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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Bespoke Treatments

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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

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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 kind of treatments do you offer at your practice?

At Cox & Hitchcock Dental Group, we take pride in being a multidisciplinary practice with a team of skilled dental experts. We offer a comprehensive range of treatments, from general dentistry to comprehensive cosmetic, periodontal, endodontic, orthodontic and implant dentistry, as well as providing dedicated hygienist and therapist services. All our practices offer a wide range of treatments. If you are looking for Private, Denplan or NHS dental services in South Wales, Cox & Hitchcock Dental Group is here to meet your needs.

Can any dentist carry out root canal treatment?

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.

 

Where can I have laser treatments?

Although 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.

How does the Waterlase work?

How long does the treatment take?

Treatment time is approximately 30 minutes.

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 is gum disease?

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

What will happen during the treatment?

At a free initial no-obligation consultation, we will undertake a thorough facial analysis and detailed discussion before proposing an appropriate treatment plan. If you decide to proceed, you will be booked back for a treatment appointment where the actual procedure takes just 15-20 minutes and involves a small number of injections of Botox® solution directly into the muscle groups that cause wrinkling.

What are the benefits of Dental Implants?

Dental Implants offer numerous advantages, including improved speech, enhanced chewing ability, preservation of facial structure, and a natural-looking smile. They can also help secure full or partial dentures, providing a more comfortable and secure tooth replacement solution.

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.

Is Dental Implant surgery painful?

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.

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 much does root canal treatment cost privately?

The cost of root canal treatment is variable and depends on the complexity of each case. This complexity is influenced by type of tooth, its position in the mouth, what condition it is in and also to a lesser degree the patients’ medical history. You will be made aware of the cost of
treatment before embarking on the treatment.

When is root canal treatment needed?

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:

  • Pain when eating or drinking hot or cold food or drink
  • Pain when biting or chewing
  • A loose tooth
  • Swelling of the gum near the infected tooth
  • Pus oozing from around the infected tooth
  • Facial swelling
  • The tooth getting darker in colour.

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.

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Facial Aesthetics

Wrinkles are a natural part of aging, but we have non-surgical treatments to rejuvenate your skin. Our services include botulinum toxin injections (Botox®) and dermal fillers for youthful results.

Veneers

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

Other Dentistry

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.

Children’s Dentistry

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.