" Without hesitation I would recommend SCED, because when you come to this practice you get care which is second to none, you get a friendly, relaxed atmosphere that's second to none. The treatments the technology, everything about the place is spotless. It's a clinic that doesn't feel like you're in a clinic.. I actually love the practice "
Nicola - Patient
- Wide Range of Options Available including gum contouring and maintenance of healthy gums
Periodontal Treatment At SCED
About Periodontal Disease
Periodontal diseases are infections of the gums, which if untreated can destroy the supporting tissues around natural teeth. Dental plaque is the leading cause of periodontal disease although smoking and diabetes are also major contributors. The bacteria found in plaque produce toxins which irritate the gums and cause them to turn red, swell and bleed easily. If this inflammation is left untreated the gums may separate from the teeth and cause pockets to form. As periodontal disease progresses the supporting bone may be affected and begin to deteriorate. This can lead to an increase in movement of the teeth and ultimately tooth loss.
Initial signs of periodontal disease can go unnoticed and as it is usually painless may go undetected until fairly advanced. Regular visits to your dentist for periodontal screening will allow any changes to be diagnosed early. This disease affects more than 80% of the population by the age of 45. Healthy bone and gums enhance the appearance of your teeth and act as a foundation. A solid foundation is necessary for any restorative dental work. When your gums become unhealthy they can recede which can lead to spaces developing between the teeth. These changes can spoil your smile.
Prior to the undertaking of any periodontal treatment a thorough examination will take place and a diagnosis given. Periodontal disease will be staged and graded depending on its severity.
I was told by my NH dentist that I would lose all my teeth and that nothing could be done to save them. I spent many sleepless nights worrying about this. However and by sheer luck I overheard a conversation by a lady saying......." the Scottish Centre for Excellence in Dentistry have saved my teeth. " Within a week I was seen by Mr Ali and his excellent assistant Catriona. To say that they gave me hope is an understatement !! Now, over one year later I still have my teeth. I cannot thank these dedicated people enough. Not only have they saved my teeth but they have given me back my confidence and enjoyment of life. I would urge anyone who has concerns regarding dental care or hygiene to visit the Scottish Centre for Excellence in Dentistry. You will not be disappointed. AD
Preventing periodontal disease
Adults past the age of 35 lose more teeth to periodontal disease than from cavities. The best way to prevent both of these is to maintain a low sugar diet and prevent plaque building up on the teeth. Removal of plaque from the gum margin using good toothbrushing techniques and using floss and interdental brushes will help prevent inflammation developing in the gums. Unfortunately even with the most diligent home dental care people can still develop periodontal disease. Once the disease starts professional intervention is necessary to prevent its progression.
Louise and her assistant Ashley gave me the best dental hygiene session I have ever experienced. The practice recently acquired a new state of the art piece of equipment. I was absolutely astonished and delighted with the results! My teeth have not looked so white and gleaming in years! I am no stranger to the best services available in dental care. Nevertheless, I walked away with a skip in my step and a huge smile on my face. Many, many thanks.
Other important factors affecting the health of your gums include:
- Tobacco usage
- Poor nutrition
- Clenching and grinding your teeth
- Other systemic illness
SCED provides a variety of surgical services. We pride ourselves on the fact that we are very conservative in our treatment recommendations and limit surgery to the areas where it is absolutely necessary.
Non surgical treatment
In the majority of cases periodontal disease can be managed with non surgical treatment. Only when non surgical treatment has not completely stabilised the condition will surgical options be explored. Initial non surgical therapy aims to stabilise the disease and prevent further progression. It will also improve tissue quality prior to surgery and limit the areas requiring surgery.
My latest appointment was with Louise the Hygienist . She gives a thorough treatment and leaves your teeth sparkling
Scaling and root surface instrumentation
Treatment methods depend upon the type of disease and how far it has progressed. Firstly where required we help patients improve their home care, focussing on specific use of cleaning aids to target the individuals need. The teeth are then thoroughly cleaned above and below the gum line. Local anaesthetic can be used to make this more comfortable. The roots of the teeth are smoothed and any plaque removed allowing the gum tissue to heal and reattach to the tooth. In some cases the occlusion (bite) may require some readjustment.
Antibiotics or antimicrobials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that cause periodontal disease however this will only ever be used as an adjunct to mechanical cleaning.
Periodontal treatment often leads to further recession of the gums as they become healthier however by stabilising the disease it will reduce the likelihood of the disease continuing to progress.
In cases of advanced periodontal disease localised areas may not respond to initial treatment. In these cases periodontal surgery can be carried out where appropriate.
This may involve the gum being lifted away from the tooth to allow the Dentist to more easily access the root surface. By doing so, the removal of infected tissue can be achieved as well as the re-contouring of any uneven bone tissue. In some cases regeneration procedures can be used to restore the lost tissues such as bone. This can involve the application of a bioactive gel to the root surface or a bony matrix with a covering membrane.
The treatment option called crown lengthening is available to prepare a tooth for restorative dentistry or to cosmetically enhance your smile.
Crown Lengthening and Restorative Dentistry
When decay occurs below the gum line, it may be necessary to remove a small amount of bone and gum tissue. Your dentist may ask for this procedure before he or she makes a new crown for your tooth.
If the front teeth are too short or of uneven length, crown lengthening might be indicated. Reshaping the gum and supporting tissues will allow your general dentist adequate room to place a quality final restoration.
Crown Lengthening and Cosmetic Treatment
Crown lengthening is used to correct what's commonly referred to as a "gummy smile." A gummy smile is apparent when the gum line appears to be creeping down over the teeth, making them appear short.
To correct a gummy smile, it is necessary to remove excess gum tissue, therefore allowing more of the natural tooth surface to appear.
Traditionally, gum disease is treated by eliminating the gum pockets. The infected gum tissue is trimmed away, and uneven bone tissue re-contoured. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today.
Guided Tissue Regeneration
This surgical procedure "regenerates" the previously lost gum and bone tissue. Most techniques utilize membranes, which are inserted over the bone defects. Some of these membranes are bio-absorbable and some require removal. Other regenerative procedures involve the use of bioactive gels.
At SCED we have two extremely talented and experienced dental hygienists who educate our patients in the care of their teeth and gums. They can demonstrate cleaning techniques and provide advice on the effects of diet.
Our hygienists work closely with our dental surgeons to carry out clinical treatments recommended by the latter, such as scaling and root planing and polishing to prevent and control periodontal disease.