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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We own and operate five dental practices across South Wales making us your perfect local choice.

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Friendly Team

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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

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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.

What does a CBCT test for?

Dental CBCT is a special type of x-ray equipment used when regular dental  x-rays are not sufficient. Your dentist may use this technology to produce three dimensional (3-D) images of your teeth, soft tissues, nerve pathways and bone in a single scan.

Am I entitled to free treatment?

Exemption

Patients do not have to pay any NHS dental charges for a course of treatment if, on the first day of treatment, they are:

  • Under 18 years of age
  • Aged 18 and in full-time education
  • An expectant mother
  • A woman who has had a baby in the previous 12 months

Remission

Patients do not have to pay any NHS dental charges for a course of treatment if they or their partner are currently receiving:

  • Income Support (Incapacity benefit and Disability Living Allowance does NOT count)
  • Income based Jobseeker’s Allowance (Contribution-based does NOT count)
  • Income-related Employment & Support Allowance (Contribution-related does NOT count)
  • Pension Credit guarantee credit (Savings Credit on its own does NOT count)
  • Universal Credit (in the last assessment period there were no earnings, or earnings were within the allowed limit, please check at www.healthcosts.wales.nhs.uk)

Patients can be exempt from paying if they have a valid NHS low income scheme certificate HC2 for full help. Payment can be reduced if they are named on a valid HC3 certificate.

It is impotant the information you give us is contemporary and accurate.If you are unsure if you are exempt from NHS dental charges, please discuss with reception.

What is PRGF?

With powerful regenerative properties, platelet rich growth factor Endoret® (PRGF) is being increasingly used in many fields, such as plastic surgery, dental implantology, and the treatment of sporting injuries. It has been shown to reduce scarring, rejuvenate facial tissues, as well as accelerate healing. Endoret claims to have “better osteoblastic (bone regenerating cells) properties and demonstrate lower post operative pain than other blood concentrates.” PRF releases growth factors over a longer period than PRP, offering more sustained benefits for skin repair and regeneration.

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 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.

What are the risks and complications of a root canal treatment?

In 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.

What does a CBCT test for?

Dental CBCT is a special type of x-ray equipment used when regular dental  x-rays are not sufficient. Your dentist may use this technology to produce three dimensional (3-D) images of your teeth, soft tissues, nerve pathways and bone in a single scan.

Can I meet my dentist before the treatment?

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 Team

How can I join the Practice?

Please contact our reception team who will be happy to discuss your options for joining the practice.

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How quickly will I notice an effect?

There will be no immediate visible changes, and you will be able to return to your normal daily activities following treatment. The full effect of the treatment will develop over the following 2-14 days.

What are the risks and complications of a root canal treatment?

In 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.

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.

What are the current NHS fees?

There are four NHS charge bands. From April 2024 to March 2025, the costs are as follows:

Band 1: £20.00

This includes an examination, diagnosis, preventive care
and planning for further treatment.

Band 2: £60.00

This includes all necessary treatment covered by the £20.00
charge PLUS additional treatment such as fillings, root canal treatment and extractions.

Band 3: £260.00

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.

NHS Treatment Fees

Fillings

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.

Dentures

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.

3D Radiographic Imaging

3D digital radiographic imaging provides detailed and comprehensive images for accurate dental diagnoses, treatment planning, and monitoring, enhancing precision and efficiency.