Irish Award Winning Dentistry at Portobello in Dublin

What is gum disease?

Periodontal Disease

Periodontal disease is an infectious process classified according to how much damage has been done to the structures surrounding the teeth, namely the gingiva (gums) and bone. It is an infection in your mouth that is normally completely painless. It can happen anytime, around any teeth, affecting some or many of your teeth to varying degrees. There are genetic predisposing factors to periodontal disease, and our immune systems play a role in gum health, but it is often related to how well you are able to keep your teeth clean through proper oral self-care. The better you clean your teeth to remove all the plaque bacteria, the less likely you will be to develop periodontal disease.

Progress of the Disease

The bacteria that cause this disease first cause the gum tissue to become inflamed and pull away from the teeth. As the problem becomes more serious, the bone that supports the teeth also becomes infected and begins to break down and dissolve. The teeth then become loose. Once the bone disappears, it is extremely hard, if not impossible, for new bone to be rebuilt. The damage is permanent and your teeth, the surrounding bone, and your general health will be compromised.

Periodontal disease is classified into several types. The mildest form of this infection will show up in red and swollen gum tissue that bleeds easily. There is seldom any pain involved at this stage. You may notice also that your breath becomes offensive and you feel the need to use mouthwash. Our sense of smell does become immune to the same odours, so we can lose our ability to detect our own offensive, diseased breath. As the disease progresses, the gum tissue becomes more red and swollen, more bleeding can be seen, and the teeth begin to become loose. This tooth mobility is a sign that there is a severe problem. There may still be no pain at this advanced stage. As more and more bone is lost and more teeth become involved in the infection, it becomes harder to treat. At this point, many times, the management of your problem will involve periodontal surgical procedures. If this is the case, you may be referred to a periodontist (gum specialist) for further treatment. Most of the time, periodontal disease starts and continues because of neglect. Brushing and flossing of teeth are not being done effectively on a daily basis. You may not have had your teeth checked and cleaned within the time frame intervals you need. Once we have diagnosed this disease, we will inform you of the problem and suggest treatment. If treatment is not completed, however, the disease will continue to progress. Unfortunately, the disease is quite invisible to most people until severe and possibly irreversible damage has occurred.

Solution

In mild to moderate cases of periodontal disease, scaling and root planing (deep cleaning) over multiple appointments, in conjunction with oral hygiene instruction may be needed to treat the disease. In the most advanced cases, periodontal surgery may also be required, and loss of one or more teeth is likely. You will always receive an estimate of fees for the recommended treatment.

Periodontal disease is a condition that must be treated quickly. At Portobello Dental Clinic, we believe that if the infection is aggressively treated in its early stages, conservative periodontal treatment may be possible and effective. Although we do not automatically rule out periodontal surgical intervention, we hope you can either avoid it or reduce the amount you will need.

Successful treatment of your periodontal problem will depend on several factors. But the most important of these is your ability to perform excellent oral self-care including brushing, flossing, and use of periodontal aids on a routine, daily basis. Without this, periodontal treatment will fail, and the disease will return.

If you have any questions about periodontal disease, please feel free to ask us.

Fee Guide
Private
Routine maintenance
New patient examination (what’s included) *From December 1st 2013 we will refund the cost of your consultation on all extensive treatment plans (all plans over €1000) €60-€95
X-rays (small) €10
X-Rays (panoral – full mouth) €65
Hygienist Packages
Intensive hygienist appointment
(New patient package)
€75
Extensive hygienist appointment
(Treatment of periodontal disease)
€98
Implants (eligible for further 20% reduction from MED II tax relief)
Single implant (including crown, without bone graft) from €2090
Surgical placement of single titanium implant
from €1170
Restoration of implant / Placement of porcelain crown
from €920
Multiple implants from €1750 per tooth
Intra Venous Sedation €260
Orthodontic Braces
Inman Aligner
(Eligible for Med 2 Tax Relief)
€1700 per arch
Six Month Smiles
(Eligible for Med 2 Tax Relief) Note – fee includes all orthodontics, as well as additional treatment to the value of €625; including fixed and removable retainers, an extensive hygienist appointment, and free upper and lower teeth whitening.
€2200 one arch
€2995 both arches
Restorations
Silver amalgam fillings €75 – €99
White composite fillings (front) €88 – €165
(back) €90 – €165
Root treatments (eligible for further 20% reduction from MED II tax relief)
Root canal treatment (front) from €360
(back) €420 – €590
Tooth whitening
Airflow (Ideal for surface staining) from €42
Slow release tooth bleaching €299
Crowns & Veneers (eligible for further 20% reduction from MED II tax relief)
All-porcelain cosmetic crown
(usually most suitable for front teeth)
from €790
Tooth coloured crown, metal inside (the best combination of strength and appearance) €748
Cerec one visit crowns and inlays €748
Bridge (dependent on design) from €900
Porcelain Veneers
Porcelain veneers €720
Lumineers €760
Da Vinci Porcelain Veneers €850
Dentures
There are still circumstances in which a removable plate is the best option. Newer materials make them stronger and less obtrusive. Sometimes they can be held in tightly by using a press stud technique to hold them to suitable remaining roots.
Complete set – upper and lower from €800
Chrome cobalt partial denture (upper or
lower)
from €850
Partial acrylic denture from €280
Valplast flexible partial denture from €580