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3 Wycombe Road,
Prestwood, Buckinghamshire
Great Missenden HP16 0NZ

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Geans Clinic - Periodontal (Gum) Care Geans Clinic - Periodontal (Gum) Care

Dental Treatment

Periodontal (Gum) Care

Your gums are the foundation of your oral health, keeping them strong and healthy is essential for a lifetime of confident smiles.

However, Gum Disease (Periodontal Disease) is a silent but serious condition that affects more than 45% of UK adults, often without noticeable symptoms.

However, Gum Disease (Periodontal Disease) is a silent but serious condition that affects more than 45% of UK adults, often without noticeable symptoms.

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At a glance

Treatment time

Several sessions up to 1 hour over a few months

Key benefit

Prevent tooth loss

Downtime

4 hours – 1 day

Anaesthetic

Local

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Geans Clinic - About Periodontal (Gum) Care
About this treatment

At Geans Clinic, we offer a range of evidence-based gum treatments to halt the progress of gum disease, strengthen your teeth’s support system, and protect your smile for the future.

The treatments are prescribed based on comprehensive Gum Assessments which identify early signs of disease before they cause lasting damage. Every patient receives personalised guidance based on their genetic, social, and personal risk factors for gum disease.

Our team follows the latest scientific research to manage and treat gum disease effectively.

Treatment of Periodontitis

Phase 1

The first phase of treatment involves removing bacteria (in the form of plaque and calculus) from periodontal pockets by deep cleaning or scaling the root surface. This is usually done under a local anaesthetic and can be split over a few sessions.

In aggressive forms of the disease, antibiotics may be used to complement this therapy.

Phase 2

Advanced disease sometimes calls for a second phase of treatment. This involves creating access to these deep periodontal pockets by periodontal surgery. Sometimes localised application of periodontal regenerative materials are used.

When active treatment ends, the disease should be stable.

Phase 3

This is when the third phase of treatment or the maintenance (or supportive) phase begins. This is a fundamental stage in periodontal therapy and the only way to achieve control of periodontitis in the long term. This is normally performed on a three or four monthly basis by our hygienists.

The dental hygienist will carry out a thorough reassessment to evaluate your oral health. This involves analysis of plaque and bleeding levels; and individualised therapy adjusted to the needs of each patient.

At Geans Clinic, we believe in a different approach—one that focuses on prevention rather than just treatment.

Our dentists and hygienists work together to screen all our patients—including children—for early signs of gum disease. We don’t just treat problems when they arise; we proactively help you prevent them.

We monitor your gum health regularly, ensuring any issues are caught before they become serious.

Geans Clinic - FAQs Treatment Room Geans Clinic - FAQs Treatment Room

FAQs

Historically, it was believed that the accumulation of plaque (due to poor oral hygiene) was sufficient to initiate periodontitis in all individuals.

However, people are resistant to getting periodontitis even if their oral hygiene is poor. Some patients are highly susceptible and will develop the disease even with quite good oral hygiene and most of the remainder will develop the disease eventually (by 65 years of age) if they have average oral hygiene.

Susceptible patients develop the disease because their immune system over-reacts to the presence of plaque at the gum margin and especially between the teeth. These patients are “at risk” of early tooth loss because they possess or have been exposed to “risk factors”.

The phases of treatment described above are very effective in achieving periodontal health, but bacteria tend to recolonise periodontal pockets and if preventive measures are not taken, the disease reappears some months later.

Persistent bad breath is often caused by oral bacteria that produce volatile sulphur compounds. Because gum disease and halitosis are closely linked, improving gum health significantly reduces bacteria build up helping you regain fresh breath and confidence.

Dental implants require special care to prevent Peri-implant Disease, a condition similar to gum disease that can shorten the life of your implants. Our hygienists use state-of-the-art techniques, including Guided Biofilm Therapy, to keep your implants and natural teeth in top condition.

