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Periodontal treatment at a Glance

Specialist gum periodontist london
Periodontist london
Pericoronitis
Bad Breath
Painful chewing
Bleeding Gums

Periodontist

More Info

  • Periodontists receive extensive training in treating problems relating to the gums. If they are Periodontist Specialists, that training includes usually three additional years of education beyond the Dental University degree to become a qualified Dentist. They are familiar with the latest techniques for diagnosing and treating periodontal disease, and are also trained in performing cosmetic periodontal procedures.
  • Periodontists often treat more problematic periodontal cases, such as those with severe gum disease or a complex medical history. Periodontists offer a wide range of treatments, such as scaling and root planing (in which the infected surface of the root is cleaned) or root surface debridement (in which damaged tissue is removed).
  • They can also treat patients with severe gum problems using a range of surgical procedures. In addition, periodontists are specially trained in the placement, maintenance, and repair of dental implants.

Consultation

  • The periodontist examines:

1 – The gums: checks to see if there is any gum line recession.

2 – Assesses how the teeth fit together when biting.

3 – Checks the teeth to see if any are loose.

  • The periodontist will also take a small measuring instrument called a probe and place it between the teeth and gums to determine the depth of those spaces, known as periodontal pockets; this helps the periodontist assess the health of the gums.
  • X-rays may also be taken to observe the health of the bone below the gum line.

Periodontitis

  • Periodontitis is a serious infection of the gums. It’s caused by bacteria that have been allowed to accumulate on your teeth and gums.
  • As periodontitis progresses, your bones and teeth can be damaged. However, if periodontitis is treated early and proper oral hygiene is maintained, the damage can be stopped.
  • Stages:

1 – Gengivitis.

2 – Gum inflammation

3 – Bone loss

  • Symptoms:

1 – Gums that bleed when you brush your teeth or floss

2 – bad breath

3 – Changes in the position of your teeth or loose teeth

4 – Receding gums

5 – red, tender, or swollen gums

6 – buildup of plaque or tartar on your teeth

7 – Pain when chewing
tooth loss

8 – Foul taste in your mouth

9 – Inflammatory response throughout your body

Nonsurgical Treatments

  • Scaling and root planing are non-surgical treatments to remove plaque and tartar from deep under the gum line. These procedures are sometimes paired with antimicrobial or antibiotic medicines as well, depending on the case.
  • A periodontist could also prescribe a tray delivery system for you to wear at home. This custom-fit impression of your teeth puts prescription medication right on them.

Surgical treatments

  • Laser treatments
    Regenerative procedures to encourage new bone and tissue growth
  • Dental crown lengthening, removing excess gum tissue
  • Dental implants to hold a replacement tooth or bridge
  • Periodontal pocket reduction procedures — also called osseous surgery — to help limit the space around your tooth’s root where bacteria can form

Periodontist consultation cost

Frequent Questions

What is a periodontist?

A periodontist is a dentist who specializes in preventing, diagnosing, and treating gum disease. They also help you manage signs of advancing gum problems like oral inflammation.

Gum disease happens when the tissue around your teeth gets infected, causing inflammation. Plaque-forming bacteria that build up on your teeth usually cause this swelling as it spreads below the gum line.

What does a periodontist do for gum disease?

There are Nonsurgical Treatments and Surgical treatments.

Scaling and root planing are non-surgical treatments to remove plaque and tartar from deep under the gum line. These procedures are sometimes paired with antimicrobial or antibiotic medicines as well, depending on the case.

Other surgical treatments a periodontist can perform include:

Laser treatments
Regenerative procedures to encourage new bone and tissue growth
Dental crown lengthening, removing excess gum tissue
Dental implants to hold a replacement tooth or bridge

Periodontal pocket reduction procedures -- also called osseous surgery -- to help limit the space around your tooth’s root where bacteria can form

When to see a periodontist

When you see one or more than those symptoms: Chronic Bad Breath, Receding Gums, Temperature Sensitivity, Loose Teeth. Be Aware Of Periodontal Disease Warning Signs. If you are still looking for a periodontist contact Maida Smiles Dental Clinic.

What is Pericoronitis?

Pericoronitis is swelling and infection of the gum tissue around the wisdom teeth, the third and final set of molars that usually appear in your late teens or early 20s. It is most common around the lower wisdom teeth.

What causes Pericoronitis?

Pericoronitis occurs around a wisdom tooth that has failed to come in or has only partially erupted. A partially-erupted wisdom tooth can leave a flap of gum tissue that collects food particles and other debris—an ideal breeding ground for bacteria.

What are the symptoms of Pericoronitis?

Milder symptoms of pericoronitis include painful, swollen gum tissue near the affected tooth. You may find it hard to bite down in that area without hitting the swollen tissue. You may also notice an unpleasant smell or taste in your mouth, and a discharge of pus in the area.

More severe symptoms include swelling in that part of the face, swollen lymph nodes, and jaw spasms.

These are signs of a spreading infection into the throat and neck, which could affect your ability to breathe and swallow, and could be life-threatening. For this reason, if you notice the early signs of pericoronitis, it’s important to contact your dentist immediately.

How is pericoronitis treated?

First, your dentist will flush away the accumulated food particles and other debris from the area. Then, he or she will prescribe a course of oral antibiotics to clear up the infection. He or she will also recommend an antibacterial oral rinse that you can use to clear the infected area. You can also take over-the-counter pain relievers, or a pain reliever prescribed by your dentist, to manage the pain.

What happens next depends on the status of the wisdom tooth. Sometimes, pericoronitis develops near a tooth that is still in the process of erupting, which will continue to come in normally. In that case, your dentist will monitor the area to ensure that it stays clean and infection does not recur, until the tooth has fully come in. If your symptoms are severe, it may also be necessary to have minor oral surgery to remove the flap of gum tissue (called the operculum).

If it appears that the wisdom tooth will not come in normally, the dentist may recommend that it be removed. Sometimes, the dentist may remove both upper and lower wisdom teeth, to prevent the upper tooth from biting into the lower gum and causing further infection.

Can I prevent pericoronitis?

Pericoronitis sometimes occurs even with excellent dental care. The best preventive strategy is to brush and floss regularly, use an antibacterial rinse, and follow any other recommendations your dentist gives you for good oral hygiene.

Why is my gum swollen around one tooth?

If you notice a swollen gum around one tooth, it might be the result of gum disease, poor dental hygiene, or an abscess. Visit your dentist to make sure that your swollen gum is properly treated.

Spending a few minutes a day practicing good dental hygiene habits such as brushing and flossing can save you the discomfort, time, and expense of treating a health issue such as periodontal disease.

Our Team

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Meet Dr. João Silva

Dr. João Silva started practising dentistry in the UK in 2013 after qualifying in Portugal.

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Meet Dr. Melanie Castelhano

Dr Castelhano has worked at the best clinics throughout London and the West End. 

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Meet Dr. Filipe Costa

Dr. Filipe Costa graduated in Lisbon but his desire for improvement brought him to the UK.

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