What it is
Periodontics is concerned with the periodontium, that is, all the tissues that support the tooth: gum, bone and ligament. Periodontitis (once known as “pyorrhoea”) is a chronic infection that, left untreated, progressively destroys the bone and leads to loose teeth and tooth loss. It is one of the leading causes of tooth loss in adults, and is often silent in its early stages.
When it’s needed
- Gums that bleed when you brush.
- Receding gums, teeth that “look longer”.
- Persistent bad breath.
- Loose teeth or teeth that have shifted recently.
- A family history of periodontitis, smoking or diabetes (significant risk factors).
How we treat it
- Periodontal diagnosis. Probing of all the gum pockets, X-rays and a periodontal chart to measure the severity and track progress over time.
- Causal (non-surgical) therapy. Root planing and deep cleaning of the pockets with ultrasonic instruments and curettes, to remove tartar and bacteria below the gum line.
- Guidance and home care. We teach you the most effective cleaning technique: it is the decisive factor in the success of the treatment.
- Re-evaluation. After a few weeks we re-check the pockets: in most cases the inflammation is markedly reduced.
- Surgical therapy (if needed). For any deep pockets that remain, periodontal or regenerative surgery to restore the tissues.
- Maintenance. Regular recall appointments (usually every 3 to 4 months) to keep the disease under control: this is the most important phase in preventing a recurrence.
Benefits
- You stop the disease and save your natural teeth.
- Healthy gums that no longer bleed.
- Fresher breath and less tooth mobility.
- Wider benefits: gum health is linked to the health of the whole body.
FAQ
Can periodontitis be cured?
It cannot be “cured” for good, but it can be controlled very effectively: with treatment and regular maintenance, its progression is halted and the teeth are preserved.
Is the treatment painful?
Root planing is carried out under local anaesthetic where needed and is well tolerated. Some temporary sensitivity is normal.
Why such frequent recall appointments?
Because the bacteria build up again: close-interval check-ups stop the inflammation from returning. Skipping them is the most common cause of recurrence.
Does smoking have an effect?
A considerable one. Smoking makes periodontitis worse and reduces how well it responds to treatment: giving up significantly improves the results.