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Sydney Dentist Pyrmont | Gum Disease | STAR dentistry

Periodontal Disease

Deep Scaling & Surgical Options


Periodontal Disease | STAR dentistry Pyrmont



What is gum disease?

If you have been told you have periodontal (gum) disease, you’re not alone. Many adults currently have some form of the disease. Periodontal diseases range from simple gum inflammation (gingivitis) usually from leaving too much plaque around, to serious gum disease that results in major damage to the soft tissue and jaw bone that support the teeth. Teeth become longer in appearance, wobbly, and in the worst cases, teeth are lost.

Whether your gum disease is stopped, slowed, or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward. Call or book an appointment with STAR dentistry Sydney today on 02 9518 9803 or book using the button below

What causes gum disease?

Most of the time gum disease is caused by too many bacteria, or certain types of bacteria in our mouths. Everyones mouths are full of bacteria and it is a daily battle to keep these numbers low, so that they cannot create damage. This is why we brush and floss everyday. (If you are unsure how, please call STAR dentistry and we can help you out). These bacteria, along with mucus and other particles, constantly form a sticky, colourless “plaque” on teeth. Brushing and flossing helps to get rid of plaque, but plaque that is not removed can harden and form “tartar” that brushing doesn’t clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.


The longer plaque and tartar are left on teeth, the more harmful they become. The bacteria multiple and cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist, every 3-6 months. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.


When gingivitis is not treated, it can advance to “periodontitis”, a more severe form, which means “inflammation around the tooth”). In periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

Risk factors

  • Smoking. Need another reason to quit smoking? Smoking is one of the most significant risk factors associated with the development of gum disease. Additionally, smoking can lower the chances for successful treatment.

  • Hormonal changes in girls/women. These changes can make gums more sensitive and make it easier for gingivitis to develop.

  • Diabetes. People with diabetes are at higher risk for developing infections, including gum disease.

  • Other illnesses. Diseases like cancer or AIDS and their treatments can also negatively affect the health of gums.

  • Medications. There are hundreds of prescription and over the counter medications that can reduce the flow of saliva, which has a protective effect on the mouth. Without enough saliva, the mouth is vulnerable to infections such as gum disease. And some medicines can cause abnormal overgrowth of the gum tissue; this can make it difficult to keep teeth and gums clean.

  • Genetic susceptibility. Some people are more prone to severe gum disease than others.

How do I know if I have gum disease?

Symptoms of gum disease include:

  • Bad breath that won’t go away

  • Red or swollen gums

  • Tender or bleeding gums

  • Painful chewing

  • Loose teeth

  • Sensitive teeth

  • Receding gums or longer appearing teeth

Any of these symptoms may be a sign of a serious problem, which should be checked by a dentist. Call STAR dentistry today on 02 9518 9803. At your appointment we will:

  • Ask about your medical history to identify underlying conditions or risk factors (such as smoking) that may contribute to gum disease.

  • Examine your gums and note any signs of inflammation.

  • Use a tiny ruler called a “probe” to check for and measure any pockets. In a healthy mouth, the depth of these pockets is usually between 1 and 3 millimeters. This test for pocket depth is usually painless.

  • Take an x-ray to see whether there is any bone loss.

How is gum disease treated?

The main goal of treatment is to control the infection and reduce the number of harmful bacteria in the mouth. The number and types of treatment will vary, depending on the extent of the gum disease. Any type of treatment requires that the patient keep up good daily care at home. Dr Tippett and the team at STAR dentistry may also suggest changing certain behaviours, such as quitting smoking, as a way to improve treatment outcome.

Deep Cleaning (Scaling and Root Planing)

The dentist or hygienist removes the plaque and tartar build up through a deep-cleaning method called scaling and root planing. This is completed under anaesthetic, so no discomfort is felt throughout the procedure. Scaling is the use of instruments to remove the tartar from above and below the gum line. Root planing gets further down the side of the root, to areas of build up that we cannot usually reach, and also removed any infected top layers of root to create a clean smooth surface.

How can I keep my teeth and gums healthy?

  • Brush your teeth twice a day (with a fluoride toothpaste).

  • Floss every day to remove plaque from between teeth.

  • Visit the dentist routinely for a check-up and professional cleaning.

  • Don’t smoke.