Gum disease is primarily caused by films of plaque (bacteria) which naturally cover the surface of our teeth.  As the films increase, the bacteria invade between the teeth and the under gum matgins.  They effectively burrow down between theteeth and gums, causing a 'pocket' to occur.  This pocket gradually increases in depth leading to gum recession, loosening of the teeth and tooth loss.  The plaque inhabits the teeth over a few days, then the saliva causes the film to harden by laying down calcium salts to form scale or calcium.  This further helps the plaque to thicken by harbouring the bacterial colonies away from the beneficial effects of tooth cleaning.

Our hygienist will aim treatment firstly at removal of the plaque by instructing on good techniques of oral hygiene using various implements at our disposal.  Secondly, the invading armies of bacteria and scale are removed using dental instruments.  In the pockets, the bacteria have colonised the root surface and are rapidly growing in what is a perfect environment for them. The hygienist can clean these deposits.  It is these colnies under the gum margins which are most destructive and least accessible by simple oral hygiene methods.

In certain cases this may not resolve the situation.  Medicaments might then be placed in the pockets to encourage further healing.  Unfortunately, once around the teeth has been destroyed it is exceedingly difficult to replace them.  However, by good maintenance of the pockets around the teeth, the gums can then re-attach to the roots, reducing the depth of the pockets and lessening the masses of destructive bacteria harboured in our mouths.

The hygienist will recommend the necessary frequency for further maintenance of the gum health as these bacterial films will be ever present.