Gum Disease

Tailored hygiene treatments which disrupt the damaging biofilm that destroys the connection of the teeth to the gum and bone, resulting in tooth loss.

Is this the right treatment for you?

Gum disease is a chronic inflammatory disease.

Bleeding gums, bad breath, large spaces between your teeth may all be signs of gum disease. You might not even be aware that you have it until it is too late. This is an inflammatory disease similar to arthritis, diabetes and heart disease.

Good to know

Gum disease makes you more vulnerable to other diseases. Recent research is linking it to Alzheimer’s. A healthy mouth is the start of a healthy body.

You're in good hands

Our hygienist supports you by proactively determining your needs at each visit. Your treatment is then tailored to achieve the best possible outcome for you.

Sophie McInnes

Hygienist Therapist

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Sara Orlova

Trainee Nurse

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Danielle Block


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The procedure
  • Detailed medical history and diet history (if pertinent) to your mouth condition.
  • Detailed measurements of your gum health. If gum disease is present x-rays will be taken to assess bone loss and diagnose disease appropriately for treatment.
  • If gum disease treatment it helps to determine if there is an underlying cause such as genetic, general health related or oral hygiene issues.
  • If general maintenance then complete removal of biofilm, bacteria and stains.
  • Advice on optimal cleaning (this can change as spaces between teeth can shift) as your homecare is particularly important for this disease.
  • How often you visit the hygienist will be decided after discussion with you and your current needs.

Before and after

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What our clients say

Great dentist and great experience. Following my recent dental check I had to get some minor work done. Allan Matthews made me feel so comfortable. He explained everything fully and I felt at home and in safe hands.  It was clear that Allan truly cares about his patients. My treatment was carried out to a very high standard and I am delighted with the result. Always excellent service and friendly staff throughout the practice.

Neeraj and his team have been looking after the family and me for 24 years - and while the younger members of the family have now moved to another country they still come to the practice for their dental care. Very caring and careful and proactive in what they do. And they don't rush to an inappropriate conclusion but take time to assess difficult situations - "judicious inactivity". This is important when you only get one shot at something. We trust the practice.

I was visiting  from the US and broke a tooth.I was given Integrated Dentalcare as a referral from my travel insurance company. I saw Christine Morrell, the dentist,  and was very pleased with the service they provided. They saw me the same morning I called and were very professional and friendly. The receptionist was very cordial and welcoming. I would highly recommend this office for any dental needs you might have while in Edinburgh.

People at Integrated Dentalcare were extremely kind and professional. They solved a dental problem I carried on for several years and it was an (almost) painless process.They dealt with my "dentistphobia" and were very understanding.  It is unbelievable how much my quality of life has improved since my first visit a couple of months ago. Been picky, the only thing I don´t like is the warning in the receipts about charging you if you need to cancel at the last minute. Other than that, 10 points out of 10.

Delighted with the friendly and professional treatment I have received.  I can't thank my dentist  Christine enough for the time she has spent on my teeth.  Every stage of treatment explained fully with great understanding of what patient hopes end result will look like. You can tell Christine takes great pride in her work.  Well done!

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Your questions answered

What is Guided Biofilm Therapy?

GBT is the new and modern way to remove and manage dental biofilm. We tailor treatment protocols to your needs. The treatment is minimally invasive and delivered with maximum comfort (using warm water?). It can be used for general maintenance, advanced gum disease, implant maintenance and care and cleaning around orthodontic appliances efficiently. The products used in GBT change the DNA/RNA of the bacteria in the mouth thus changing the damaging properties and preventing bacterial production. Your hygienist will be able to discuss the benefits of this.

Does laser treatment help for gingivitis?

Laser therapy is part of a target approach used to treat areas which have not responded to conventional methods.

Will my gums shrink if I have gum treatment?

As part of the healing following gum treatment you will find that the inflammation will subside resulting in gum shrinkage to a healthier level. This may appear unsightly.

What treatments are available to control gum disease?

Root surface debridement and Guided Biofilm Therapy are modern concepts used to address this particular illness.

Apart from ineffective cleaning are there other risk factors to developing gum disease?

General chronic illnesses such as diabetes and arthritis can increase the risk of gum disease. Conversely, gum disease can increase the chance of cardiovascular disease, diabetes, arthritis and cancer.

Can I contract gum disease from kissing someone?

There is no evidence that this will happen. Gum disease is an autoimmune disorder like arthritis.

What are the signs of gum disease?

Bleeding gums, bone loss around teeth, inflamed and sometimes receding gums.

Will I know if I have gum disease?

Gum disease is a painless chronic disease. In the later stages you may become aware of loose teeth or teeth falling out. This is why it is important to regularly check-in with your hygienist.

What is the difference between gingivitis and gum disease?

Gingivitis (early gum disease) is reversible with good oral hygiene and regular visits to the hygienist. Periodontal disease (advanced gum disease affecting bone levels) is not reversible. The aim of excellent oral hygiene and gum treatment is to prevent disease progression and maintain health.

If I don’t clean my mouth properly will I get gum disease?

If you don’t clean your mouth properly you will suffer inflamed bleeding gums due to gingivitis. For some people this can result in bone loss and eventual loosening of teeth called Periodontal (gum) disease.

How can I manage sensitivity?

Sensitivity can be an extremely debilitating problem affecting individuals in different ways. This can be managed with desensitising toothpastes, tooth mousses and mouthwashes.

When should I use mouthwash?

You should use mouthwash 30 minutes AFTERtooth brushing or at a different time from tooth brushing ie at lunchtime. If used straight after tooth brushing this will rinse the toothpaste and its benefits off the teeth.

Should I be using mouthwash?

Mouthwash can be incorporated into your oral hygiene routine. It is not a substitute for excellent tooth brushing but can be used in addition to maintain bacterial load. Your hygienist will suggest the best mouthwash for you at appointments if you want to incorporate this into your oral hygiene routine.

Are there particular toothpastes that will help my condition?

Eliminating gum inflammation is about mechanical cleaning. At your hygiene visit the hygienist will discuss toothpastes appropriate to your needs, providing appropriate toothpaste samples to try at home.

Are there environmentally friendly biodegradable options to cleaning aids?

Yes. These are becoming more readily available. From bamboo toothbrushes and interdental brushes to Neem tree floss.

Apart from floss, is there anything else that I can use to clean between my teeth?

Yes you can use tepe brushes, dental rubbers or water flossers. There is a wide variety of interdental aids. Your hygienist will demonstrate and advise the best options for you at your appointments. This may vary over time as the spaces between teeth gradually change.

Is it important to clean between your teeth?

Excellent toothbrushing with an electric toothbrush will address 60% of the plaque biofilm. The other 40% requires for you to use interdental aids such as floss, tepe brushes or interdental rubbers. Your hygienist will show you how to derive maximum benefit from this.

Does gum disease affect general health?

Gum disease is an inflammatory disease which affects the immune system.. Therefore a healthy mouth leads to a healthy overall body/immune system.

Question not answered here?

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0131 225 9093

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Ready for a new type of dental care?

Ready for a new type of dental care?

Book Your Appointment
0131 225 9093

1 Manor Place Edinburgh EH3 7DH