Teeth Cleaning and Gum Treatment in Dubai

Gum health is measured, not estimated. 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. Where the picture is complex — a deep isolated defect, a furcation, assessment before implant treatment — three-dimensional imaging may be taken on the clinic's Planmeca Viso G5; see CBCT and dental X-ray.

Risk factors are recorded at the same time, because they change both the treatment and the interval: smoking, diabetes and its control, medication causing dry mouth or gingival overgrowth, pregnancy, and a family history of early tooth loss.

The first phase of treatment is non-surgical and it does most of the work. The root surfaces are cleaned of plaque, calculus and contaminated deposits using ultrasonic and hand instruments under local anaesthetic, usually one quadrant or one half of the mouth per appointment. Overhanging restoration margins and other plaque traps are corrected at the same time, because leaving them means the deposits come back.

The mouth is then left to heal for six to eight weeks and re-charted. Comparing the two charts is the point: pockets that have reduced and bleeding that has stopped mean the disease is responding, while sites that have not responded are identified individually and dealt with, rather than the whole mouth being repeated.

Instrumentation of deep pockets and any periodontal microsurgery are carried out under a dental operating microscope. Calculus lying on a root surface five or six millimetres below the gum margin is worked on by feel without magnification; under the microscope the residual deposit can be seen and removed, and where a flap is raised the tissue is handled and sutured under direct vision, which matters most on the front teeth where the position of the gum margin is also an aesthetic result.

Antibiotics are not routine. They are reserved for specific presentations such as acute infection or aggressive disease, because inflammation driven by a biofilm is resolved by removing the biofilm.

Ninety per cent of the result is produced between appointments, and the honest version of this conversation is that a clinician cannot compensate for a mouth that is not cleaned. What is realistic is showing you exactly where your technique is missing, on your own teeth, with disclosing where useful.

The two habits that change outcomes are brushing the gum margin rather than the middle of the tooth, twice a day, and cleaning between the teeth daily with floss or interdental brushes sized to your gaps. Interdental brushes outperform floss where the spaces allow them, and most adults with any gum disease have spaces that allow them.

Smoking is the single strongest modifiable risk factor. It also masks the disease, because nicotine constricts the vessels and the gums bleed less, which makes the mouth look healthier than it is.

Once the disease is stabilised, treatment does not end; it changes into maintenance. Periodontitis is a chronic condition, the bacteria recolonise, and the interval between professional cleanings is the main variable that determines whether the level holds or drifts down again.

Intervals are commonly three to four months for a treated periodontitis patient and six months for a stable, low-risk mouth, and they are reviewed against the chart rather than fixed for life. Patients who move to a longer interval and stay stable keep it; those whose bleeding scores rise come back to a shorter one.

Every maintenance visit repeats the measurements. It is the only way to notice a single site deteriorating while it is still a single site.

Gum health decides what else is possible. Implants placed in a mouth with active periodontitis are exposed to the same bacteria, and peri-implantitis progresses faster and is harder to treat than disease around a natural tooth, so stabilisation comes before implant treatment rather than after it.

The same applies to appearance-driven work. A crown or a veneer margin sitting against inflamed, receding tissue will look wrong within a year regardless of how well it was made, which is why veneers and smile design and crowns and bridges are planned on stable gums. Orthodontic force applied to teeth with reduced support accelerates loss, so orthodontic treatment waits for the same clearance.

Professional cleaning at ELEMENTAL follows the Airflow Swiss protocol and is AED 1,250. A dental consultation is AED 650. Where gum treatment beyond cleaning is required, the plan and its cost are set after the examination. Prices are current as of August 2026.