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 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....
I'm passionate and motivated in helping patients with their dental health. Encouraging them their use of daily toothbrushing and interdental cleaning....
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 TeamThe Llanthewy Road practice has some on site patient parking.
All of our other practices have ample parking facilities nearby.
This will vary from individual to individual. It very much depends on factors such as a person’s age and lifestyle, the structure of the skin, and the degree of correction required. Most clients choose to have a repeat treatment within a year, since the main component of both products (hyaluronic acid) is a natural substance which dissolves over time.
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 FeesIn most cases, root canal treatment is successful and the tooth should settle over a few days and no longer cause pain. However, there is always some risk depending on the condition of the tooth, your oral hygiene, and the biting forces on the tooth.
Risks and complications include:
Mild temporary pain/discomfort due to inflammation of the tissues surrounding the tooth.
The tooth might darken over time. There are procedures available which may lighten the tooth if this occurs.
Tooth fracture may occur due to reduced strength and durability of the tooth. Thi may lead to tooth extraction. This risk is reduced when a crown fitted.
Uncommon risks and complications:
The fine metal files used to clean inside the root canals may break during use and remain in the tooth, this may or may not affect the success rate of the root canal treatment.
Depending on the size and shape of the roots, there is some risk of creating a hole
in the side of a tooth root during the cleaning process, this is called a perforation.
If you experience persistent pain, return to your treating dental practitioner.
If you develop an infection return to your treating dental practitioner.
Root canal tratment might fail. The tooth may require further treatment or even extraction.
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.
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 PracticeAlthough the Waterlase iPlus® is a mobile unit, it is a very delicate instrument. It’s also very expensive to maintain and repair. So, we limit use to our Cyncoed practice where our trained clinicians carry out a variety of procedures. Please contact the Cyncoed practice for details.
Orthodontics is one option of many in treating an irregular, crowded or spaced dentition. Seeing our team will help you find out the different options available, before you proceed along any path.
The Llanthewy Road practice has some on site patient parking.
All of our other practices have ample parking facilities nearby.
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.
Please contact our reception team who will be happy to discuss your options for joining the practice.
Contact usThe Waterlase iPlus® is an all tissue laser. The system combines a gentle water spray and laser energy for successful use in a variety of dental procedures including treatment of teeth, gums and bone.
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 TeamVeneers offer a solution to radically improve the appearance of discoloured, misshapen or mis-aligned teeth.
Experience the remarkable restoration offered by implant-retained dentures, a highly effective and durable treatment that ensures stability and confidence for those with missing teeth.
Fillings are used to repair decayed or damaged teeth, restoring their shape and functionality. We first recommend a dental examination to determine if a filling is needed.
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.
Or browse all our other locations to book your appointment over the phone.