Periodontics is a specialized branch of dentistry that focuses on the diagnosis, prevention, and treatment of diseases and conditions that affect the supporting structures of the teeth. This includes the gums (gingiva), the bone that surrounds and supports the teeth, and the periodontal ligaments that anchor teeth to the bone.

The Importance of Periodontal Health

Gum Diseases:

Periodontal diseases, such as gingivitis and periodontitis, are prevalent conditions that affect the gums. Left untreated, they can lead to severe oral health issues, including gum recession, tooth mobility, and tooth loss.

Systemic Health:

Scientific research has demonstrated a significant connection between gum disease and systemic health conditions such as heart disease, diabetes, and respiratory problems. Maintaining optimal periodontal health is crucial for both your smile and overall well-being.

When to See Our Specialist Periodontist

We recommend scheduling an appointment with our specialist periodontist if you experience any of the following symptoms:

  • Gum bleeding, especially during brushing or flossing.
  • Persistent bad breath or a foul taste in your mouth.
  • Gum recession, leading to tooth sensitivity or the appearance of elongated teeth.
  • Loose or shifting teeth.
  • Changes in the fit of dentures or dental appliances.
  • Formation of pockets or gaps between your teeth and gums.
  • A family history of gum disease.

 

Procedures Performed by Our Specialist Periodontist

Scaling and Root Planing

Scaling and root planing, often referred to as a deep cleaning, is a common periodontal procedure performed by our specialist periodontists to treat gum disease. This process includes the following steps:

Step 1: Assessment: Our periodontist begin by assessing the extent of gum disease through a comprehensive examination, which may involve probing depths and X-rays.

Step 2: Scaling: Using specialized instruments, our periodontists remove plaque and calculus (tartar) deposits from tooth surfaces and below the gumline.

Step 3: Root Planing: The tooth roots are meticulously smoothed (planed) to eliminate rough areas where bacteria can accumulate. This promotes gum reattachment to the tooth’s surface.

Step 4: Antibacterial Agents: In certain cases, our surgeons may apply antimicrobial agents or antibiotics to treated areas to further combat infection.

Step 5: Follow-Up: Periodic follow-up appointments are scheduled to monitor healing progress and address any residual pockets or concerns.

Periodontal Surgery

When gum disease reaches an advanced stage or if more complex treatment is needed, our specialist periodontists may recommend periodontal surgery. Common procedures include:

Gingival Flap Surgery

Indications: Gingival flap surgery, also known as pocket reduction surgery or osseous surgery, is typically recommended for individuals with moderate to advanced periodontitis, where gum pockets have formed, and bone loss has occurred.

Procedure Overview:

  1. Anesthesia: Before commencing the surgery, local anesthesia is administered to ensure the patient’s comfort during the procedure.
  2. Incisions: The surgeon makes precise incisions in the gum tissue to create a flap, which is gently lifted away from the teeth and underlying bone. This provides access to the root surfaces and allows for thorough cleaning.
  3. Root Debridement: Once the tooth roots are exposed, our surgeon meticulously removes plaque, calculus (tartar), and any infected tissue from the tooth surfaces. Special instruments are used for this purpose.
  4. Smoothing of Bone: In cases where there is irregular or damaged bone due to periodontal disease, the surgeon may perform bone reshaping or recontouring. This process helps eliminate areas where bacteria can hide and supports the reattachment of healthy gum tissue.
  5. Flap Repositioning: After the cleaning and bone reshaping, the gum flap is repositioned and sutured back into place. The sutures used are often dissolvable and will naturally dissolve as the gums heal.
  6. Postoperative Care: Patients receive detailed postoperative care instructions, including guidelines on oral hygiene, diet, and the use of prescribed medications.

Benefits: Gingival flap surgery aims to reduce pocket depths, promote gum reattachment to the tooth surfaces, and halt the progression of periodontal disease. It can help preserve teeth that might otherwise be lost to advanced gum disease.

Bone Grafting: When bone loss occurs due to advanced gum disease, our surgeons may perform bone grafting to regenerate lost bone tissue. This restores tooth stability and improves overall oral health.

Soft Tissue Grafting: Soft tissue grafts are used to augment and thicken gum tissue in areas where it has receded. This procedure protects tooth roots and enhances smile aesthetics.

