinical concerns

  • *£50 REFUNDABLE DEPOSIT REQUIRED, TERMS APPLY