Periodontics
A gum that bleeds when you brush is not normal. It is the first sign of a silent disease which, left alone, loosens teeth before it takes them.
Gingivitis affects the gum alone: it reddens, swells and bleeds when brushed. At that stage everything is reversible. Scaling and a corrected brushing technique are often enough to clear it in a few weeks.
Periodontitis goes further: the inflammation has reached the bone holding the tooth, and that bone does not come back on its own. The tooth loosens, looks longer, sometimes moves. The earlier treatment starts, the more support is kept.
Blood on the brush, bad breath that returns despite brushing, gums pulling back and leaving the necks of the teeth bare, a new sensitivity to cold, teeth that seem to be shifting or drifting apart.
None of these hurts, and that is exactly the problem: periodontitis advances painlessly for years. A photo on WhatsApp is enough for us to tell you whether an assessment is needed.
The assessment first: probing around each tooth to measure the depth of the pockets, X-rays to see the remaining bone. We then know exactly where things stand, tooth by tooth.
Then comes deep cleaning below the gum, under local anaesthetic, in one or more appointments depending on the extent. Surgery is only considered afterwards, on the areas that have not responded. In between, your brushing technique is gone through with you: that is what holds the result.
Periodontitis is stabilised, not cured for good. The bacteria come back, and the inflammation with them, if nothing is monitored. An appointment every six months, sometimes every three at the start, is enough to keep things in hand.
Healthy gums are also the condition for an implant or veneers: nothing holds for long on inflamed ground. So we often start there, before any aesthetic plan.
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I'm someone who gets scared at the dentist, but with Dr Berrada you feel at ease straight away. He explains the options clearly and doesn't push treatment you don't need.
He explains every step clearly. The practice is clean and well organised, and appointments always start on time.
It is never normal, but it is often reversible when dealt with early. Regular bleeding signals inflammation that deserves an examination, even if nothing hurts.
A gum does not grow back by itself. The cause is stopped first; after that, some limited recessions can be covered with a graft. That is assessed case by case, once the inflammation is under control.
It is done under local anaesthetic, so the appointment itself is not painful. Over the following days the teeth may be sensitive to cold and the gums a little tighter: that is the sign the inflammation is subsiding.
Not always. It depends on the bone left around it, which the X-ray shows. Some teeth firm up after treatment; others can no longer be held, and it is better to know before they cost you the neighbouring bone.
Message us on WhatsApp or ask for a call back. The clinic team will reply to you directly.
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