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.
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I'm passionate and motivated in helping patients with their dental health. Encouraging them their use of daily toothbrushing and interdental cleaning....
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....
The Cox & Hitchcock Dental Group operates several dental practices across South Wales. Fot your convenience, we would recommend joining us at your nearest location to home or work . For some advanced treatments, you may benefit from the services offered at a particlar site. We will advise you accordingly. You can find your nearest dental practice by browsing all our locations.
Find Your Nearest PracticeTreatment time is approximately 30 minutes.
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 FeesThere 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.
We only recommend a small field CBCT scan for the most complex of root canal treatments, and where traditional 2-D radiographs fail to give us the all the information we need.
With modern anaesthesia and techniques, root canal treatment is generally a pain free procedure. However it is likely that the patient will get some post-operative discomfort after the anaesthetic has worn off. In the vastmajority of cases this can be controlled with regular over the counter pain relief such as ibuprofen and paracetamol.
You may have visited the dental practitioner if you had symptoms of a pulp infection such as:
An x-ray of your tooth may show the cause of pain or infection. Antibiotics are not effective in treating root canal infections. The two treatment options are removing the tooth or having a root canal treatment.
Get Expert HelpClients are advised to stay upright and to try to exercise the areas treated for 2-4 hours following the injections. It is important to avoid massaging these areas though: this is to prevent the diffusion of solution to adjacent muscles.
Clients are advised to stay upright and to try to exercise the areas treated for 2-4 hours following the injections. It is important to avoid massaging these areas though: this is to prevent the diffusion of solution to adjacent muscles.
Dental Implant surgery is typically performed under local anaesthesia, ensuring that the area being treated is completely numb. Patients may experience minor discomfort during the recovery period, which can be managed with paracetamol and ibuprofen analgesic medication in the majority of cases, along with good post-operative care. All of our implant patients are provided with the contact details of the treating dentist and implant co-ordinator, providing advice and care if needed, outside normal working hours.
We only recommend a small field CBCT scan for the most complex of root canal treatments, and where traditional 2-D radiographs fail to give us the all the information we need.
With proper care and maintenance, Dental Implants can last a lifetime. Regular dental check-ups, good oral hygiene practices, and avoiding habits like smoking can contribute to the long-term success of Dental Implants. Changes in your health or medication may affect an implants prognosis. If you have any queries, please contact us and we will happily arrange a consultation.
There are four NHS charge bands. From April 2024 to March 2025, the costs are as follows:
This includes an examination, diagnosis, preventive care
and planning for further treatment.
This includes all necessary treatment covered by the £20.00
charge PLUS additional treatment such as fillings, root canal treatment and extractions.
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.
Yes, all dentists have training in Endodontics (the subject that covers root canal treatment). However, some dentists choose to continue with extensive post graduate training in this field, using advanced treatments, commonly with aid of a microscope. They also perform many more root canal treatments than the average general dentist? As a result, they tend to have a significantly higher success rate across the board in both complex and simple cases. It is not uncommon for a general dentist to offer the patient the choice of having them do it or referring it to a practitioner with more training and expertise if they feel the latter will offer a high chance of success. In some cases, the general practitioner will feel that a case is beyond their skill set and refer to a suitably qualified colleague.
Please contact our reception team who will be happy to discuss your options for joining the practice.
Contact usExperience the remarkable restoration offered by implant-retained dentures, a highly effective and durable treatment that ensures stability and confidence for those with missing teeth.
Gentle and age-appropriate dental care for little ones. From first check-up to teaching oral hygiene habits, we create a positive and comfortable dental experience for children.
Our comprehensive dental check-up goes beyond the surface, meticulously examining your teeth, gums, and restorations for signs of decay or disease. We also focus on the soft tissues and surrounding areas for a thorough examination.
We offer comprehensive care, including a daily emergency service (with a dedicated clinic in Newport), Laser Dentistry, 3D digital radiographic imaging, 3D intra-oral imaging, facial aesthetics, PRGF/LPRF, and many other treatments.
Or browse all our other locations to book your appointment over the phone.