Gum Disease

Periodontal disease is often known as ‘Gum Disease’ and is a very common condition in which the gums and deeper structures of the tooth become inflamed. This inflammation in early stages is called gingivitis and it is the body’s response to certain bacteria that have been allowed to accumulate on the teeth. Left untreated, in time, gingivitis becomes periodontitis or periodontal disease.

The symptoms of gum disease are redness, swelling of gums and a tendency to bleed during tooth brushing. This inflammatory response is part of your body’s defensive reaction but can eventually cause serious damage. If left unchecked, the inflammation can spread down below the gums and along the roots of the teeth, causing destruction of the fibers, ligaments and the supporting bone, which ultimately leads to the loosening and potential loss of the teeth.

Certain risk factors can influence the development and progression of periodontal disease:

  • Smoking
  • Stress
  • Pregnancy
  • Diabetes
  • Misalignment of teeth
  • Poorly contoured fillings
  • Certain medications
  • Some systemic disease

Smoking is one of the most significant risk factors in the development and progression of periodontal diseases. Smokers are up to six times more likely to show periodontal destruction than non-smokers, show a poorer response to treatment and are at increased risk of recurrence.

Diagnosis

To find out if you suffer from gum disease, we may ask you some questions:

  • Do your gums bleed on brushing or overnight?
  • Are any of your teeth loose?
  • Can you chew everything you want to?
  • Do you have a bad taste or smell from your mouth?
  • Do you suffer from pain, swelling, gumboils or blisters?

We carry out an examination of your gums during routine dental check-ups. Our dentists will visually check and record the visual status of your gums for inflammation as well as carry out a basic screening technique which score the gums.

Redness or change in contour of the gum margins or interdental areas, and bleeding on contact indicates you may have gingivitis. We treat gingivitis with a routine dental hygiene session and encouraging you to adopt a better oral care technique and routine.

A score of 3+ gained during screening may need further investigation with x-rays and a detailed periodontal measurement of each tooth or a `6 point check’ and may indicate presence of periodontal disease.

Periodontal disease
Periodontal Disease

The type of periodontal disease is diagnosed based on severity of the condition and extend of bone lost visible on x-rays. The pattern of damage is established by the results from extensive 6-point measurements. Once the diagnosis is formulated a treatment plan can be considered.

Periodontal treatment involves, educating and supporting patients on correct technique of brushing cleaning at home and debriment of root surfaces of teeth often under local anaesthetic in multiple visits depending on the extend of disease.

Successful periodontal treatment requires your full co-operation in regard to daily oral hygiene practices and attendance at regular follow-up appointments.
If periodontal disease is severe, or when surgical treatment may be required to treat periodontal disease, you may be referred to our on-site specialist periodontist.

Surgical treatment with specialist periodontist

Sometimes, a surgical procedure is carried out to clean away plaque bacteria and deposits that are under the gum within periodontal pockets and on the root surfaces at the furcations (where the roots diverge). These areas are inaccessible to brushes and floss and inflammation will persist in these sites as long as bacteria are allowed to colonize them. Under local anaesthesia, the gum is lifted away and the root surfaces are cleaned under direct vision to ensure that all bacteria are removed. Sometimes, it is possible to treat bone loss at the same time using a special regenerative treatment. At the end of the procedure, the gums are sutured back into place around the teeth.

Specialist Services Available with Dr Cristian Dobreci Specialist Periodontist

Open flap debridement
Periodontal resective surgery

Regenerative periodontal surgeries

  • Regenerative surgery with Emdogain
  • Regenerative surgery with Emdogain and Xenograft
  • Guided tissue regeneration

Crown lengthening procedures

  • Functional crown lengthening
  • Aesthetic Crown lengthening

Socket/ridge preservation procedures

Periodontal plastic surgeries

  • Free gingival graft
  • Coronally advanced flap
  • Coronally advanced flap with connective tissue graft
  • Coronally advanced flap with Alloderm
  • Coronally advanced flap with Mucograft