Periodontology

Periodontal disease

Periodontal (gum) disease refers to the inflammation and infection of the tissues that support the teeth. Initially, disease starts as bacterial populations grow with failure to adequately remove plaque with effective oral hygiene techniques. Initially the gums become red, swollen, tender and bleed when brushing. Bad breath can also be a symptom.  This is the earliest stage of disease and is called “gingivitis”. This is reversible and can be managed with improved oral hygiene. Professional cleaning, together with Oral hygiene instruction is beneficial. Left untreated, disease may progress. Periodontitis is when the gum condition progresses beyond gingivitis into a chronic, destructive, irreversible inflammatory state. The bacteria penetrate deeper into the gum and bone tissues. tissues and surrounding periodontium. The invading bacteria trigger a host response (this is a reaction of living tissue to the presence of a foreign material) in defence. However, while trying to protect against the invading bacteria, the host defences also lead to the destruction of the periodontium (the supporting structure for the teeth, consisting of periodontal ligament, cementum, gingiva, and supporting bone).

Symptoms include bleeding gums, bad breath and loose teeth; however disease progression can often be insidious, progressing unbeknownst.

Regular dental examinations are essential for early diagnosis. Without treatment, tooth may become inevitable.

Why Choose Us?

We have dedicated teams of skilled clinicians who embrace interdisciplinary collaboration, within cutting-edge facilities, and are committed to your goals, providing you with the smile you deserve. Experience the difference today.

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Free Cosmetic Consultations

Discover exceptional dental care with a Free Cosmetic Consultation, tailored to your needs and delivered by skilled professionals.

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Bespoke Treatments

Experience tailored dental care personalised to your unique needs for a healthy and confident smile.

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Locally Owned

We own and operate five dental practices across South Wales making us your perfect local choice.

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Modern Equipment

Experience advanced dental care with the latest technology and patient-friendly modern equipment.

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Rated 5 Stars

Trust our top-rated dental care, backed by 5-star customer reviews, for exceptional service and satisfaction.

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Friendly Team

Experience our friendly and supportive team of dental experts and practice staff all here for your treatment journey.

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30+ Years Experience

Rely on over three decades of dental experience for expert patient care and peace of mind in your dental journey.

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Luxury Experience

Feel at ease at our dental practices, providing an inviting and comforting environment for your dental care.

Meet Our Periodontal Team

Sally Hooper
Dental HygienistGDC No: 4717
Dip DH (Cardiff University, 1994)

I'm passionate and motivated in helping patients with their dental health. Encouraging them their use of daily toothbrushing and interdental cleaning....

Dr Gabriella Leatherdale-Tiba
Clinical Lead in PeriodontologyGDC No: 214556
DMD (2011), MSc (Periodontology, 2022)

I treat patients with periodontal disease referred to me by other dentists both with conventional therapy (root surface debridement, bone regeneration surgeries) as well as using laser (waterlase) where it's necessary....

What are the side effects?

There may be slight discomfort as the needle enters the skin, and there is the possibility of a small bruise at the site of the injection. There are many myths and horror stories circulating in the media: any concerns you may have will be addressed thoroughly prior to treatment. No long term side-effects have been reported.

Am I entitled to free treatment?

Exemption

Patients do not have to pay any NHS dental charges for a course of treatment if, on the first day of treatment, they are:

  • Under 18 years of age
  • Aged 18 and in full-time education
  • An expectant mother
  • A woman who has had a baby in the previous 12 months

Remission

Patients do not have to pay any NHS dental charges for a course of treatment if they or their partner are currently receiving:

  • Income Support (Incapacity benefit and Disability Living Allowance does NOT count)
  • Income based Jobseeker’s Allowance (Contribution-based does NOT count)
  • Income-related Employment & Support Allowance (Contribution-related does NOT count)
  • Pension Credit guarantee credit (Savings Credit on its own does NOT count)
  • Universal Credit (in the last assessment period there were no earnings, or earnings were within the allowed limit, please check at www.healthcosts.wales.nhs.uk)

Patients can be exempt from paying if they have a valid NHS low income scheme certificate HC2 for full help. Payment can be reduced if they are named on a valid HC3 certificate.

It is impotant the information you give us is contemporary and accurate.If you are unsure if you are exempt from NHS dental charges, please discuss with reception.

How does the Waterlase work?

Can I meet my dentist before the treatment?

Absolutely! Your clinician wil introduce themselves when you meet at your first visit. Building a strong patient-dentist relationship is important to us. Your initial examination visit enables us to understand your needs and address any concerns. We ensure open communication, so you can freely discuss any worries before proceeding with treatment. Your comfort and peace of mind are our top priorities.

Meet Our Expert Team

What does a CBCT test for?

Dental CBCT is a special type of x-ray equipment used when regular dental  x-rays are not sufficient. Your dentist may use this technology to produce three dimensional (3-D) images of your teeth, soft tissues, nerve pathways and bone in a single scan.

