What is Periodontal disease?

Periodontal disease or ‘’gum disease’’ occurs when gingivitis (inflammation of the gums) has advanced and become more severe causing inflammation, redness, bleeding and swelling which can, if left untreated lead to the loss of bone surrounding the teeth. Gingivitis typically sets in due to poor oral hygiene habits and a build-up of plaque, and tartar. Regular dental check-ups and routine hygiene visits can help to avoid this condition, but if it does occur, professional treatment can reverse it. Periodontitis however, is a more severe form of gum disease in which the body’s inflammatory response, destroys surrounding bone and tissue, as the gums begin to separate from the teeth. Your bone and gum tissue should fit tightly around your teeth, however, this separation causes spaces or ‘’pockets’’ to develop, which in bacteria gets trapped and can lead to infection. Over time pockets become deeper and lead to damage of the deeper structures that anchor the roots of the teeth. Eventually, if too much bone is lost, the teeth will need to be extracted.

How is a Periodontal procedure carried out?

Here at LPID, our specialist Periodontist will measure the depth of your pocket(s) and will first try to reduce them through a series of non-invasive periodontal treatments known as scaling and root planning, root surface debridement or ‘’deep cleaning.’’ Only if the pockets around your teeth have not reduced significantly enough will your Periodontist suggest further treatment known as periodontal or ‘’pocket surgery.’’ The reason surgery is recommended at this point, is that maintaining the health of any lingering pockets becomes unpredictable for both you and your hygienist. When we decide to carry out a periodontal surgery on a particular area of the mouth, your Periodontist will begin by gently folding back the gum tissue to reach and remove the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are either smoothed down or regenerated (depending on the case) to limit areas where disease-causing bacteria can hide, this allows the gum tissue to better reattach to healthy bone. Reducing pocket depth and eliminating existing bacteria is important to prevent future damage caused by the progression of periodontal disease and to help you maintain a healthy smile. Eliminating bacteria alone may not be sufficient in preventing disease recurrence however, and other factors such as smoking, good home care, controlled diabetes, etc, might also play a role. At LPID we assess each patient on an individual basis, so we can try to identify and control specific risk factors. Deeper pockets are more difficult for you and your dental care professional to clean, so it’s important to reduce them. Reduced pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth – and decrease the chance of serious health problems associated with periodontal disease.

Am I a suitable candidate for this treatment?

Patients with severe or advanced disease around their gums and the tissue that supports their teeth are usually the most ideal candidates for periodontal surgery, symptoms of advanced disease include; red or swollen gums that bleed, visible gaps between your gums and teeth or that recede or pull away from your teeth, loose or movable teeth, pain when chewing and bad breath.

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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