Periodontal Therapy

Dr. Monica Bijlani

A periodontist treats a range of conditions which affect the supporting structures of the teeth, for example the gums. It also includes the jaws and the ligaments that connect the teeth to the bones – known as the periodontal fibre.

We treat conditions such as gingivitis and periodontal gum disease: two of the more common dental problems in the UK. Periodontal gum disease is more problematic in that there may be a link between this condition and heart disease.


This is the milder of the two forms of gum disease. It affects most people at some point in their lives and presents as red, swollen gums which bleed when brushed.

Gingivitis is caused by a build-up of plaque on the teeth which triggers a response that affects the gums as well. This toxic response causes redness and swelling in that area, which is an inflammatory response.

 Periodontal gum disease

This causes a set of symptoms similar to gingivitis but at a more advanced stage. The gums start to recede away from the teeth, leaving pockets where bacteria and food debris collects. This only worsens the problem, leading to loosened teeth which may eventually fall out.

This is why it is important to care for not only your teeth but your gums as well.

We have an impressive range of skills and expertise, backed up by many years of experience in this dental speciality.

We use the latest equipment,   techniques and materials to ensure that their patients receive a world class service.

Research in this speciality is advancing all the time with new and exciting discoveries into the causes of gum disease. The outcome is new forms of treatment and techniques which will help solve this condition and prevent further outbreaks.

Dangers of Periodontal Disease

– If Periodontal Disease is left untreated the outcome is inevitablty loss of teeth
– Once bone is lost, it never grows back on its own. When too much bone is lost, there is so little support for the teeth, they get loose and have to be removed.

Periodontitis and Systemic diseases

Recent and accredited researches show the existence of a strong correlation between periodontal disease and important systemic pathologies. The risk of worsening cardiovascular pathologies, diabetes, and premature childbirth is increased in patients with untreated periodontitis.

Are you at Risk?

Factors that can increase your risk of periodontitis include:

– Gingivitis
– Heredity
– Poor oral health habits
– Tobacco use
– Diabetes
– Older age
– Decreased immunity, such as that occurring with leukemia or HIV/AIDS
– Poor nutrition
– Certain medications
– Hormonal changes, such as those related to pregnancy
– Substance abuse
– Ill-fitting dental restorations

Laser treatment for bleeding gums and for diabetic patients

Periodontal disease is an infectious process that is the leading cause of tooth loss in adults. It attacks the structures of the periodontium (the ligaments around the teeth), the gingivae, epithelial attachment, cementum that cover the root of the tooth, and the alveolar bone that supports the tooth. Periodontal disease causes a breakdown of the periodontium, resulting in loss of tissue attachment and destruction of the alveolar bone. Disease-causing bacteria are necessary for the periodontal disease to begin, but they are not solely responsible for the destruction of the periodontium. Other risk factors can also alter the body’s response to the bacteria present in the mouth. These factors include traumatic occlusion, overhanging restorations, sub-gingival placement of crown, orthodontic appliances or partial dentures may also contribute to the progression of the periodontal disease as well as smoking. Furthermore, the course of the disease is often influenced by other general medical factors, such as genetic preposition, specific medication, hormonal deregulation, systemic disease, some renal or hepatic conditions, diabetes, osteoporosis, metabolic calcium dysfunction, immune system deficiency, and stress.

Diabetes mellitus is a strong risk factor for periodontal disease. Diabetic individuals are three times more likely to have attachment and bone loss than non-diabetic patients. Furthermore, osteoporosis is always associated with alveolar bone loss. Women with osteoporosis have increased alveolar bone resorption, attachment loss, and tooth loss compared with women without osteoporosis. Oestrogen deficiency has been linked to decreases in alveolar bone.

The symptoms of the disease are a red, swollen, tender gingiva, bleeding while brushing or flossing or spontaneous, loose or separating teeth, pain or pressure when chewing, pus around the teeth or gingival tissues.

Studies showed that subjects receiving Low-level laser therapy (LLLT) in addition to traditional treatment enjoyed markedly better recovery and healing than subjects treated without LLLT. LLLT resulted in shorter bleeding and pain recovery time, reduced post surgery complications (edema, inflammation, infection,), faster forming and maintaining of the clot, and better maintenance of the masticator functions. Overall we observed improved healing of the soft tissue, rapid recovery of a more compact bone tissue and fixation of the teeth, complete restoring and maintenance of the masticator and esthetic functions, with healthier gingival tissue. The effectiveness of LLLT varied somewhat as a function of the age, general health and metabolic problems of the patient. Very good results were obtained in diabetics for whom wound healing is usually a big problem.