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Periodontology / Gum Disease

Gum disease is one of the most common oral diseases and affects people of all ages. Caused by a build-up of plaque and bacteria on the gum line, gum disease can lead to bleeding, inflammation and redness and if left to progress, can lead to tooth loss.

Gum disease can also be aggravated by:

  • Smoking
  • Lack of brushing or flossing
  • If you have diabetes or other chronic diseases
  • Certain medications

If you spot signs of gum disease you can initially treat these at home by stepping up your hygiene routine and using dentist-approved products. If your symptoms do not improve, your Envisage Dental Emsworth dentist and dental hygienist will recommend a personal oral health plan to address your individual needs. Gum hygiene is important to ensure that your teeth remain supported and healthy.

Advanced gum disease - Periodontitis

The first stage of gum disease, known as gingivitis, can be simple to reverse. However, if left to progress it can develop into a more advanced form of gum disease known as periodontitis, resulting in the formation of gaps between the gums and teeth, known as pockets. More plaque can collect in these pockets and thus continue the progression of the disease. As the pockets deepen, the plaque becomes more inaccessible to cleaning, more extensive and more toxic. This leads to increasing damage to the supporting bone around the roots of the teeth.

Periodontal treatment is provided by our highly skilled dentist, with advanced skills in treating periodontal cases, who will clean the pockets around teeth to prevent damage to surrounding bone. The majority of Periodontal treatment involves non surgical treatment, thoroughly cleaning the tooth root surface. However, advanced cases may it also involve surgical and restorative techniques.

Gum surgery for implants 

 Implants can get gum disease just like teeth can, which is why its very important to ensure that you are cleaning them well on a day to day basis. The response to deep cleaning around implants is more unpredictable and the bone loss around implants can happen very quickly. In this case then surgery to allow access for cleaning and ensuring the implant threads are thoroughly cleaned is the best option.

Gum surgery for recession

Sometimes gums can recede not from a disease process but from having “thin” gums, overzealous brushing, and orthodontic treatment. Receding gums can make your teeth appear long and can make people feel self-conscious when they smile. Gum grafting allows us to replenish the lost gum tissue, providing support for your teeth.

Gum surgery for tooth wear or aesthetics 

With excessive grinding or erosion of enamel, the teeth can appear noticeably short and broken, these teeth are extremely hard to repair. In these situations, then you may also be referred to me for “crown lengthening” this is a type of gum surgery where bone is removed from around the tooth or teeth to provide the dentist with more tooth structure to allow for a long-term well-fitting crown or restoration. In other cases, people do not like their “gummy smile” and crown lengthening can also be used to make the teeth appear longer.

Periodontal maintenance plans

Some people are a lot more susceptible to gum disease than others. This can be sometimes due to genetics or existing health issues. If you have severe gum disease, the best way to keep on top of the condition is through regular maintenance and monitoring with regular “pocket charting” and radiographic assessment. 

If you are suffering with symptoms of gum disease book a review with our dental hygiene team today. 

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Dentist

Celehte Fortuin

Our ‘Diving Dentist’ Celehte, with over twenty years’ experience working alongside multidisciplinary teams, is now calling Emsworth home. She has quickly become a well-liked member of our team, known for her non-judgmental, gentle attitude and genuine love and care for her patients. She has converted many of our nervous patients and is actively sought out by similar patients in the local area....

Celehte Fortuin
Patient Reviews

People are talking about us

The biggest compliment we receive is when our patients refer their friends and family to Envisage Dental Emsworth. In fact, we have built much of our practice on these valued, trusted recommendations over the years. Read our reviews to hear why our patients are recommending us.

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Patient reviews

917 Reviews

5.0

20th December 2024

Friendly caring staff. Excellent advice given. Clean pratice.

AK

Angela Kristensen

I cannot speak highly enough of everyone in this team. You are put at ease from the moment you arrive at the reception desk. I had an unexpected abscess over the weekend and the support of the on call team was also incredible. I had it drained and then the tooth removed and I’ve never felt so calm and cared for. I cannot thank everyone enough for making such an unpleasant procedure so painless and quick. I can now look forward to Christmas again! Special shout out to Anitha, Daniel and his wonderful assistant Sian - her kindness during the removal of my tooth will not be quickly forgotten. Merry Christmas and thank you to you all x

18th December 2024

I really cannot fault Envisage. All the staff - receptionists, clinician and hygienist are welcoming, cheerful and highly efficient. I always feel reassured by their expertise.

17th December 2024

Professional and comfortable treatment and premises. Lovely staff.

LM

Lisa May

Last minute emergency appt for me last week and going to the dentist used to be a terrifying experience for me but for many years of attending here has calmed me so much that I actually feel so relaxed from the minute I walk in, from the fabulous reception ladies to my actual experience in the dentist chair , it’s so friendly we all have a good chat ,addressed by my first name , especially this time when the receptionist actually came out from behind the desk into the waiting room for a chat and listened to my awful time I’d been having , she’s so lovely and as I’ve j own her for years at this practice I felt very comfortable talking to her . As for Celehte my dentist "I cannot recommend her enough , not only incredibly skilled but also takes the time to explain every step of the procedure, ensuring I was comfortable and informed throughout the process. What truly sets her apart is their genuine kindness and commitment to the patients comfort. If you’re looking for a dental practice who goes above and beyond, look no further!"

13th December 2024

Clean, comfortable, welcoming dentist/hygienist/receptionist team, take time to listen aswell as friendly chat, give plenty of advice and time on how to benefit from tips n tricks

13th December 2024

I find this practice always meets my needs in terms of treatment and admin contact. All the staff are very much appreciated for their care and customer service.

13th December 2024

Tara is just lovely she just makes me at ease and make my experience pleasant and I am not a fan of the dentist to be honest !

13th December 2024

personal approach knowledgeable dentist & hygienistgood team approach good at the education nurse is good

11th December 2024

It’s a clean safe environment, where you never feel rushed and always feel heard. Advice and guidance given is never pushed only suggested. Great service

10th December 2024

Very professional and caring team

10th December 2024

Friendly and competent treatment.

9th December 2024

The reception team are wonderful, especially Laura, and the dentist was patient kind and gentle

9th December 2024

I’m a nervous person at dentist but I feel able to attend because I feel totally supported. This has been so important to me!

7th December 2024

Excellent practice and staff

7th December 2024

Dr Fortuin is an incredible asset to Envisage. I’ve never had a dentist who makes me feel so at ease and comfortable during what would have been an otherwise challenging experience having a filling replaced. I’ve been coming to you for many years and couldn’t imagine ever seeing a different dentist!

5th December 2024

Friendly and helpful staff, relaxed atmosphere. Dan answered all of my questions throughly.

1st December 2024

Tara the highly qualified hygeniest, the most capable and professional hygeniest I have been to. Incredibly knowledgeable, more like a dentist.

DC

David Craig

The best Dental practice in Hampshire

26th November 2024

Expert, professional service.

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