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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

895 Reviews

5.0

18th November 2024

ease of making emergency appointment. dentist's clear explanation of the options which he did straight away. no pain caused.

15th November 2024

Friendly professional staff, clean premises, I felt that I was important to them.

14th November 2024

Very friendly staff who make you feel completely at ease. Treatment options are always explained

14th November 2024

Stephen was, as always, extremely understanding of my anxiety surrounding certain aspects of dental work. And when I went to the hygienist was given the choice of what I wanted in terms of cleaning

12th November 2024

Great staff, attention to every detail ,Great for patients that are nervous , very pleased I found them

12th November 2024

The whole experience in Emsworth Envisage is wonderful. The practice is small and welcoming, somebody arranges beautiful flower baskets which welcome you and everything looks friendly and non threatening. The receptionists are kind and compassionate as well as professional and organised-it’s never too much trouble to change an appointment.-I always see the same dentist who is absolutely wonderful but I am happy in the knowledge that in an emergency I will be seen almost immediately and definitely on the same day if not by her but perhaps by another dentist who will be excellent too.The treatment is always painless which is what we need, always explained well before it starts and always given with great care, kindness and professionalism. Before I joined this practice my teeth were in a terrible state (the first thing my wonderful new dentist had to do was to pull out 3). In the past 10 years or so that I have been a patient here, my teeth have not deteriorated at all and I am very happy about that.

11th November 2024

Friendly and efficient staff. Excelent dental treatment.

8th November 2024

Caring and patient staff members

7th November 2024

Friendliness of staff - cleanliness the premises - confidence in assessments.

6th November 2024

Receptionist initially very helpful , dentist took time talking & also explaining procedure both before & after treatment. There was no rush and atmosphere was calm & relaxed.

5th November 2024

All the staff are professional, friendly and accommodating, they are welcoming and promote confidence when attending.

5th November 2024

On this occasion a check up revealed a problem with an important upper back tooth which supports a plate. An appointment to fix it was made for that afternoon - so couldn't have been quicker. The need for the treatment was fully explained and I was shown the X rays, fascinating to see. The filing was needed in the far side of the back tooth so was difficult for my dentist to access but the whole procedure, including the injections, was painless. I was given antibiotics to take in case of pain, but so far I have not needed them having only taken basic painkillers on the day and the following morning.My dentist, Celehte Tortuin, always explains in full any procedures required - always very interesting. Celehte is patient, un-rushed and patient, which in turn gives me confidence in her recommendations. I have been her patient for some years now and am amazed how painless dentisty is. I would not hesitate to recommend her to anyone.

30th October 2024

I’m a very nervous dental patient and all the staff at Envisage have made me feel more at ease and are great at explaining what is happening and what I need to do. Highly recommend.

28th October 2024

Can't complain about any of the staff.

27th October 2024

Outstanding service and very friendly team. The place is very welcoming and relaxing too

SC

Sandie Collins

The staff are great, very professional and friendly with good attention to detail and the place is very clean and relaxing. I would highly recommend.

26th October 2024

Celethe is an excellent dentist. Very highly recommended

25th October 2024

An excellent hygienist and clinician. Clean and comfortable surgery and excellent reception staff

25th October 2024

Professional, reassuring and friendly. Just what is needed for a phobic patient!

24th October 2024

I attended for a planned hygienist appointment. I received excellent care and felt that the practitioner cared about her work. This helped me to feel confident and safe and the final result of my appointment was excellent. I don't think my teeth have ever felt so clean! Having said that, I am aware that the treatment is quite expensive which is why I did not score a full 10. But despite that I was very happy with my appointment.

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