Table of Contents


    What is Gum Disease?

    Gum disease refers collectively to problems that affecting the tissues that support the teeth. The two most common forms of gum disease are: Gingivitis and Periodontitis.

    Types of Gum Diseases

    1. Gingivitis (Gum Inflammation)

    At its early stage, bacteria in plaque build-up, causing the gums to become inflamed and to easily bleed during tooth brushing.

    Although the gums may be irritated, the teeth are still firmly planted in their sockets. No irreversible bone or other tissue damage has occurred at this stage.

    Without proper treatment, this may progress into periodontitis.

    2. Periodontitis

    In a person with periodontitis, the inner layer of the gum and bone pull away from the teeth and form pockets as a result of further gum inflammation.

    As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed.

    When this happens, your teeth become loose and eventually drops off.

    As such, periodontitis is the leading cause of tooth loss in adults.

    what happens with peridontal disease

    What are the Risk Factors that Contribute to Gum Disease?

    Plaque, which is a form of bacterial build-up on teeth, is the primary cause of gum disease. However, other factors can contribute to periodontal problems. These include:

    1. Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly menstruation, make gums more sensitive, which makes it easier for gingivitis to develop.
    2. Illnesses may affect the condition of your gums. This includes diseases such as cancer or HIV that interfere with the immune system.
      • Because diabetes affects the body's ability to use blood sugar, patients with this disease are at higher risk of developing infections, including periodontal disease and cavities.
    3. Medications can affect oral health because some lessen the flow of saliva, which has a protective effect on teeth and gums.
      • Some drugs, such as the anticonvulsant medication Dilantin and the anti-angina drug Procardia and Adalat, can cause abnormal growth of gum tissue.
    4. Bad habits such as smoking make it harder for gum tissue to repair itself.
    5. Poor oral hygiene habits such as not brushing and flossing daily
    6. Family history of dental disease can contribute to the development of periodontal issues
    ASD_gum problem

    What Are the Symptoms of Gum Disease?

    Gum disease may progress painlessly, producing few obvious signs, even in the late stages of the disease. Although the symptoms of periodontal disease often are subtle, the condition is not entirely without warning signs. Certain symptoms may point to some form of the disease. The symptoms of gum disease include:

    • Gum Infection
    • Gums that bleed during and after tooth brushing
    • Red, swollen gums. Healthy gums should be pink and firm.
    • Persistent bad breath or bad taste in the mouth
    • Receding gums
    • Formation of deep pockets between teeth and gums
    • Loose or shifting teeth
    • Changes in the way teeth fit together upon biting down, or in the fit of partial dentures

    Even if you don't notice any symptoms, you may still have some degree of gum disease. In some people, gum disease may affect only certain teeth, such as the molars. Only a dentist or a periodontist can recognize and determine the progression of gum disease.

    Treatment for Gingivitis and Periodontitis

    Evaluating Your Condition

    We will first analyse your gum, where specific measurements and X-rays will be taken to determine the areas affected and the severity of your condition.

    Treatment for Gingivitis

    The treatment for gingivitis is straightforward, comprising an extended version of scaling and polishing in conjunction with the adoption of good oral health habits as instructed by your dentist or hygienist. We will remove the tartar and bacteria from below your gum line.

    Treatment for Periodontitis

    The treatment for periodontitis is extensive, comprising further gum analysis, deep cleaning, and the adoption of enhanced oral health habits.

    Deep cleaning will take place over 1-2 visits of 30 minutes to 1 hour each. Affected areas will be deep cleaned with an ultrasonic scaler that vibrates and emits water to remove plaque and tartar that is trapped deep beneath your gums.

    In some instances of periodontitis, it is additionally beneficial to undergo gum surgery (e.g. gum contouring, gum regeneration, bone grafting) to enhance the appearance further and condition of your gums and bone after your initial treatment.

    In some cases, a pocket reduction surgery might be done to remove some gum tissue so that it sits closer to the tooth with stitches in the tissue to hold it in place.


    You can opt to have local anaesthesia to numb the relevant areas, to make the procedure painless and comfortable. This is especially recommended for patients with severe periodontitis and those who experience significant tooth sensitivity during cleaning.

    Wait for Your Anesthesia to Wear Off Before Eating

    If you’ve just had your scaling or deep cleaning done under local anesthesia, please wait until you can feel every part of your mouth again before eating.

    If you start eating before the numbness wears off, you may accidentally bite on your lips or even cause damage to your gums and interrupt the healing process without you feeling it.

    Some Swelling or Discomfort is Normal

    Following scaling or deep cleaning, your teeth may be more sensitive than usual. This can last for up to several weeks. You may also experience some slight swelling.

    If you are experiencing pain or swelling in your gums, you can take over the counter medication. Be sure to follow the instructions on the bottle, and do not exceed the recommended limits.

    Take Antibiotics if Prescribed

    If antibiotics were prescribed as part of your treatment, please ensure that you take these tablets as instructed and until all are finished.

    Minor Bleeding is Also Normal

    Following the procedure, you may notice some blood in your saliva or when you brush your teeth.

    This is an indication of minor bleeding, and it can occur up to 48 hours after the procedure.

    If you’re still experiencing bleeding after the first 48 hours, please contact us for assistance.

    Remember to Come for Follow-Up Appointments

    Periodontal treatment requires frequent and regular visits to ensure that the disease is under control.

    Failure to follow up on your periodontal disease can cause it to relapse and even worsen.

    Daily Maintenance

    Aside from dental visits, daily oral hygiene and maintenance is key to successful management of periodontal disease.

    Your dentist will instruct you accordingly to ensure that you are well equipped to maintain optimal dental and periodontal health.


    Allsmiles Dental Care offers gum treatment at the following prices:

    Regular scaling and polishing:

    $70 to $120

    Stain removal:

    $35 to $50

    Deep cleaning:

    Per tooth $50 onwards
    Per quadrant $100 to $250

    These are some of the things you can do for prevention:

    • Brush your teeth twice a day
    • Floss at least once a day
    • Visit your dentist for regular maintenance
    • If you have diabetes, ensure that it is well controlled
    • Quit smoking

    No. Stain removal and polishing only remove superficial stains such as those from coffee, tea and smoking.

    Tooth whitening, on the other hand, changes the intrinsic color of your teeth.

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