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Dental Gum condition

Gum disease starts silently (painlessly) and can affect anybody. It is connected to coronal heart disease, diabetes and cancer.

It causes up to one third of adult tooth loss in the UK, and also contributes to bad breath, bleeding gums, moving teeth, etc. The good news though is that the key is simple: learn to look after your mouth and let us show you how!

Sometimes you need a Specialist to help take care of your gum health, which can potentially be very costly.
Here at the Dental Wave, we were looking for a more affordable way for our patients in need of this particular type of gum therapy.
As one of the first and only practices in Portsmouth, we had our team trained by a specialist. Now, we are following a specialist’s protocol and procedure when it comes to treating gum disease effectively.
We also have Dr James Escoda Francoli on site, whose specialised knowledge of gum disease will help us to develop the best possible and most effective treatment plan for you.
So, live longer and let us help you to get control over your gum disease!


What is gingivitis?

Within our mouths we have hundreds of thousands of bacteria and other microscopic organisms living in a community, this is called a 'Biofilm'. These are sticky and highly adherent and are all over our teeth, gums, lips, cheeks and tongues. Even people who brush and clean their mouths really well will still have these. As such Biofilms are present in most natural places such as water lines, hulls of boats and even on the sea side!
Mostly by keeping mouth clean with interspace brushes, electric toothbrushes and floss we can keep biofilms at a minimum. However, if oral hygiene is lacking these build up substantially and convert to plaque. This thicker biofilm full of bacteria will trigger the body’s inflammatory responses and lead to bleeding gums and irritation also known as gingivitis.


What is Periodontitis?

Periodontitis is when the supportive mechanism of teeth such as tooth bone, gum fibres which help support teeth in its place breakdown due to bacterial provoked inflammation. Gingivitis and bleeding gums often are a precursor to this condition. If we clean our teeth better and see the dentist and hygienist at the stage of gingivitis most of the damage to gum tissue and bone is preventable.


How did I get this?

Most patients who develop periodontitis have a certain degree of genetic predisposition. However, this alone will not lead to periodontitis and the patient's environmental factors will have a substantial role to play in activating these genes. These environmental factors could be smoking, poor oral hygiene, teeth crowding, stress, uncontrolled diabetes or other health related issues.


Can it be cured?

Gingivitis is reversible with good motivation towards oral hygiene ie. keeping teeth and tongue clean with good oral hygiene and visiting the dentist or hygienist for good professional oral hygiene.
Periodontitis is a more advanced stage of gum disease and the bone loss and loss of supportive tissues is irreversible. However, with regular professional care and excellent self-performed oral hygiene this can be potentially be stabilised, and future bone loss and teeth loss can be potentially prevented.


Will I lose all my teeth?

If periodontitis is left untreated, this can potentially lead to loss of all supportive structure around the affected tooth or gum abscesses. Due to lack of bone the tooth can become mobile, sensitive and difficulty in chewing can be experienced. This process may eventually lead to failure or loss of tooth/ teeth.


Is this treatment available on the NHS?

Whilst treatment of periodontitis is available on the NHS, this will involve referral to a Periodontist/Hygienist working in secondary care such as a teaching hospital. Most NHS organisations have a longer waiting list of consultation and treatment as compared to a private clinic and this may mean a potential delay in treatment.


What sort of treatment can I expect?

Treatment of periodontics is often divided into stages. This varies from person to person.

Stage One:

Demonstration of oral hygiene techniques with interspace brushes and electric tooth brush followed by deep cleaning or Root Surface Debridement. Deep cleaning is a more advanced form of gum treatment. This is completed by carefully cleaning the teeth over and under the gum line with fine instruments to remove bacterial biofilms. All treatment is made comfortable by provision of numbing with the help of local anaesthetics (you are awake).

Stage two:

Some areas with difficult teeth anatomy or deeper bone loss will not have complete resolution with deep cleaning and may need specialist advanced treatment to gain direct access

Stage three:

This is also known as maintenance or supportive periodontal care. This is a regular 3 monthly care plan with a hygienist for maintenance of periodontal health with over and under gum line cleaning and reinforcement and monitoring oral hygiene.


Seeing your dentist and hygienist

In the short to long term, we recommend continued appointments to see your hygienist on a strict 3 monthly basis and your dentist for regular dental examinations.