Periodontal Care


Gum disease affects more than 45 percent of adults in the UK and Ireland, and even moderate cases can have a negative impact on quality of life. Gum disease is the most frequent non-communicable disease and the leading cause of tooth loss in humans. It is an infection of the gums, bone, the cementum that covers the roots, and the ligaments that surround the teeth.


People are often unaware that they have gum disease since it is painless and has little influence on their daily lives. However, if left untreated, the consequences can be severe, including damage to the bone and tissue that support the teeth. Gum disease comes in many forms, but gingivitis and periodontitis are the most frequent.


Gingivitis is an inflammatory condition that causes swelling, redness, and bleeding in the soft tissue that supports the tooth. Periodontitis requires gingivitis to develop.


While not all cases of gingivitis proceed to periodontitis, treating the former is an important first step in preventing the later. Gingivitis is reversible and treatable with regular hygiene sessions and better oral hygiene. Our hygienists can keep your teeth and gums in the greatest shape possible.


The deeper supporting structures, including bone destruction, are affected by periodontitis. Unfortunately, most bone loss is irreversible.


Gingivitis and periodontitis are mostly caused by bacterial plaque in the mouth. The white, sticky film that grows on your teeth is imperceptible to this. Plaque buildup is the most prevalent cause, but a variety of variables can contribute to and exacerbate the problem.


– Smoking
– Inherited/genetic susceptibility
– Medication that reduces saliva
– Diabetes
– Lifestyle-Stress, lack of sleep, mental health, alcohol
– Nutritional deficiencies- calcium, Vitamin C and B


When periodontal tissues are inflamed, the periodontal ligament does not repair after tooth movement in those with active periodontitis. In the presence of plaque, orthodontic tooth movement might result in significant bone and attachment loss.


Orthodontic components that are affixed to the tooth surface might also make teeth cleaning more difficult. This could lead to more plaque buildup and an increased risk of periodontal disease. Patients with pre-existing periodontal disease are more likely to have their periodontal health deteriorate if plaque control is inadequate.


However, this does not rule out the possibility of orthodontic treatment benefiting a patient with impaired periodontal tissues. Simply put, their periodontitis must be under control prior to, during, and after the orthodontic treatment.


How do I calm down before going to the dentist?

  • Talk to someone about it to make your feel better
  • Listen to music
  • Focus on your breathing while in the chair
  • Pick the first appointment so you don’t have time to worry about it
  • Your dentist can prescribe you anxiety relief medication

What can a dentist give you for anxiety?

Your dentist can prescribe you anxiety relief medication which is taken about an hour before the appointment to help you relax. If a patient has an extreme phobia of the dentist, they may suggest conscious sedation so that your treatment can be done comfortably and efficiently.

How common is dental anxiety?

Having a dental phobia is very common and affects about 36% of the population. 12% also suffer with an extreme fear of the dentist. This can have an impact on patient’s oral health as they might avoid coming to the dentist. If there are any problems that are left untreated, they may get worse which can make it harder for these patients as the treatment may become more invasive the longer a treatment is delayed.

What is considered conscious sedation?

Conscious sedation is a mixture of medication to help relax a person while blocking pain with anaesthetic. This can be done for medical and dental procedures. It means that the patient is awake and aware of what is going on but is unable to feel pain or speak. This type of sedation is recommended for patients who are very nervous as it can make the procedure a lot easier for the patient and dentist.

What does conscious sedation feel like?

The effects of sedation feel different depending in the type of sedation and the person under sedation. The main symptoms include feeling relaxed and drowsy. The more the sedation kicks in it can get rid of any anxiety or stress that may have been felt before the sedation. This is why it is a great option for patients with dental phobias.

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    Smile Hub Dental Clinic, Bayside Medical Centre, Bayside Shopping Centre, Sutton, Dublin 13