The first appointment will always be a periodontal consultation. This will involve a comprehensive discussion to ensure we are aware of your personal concerns and aims of treatment. This will be followed by a detailed periodontal examination which involves measuring the position of the gums and determining whether or not spaces (pockets) have opened up between the gums and the teeth. It is important that before any treatment is suggested, the severity and extent of the disease are established. X-rays and photographs may also be taken on this appointment. Once all the information has been obtained, Dr Wadia will discuss the findings in detail and suggest any treatment that may be required. She will also cover any other questions at this appointment including costs and timings. To read more about the consultation appointment, click here
Non-surgical periodontal therapy
If you have been diagnosed with periodontitis, then treatment will usually begin with non-surgical periodontal therapy. Treatment will only work with good home care and so an important part of this treatment is us giving you tailored oral hygiene instructions. The bacteria and ‘build-up’ under the gum line and within the pocket are then removed through a technique called root surface debridement. This is usually carried out under local anaesthetic to ensure you are comfortable throughout the process. The aims of this treatment are to reduce the depth of the pockets and increase the ability to maintain good oral hygiene in the area. To read more about non-surgical periodontal therapy, click here.
Pocket reduction surgery
If the pockets are not reduced with non-surgical periodontal therapy then surgery may be suggested. This will involve reshaping the gums and bone. Sometimes, bone regenerative materials (synethetic/human/animal derived) may be placed around the teeth. To read more about pocket reduction surgery, click here.
Gum recession surgery
There are a number of treatments for gum recession. The simplest form is the free gingival graft, which involves taking a small amount of tissue from the palate and using this as a gum graft to an area that is deficient. This is often used for lower front teeth. If aesthetics is of a concern then the gum is often moved to cover the recession. This may or may not be combined with a gum graft. Advances in the application of microsurgical have led to improved success, less post-operative discomfort and reduced healing times. To read more about gum recession surgery, click here.
Crown lengthening surgery
This may be carried out for teeth which are extensively broken down and require more sound tooth structure above the gum line to allow for a restoration/crown to be placed. Crown lengthening is also used to treat gummy smiles or to increase the length of short teeth. This usually involves raising a gum flap and reshaping the bone and gum. To read more about crown lengthening surgery, click here.
Medication such as antibiotics or a medicated mouthwash may be prescribed to be used along with other treatment.
It’s important to objectively assess your response to treatment following an appropriate healing period. Therefore reassessments will be planned after any treatment.
Supportive periodontal therapy
When active treatment is complete, supportive therapy maintains the health improvements achieved. This appointment will involve measuring the gums to ensure any relapse is picked up early, removing any bacterial deposits and re-treating any developing pockets. The recall interval for this is usually every 3 months but this will be patient specific. To read more about supportive periodontal therapy, click here.