Treating the foundation beneath the smile
Gum disease is the leading cause of tooth loss in adults, and it is largely silent. Bleeding when brushing is not normal — it is the earliest sign that bacterial biofilm has triggered inflammation. Left alone, that inflammation moves below the gum line and begins destroying the bone anchoring the teeth, and lost bone does not spontaneously return.
The good news is that early disease, gingivitis, is fully reversible. Even established periodontitis can almost always be stabilised with non-surgical treatment: careful removal of deposits from the root surfaces, a targeted home-care regime and a maintenance interval matched to your risk.
There is a wider stake too. Periodontal inflammation is consistently associated with cardiovascular disease, poorly controlled diabetes and adverse pregnancy outcomes. Treating your gums is not only a dental decision.
Treatment arrests the destruction. Every month of delay costs support that cannot be rebuilt easily.
The majority of cases are stabilised without any surgery at all.
Removing the bacterial reservoirs beneath the gum resolves most persistent halitosis.
No implant, crown or veneer outlasts the tissue it sits in.
Pocket depths are charted at every visit so improvement is a number, not an impression.
Six measurements per tooth, recession, mobility, bleeding points and X-rays establish a precise baseline.
Deep cleaning of the root surfaces under local anaesthetic, usually across two longer appointments.
Interdental brush sizing, technique correction and specific product recommendations — the part that determines whether treatment holds.
The chart is repeated. Pockets that have resolved need only maintenance; residual sites are treated further.
For the minority who need it: regenerative or grafting procedures to restore lost tissue and correct recession.
Dr. Osei is a periodontist. Gum treatment here is her whole discipline, not fifteen minutes at the end of a check-up.
You receive your own charting, so improvement is measurable rather than reassuring noise.
For suitable pockets, laser therapy reduces bacterial load with less post-treatment discomfort.
Generally not on their own, but grafting can cover exposed roots predictably in suitable cases.
It is performed under local anaesthetic, so no. Afterwards expect tenderness rather than pain.
Brushing cleans about 60% of tooth surfaces. What happens between the teeth, plus genetics and smoking, decides the rest.
Not until it is stabilised. Implants placed into active periodontal disease fail at markedly higher rates.