Periodontal Care
Gum Disease Treatment in Rawalpindi
Gums that bleed when you brush are not gums that have been brushed too hard. They are inflamed, and inflammation is the first stage of gum disease. Healthy gums do not bleed, in the same way healthy skin does not bleed when you wash it.
Caught at that stage it is entirely reversible. Left long enough, inflammation moves below the gum line and starts dissolving the bone that holds the teeth in - and that part does not grow back. Gum disease is the leading reason adults lose teeth, and it does it quietly, usually without pain.
- Earliest sign
- Bleeding when brushing or flossing
- Early stage
- Gingivitis - fully reversible
- Later stage
- Periodontitis - controllable, bone loss permanent
- Usually painless
- Which is why it advances unnoticed
- Treatment
- Scaling, and deep cleaning where pockets have formed
- Maintenance
- Reviews every 3-6 months once stabilised
How it progresses
Plaque that is not removed within a couple of days hardens into tartar, which is rough, porous and impossible to brush off. Tartar holds bacteria against the gum permanently, and the gum responds with inflammation - red, puffy, bleeding easily. That is gingivitis, and a professional clean plus consistent home care resolves it.
If it continues, the attachment between gum and tooth breaks down and a pocket forms. Bacteria colonise the pocket, deeper than any toothbrush reaches, and the body resorbs the surrounding bone. That is periodontitis. Treatment stops the process and saves the teeth, but the bone already lost stays lost.
Signs worth acting on
Most people notice the bleeding and decide it is normal, or that they are brushing too hard, and start brushing more gently - which makes it worse.
- Pink in the sink when brushing, or blood on the floss
- Gums that look red and swollen rather than firm and pale
- Persistent bad breath or a bad taste that does not shift
- Teeth looking longer as the gum recedes
- Sensitivity at the gum line from exposed root surface
- Teeth that feel loose or have started to drift apart
What treatment involves
For gingivitis, a thorough scale and polish removes the tartar above and just below the gum line, and the gum settles within a couple of weeks provided the home routine changes with it. The clean is the easy half; what happens daily afterwards decides whether it returns.
Where pockets have formed, treatment goes deeper - root surface debridement, done under local anaesthetic, quadrant by quadrant, cleaning the root surfaces inside the pocket so the gum can reattach as far as it is able. This takes more than one appointment and it is not the same procedure as a routine scaling, whatever it is called on a price list.
The part we cannot do for you
Gum treatment fails more often from what happens at home than from anything in the surgery. Cleaning between the teeth daily, with floss or interdental brushes, is the single habit that decides the outcome, because that is precisely where the disease lives and precisely where a toothbrush does not go.
Smoking is the other factor, and it is a large one. It restricts blood supply to the gums, masks the bleeding that would otherwise warn you, and measurably reduces how well treatment works. We will not lecture you about it, but we will not pretend it is irrelevant either.
What affects the cost
Gum treatment is priced by what is actually needed:
- Whether a routine scale and polish is enough, or deeper cleaning is required
- How many quadrants of the mouth need deep cleaning
- Whether local anaesthetic and multiple visits are involved
- Whether X-rays are needed to assess bone levels
- Ongoing maintenance visits, usually every three to six months
- Loyalty membership, which applies to maintenance as well as treatment
An assessment with pocket measurements tells us which of these you need, and you get the full plan and figure before treatment starts. Being charged for a deep clean when a routine scaling would have done - or the reverse - are both avoidable with a proper assessment first.
Consultation fee
Rs 1,800
10% offTreatment costs are quoted in writing after your assessment, before anything is booked.
Frequently Asked Questions
Is bleeding when I brush normal?
No. Healthy gums do not bleed when brushed. Bleeding means inflammation, which is the earliest stage of gum disease and the stage at which it is still completely reversible. Brushing more gently to avoid the bleeding is the one response that reliably makes it worse.
Can gum disease be cured?
Gingivitis, the early stage, resolves completely with a professional clean and consistent cleaning between the teeth. Periodontitis can be stopped and controlled, but bone that has already been lost does not come back. That is the whole argument for treating it early.
Does scaling damage or loosen teeth?
No, and this belief costs people their teeth. Tartar is not holding anything in place. Teeth can feel different afterwards because the deposits wedged between them are gone, and gums may shrink slightly as swelling settles, which can expose spaces that the inflammation was hiding.
How often should I have my teeth cleaned?
For most people every six months. If you have had gum disease, every three to four months, because the pockets recolonise and maintenance is what keeps the result. Someone who has had periodontal treatment and then stops attending usually loses the ground they gained.
Will my breath improve?
Usually noticeably. Persistent bad breath very often comes from bacteria living in gum pockets and on tartar, and removing that source addresses what mouthwash only covers.
Visiting us in Rawalpindi
Our clinic is on 4th Road in Satellite Town, Rawalpindi — a few minutes from Commercial Market and 6th Road, and a short drive from Chandni Chowk, Saddar, and most of Islamabad.
Address: Basement, B, 994 4th Rd, Satellite Town, Rawalpindi, 46300, Pakistan
- Commercial Market
- 6th Road
- Chandni Chowk
- Murree Road
- Saddar
- Islamabad
Where Art Meets Science
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