Periodontal Gum Disease Treatments - Initial Consultation

• Medical History
• Consent forms for Taking Radiographs – vital for treatment planning & Diagnosis
• Consent form for Photographs. – anonymous and an important part of your records
• Comprehensive Discussion about your concerns and ideal outcomes
• Other relevant dental and Lifestyle questions will be discussed

Clinical Exam

• General dental examination
• Periodontal Examination
• Periodontal charting using a Florida probe (this is an electrical probe which ensures accuracy and measures the spaces between the gums and the teeth. It will access the bleeding /plaque scores and measures gum recession)
• These examinations will determine the severity and extent of your periodontal condition
• Other dental examinations may be carried out at this point depending on your initial referral
• Radiographs are taken to assess bone levels and dental anatomy
• Photographs are then taken
• Comfort during these examinations is ensured

Following the clinical examination

• Once the findings have been assessed the specialist will discussed the suggested treatment plan with you
• Questions around treatment and fees will also be discussed at this point
• Consents and appointment bookings can be carried out if required at this point
• A detailed report will be sent to you and your referring dentist if appropriate

How long is the appointment?

• 1 hour

Periodontal Gum Disease Treatments Fees

• £180

Initial phase 1 & 2 Hygiene appointment & Non-surgical Periodontal Therapy

What is it & why do we do it?

• During these treatments our experienced hygienists will carry out extensive oral hygiene home care instructions and removal of plaque and calculus above the gum line under the prescription of the specialist
• The purpose of the initial treatments are to improve your ability to perform effective home care to allow long-term maintenance of the results

How long is the appointment?

• 45-60 mins

Fees

£95 per appointment

Periodontal Gum Disease Treatments - Non-surgical periodontal therapy

What is it & why do we do it?

• Non-surgical therapy removes plaque, calculus (tartar) and toxins that are in contact with the tooth root surface from below the gum line
• The aims of this treatment are to reduce the depth of/close the gaps/pockets and to maintain good oral hygiene
• This is carried out under Local anaesthetic

How many appointments?

• Depending on your diagnosis you may be required to carry out between 1-4 appointments

How long are the appointments?

• Treatment time varies from 45 mins to 120 mins

Fee’s

• £200 per appointment

Periodontal Gum Disease Treatments - Surgery

What is it & why do we do it?

• Periodontal surgery may be suggested if f the gaps/pockets are not reduced with non-surgical periodontal therapy
• It involves lifting gums to gain access to the root surfaces and sometimes the gum and bones are reshaped.
• The gums are stitched back and the stiches removed 1-2 weeks later
• The procedure is carried out under local anaesthesia

How long does it take?

• 90 minutes for the surgery,

Fee’s

• Discussed at the consultation

Periodontal Gum Disease Treatments - Gum Recession Surgery

What is It & why do we do it?

• Gum Recession is where your teeth start to look longer
• Causes include overzealous tooth brushing/poor oral hygiene/trauma (tongue piercing)/smoking/hormonal changes in women/family history of gum disease/diabetes/HIV
• Recession can lead to further complications such as sensitivity, poor smile aesthetics, increased risk of gum or tooth infection as well as potentially tooth loss. For these reasons we carry out gum recession surgery

Treatment options

Periodontal Gum Disease Treatments - Gum Grafts

Connective tissue graft

• Connective tissue grafts are commonly used when roots are exposed as a result of gum recession. Since this goal requires a larger coverage area, the graft comes from subepithelial connective tissue—a sizable soft tissue found inside the mouth. The tissue is joined to the gums in a manner similar to that of the free gingival graft procedure.

Free Gingival Graft

• If your tissue loss doesn’t leave a root exposed, your specialist may recommend a free gingival graft. This refers to when we take tissue—usually from the palate or another mouth area—and stitches it to the affected area

Periodontal Gum Disease Treatments - Regeneration Therapy/Flap surgery

What is it & why do I need it?

• The procedure involves lifting the gums off of the teeth to remove tartar build up. The area is then cleaned and the tartar is removed, then gums will be stitched back into place to fit around the teeth.
• Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body’s natural ability to regenerate bone and tissue.
• This may be recommended when the bone supporting your teeth has been destroyed due to periodontal disease.

How long is the appointment?

• 1-3 hours for the surgery
• 15-30 minutes for reviews

Fee’s

• Discussed at the initial consultation

Periodontal Gum Disease Treatments - Crown Lengthening

What is it & Why do I need it?

• Some individuals may have a “gummy” smile because the teeth appear short. In fact, the teeth may actually be the proper lengths, but they’re covered with too much gum tissue. To correct this, your periodontist performs a dental crown lengthening procedure.
• During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.