Periodontist in Dubai

Periodontology treats the tissues that hold teeth in place: the gum, the ligament and the bone. It is the least visible part of dentistry and the one that decides how many teeth a person still has at seventy.

Gum disease is common, slow and does not hurt until late, which is exactly what makes it dangerous. Gingivitis affects the gum only and resolves completely once the mouth is cleaned properly. Periodontitis has already destroyed some of the bone, and bone that is gone does not come back on its own — treatment stops the process and holds the level. The difference between the two is not something a patient can judge from the mirror; it is a measurement.

Bleeding when brushing is the signal people most often ignore or misread. It almost never means brush less. It means plaque has been sitting at the gum margin long enough to inflame the tissue, and gums that are cleaned properly stop bleeding within one to two weeks.

A periodontal probe is walked around every tooth and the depth of the sulcus or pocket is recorded at six points per tooth, together with bleeding on probing, recession, furcation involvement in multi-rooted teeth and mobility. That produces a chart, and the chart is what makes change visible between visits. Radiographs show the bone level, which probing alone cannot.

Risk factors are recorded at the same time, because they change both the treatment and the interval: smoking, diabetes and how well it is controlled, medication causing dry mouth or gum overgrowth, pregnancy, and a family history of early tooth loss. Smoking deserves a separate mention — it is the strongest modifiable risk factor and it also masks the disease, because nicotine constricts the vessels and the gums bleed less than the damage warrants.

Without a chart, «your gums look fine» is an opinion. With one, it is a measurement that can be compared next year. Full detail of the appointment is on the page about teeth cleaning and gum treatment.

The first phase is non-surgical and it does most of the work: root surfaces cleaned of plaque, calculus and contaminated deposits under local anaesthetic, usually a quadrant or half the mouth per appointment, with overhanging restoration margins corrected at the same time. Deep instrumentation is carried out under a dental operating microscope, because calculus lying five or six millimetres below the gum margin is otherwise worked on by feel.

The mouth is then left to heal for six to eight weeks and re-charted. Comparing the two charts is the point of the exercise: sites that responded are moved to maintenance, sites that did not are dealt with individually rather than the whole mouth being repeated.

Antibiotics are not routine. Inflammation driven by a biofilm resolves by removing the biofilm, and antibiotics are reserved for acute infection or aggressive disease.

The honest part: roughly ninety per cent of the outcome is produced between appointments. No clinician can compensate for a mouth that is not cleaned. What is realistic is showing you exactly where your technique is missing, on your own teeth — brushing the gum margin rather than the middle of the tooth, and cleaning between the teeth daily with interdental brushes sized to your gaps.

Periodontology is not a side department. It is the gate every other kind of dentistry passes through.

Implants placed in a mouth with active periodontitis meet the same bacteria, and peri-implantitis progresses faster and is harder to treat than disease around a natural tooth. Orthodontic force applied to teeth with reduced support accelerates bone loss. A veneer or crown margin sitting against inflamed, receding tissue will look wrong within a year regardless of how well it was made.

There is also a general-health dimension worth stating carefully. There are well-documented associations between periodontitis and diabetes, cardiovascular disease and adverse pregnancy outcomes, and with diabetes the relationship runs both ways: uncontrolled glucose worsens gum disease, and gum inflammation makes glucose harder to control. Association is not proof of cause, and no dental treatment should be sold as treatment for a systemic disease. Treating the gums is worth doing on its own merits.

Once the disease is stabilised, treatment changes into maintenance. Periodontitis is chronic, the bacteria recolonise, and the interval between professional cleanings is the main variable that decides whether the level holds. Commonly three to four months for a treated patient and six for a stable low-risk mouth — reviewed against the chart rather than fixed for life. Every maintenance visit repeats the measurements, because that is the only way to notice a single site deteriorating while it is still a single site.

A consultation starts from AED 650 and includes the examination and periodontal charting; radiographs are quoted separately. Treatment is quoted in writing once the extent is known — a routine cleaning and a course of periodontal therapy across several appointments are different pieces of work, and the estimate states how many appointments are planned and when the re-assessment falls.