What is Gum Disease?

Periodontal gum disease include gingivitis and periodontitis, which are chronic bacterial infections that affect the gums and the bone supporting the teeth. They begin with the bacteria in the plaque (the sticky, colourless film that forms on your teeth on a daily basis), which causes the gums to become red and swollen and to bleed easily.

How is gum disease treated?

Periodontal treatment is focused on reducing the inflammation and infection that is taking place below the gum level. The aim is to control the infection and stop further bone deterioration. There are a number of different treatment options available and the type recommended for you will depend on the extent of the gum disease that is present. The most common treatment technique is ‘’scaling and root planning’’ which is works to remove the bacteria from the root surface below the gum level.

Periodontal Treatments

How is Scaling and Root Planning carried out?

Scaling and root planning is a common and effective non-invasive treatment for patients suffering from periodontal disease. Your dentist will use a specialised instrument to remove the bacteria and infection from the unhealthy deep pockets around your teeth below the gum line (this is often referred to as “deep cleaning.”)

Firstly, the tooth is scaled to remove the plaque and tarter that has accumulated on its surface, then the root is planned or smoothed. This eliminates any rough areas that can easily trap plaque and bacteria. A smooth clean root provides a healthy environment and allows the gums to heal naturally and re-attach to the tooth. This in turn, creates a reduced ‘’pocket’’ around the tooth eliminating areas where bacteria can accumulate and cause  further disease.

Scaling and root planning should be combined with a good daily home care routine and more frequent periodontal check-ups to maintain your gum health and smile.


How is Pocket reduction surgery carried out?

Normal, healthy gums usually have small pockets around each tooth. When bacteria and debris are allowed to accumulate through poor oral hygiene, infections associated with gum disease (periodontitis) causes these pockets to become deeper thus trapping even more bacteria which can cause bleeding, redness and bad breath.

When the pockets become too deep for scaling and root planning, a Pocket Depth Reduction procedure is often a solution. During a Pocket Depth Reduction procedure, we can remove the disease-causing bacteria and infection and we will then thoroughly clean and smooth the tooth surfaces. If necessary, we sometimes reshape the gum and bone to allow the gums to settle nicely. This will allow the gums to heal, resulting in smaller, healthier pockets.


What aftercare is required?

Periodontal (Gum) Disease is a chronic problem, much like diabetes and so, must be controlled through regular periodontal maintenance and hygiene sessions.  The frequency of appointments required will vary from case to case, but typically, periodontal cleaning sessions are recommended more often than that of patients with healthy gums which is every 6 months). At LPID we understand that life can be busy and our dedicated patient care team are on hand to help coordinate the best schedule for you.


Repair (Regrowth) of Lost Bone Around Teeth

Damage caused by periodontal disease can result in severe loss of the gum and bone surrounding your teeth causing them to become loose or shift position. To correct this, a Bone and tissue regeneration procedure may be necessary to reverse this loss and save your teeth.


Peri-Implantitis Treatment

Similarly to natural teeth, implants to can develop gum disease. In order to prevent ”peri-implantitis,” it is essential that a good hygiene routine is established at home, and combined with regular hygiene visits. If you notice bleeding, or you have difficulty cleaning your implants, if you smoke, or your implants are more that 5 old, you should consider booking an appointment to see a periodontal specialist as it is far better to treat any signs of gum infection early to prevent future bone loss.


In 2022 I got tunnel surgery for receding gums that were really affecting my confidence and smile. Leticia and the team were so kind and reassuring throughout the process and the procedure itself was virtually painless, as was the recovery (which really surprised me!). Leticia gave me her personal phone number in the event I had any questions to ask her during the recovery process and my check-ups in the following weeks made sure that everything was healing as it should. I couldn’t be happier with how the process went and the impact it had on getting my confidence back has been massive. Highly recommend this team if you are looking to have a similar procedure done.

Izzy Lodge

Everyone at the practice is so friendly and professional. I was made to feel really comfortable and everything was explained to me so clearly. I really appreciated the aftercare and follow up after my treatments. I already recommended LPID to my friends and family ❤️

Susan Nsofu

Laeticia will always go the extra mile with her patients. She is not only highly competent and professional, but often what she achieves is also is artistic in its individual suitability. Many thanks are due!

Loulla Gorman


Amazing technical skills, attention to detail and a holistic approach. As a patient you feel supported and reassured. I had an implant and all sorts of other things done. Very happy with the final result. Highly recommend!



The moment you step inside the whole LPID team take away any stress or anxiety you may have about going to the dentist. They are experts in difficult and complex cases and provide clear and transparent treatment plans and prices. I couldn't be happier with my final results, thank you!! P.s. Irina is an absolute star

George Huxley


Dr David Holmes is an excellent dentist and periodontist. Over the previous three years he treated my periodontal disease and put in implants with perfect results. When I had to be out of the country on and off for two years his precision work, which was only supposed to be temporary, did the job well to my recent check up. I would highly recommend David, particularly to anyone needing major implant work. No only is his medical professionalism impressive, he is a sympathetic communicator, and his shares his thoughts with his patients about the best intervention strategy. The cosmetic matching with old photographs of teeth when healthy, produced attractive natural results. In summary David will fix your problem. Dr Rupert Holms ( not a relative)

Rupert Holms


Dr Casanova did a small procedure on my son’s gum to expose a tooth. My son was quite nervous but Dr Casanova and her team were very sweet and professional. My son said he barely felt any pain at all and it has healed nicely.

Yasmeen Alzubaydi


Leticia and her team are absolutely brilliant. They’re clearly the best at what they do and I’ve felt in exceptionally safe hands throughout the process. Highly recommend and can’t thank them enough for how they’ve looked after me both before, during and after my surgery.

Louise Smith

Dr. Holmes, Dr. Casanova and team saved my smile under what has been very difficult circumstances. I cannot thank them enough for their brilliant work and the kindness I have received in their care!

Alice Milne

If you would like to find out more please contact us.


02075 639 989


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