Crown Lengthening

Indications: Crown lengthening is recommended when there is excessive gum tissue covering the tooth crowns, affecting the appearance of the smile or the ability to place restorations like dental crowns.

Procedure Overview:

  1. Anesthesia: Local anesthesia is administered to ensure patient comfort.
  2. Gum Tissue Removal: The surgeon carefully removes excess gum tissue to expose more of the tooth crowns. In some cases, bone may also be reshaped to achieve the desired gumline.
  3. Suture Placement: The gum tissue is sutured into its new position to facilitate healing.
  4. Postoperative Care: Patients receive postoperative instructions and may need to follow a soft-food diet while the gums heal.

Benefits: Crown lengthening improves the balance between gum and tooth exposure, enhancing the aesthetics of the smile and allowing for the placement of dental restorations.

Guided Tissue Regeneration

Indications: Guided tissue regeneration is employed to stimulate the growth of new bone and tissue in areas affected by periodontal disease.

Procedure Overview:

  1. Anesthesia: Local anesthesia is administered for patient comfort.
  2. Barrier Membrane Placement: A biocompatible barrier membrane is placed over the affected area. This membrane prevents unwanted tissue (such as gum tissue) from invading the healing area, allowing bone and other tissues to regenerate.
  3. Suture Placement: The barrier membrane is secured in place with sutures.
  4. Healing and Regeneration: Over time, the barrier membrane guides the growth of new bone and soft tissue, promoting proper healing.
  5. Postoperative Care: Patients receive postoperative instructions and may need to follow specific guidelines for oral hygiene and diet during the healing process.

Benefits: Guided tissue regeneration helps regenerate bone and soft tissue in areas affected by periodontal disease, ultimately improving the health of the supporting structures of the teeth.

Our specialist periodontists offer in-depth expertise in treating gum diseases and related conditions. Benefits include specialized knowledge, advanced treatment options, and a focus on preserving the health and appearance of your smile. Our Specialist Periodontist is registered with the General Dental Council as a specialist, an official board certified speciality and one of very few in the country.

Our periodontist prioritize patient comfort and use local anesthesia to ensure a pain-free experience during periodontal procedures. Mild discomfort after treatment can typically be managed with over-the-counter pain relievers.

Recovery time varies depending on the procedure’s complexity and individual healing capacity. Most patients can resume normal activities within a few days to a week. Our surgeons provide postoperative care instructions to support a smooth recovery.

Yes, periodontal diseases can often be prevented or managed with good oral hygiene practices, including regular brushing, flossing, and professional dental cleanings. Our periodontist offer guidance on maintaining optimal periodontal health.

Conclusion

At Dulwich Dental Office, our specialist periodontists play a crucial role in preserving and enhancing your periodontal health. Whether you require treatment for gum disease, periodontal surgery, or dental implants, our skilled surgeons are dedicated to providing exceptional care and ensuring your oral health and smile remain in optimal condition. If you have any questions or wish to schedule a consultation with our specialist periodontists, please don’t hesitate to contact us. Your periodontal health is our priority, and we are here to assist you every step of the way.

Periodontal surgery may be necessary in cases of advanced gum disease (periodontitis) that have not responded to non-surgical treatments like scaling and root planing. It is also recommended for addressing issues such as gum recession, bone loss, and preparation for dental implant placement.

Yes, certain periodontal procedures, such as gum grafting and crown lengthening, can enhance the aesthetics of your smile by addressing issues like gum recession and excessive gum tissue. Our surgeons can discuss cosmetic benefits during your consultation

The frequency of follow-up appointments varies depending on the specific procedure and individual healing progress. Our surgeons will provide a personalized follow-up schedule to monitor your recovery and address any concerns.

Yes, same day dental implants can be used to replace upper and lower teeth simultaneously, offering a comprehensive solution for full-mouth restoration. This approach is particularly beneficial for patients seeking to restore both their upper and lower dental arches efficiently and regain full oral function.

The suitability of same day dental implants for patients with medical conditions or compromised immune systems is assessed on a case-by-case basis. Our surgeons work closely with patients and their GP’s or hospital consultants when necessary to ensure that the procedure is safe and appropriate, taking into consideration any medical conditions and medications that may affect the treatment plan.

