Your Periodontal Treatment Journey
From diagnosis through treatment to lifelong maintenance — a comprehensive approach to saving your teeth
Understanding Gum Disease
Gums and the bones underneath them are one of the most neglected aspects of oral health — untreated gum disease inevitably leads to tooth loss
How gum disease develops
If the plaque and bacteria that build up on your teeth are not effectively removed every day, they mature into a destructive form of bacteria which can make your gums swell, bleed, and the bone underneath them to be eaten away. You'll start noticing ugly gaps between your teeth, your teeth will become loose, and you'll develop a bad taste in your mouth and persistent bad breath. Left untreated, it is inevitable that your teeth will fall out.
The silent progression
Periodontal disease is often called the 'silent disease' because it can progress significantly before symptoms become obvious. By the time teeth feel loose, substantial bone loss has already occurred. This is why regular dental check ups are crucial — we can detect the early signs of gum disease (gingivitis) before it progresses to the more destructive periodontitis. Early intervention is simpler, more affordable, and far more effective than treating advanced disease.
Periodontal Assessment
A comprehensive assessment including probing measurements, X-rays, and bacterial analysis to determine the extent and severity of gum disease
The periodontal study
Dr. Rebeca will perform a thorough periodontal examination, measuring the depth of the pockets around each tooth with a gentle probe. Healthy pockets measure 1-3mm; deeper pockets indicate bone loss. Full-mouth X-rays reveal the extent of bone destruction below the gumline. This comprehensive study allows us to create a precise treatment plan tailored to the severity and pattern of your disease.
Diagnosis & treatment planning
Based on the assessment, we classify the disease stage and determine the most appropriate treatment approach. Mild cases (gingivitis) may only require a professional cleaning and improved home care. Moderate to advanced periodontitis requires deeper intervention. We'll explain exactly what is happening, show you your X-rays, and discuss the best options for your situation.
Deep Cleaning & Treatment
Thorough removal of plaque, tartar, and bacteria from below the gumline using both surgical and non-surgical approaches
Non-surgical treatment
The primary treatment for periodontal disease is scaling and root planing — a deep cleaning performed under local anaesthesia. Using ultrasonic and hand instruments, we meticulously remove plaque, tartar (calculus), and bacterial toxins from the tooth surfaces and root surfaces below the gumline. The root surfaces are then smoothed (planed) to discourage further bacterial attachment and promote gum healing.
Surgical options when needed
In more advanced cases, surgical intervention may be necessary. This can include flap surgery to access and clean deep pockets, bone grafting to rebuild lost bone using advanced bone graft technology, and guided tissue regeneration. Dr. Rebeca, with her Masters in Periodontology & Implantology, is highly experienced in both surgical and non-surgical approaches and will recommend the most effective treatment for your specific situation.
Maintenance & Prevention
Ongoing maintenance cleanings every 3-4 months combined with improved home care to keep the disease under control permanently
Maintenance programme
Patients with a history of periodontal disease need maintenance cleanings every 3-4 months — more frequently than the standard 6-monthly recall. These maintenance visits allow us to monitor pocket depths, remove any bacterial regrowth before it causes further damage, and ensure the disease remains under control. This programme is essential for long-term success.
Home care & habits
You'll receive personalised oral hygiene advice and encouragement to build new protective habits. We'll teach you the most effective brushing and flossing techniques for your specific situation, and recommend any additional tools (interdental brushes, water flossers) that will help. You can also attend our regular free dental prevention conferences to learn practical advice about maintaining your oral health.
English-Speaking Dentists
From Finland, Denmark, NZ, Ireland, Portugal & Spain — 15-35 years experience
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Request a Periodontal Consultation
Concerned about your gums? Book a consultation with Dr. Rebeca for a thorough periodontal assessment.
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