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Gum Disease

Periodontal gum disease - also known as Periodontitis - stems from a bacterial infection under the gums.

  • Treating gum disease early can save you from potential tooth loss.
  • Gum disease can lead to a range of other health complications.

What causes periodontal disease?
Periodontal gum disease - also known as Periodontitis - is an inflammatory disorder that can impact your general health.
The disease stems from a bacterial infection under the gums, with anaerobic bacteria that can gain access to your blood stream. The symptoms of the disease include bleeding gums, recession, shifting teeth, bad breath, pain on chewing, swelling and sensitivity. In time, periodontal disease can lead to the loss of teeth and can contribute to the spread of other diseases.
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Neeraj Puri
GDC No. 71646
Principal Dentist
0131 225 9093
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The infection itself is caused by bacteria that thrive inside of the plaque that is under the gums. These anaerobic bacteria – living where there is no air – are very mobile and can invade into other tissues. They produce chemical products such as enzymes, acids and toxins, which cause damage to the gum tissue, the bone and the attachment.

Some of the chemicals depress the neutrophil, which is one of our main defensive cells. Others can break the attachment from the gingival tissue over to the root surface, exposing the bone.

As a result, a pocket is formed where bacteria can multiply rapidly out of the reach of hygiene efforts. In this pocket, the roots and surface of the bone are exposed to bacteria and chemicals.

Bacteria then dissolve the protective layer of the bone, named the cortical layer, which exposes the internal bone to further attack. As more time passes, the pockets deepen, bacteria levels increase, and chemicals contaminate the bone and the root surface.


Did you know…

  • Gum disease is extremely common and afflicts 3 out of 4 adults over the age of 35 in the UK
  • Gum disease, not tooth decay, is the biggest cause of tooth loss
  • Only 60% of women in the UK aged 45 can claim to have all their own teeth
  • Gum disease isn’t just something that happens later in life – more than half of teenagers have some form of gum disease
  • Smoking causes 50% of all cases of gum disease in the UK
  • Gum disease is linked with many diseases that affect your general health

What other health problems can gum disease link to?

  • Heart disease – those with adult periodontitis may have increased risk of fatal health disease
  • Stroke – there is evidence linking gum disease to an increased risk of strokes
  • Uncontrolled diabetes – chronic gum diseases can disrupt diabetic control. Conversely, diabetes can contribute to bacterial overgrowth in the mouth. Smokers with diabetes increase their risk of tooth loss considerably. It is recognised that sufferers of type II diabetes are three times as likely to develop periodontal disease as non-diabetics.
  • Respiratory and sinus infections – inhaled bacteria from the mouth and throat can end up in the lungs
  • Digestive problems
  • Osteoporosis – this condition, which leads to a reduction of bone mass, resulting in brittle bones, is associated with gum disease and related tooth loss
  • Premature birth and infertility – women with advanced gum disease are more likely to give birth to an underweight or pre-term baby. In fact, oral bacteria can cross the placental barrier, exposing the foetus to infection.
Barry Dunford, Perthshire (2015)

I was looking for a holistic dentist who could offer a metal free implant, i.e. a zirconium implant. As a result of Neeraj Puri using laser technology during the treatment I found that there was almost no swelling and very little pain immediately after the dental surgery. After having had dental work over a number of years with other dentists, I can honestly say that Neeraj’s advice and technical ability is second to none. As a result, I now have a metal free zirconium implant which is functioning perfectly and has fully integrated into my jaw just like a natural tooth.

Not been to the dentist for a while?
Many people avoid visiting the dentist for as long as possible due to their fear - which may have stemmed from previous issues at a dentist’s office.

We spend lots of time and effort making sure our patients feel comfortable and build trust with us, as we want you to enjoy coming to the dentist as much as possible. Call us today to find out more 0131 225 9093.

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Trusted Technology we use at Integrated Dental

Our use of lasers puts us at the forefront of futuristic dentistry, as we offer an experience that has minimal discomfort and faster healing.

Our selection of lasers include our state of the art Waterlaser, a low level laser therapy (LLLT) laser, a soft tissue laser and a diagnostic laser.

Proving much safer than typical drills and with the chance to be more affordable than standard fees, our laser technology is helping us enter the future of dental surgery.

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