Specialist Periodontal

Periodontal specialists are experts in preventing, diagnosing and treating periodontal disease. We can help you take care of your gums, so they stay healthy.

When Do I Need to See a Periodontist?

Typically, a general dentist can handle certain periodontal problems.

However, with an increasing number of patients displaying indications of periodontal disease, and research indicating a link between periodontal disease and other chronic illnesses of ageing, periodontal therapy requires better awareness and skill on the part of a trained professional. This is the time when seeing a periodontist becomes beneficial to your dental health.

Patients with moderate to severe periodontal disease, as well as those with more complex issues, benefit from a joint effort between a dentist and a periodontist. Our team consists of highly experienced dentists and periodontists.

What is Periodontal Disease?

Periodontal disease is a term that refers to a collection of diseases that affect the gums and supporting tissues of the teeth. This category encompasses a variety of problems such as gingivitis, gum recession and periodontitis.


Gingivitis is a condition of the gums that is reversible. Gingivitis can develop into periodontitis if not treated. Redness and bleeding of the gums are clear indicators. It is critical to detect gingivitis early, since it can progress to more severe periodontitis, resulting in serious oral problems.


Periodontitis is a condition that results in the loss of bone that supports the teeth, as well as swollen, bleeding gums.

Periodontitis is caused by tooth plaque. Without removal, plaque hardens and develops into tartar. Plaque and tartar build-up beneath the gum line contribute to further bone loss around the teeth. This may be undetectable since the gums remain in place, while the underlying bone that supports the teeth erodes. As bone loss continues, the gap between the gums and teeth narrows, causing deep pockets to form, creating a reservoir for the germs that cause periodontal disease. Keeping this area clean is a challenge.

As the bone around the teeth gradually deteriorates, the teeth become loose and more vulnerable to infection. Teeth naturally fall out over time. Adult tooth loss is most frequently caused by periodontitis. Periodontitis left untreated can have a variety of detrimental implications on a person’s health, including persistent inflammation, loose and missing teeth, abscesses, discomfort and loss of function.

Periodontitis development and progression are also influenced by genetics, behaviour and medical conditions. Genetic predisposition, smoking and the presence of other systemic diseases, such as diabetes, all influence periodontitis.

Due to the complexity of periodontitis, diagnosing and treating it successfully takes a significant amount of knowledge and experience. A periodontist often collaborates with the patient and their regular dentist to treat and prevent recurrences of the disease.

Often, the earliest stages of periodontal disease are best treated non-surgically. Non-surgical periodontal therapy frequently precedes surgical periodontal therapy, even in the most severe instances.

How Do Periodontal Specialists Treat Periodontal Diseases?

Periodontal disease is diagnosed by probing the gum tissues surrounding the teeth with a periodontal probe and evaluating the degree of bone loss around the teeth with dental X-rays. Dental scaling and root planing are procedures performed under local anaesthesia that remove tartar and biofilm deposits. Scaling and root planing can be done alone or in conjunction with other treatments as a preventive precaution. They are frequently used to treat gingivitis and mild to moderate periodontal disease.

Dental Scaling

Scaling removes plaque from the tooth surfaces. The procedure is most effective in the region beneath the gum line, along the root. Typically, the scaling instrument incorporates an irrigation procedure that is utilised to administer an antibiotic substance behind the gums, which can assist in reducing oral germs.

Root Planing

Root planing eliminates entrenched bacteria, and tartar. It is a procedure that involves a thorough cleaning beneath the gum line in order to address gum disease. The root of the tooth is physically smoothed, which aids in healing and also helps prevent further bacteria colonisation.

Do Periodontal Specialists Offer Additional Procedures?

A periodontist can do a variety of extra treatments that some dentists may be unable to perform. These are some of the specialist services that a periodontist can provide:

Grafting of the Gums

When gum recession is a concern, gum repair utilising grafting methods may be considered. The irregularity will be repaired by gum transplant surgery. Gum grafting is recommended when you have little or no gum tissue covering the tooth root surfaces. Typically, a periodontist will use tissue from the roof of the mouth and stitch it where it's needed along the gum line.

Periodontal Care

Maintenance treatment is a proactive approach to prevent disease in the gum tissues and bone that support your teeth. By following a regimen of home oral care and routine maintenance treatment appointments with your dentist and periodontist, you have a good chance of maintaining your teeth for the rest of your life.

Implant Placement

Dental implants are an excellent choice for replacing lost or unrestorable teeth, as they closely resemble natural teeth in appearance and feel. Implant surgery uses a titanium material to replace the natural tooth root, which fuses to the jawbone as it heals. Once healed, an artificial tooth can be attached to the implant, making your smile whole again.

Cosmetic Surgical Procedures

Periodontal cosmetic treatments are a reliable method of concealing unattractive, sensitive or exposed root surfaces and preventing future gum recession. A periodontist can reshape excess gum and bone tissue, or perform a soft tissue graft. Patients whose teeth appear too long or too short due to the surrounding gum tissue may be interested in these types of surgeries.

St. Andrew Street Dental Practice Specialises in Periodontics

Book a consultation with our in-house periodontists at our clinic in Hertford. We take pride in our many years of service to our community. Please let us know how we can help you achieve your dental goals.

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