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

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....

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....

What happens during root canal treatment?

Your dental practitioner will take x-rays of the tooth and the area around it. The area will usually be numbed with a local anaesthetic and the tooth may then be covered with a small rubber sheet (rubber dam) isolating it, and any decay removed. The pulp chamber is accessed through the top part of the tooth. The pulp is removed and the canal system cleaned, shaped, disinfected and sealed. A permanent or temporary filling will be placed at the access site. Further treatments such as a crown might be advised.

Root canal treatment may take some time to complete over more than one visit depending on complexity.

How much will it cost?

Costs vary, depending on complexity. After your initial consultation you will know all of your options, the pros and cons of each, along with associated costs. This enables you to make the choice that suits you best.

We do offer interest free finance, (subject to approval), which allows you to spread the cost of your treatment over 10 months. Alternatively, you can pay at each visit. Your clinician will advise when and what payments are due each visit.

Does root canal treatment hurt?

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.

Is a CBCT scan needed for root canal treatment?

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.

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.

Is root canal treatment always successful?

With all procedures there is a possibility that it may not work. This applies to root canal treatment as well as any other treatment. There are a variety of reasons why it may not work. some of these reasons include but are not limited to:

Failure to adequately disinfect, leaving bacteria in the canal system, resulting in recurrence of infection.

Failure to instrument all the canal system.  In some teeth the root canals can be incredibly small (often as small as one tenth of a millimetre across or even smaller). Dentists who carry out a lot of root canals usually utilise high powered magnification to help them find and treat such small canals.

Failure to fill and seal the root canals adequately, allowing bacteria from the mouth to reinvade the root canal system and set up infection again.

Inappropriate instrumentation technique that does not allow for adequate disinfection and sealing of the root canals.

Severe fracture of the tooth leaving remnants that cannot be fixed again.

If the dentist feels there is a significant risk of treatment failure, possible causes will be discussed, so you can make an
informed decision regarding treatment.

What is Botox®?

Botox® is a purified protein which when injected into a muscle leads to a temporary muscular relaxation. Frown lines, forehead, and laughter lines are all caused by the repeated contractions of facial muscles: relaxing these muscles with Botox injections is a quick, safe and effective way to smooth and soften wrinkles.

How soon can I be treated?

Our waiting times for an NHS examination and treatment appointments, for new and historic patients, vary. Our reception team will happily update you on current waiting times.

The NHS contract funds a set amount of dental activity for the year and we are obliged to deliver this evenly over the twelve months.

The level of NHS funding provided  is not high enough to enable us to meet the demand for NHS care that exists.

These factors lead to long waiting times to access NHS care.

Private care can be provided at all times with a minimal wait.

Your dentist will be happy to go through all available options including that of accessing some treatment options on a private basis alongside an NHS course of treatment.

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 long do Dental Implants last?

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.

Is laser treatment painful?

Patients experience minimal to no discomfort either during or after the procedure. Most laser applications use little, or in some cases no anaesthetic and avoid the use of traditional dental drills and instruments.

Who can join the practice?

All of our practices are open to any  patient seeking emergency, routine or specialist dental treatment.

We are open to patients from across South Wales and beyond, as we believe that exceptional dental care knows no boundaries.

You don’t have to reside locally to experience the highest level of service our experienced team is committed to providing.

Join our practice and discover the difference that our experienced team can make to your dental health.

Register Your Interest

How does the Waterlase work?

How long will the treatment last?

This varies from individual to individual, but most people tend to have three to four treatments over the course of the first year. The duration of effect often increases with each repeat treatment; eventually you may only require one maintenance treatment per year.

Teeth Whitening

Teeth whitening is an effective treatment to brighten and enhance your smile by applying a safe whitening gel to your teeth. Stains are oxidized, resulting in a whiter and more radiant appearance.

Veneers

Veneers offer a solution to radically improve the appearance of discoloured, misshapen or mis-aligned teeth.

Bridges

Dental bridge treatment offers a natural-looking solution to replace missing teeth. Consisting of crowns and false teeth, bridges fill the gaps, restore smiles, improve functionality, and maintain the alignment of existing teeth.

White fillings

White fillings are a natural-looking alternative to amalgam. Made from tooth-coloured resin, they effectively repair tooth decay or damage while seamlessly blending with your teeth for a discreet restoration.