Periodontal (gum) Therapy

The emphasis of our practice is conservative periodontal treatment. Our dentist build up a comprehensive treatment plan to suite your individual needs, stop (cease) the gum disease to spread deeper , replace any lost teeth as a consequence of the disease.

Please contact us if you have any questions or if you would like to schedule an appointment.

What is Periodontal Disease?

Periodontal disease is what is more commonly referred to as ‘gum disease’. A growth of bacteria in the mouth can lead to the breakdown of the soft tissue that supports your teeth and, if left untreated, can progress to tooth loss.

The emphasis of our practice is conservative periodontal treatment. Our dentist build up a comprehensive treatment plan to suite your individual needs, stop (cease) the gum disease to spread deeper , replace any lost teeth as a consequence of the disease.

What is Periodontal Disease?
How is Periodontal Disease Caused?

How is Periodontal Disease Caused?

Periodontal disease can be caused and exacerbated by various factors. These can include:

  • A buildup of plaque which leads to bacteria
  • Illness which impacts the immune system, such as cancer, in turn impacting your gum health and the body’s ability to prevent and fight infections
  • Shifts in hormones, for example pregnancy or menopause, which can create the conditions to allow for the easier development of gum disease
  • Certain medications which can cause changes to saliva levels
  • Illnesses prevalent in your family
  • Smoking, impacting the regeneration rate of the soft tissue
  • Poor oral habits, such as infrequent brushing or flossing

Gingivitis vs Periodontitis

Gingivitis is an inflammation of the gum, and it usually precedes the first stage of gum disease which is Periodontitis. Gingivitis can cause but will not necessarily lead to advanced periodontal disease. However, it is common, and gingivitis must be monitored for progression and treated at the earliest possible opportunity to prevent the more serious and permanent effects of periodontal disease.

When gingivitis occurs, bacteria in plaque builds up, resulting in inflamed gums. Your gums may feel red and swollen, with bleeding likely to occur when brushing your teeth. Breath may smell bad and there may be a poor taste in the mouth.

Although gingivitis is still a concern, the damage at this stage is likely reversible and much easier to treat. Therefore, it is extremely important to seek advice for suspected gingivitis as soon as possible and Lakeshore Dental Center is ready and waiting to offer you the help you need at the earliest opportunity if gingivitis is a concern.

When fully advanced to periodontitis, the damage to the soft tissue becomes more severe. The inward surface of the soft tissue and bone pull away from the teeth and form a pocket. These pockets gather debris, leading to infection. As your immune system fights the infection, the plaque increases to under the gum line. Your own bacteria fighting enzymes combined with the bacteria from the plaque amalgamate into a team to begin to destroy the bone and tissue that secures the teeth. When the early stages are left untreated, these pockets deepen along with the periodontitis progression, destroying the bone structure of the teeth, resulting in tooth mobility and eventual tooth loss.


Stages and Symptoms of Periodontitis

Gum disease may progress painlessly, producing few obvious signs, even in the late stages of the disease.
Although the symptoms of periodontal disease often are subtle the condition is not entirely without warning signs.
Certain symptoms may point to some form of disease. The symptoms of gum disease include:

Stages and Symptoms of Periodontitis


This is the only reversible stage of gum disease. The cause of gingivitis is the plaque accumulation around the tooth, and it can be prevented or even reversed with daily oral hygiene. What you feel at this stage are red and puffy gums, bad breath and your gum bleeds when brushing your teeth or flossing.

Mild Periodontitis

Slight periodontal disease occurs when the bacteria has reached the bone and is in the initial stages of impacting the teeth. Symptoms include worsening of the bad breath and bleeding of gums, alongside noticeable pocket depth (space between tooth and gum) of four to five millimetres. The disease can still be dealt with at this stage, but the disease is no longer considered to be reversible.

Moderate Periodontitis

Moderate periodontal disease will begin to see the pocket depth up to six or seven millimetres, with potential bone loss, teeth movement, more bleeding and the beginning of tooth loss. Bacteria at this stage can enter your blood stream and interfere with the immune system.

Advanced Periodontitis

The final and most advanced stage of periodontal disease occurs when bacteria evolve even further, resulting in more severe symptoms such as pus exiting from inflamed gums, further bone and teeth loss, halitosis and teeth sensitivity.

However, it is important to note that periodontal disease can progress without obvious symptoms. Teeth may only be partially impacted, or symptoms may not show up until the disease has progressed to the final stages.

Periodontal treatment

Deep cleaning

Your dental daily homework of brushing twice and flossing need a professional boost at least twice yearly. Our experienced dentists and hygienists remove the tartar from hard-to-reach area, stop the spread of gum disease and check for any tooth decay.

Bone Grafting

A dental bone graft is a treatment which replace the missing bone as a consequence of lost tooth or gum disease. As your own bone grows, it takes in the graft material and build up a strong new bone as a secure foundation for an implant.

Crown Lenghtening

This procedure will be mostly suggested as a foundation for a further dentaltreatment when the existing tooth is severely damaged. However, we can perform crown lengthening as cosmetic treatment for short looking teeth.

Laser Therapy

During this procedure we use the energy of light to remove or shape gum tissue. It is a very comfortable procedure with less bleeding or pain, reduces the infection and accelerate healing of the gum tissue.