Based in Central London’s world renowned Harley Street district
Based in Central London’s world renowned Harley Street district
Periodontal disease is an infection of the tissues that support your teeth. It begins as gingivitis, causing red, swollen gums that bleed when brushing. Left untreated, it progresses to periodontitis, where bacteria damage the bone and tissues holding your teeth in place. More adult teeth are lost to gum disease than to decay, yet the condition often develops painlessly, meaning many patients are unaware until significant damage has occurred.
Treatment begins with a thorough assessment, including measuring the depth of gum pockets around each tooth. Healthy gums have pocket depths of 2-3mm, while pockets of 5mm or deeper indicate active disease requiring treatment. Our deep cleaning procedure, known as scaling and root planing, removes bacteria, plaque, and hardite from beneath the gum line. Root surfaces are then smoothed to prevent bacteria reattaching and to encourage the gums to heal and reattach to the teeth.
Treatment is typically completed in sections, with local anaesthetic used to ensure your comfort. After initial therapy, we reassess your gums at around six weeks to measure improvement and determine whether further treatment is needed. For more advanced cases, surgical options including flap procedures and regenerative therapy may be recommended to access deeper areas and restore lost tissue.
Long-term success depends on ongoing maintenance. We recommend periodontal maintenance appointments every three to four months to monitor your gum health and prevent disease returning. Research has linked untreated gum disease to serious health conditions including heart disease, diabetes, and stroke, making effective treatment important for your overall wellbeing.
For more advanced cases, surgical options including flap procedures and regenerative therapy may be recommended to access deeper areas and restore lost tissue. Where gum recession has exposed tooth roots, gum grafting can help restore coverage and protect against sensitivity.
We offer flexible payment plans to help spread the cost of your treatment.
We use detailed periodontal charting to assess every tooth, measuring pocket depths and bleeding points to understand the full extent of your condition. This comprehensive approach ensures treatment is targeted precisely where it's needed and allows us to track your improvement over time.
Our clinicians use advanced ultrasonic scalers combined with hand instruments to thoroughly remove deposits from beneath the gum line. This combination ensures efficient removal of bacteria and calculus while minimising discomfort. Local anaesthetic is always available to keep you comfortable throughout treatment.
Periodontal treatment is only as successful as the follow-up care. We place all periodontal patients on a structured maintenance programme with regular appointments to monitor gum health, clean areas prone to buildup, and catch any signs of disease returning before they cause damage.
Early signs include gums that bleed when brushing or flossing, red or swollen gums, persistent bad breath, and gums that appear to be receding from your teeth. As the disease progresses, you may notice teeth feeling loose, gaps appearing between teeth, or teeth shifting position. Many patients experience no pain until the disease is advanced, which is why regular dental check-ups are important.
We use local anaesthetic to numb the treatment area, so you shouldn’t feel pain during the procedure. You may experience some sensitivity and mild discomfort for a few days afterwards as your gums heal. Over-the-counter pain relief and using a sensitive toothpaste can help manage any tenderness during recovery.
Initial treatment is usually completed over two to four appointments, with each session focusing on a section of your mouth. After around six weeks, we reassess your gums to measure improvement. The total treatment timeline varies depending on severity, but most patients complete initial therapy within two to three months before moving to maintenance care.
Gingivitis, the early stage, can be completely reversed with professional treatment and improved oral hygiene. Once periodontitis develops and bone loss has occurred, the condition can be stabilised and managed but not fully reversed. With proper treatment and maintenance, most patients can keep their natural teeth for life and prevent further damage.
Most periodontal patients benefit from maintenance appointments every three to four months, rather than the standard six-monthly hygiene visits. This frequency allows us to monitor pocket depths, remove any bacterial buildup before it causes damage, and catch early signs of disease activity. Your specific schedule will be tailored to your individual needs and risk factors.
