Expert care
for your gums
and implants

Oral hygiene instruction is combined with full deep cleaning under local anaesthetic. This is carried out in 1–4 sessions. A reassessment is performed 2–3 months later to evaluate the response and decide on next steps.

Once treatment is completed it is vital that you attend regular maintenance appointments. Diabetes and smoking are risk factors for gum disease — cessation or reduction in smoking makes response to treatment more predictable.

Gums can feel a little tender after treatment, but this is normally short lived. As the gums become less inflamed, you may notice that the gum level recedes slightly and spaces appear between the teeth.

Non-surgical root planing £620/quadrant · Surgical root surface debridement from £1,000

Periodontal surgery is carried out under local anaesthetic. Incisions are made into the gums, which are then retracted to allow direct access to root surfaces for thorough root surface curettage. At this point an assessment is made as to whether periodontal regeneration may be possible — a means of restoring what has been lost through gum disease.

Surgery will improve access to the root surfaces of the teeth. Regenerative products are often used to promote health. Surgery is not usually suggested unless plaque levels are below 20%.

X-ray — Periodontal Regeneration

Surgical root surface debridement from £1,000

Over or incorrect brushing is often one of the main causes of recession. The recession exposes root surfaces which can cause uncomfortable sensitivity or abrasion defects where softer root dentine is worn away.

There are a number of techniques to correct recession depending on severity and tissue thickness. Sometimes it is possible to cover exposed root surfaces by repositioning existing tissue. Where tissue is very thin, a graft from the roof of the mouth may be needed. In some cases a resorbable synthetic collagen matrix can be used, eliminating the need for a second surgical site.

Case photo — Before & After

Gum grafting from £1,600 · Gum recession surgery from £1,800

A dental implant is a titanium screw carefully placed in the jaw. Once placed, the implant takes 2–3 months before osseointegration is complete and it can be restored. 3D imaging allows greater accuracy for implant placement. Cases are often planned using surgical drill guides, allowing implant placement even where little bone is available.

Single implants are generally far less invasive than conventional bridgework. Implant bridges can support longer-span bridgework using multiple implants. Full arch solutions including the 'All-on-4' technique can provide a full temporary bridge the same day as surgery.

Case Photo — Before

Case Photo — After

Full Arch — Surgical Guide

Full Arch — Post-op X-ray

Full Arch — Implant Bridge

Full Arch — Result

Single implant £1,830 · With crown from £4,250 · Full arch from £27,500

Peri-implantitis affects the gum and bone around dental implants, causing pocketing and bone loss which, if left untreated, can lead to eventual failure and loss of the implant. It is not always obvious to patients that there is a problem as it can initially be 'silent'.

It is very important that implants are reviewed on a yearly basis to highlight any issues and allow problems to be addressed early. Treatment around implants can be unpredictable and ongoing hygiene maintenance is essential.

X-ray — Bone Level Around Implant

Consultation from £160 · Advanced assessment £300

During periodontal surgery, an assessment can be made as to whether periodontal regeneration may be possible. This is a means of restoring what has been lost through gum disease, using guided tissue regeneration membranes and bone substitute materials.

Bone regeneration is also used to prepare the jaw for successful implant placement, or to preserve teeth that would otherwise require extraction. The procedure uses 3D imaging to plan treatment with maximum precision.

Graft Site — Before

Graft Site — After

Grafting / sinus lift £1,850 · Assessed individually at consultation