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.

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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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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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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....

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 treatments can I have with a laser?

The Waterlase iPlus® can be used to carry out multiple procedures in and around the oral cavity:

Periodontics (gum disease treatments): The laser can assist in treatment of moderate to severe gum disease with the minimally invasive Repair Perio Protocol, as well as killing bacteria and help preserve gum and bone health.

Smile design: Provides a state-of-the-art procedure for reshaping and redesigning smiles.

Surgical procedures: Eliminates the need for conventional surgical tools, with a gentler solution with little to no (in some cases) anaesthesia, simplifying a variety of soft tissue surgical procedures from frenectomies to polyp removal and biopsy.

Implants: Gains effective access to disease sites below the gum to decontaminate infected implant surfaces.

Restorative dentistry: Patient friendly restorative procedures for cavity preparation without the use of traditional handpieces. * Please discuss suitability with one of the dentists providing a laser service.

 

 

 

What is L-PRF

Leukocyte- and patelet-rich fibrin (L-PRF) is a newly developed platelet concentrate that has successfully been used in a number of surgical procedures to optimise wound healing. Several studies indicate that it may also have the ability to stimulate bone formation.

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 are the advantages of PRPs/PRGFs?

  • Stimulates cell growth and cell division, accelerating healing and regeneration in a range of treatments.
  • Reduces inflammation, swelling and discomfort after surgical procedures.
  • Reduces infection risk.
  • Helps build connective tissues.
  • Shortens recovery periods.

What is gum disease?

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

What is the aftercare following implant surgery?

Folowing implant placement, we will provide you with appropriate medication, including a mouthwash, and written post operative instruction detailing aftercare and what to expect. You will experience some swelling, bruising and discomfort. The extent of which will depend on the treatment complexity, as well as your general health. We advise sticking to a soft diet, avoidance of alcohol and smoking, as well as no strenuous excercise in the first few days after surgery.

This will all be discussed with you at your visits.

What is PRP treatment?

Platelet-rich (PRP) injections are a treatments used in the medical field, commonly to help heal an injury. These are derived on your own blood, and are being used more and more to treat sporting injuries and help wounds heal after surgery. Some doctors and dentists use it in facial cosmetic procedures. In the world of dental implants it is used with sinus augmentation procedures, at extraction sites and with bone augmentation procedures. It is also becoming very popular in periodontal disease treatments, particularly in the regenerative procedures.

Your blood is drawn from your arm, then placed in a centrifuge to separate out the platelet rich plasma. This part is rich in growth factors.

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.

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.

What is the difference between these Plasma products?

There are numerous PRPs, PRfs, PRGFs on the market, each claiming to have certain advantages. Leukocyte and PRP (L-PRP) maintain their white blood cell count but have a low fibrin matrix. Leukocyte and platelet-rich fibrin (L-PRF) have no white blood cells but a high fibrin matrix. The PRFs release release additional growth factors over time.

This can be all very confusing. Your dentist will discuss all options at your visit.

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.

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.

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.

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.

SureSmile® Clear Aligners

With SureSmile® Clear Aligners, you can achieve professional results with your doctor. The smile you’ve always wanted is closer than you think.

Crowns

Crowns fit neatly over unsightly or broken teeth, providing complete coverage and restoring strength, shape and appearance. They offer an aesthetic restoration for broken, decayed or discoloured teeth, or those with large fillings.