1019
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Periodontal Treatments Completed

216
300
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Five Star Reviews

50
50
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Years Established

18
20
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Awards And Accreditations

Dr Jasmine Loke BDS(Kings College London)

Specialist Periodontist

GDC Number : 278340

Dr. Jasmine Loke is a dedicated and professional specialist periodontist specialising in the management of gums and bone around teeth and implants. Her expertise lies in treating gum disease, gum recession, and gummy smiles.

Jasmine firmly believes in prioritising the interests and preferences of her patients above all else. Patients truly appreciate her approachable, caring, and gentle nature, which turns dental visits from fearful experiences into enjoyable ones.

After completing her Bachelor of Dental Surgery at King’s College London, Jasmine pursued further training in oral maxillofacial surgery in Manchester. However, her true passion lies in periodontal surgery, leading her to graduate with distinction from the King’s College London Periodontology Specialist Training MClinDent program, which is accredited by the European Federation of Periodontology (EFP). She has also achieved the M Perio with the Royal College of Surgeons of England and the MFDS with the Royal College of Surgeons of Edinburgh.

Dr. Loke’s exceptional clinical abilities were acknowledged when she received the Best Final Year and 2nd Year Clinical Case Prizes during her specialty training at Guy’s Hospital. In 2023, she was also honoured with the British Society of Periodontology and Implantology Clinical Fellowship Award.

To remain at the forefront of dentistry, Jasmine actively engages in attending and presenting at international conferences, while also contributing to research conducted at King’s College London and other esteemed universities.

Outside of dentistry, Jasmine finds joy in the performing arts, cooking, and scuba diving.

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Testimonials

The Dentist, Hygienist, Dental Nurses & Especially the Receptionist staff are very Polite, Friendly & most importantly they try to fit you in quickly in the event of an emergency. Recently I couldn’t get the time of work for an emergency appointment for my 81 year old Mum so I called an Uber for her & told the receptionist this. The young Black Lady called me when she ordered & place my Mother in a cab – so she went above & beyond her duties with a lot of Customer Care & Respect for my Mother- Thank You so much

Zehra M.

Friendly staff and a very good turn around for appointments , next step to meet the hygienist if he’s as lovely as the rest of the staff it will be great

Wendy D.

Had a tooth out which is never fun, but he was great, never even needed pain killers afterwards

Vince A.

Great service! Im usually so nervous when coming in to the dentist but my dentist was so pleasant and polite ! Dulwich Dental Office will definitely be my dentist for life

Tomike O.

I lost my two front teeth whilst at school and had complications for years. Unfortunately I ended up needing an implant – which I had been avoiding! I wish I had done it sooner. Dr Patel was fantastic and guided me through each stage. He was always contactable to answer any queries or concerns. Very happy with the end result and would reccomend.

Tom O.

Registered and seen on the NHS within 2 weeks – amazing. Really friendly staff, would definitely recommend

Tom C.

I have recently finished an invisalign program with Pooja at dulwich dental office and couldn’t be happier. The treatment was easy and pain free and the results are great. Pooja’s experience and friendliness made me feel at ease throughout. I would 100% recommend for anyone considering similar treatment.

Toby B.

A great surgery; Dr Cavan in particular spent time with me to make sure my new night guards fitted well and were up to the job

Dentist Pooja Pillay is excellent and was very patient with me as I I took a long time (years!) deciding whether or not to take the plunge and have Invisalign to straighten my teeth. It didn’t take too long and was easier than I thought it would be. Pooja kept a close eye on how it was all progressing and we even went a bit longer with it just to really perfect the result. I’m delighted with the outcome. Everything was included in the price, even the extra aligners and appointments when we decided to go on a bit longer. All staff at the practice have been excellent. Highly recommend.

Susie F.

I had my Invisaligns done by Dr Pillay and she really took the time to make sure my teeth are lovely and straight. She has always been available with any queries or follow up treatment I needed – and made me feel well looked after from the beginning and end of the treatment. I really recommend seeing her if you want to get Invisaligns done.

Stella C.

Dr. Cavan is super attentive and thoughtful and great at putting is patients at ease. I hate going to the dentist but havent dreaded it once. Everyone is super friendly and clinic is nice. I could not recommend more.

I am undergoing a course of Invisalign treatment with Dulwich Dental Office and I am so pleased with the results, even at this early stage. It is great that I can take the braces out to eat and clean my teeth. I am looking forward to the end result.

Sienna M.

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