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Locate: 24 Harbour Road Portishead, Bristol

Call us on 01275 842550

Laser gum treatment

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About Gum Disease

Gum disease affects 99% of the population, it is the most common disease in the world. It ranges from gingivitis to destructive gum disease which can result in the loss of teeth. It is also known to increase the risk of heart disease, diabetes, Alzheimer’s Disease and low birth weight babies. It is a difficult disease to treat and generally we can only treat the symptoms, but cannot yet get rid of the disease.

What causes it?

There is bacteria present in everyone’s mouth but for 10% of the population this bacteria will cause destructive gum disease that creates pockets around the teeth. These pockets are as a result of loss of bone around the tooth. The tooth can become wobbly and it can lead to loss of teeth. Generally the condition is painless until it has progressed quite far which is why it is important to have regular healthy mouth reviews and hygiene therapy appointments so that any sign of the disease can be picked up and treated. Other symptoms include bleeding, red or tender gums or wobbly teeth. Occasionally an abscess can occur which is painful and could require antibiotics.


  • How is it treated?

    For most people regular dental hygiene appointments will ensure that your gums stay healthy. These are generally every 6 months but some people benefit from an appointment more frequently every 3 months. Unfortunately, sometimes this isn’t enough and further treatment is needed. If we feel that it is appropriate, we will refer you to a specialist for a second opinion or more complex care.

  • What else can be done?

    A new treatment for gum disease is laser treatment, we are delighted to be able to offer this at Evolve. The system that we use is called Perio Green. It uses photodynamic therapy to get rid of the bacteria in the pockets around the teeth. The laser also removes the diseased tissue within the pockets, which allows the gum to tighten around the tooth and so reducing the bacteria.

  • Why is it important to keep my teeth?

    We are designed to eat with all our teeth, if you lose a tooth this can put more pressure on the remaining teeth. The other teeth may move which can lead to other problems, or the missing tooth may be visible when you smile and you would want to replace it to ensure that your smile is still nice. Missing teeth are generally replaced with either a denture, a bridge or an implant. Whilst all of these have their benefits when used in the appropriate situation, they are not without their own problems and are not always suitable for use when someone has gum disease. It is almost always better to keep your own teeth than to replace them with artificial teeth.

  • How does Perio Green work?

    Perio Green uses a photosensitive chemical called Indocyanine Green which when introduced to the periodontal pocket attaches to the bacteria membrane. Once the laser is inserted into the pocket and is activated it causes the bacteria to be destroyed. The laser is then used to remove the infected tissue.

  • Does it hurt?

    No, the laser is not cutting the tissue, it is working at very low frequencies at this level of therapy. If there is any discomfort or sensitivity, then a local anaesthetic gel or injection can be used.

  • Who carries out the treatment?

    This treatment is usually carried out by our dental hygienists who have been fully trained in the treatment.

  • Does it get rid of the gum disease?

    No, it won’t, however we believe that this is an excellent adjunct to established treatment that could really improve the prognosis of your teeth. You would still need on-going hygiene therapy appointments for the rest of your life and maintain excellent oral hygiene.

  • What is involved in the treatment?

    You would need to have a full assessment of your gums, then we can work out how many teeth need to be treated. Included in the price would be 2-4 pre-treatment hygiene therapy appointments as it is important that your mouth is as clean as possible, the laser treatment would be over one or two appointments, then a review after 6 weeks.

    If it is felt that further laser treatment would be beneficial within 3 months of the initial treatment, then this is also included in the fee.

  • How much does it cost?

    This depends on how many teeth need to be treated, it is important to treat all the teeth that are infected or the untreated teeth will affect the success of the treatment.

  • What do I do next?