Treatments

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.

YOUR TEAM
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.

Ebba Kingham

Receptionist

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Ally Gee

Trainee Dental Nurse

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Sophie McInnes

Hygienist Therapist

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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

Going to the dentist is my least favourite aspect of resources which support my health and well being. It stems back to childhood and many unpleasant memories remain. A friend recommended Integrated Dental Care and Dr Neeraj Puri. I find Neeraj to be genuine and congruent in his approach to his work and whilst going to the dentist is still not a walk in the park, I am confident I am listened to and treated with care and consideration. Thank you Neeraj, I know I am in the hands of an excellent dentist.

Lesley Ann Manson

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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?

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0131 225 9093
reception@integrateddentalcare.com

1 Manor Place Edinburgh EH3 7DH