General Dentistry

Gum Disease

It is good having Healthy beautifull teeth but it’s the gums and whats underneath them that hold the teeth in position. If you don’t have a healthy foundation most treatments with your teeth will not be successful in the long term

So if you’re suffering from bleeding, sensitive or swollen gums or bad breath it may be time to take a closer look at your gums. Our team at Robinhood dental practice can give you advice on how to prevent gum (periodontal) disease, bleeding gums and mobile teeth. Regular visits to our dentist and hygienist will ensure that any problems are identified quickly so that you can stop gum disease in its tracks.

If left untreated, gum disease can lead to tooth loss, but our dentist and hygienist will work with you to rectify gum problems and repair any damage to your teeth or jaw that might already have occurred. We may advise you on a long-term treatment plan to ensure you maintain good oral health over the coming years and you’ll receive excellent guidance on how to look after your teeth and gums. We can even provide you with dietary advice and instructions on how best to brush and floss your teeth so that you avoid the build up of plaque that can cause gum disease. With healthy gums and a fresh mouth you’ll feel more confident in your smile and chewing ability.

Consultation

The first stage periodontal treatment is the consultation appointment. It’s important for the ultimate success of any treatment that the severity and extent of the disease are established in advance. This is done by carefully measuring the position of the gums and whether or not spaces have developed between the gums and teeth (these spaces are called pockets). The depths of these pockets are registered on a special chart, which gives a permanent record of the level of disease present. As well as recording this chart, a consultation also involves the taking of photographs and/or any necessary X-rays, which show the position and height of the bone supporting the teeth.

 

Once all the information has been collected, a treatment plan can be devised. Whenever possible, various treatment options will be presented and their merits discussed. By the end of the consultation you should feel fully informed about your condition and have an understanding of the treatment options available to you, as well as the likelihood of success.

 

Treatment of gum disease

Possible treatment alternatives will be explained to you at your consultation appointment. This is the best time to ask any questions you may have. Our aim is always to preserve teeth if possible. The most common form of treatment consists of scaling and root planing. Scaling refers to the professional removal of soft plaque and hard calculus (tartar) from the teeth and gum line. It is undertaken using hand instruments (scalers or curettes) and/or sonic/ultrasonic instruments which use high frequency vibrations to help remove these deposits.

 

Root Surface Debridement is really an extension of scaling, which involves removing deposits from under the gum line. This is usually undertaken once the gum tissues are numbed with a Local anaesthetic, so that the treatment can be performed painlessly. The aim is to provide a clean, smooth, root surface in order that the gum tissue has a chance to heal. Scaling and root surface debridement may sometimes be combined with the use of localized and/or systemic antibiotics to assist in the management of the gum infection.

 


Root Canal

Root canal treatment is a dental procedure used to treat infection at the centre of a tooth (the root canal system). It's also known as 'endodontics'.

The infection is caused by bacteria that live in the mouth and invade the tooth. This can happen after:

  • tooth decay
  • leaky fillings
  • damage to teeth as a result of trauma, such as a fall 

At RHDP our specialist registrar from Cardiff hospital is committed to providing the highest standard of professional care in friendly and comfortable environments.

Our specialist is experienced in treating patients requiring a range of complex root canal procedures including pain diagnosis, root fillings, treatment of failed root canal treatment, apicectomy (apical surgery) and the management of traumatised teeth.


Apicectomy 

If a root canal procedure has been done in the past and it becomes infected again, it's often because of a problem near the apex of the root. In many cases, a second root canal treatment is considered before an apicectomy.

With advances in modern technology, dentists often can detect other canals that were not adequately treated. In this case, they may be able to clear up the infection by doing a second root canal procedure. This will avoid the need for an apicectomy. 

An apicectomy is done only after a tooth has had at least one root canal procedure and retreatment has not been successful or is not possible. For example, retreatment is often not a good option when a tooth has a crown or is part of a bridge. Retreatment of the root canal would require cutting through the crown or bridge. That might destroy or weaken the crown or bridge. An apicectomy is often considered in a situation like this.

An apicectomy is not the same as a root resection. In a root resection, an entire root is removed, rather than just the tip.