The Home of Family Dentistry

The Home of Family Dentistry

The Home of Family Dentistry

The Home of Family Dentistry

Periodontal Disease Treatment

Periodontal treatment methods depend upon the type and severity of the disease. Our specialist team will evaluate for periodontal disease and recommend the appropriate treatment.

How your periodontist treats your gum disease is largely dependent upon the stage of your infection and the amount of deterioration involving your gums, teeth, supporting tissues and bone.

After reviewing your Digital Radiographs and performing a thorough periodontal exam, your periodontist will discuss your treatment options, answer questions, and explain what happens:

  • During and after the procedure(s)
  • Possible complications, risks, benefits and costs of treatment
  • The number of office visits required for treatment
  • What to do post-treatment as your gums heal
  • How to keep gum disease under control after treatment is complete (maintenance programme)
  • After your treatment has ended, thorough maintenance is essential for the long-term success of your treatment and to maintain your oral health.

What are some risk factors?

You may be at risk for gum disease if any of the following apply to you:

  • Tobacco and alcohol use
  • Systematic diseases (such as diabetes, heart disease, osteoporosis, cancer)
  • Genetics
  • Pregnancy
  • Stress

Non-surgical Treatments

Scaling and Root Planing

The early stages of gum disease may only require non-surgical treatment. The most well-known type of non-surgical treatment is known as scaling and root planning, a minor procedure involves careful removal of plaque and tartar from the affected gums, and smooth the tooth root to remove any bacterial toxins. During this procedure, your hygienist will remove harmful bacteria and irritants from deep beneath your gums to prevent plaque from accumulating again. Most patients will not need any further treatment, although we recommend visiting our hygienists regularly to maintain your oral health

Laser Gum Treatment

An innovative technology that can assist non-surgical treatments for gum disease, laser dentistry involves treating the gingival pocket with a narrow, intense beam of light energy at a wavelength that is ideally suited for soft tissue procedures. This light energy removes a tiny amount of diseased tissue, decontaminates any gum pockets and aides in reducing the bacteria associated with the disease.

Surgical Treatments

Pocket Depth Reduction

Periodontal disease damages these tissues and bones supporting the tooth, leaving open spaces around the teeth known as ‘pockets’. The larger these pockets are, the easier it is for bacteria to collect inside them, causing more bone and tissue loss. Without treatment, the supportive structure degrades to the point that the tooth either falls out or needs to be removed.

Crown Lengthening

This procedure is performed under local anaesthetic to reshape the gum line to improve the aesthetics of your smile by exposing more of your teeth. Gum is folded back, bone and the gums are adjusted to be in harmony to the new restoration on the tooth surface, gums are placed back with tiny sutures.

As well as medical reasons, crown lengthening may also be applied for cosmetic purposes for patients who feel their smile is too ‘gummy’ when there is too much gum displayed when smiling, or the front teeth are too short.

Gum Grafts

Gum graft surgery involves taking gum tissue from another part of your mouth – usually your palate – and using it to cover the exposed root, restoring the gum line to its original, healthy location. This can protect the root from decay, lower sensitivity, reduce further recession and bone loss – and make your smile appear more youthful.

Ridge Augmentation

Ridge augmentation is a common procedure performed to help recreate the natural contour of the gums. Often, after a tooth is removed, your jawbone no longer needs to support it and will naturally begin to deteriorate and recede.  The height and width of the socket, which was supported by the tooth, will begin to shrink after the tooth is removed. This can lead to a gum indentation developing where the tooth used to be.

SHEKHA BHUVA BDS (LOND) MFDS RCS (ENG) MCLINDENT (HONS) MPERIO RCS ED

GDC:85835

REGISTERED SPECIALIST PERIODONTIST

Shekha is a Specialist Periodontist based in the Home Counties, qualifying from Guy’s King’s and St Thomas’ Dental hospital. In her time, Dr Bhuva has trained in a broad range of dental specialities, including in Oral and maxillofacial surgery at the Royal Surrey Guildford and Restorative Dentistry at Birmingham Dental Hospital.

Dr Bhuva specializes in Periodontology, completing her 4-year MClinDent specialist program with a distinction. She works as a specialist periodontist for several practices including private practices such as at Harley Street clinic.

Dr Bhuva has worked at the prestigious Eastman Dental hospital at UCLH, London. She is committed to her work, which consists of diagnosing and treating a wide range of periodontal conditions, placing and restoring dental implants and non-surgical and surgical dental treatments, such as bone regeneration, mucogingival work, and implant dentistry.

Other than clinical work, Dr Bhuva is a lecturer on postgraduate revision courses for the overseas registration examination and an examiner for the MJDF examinations. She is a member of the Faculty of Dental Surgery at the Royal College of Surgeons of England and is also on the Council for the British Society of Periodontology. In her free time, she has provided dental care in orphanages and villages in Vietnam and Nepal and has been actively involved in “SmileHigh”, a dental charity providing dental care to the most remote Himalayan villages.

Her range of services include :

The diagnosis and treatment of periodontal conditions
Placement and restoration of dental implants
Non surgical periodontal treatment
Surgical periodontal treatment including regenerative techniques
Crown lengthening procedures
Covering exposed root surfaces (recession defects)

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Frequently Asked Questions

Dentures can be classified as either partial or complete.

Dentures are made from either acrylic material or a combination of both acrylic and metal. Metal-acrylic dentures tend to be more stable and aesthetically pleasing.

Partial dentures are supported by your existing teeth whilst complete dentures are only supported by your gums.

Yes, dentures can also be retained by dental implants which act like buttons or magnets providing the denture with greater retention.

General Dentistry Treatments

Dentures

Dentures

Dentures are removable appliances that are made for your mouth to replace missing teeth
Root Canal Treatment

Root Canal Treatment

This dental procedure used to treat infection at the centre of a tooth

Fillings

Fillings

White or tooth coloured composite filling materials are made from a mixture of a resin base filled with glass type particles

Tooth Extraction

Tooth Extraction

In certain instances if a tooth cannot be saved then removal is required

Emergency Treatment

Emergency Treatment

Dental pain can affect your sleep and day to day life. It is always a good idea to get it treated as soon as possible

Bridge

Bridge

A bridge is a fixed dental restoration that replaces missing teeth

Crown

Crown

A dental crown is a tooth-shaped “cap” that is cemented over a tooth. It covers the tooth and restores its shape, size, strength and/or improves its appearance