Why do dentists refer to a specialist orthodontist?

General dentists refer to orthodontists complex cases and patients that are still growing. Such cases need a specialist orthodontist. Orthodontists require additional education and training before they’re able to call themselves a specialist. While some orthodontists still practice general dentistry, most focus solely on their specialty.

What are the current NHS fees?

There are four NHS charge bands. From April 2024 to March 2025, the costs are as follows:

Band 1: £20.00

This includes an examination, diagnosis, preventive care
and planning for further treatment.

Band 2: £60.00

This includes all necessary treatment covered by the £20.00
charge PLUS additional treatment such as fillings, root canal treatment and extractions.

Band 3: £260.00

This charge includes all necessary treatment covered by
the £20.00 and £60.00 charges PLUS crowns, dentures and bridges.

Urgent treatment visit: £30.00

Patients not requiring a full course of treatment but instead
receiving urgent care will pay a standalone charge of £30.00.
If necessary, it will include X-rays and any treatment necessary
to prevent significant deterioration of the presenting condition or to address severe pain.

NHS Treatment Fees

What is a Dental Implant?

A Dental Implant is a small titanium screw that is surgically placed into the jawbone to replace the root of a missing tooth. It serves as a stable foundation for attaching prosthetic teeth, offering a durable and natural-looking solution.

What will happen during the treatment?

Following a thorough facial analysis and detailed discussion of the proposed treatment plan, the treatment can be started straight away, but often a separate appointment will be booked. Injections are used to administer the filler into the skin with a very fine needle causing little discomfort. However, dental local anaesthetic can be administered to provide completely pain free dermal filler administration. The gel is injected into the skin in small amounts immediately lifting and smoothing out wrinkles with the natural volume it provides.

How much will it cost?

All treatment plans will be discussed with you at the examination appointment, along with associated costs.

Complex treatments, may need multiple visits to complete the investigations needed prior to providing an estimate. This will be printed at reception, or if preferred emailed to you.

Please look at our Fees page for more details.

See Our Treatment Fees

Are Dental Implants suitable for everyone?

While Dental Implants are a highly effective tooth replacement option for the majority of people, not everyone may be a suitable candidate. Factors such as overall oral health, bone density, and medical history need to be assessed to determine the feasibility of a Dental Implant treatment. Where bone is inadequate, you may need augmentation of the site either during or prior to implant placement. Your Implantologist will evaluate your case and discuss viable solutions..

What’s the difference between NHS and Private?

NHS dental care will help you secure and maintain oral health provides a basic level of dental care. Fees are set by the Department of Health and will be the same with every practice with a contract to provide NHS dentistry.

The NHS does not provide any cosmetic treatments such as  tooth coloured fillings in posterior teeth, bleaching and certain types of crowns. Check-ups and periodontal care are bound by certain criteria. Your dentist is required to reassess how often you should attend. Appointments are made when available. We are contracted each year, at each individual practice, to see a number of historic patients (those that have attended for an examination within a set number of years) as well as a number of new patients. Funding of each practice varies, which also determines NHS treatment availability. We are obliged to spread that work throughout the year; this can result in longer waiting times for NHS care. Please also be aware, your examination recall for NHS treatment is determined by disease presentation at your examination visit, and is set using Welsh Assembly Government guidelines.

Private dental care at our practices provides all treatment options and will make all advanced and cosmetic treatment options available to you, giving you a larger choice of treatment options.

Our team will be happy to discuss these options with you during any consultation.

All of our dentists are committed to postgraduate education and continued professional development.

This additional experience reflects our level of commitment to high clinical standards.

Early morning and evening appointments are available for your convenience. Items requiring laboratory work will be carried out by the most experienced technicians using the best quality materials. Your treatment will be prioritised and completed as soon as possible.

All work is guaranteed within reason for 12 months, unless you have been informed by your dentist, on a like for like basis, with the exception of some private treatment which can be guaranteed for up to 5 years or longer.

Can I meet my dentist before the treatment?

Absolutely! Your clinician wil introduce themselves when you meet at your first visit. Building a strong patient-dentist relationship is important to us. Your initial examination visit enables us to understand your needs and address any concerns. We ensure open communication, so you can freely discuss any worries before proceeding with treatment. Your comfort and peace of mind are our top priorities.

Meet Our Expert Team

What is gum disease?

Gum disease is a very common infection of the tissues supporting your teeth.

Implant Dentistry

Implant dentistry is a specialised field focused on replacing missing teeth with artificial tooth roots, providing a strong foundation for prosthetic teeth that look, feel, and function like natural teeth.

Cfast Fixed Braces

Achieve a beautiful smile with Cfast, a fast and effective orthodontic solution that focuses on straightening your front six teeth, the ones visible when you smile.

Restorative Dentistry

Our natural-looking restorations repair, conceal imperfections, and replace damaged teeth caused by trauma, gum disease or decay. Regain confidence with our restorative treatments for a beautiful smile.