What is a periodontist?
A periodontist is a dentist with specialist training in the prevention, diagnosis and treatment of gum disease, gum recession, bone loss around teeth, and dental implant-related problems.
When should I see a periodontist?
You should consider seeing a periodontist if you have bleeding gums, loose teeth, gum recession, persistent bad breath, bone loss, deep gum pockets, or if your dentist has concerns about your gum health.
Do I need a referral?
A referral is helpful but not always required. Many patients are referred by their dentist, but you can also contact the practice directly if you are concerned about your gums or implants.
What are the signs of gum disease?
Common signs include bleeding when brushing or flossing, swollen or tender gums, gum recession, bad breath, loose teeth, spaces opening between teeth, and changes in the way your teeth bite together.
Are bleeding gums normal?
No. Bleeding gums are usually a sign of inflammation and may indicate gingivitis or periodontitis. Even if there is no pain, bleeding gums should be checked.
Can gum disease be cured?
Early gum inflammation, called gingivitis, can often be reversed. More advanced gum disease, called periodontitis, cannot always be “cured” in the sense of restoring all lost bone, but it can often be stabilised and managed with the right treatment and maintenance. Laser treatment (LANAP or LAPT) can promote bone regeneration in some cases.
Can loose teeth be saved?
Sometimes. It depends on how much bone support has been lost, how mobile the tooth is, and whether the infection can be controlled. A periodontist can assess whether the tooth has a reasonable long-term prognosis.
What is deep cleaning or periodontal therapy?
Deep cleaning, also called periodontal therapy or scaling and root planing, removes plaque, calculus and bacteria from beneath the gumline. It helps reduce inflammation and allows the gums to heal around the teeth.
Is periodontal treatment painful?
Treatment is usually performed with local anaesthetic to keep you comfortable. Some tenderness or sensitivity afterwards is common, but this is usually manageable and temporary. Laser treatment (LANAP or LAPT) can be less uncomfortable as the procedure doesn’t require cutting of the gums, as compared to traditional scaling and root planing.
How much does periodontal treatment cost?
The cost depends on the severity of the gum disease, the number of teeth involved, and the type of treatment required. A written treatment plan and estimate is generally provided following your initial consultation and assessment.
What causes gum recession?
Gum recession can be caused by gum disease, thin gum tissue, aggressive brushing, tooth position, orthodontic movement, clenching or grinding, trauma, or ageing-related changes.
Can receding gums be treated?
Yes, in many cases. Treatment may involve improving one’s brushing technique, treating gum disease, monitoring the area, or performing gum grafting if the recession is causing sensitivity, aesthetic concerns or risk of further deterioration.
What is gum grafting?
Gum grafting is a procedure used to replace or thicken lost gum tissue. It may help cover exposed roots, reduce sensitivity, improve appearance, and protect teeth from further recession.
How long does gum graft recovery take?
Initial healing usually takes one to two weeks, although the gum continues to mature over several months. Most patients can return to normal daily activities quickly, with some temporary changes to eating, brushing and exercise.
Can a periodontist place dental implants?
Yes. Periodontists are trained in the tissues that support teeth and implants, including the gums and jawbone. They commonly place dental implants and manage implant-related gum or bone issues.
What is peri-implantitis?
Peri-implantitis is inflammation and infection around a dental implant, often involving bone loss. Signs can include bleeding, swelling, pus, discomfort, gum recession or implant looseness. Early assessment is important.
How often will I need periodontal maintenance?
Many patients with a history of gum disease need periodontal maintenance every three to four months, although this varies. Regular maintenance is one of the most important factors in keeping gum disease stable.
Does smoking or diabetes affect gum disease?
Yes. Smoking and poorly controlled diabetes can increase the risk and severity of gum disease and can also affect healing after treatment. Your periodontist will consider these factors when planning care.
What happens at the first appointment?
Your first appointment usually includes a review of your dental and medical history, gum measurements, assessment of tooth mobility and recession, review of X-rays, diagnosis, and discussion of treatment options.
How do I book an appointment?
You can contact the practice directly by phone on 03 9853 7700 or via the form below. If you have a referral or recent X-rays from your dentist, bring them with you or ask your dentist to send them before your appointment.
If you have any further questions, please feel free to contact us.
Alternatively, call 03 9853 7700 to speak directly with our friendly treatment co-ordinators, or to request an appointment with one of our specialist periodontists.