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    Gum Disease


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Gum disease (also known as periodontal disease) is a serious bacterial infection that destroys the attachment fibres and supporting bone that hold your teeth firmly in place. Early signs are red, swollen gums that bleed easily, but are not normally painful. This early stage of periodontal disease is called gingivitis.

Gingivitis can be prevented or reversed by having regular hygiene appointments, supported with efficient teeth cleaning routines at home.


Manoj Tank is skilled in both non-surgical and surgical periodontal therapy in the management of periodontal disease, and is our Specialist in periodontics at Elmsleigh House; Hans-Dieter John is our periodontal and implant surgeon.

Together they offer specialist and advanced techniques, including gum grafts, to treat more difficult or advanced gum problems and are familiar with the latest methods of diagnosis and treatment; because of our experience, your dentist may refer you to us for periodontal treatment.

Click to read our brochure on gum disease treatment

During your first visit, we will review your dental and medical history so that we know of any medication that may affect your periodontal care. You will be given a complete oral and periodontal examination to determine if there is any gum recession and if any teeth are loose.

We will measure the depth of any periodontal pockets to help assess the extent and severity of the problem. X-ray pictures may be taken to reveal bone loss around your teeth.


Manoj, Specialist in Periodontics at Elmsleigh House, talks about gum health

Elmsleighs Diagnostic Services

We also are one of the few dental clinics in the UK that offers a diagnostic test for periodontitis – the MMP8 test. This simple and effective test has been developed in Germany to detect MMP8 in a person’s saliva, which if present indicates the activity of active periodontitis requiring treatment.

This can be a valuable tool in detecting periodontitis and enabling timely treatment. You will be given a bespoke treatment plan to eliminate the infection around your teeth and under the gums; in advanced cases, surgical treatment may be necessary to gain access to deeper infection.

Maintenance therapy is vital to stabilise periodontal disease and prevent it from recurring. Our periodontist and hygienists will monitor the condition of your gums and give advice on how to effectively remove plaque when you clean your teeth. Depending on the severity of your disease, you should see us for maintenance therapy every 3-4 months. For most people, loss of teeth as a result of periodontal disease is no longer inevitable, as long as you have access to the correct treatment and follow preventive advice.


Click to listen to one of our patients talk about her periodontal treatment



We are delighted that Manoj Tank, our Specialist in periodontics, has been awarded faculty membership of the British Society of Periodontology. This is held in high regard as it is "in recognition of Manoj's standing as a learned scholar of periodontology and implant dentistry".

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