Plaque (Biofilm) build up within hours after brushing and calculus (tartar) buildup is the calcified version which cannot be removed by brushing. This traps more plaque which can increase the progression of gum disease and cause tooth loss. Regular cleans every 3, 4, or 6 months keeps your teeth and gums healthy and free from harmful deposits that contain disease inducing bacteria.

Periodontitis cannot be cured, but it can be stopped and held at bay so that you can keep your teeth for life. The most important thing you can do is to learn how to achieve the highest standard of oral hygiene possible.

Like diabetes patients have to measure their blood glucose levels and be careful what with their diet, you have to monitor your plaque levels and be careful with your oral hygiene.

No matter what we do for you, unless you are cleaning meticulously and conscientiously on a daily basis at home, our treatment will fail. It is also important you are attending for regular check-ups with your dentist so that we can identify and treat “flare-ups” of the disease quickly.

The hygienist plays a vital role in maintaining your gum health in the future. Once treatment has been completed it may be recommended that you see the hygienist on a regular basis to maintain your oral health, the hygienist also checks for deep gum pockets and will alert your dentist should further treatment be required.

Patient videos

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Procedure videos Patient videos
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Price from

Following your consultation, you will be provided with a written estimate of costs for treatment. This is based on the materials or products to be used, and complexity of the procedure. You will always be given clear transparent costs and there will never be any hidden costs or surprise bills!

Geans Clinic - Price From
Geans Clinic - Price From
Price from

£350

Specialist team

Geans Clinic - Sabrina Parmar Profile Image

Sabrina Parmar

BDS, MSc Perio (Dist) LL.M. MJDF RCS (ENG)

GDC Number: 177650

Principal Dentist

Meet Sabrina Parmar
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Geans Clinic - Bad Breath
Geans Clinic - Loose Teeth
Geans Clinic - Bleeding Gums
Geans Clinic - Sore Mouth
Geans Clinic - Bad Breath
concerns

Bad Breath

Bad breath, also known as halitosis, is an unpleasant odour coming from the mouth.

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Geans Clinic - Loose Teeth
concerns

Loose Teeth

A loose tooth in adults is your body’s way of saying something isn’t right. The earlier we find the cause, the better chance we have of saving the tooth—and your smile!

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Geans Clinic - Bleeding Gums
concerns

Bleeding Gums

Bleeding gums are a common sign of gum inflammation or disease and shouldn’t be ignored.

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Geans Clinic - Sore Mouth
concerns

Sore Mouth

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Related
concerns

The following associated conditions may be related to either the treatment or condition your viewing. We are always happy to answer any questions you may have so please get in touch.

Geans Clinic - Team Geans Clinic - Sanjeev Kutty
BG Element Our dedicated team

Everyone on our team, from our practice manager to our hygienists, works towards making your visit comfortable, caring and personal.

Geans Clinic - Sabrina Parmar Geans Clinic - Receptionist
Quote Icon Upper Quote Icon Lower Patient Testimonials

We as a family have been coming to this dentist since it opened. I cannot stress how professional and caring they all are. I myself am a nervous patient and they put me at ease every single time. My son has unfortunately had to have root canal treatment not something anyone likes to endure but they were so careful, gentle and professional that my son wasn’t worried, scared or in pain (he fell asleep). I love this dentist, and recommend you to everyone. Sabrina is AMAZING, such a lovely person.

Anonymous patient

Thank you Sabrina for not hurting me and making me feel at ease! I’m scared to death of the dentist!

Anonymous patient

Both my wife and I have been in to see you for a few different treatments and on every single occasion we have left feeling happy and confident with the work you have done. My wife was extremely nervous about having any work done but after having the first consultation with you she came away and immediately felt relaxed about seeing you again to begin the treatments. After the experience we’ve had with you I no longer dread having to book in for a check up!

Anonymous patient

I have trusted my dental health to Geans Dental or over 5 years now. Every visit and treatment has been undertaken by a very professional clinical team assisted by a caring and incredibly supportive team. 5 star treatment from a 5 star organisation

Ian H

Always friendly, helpful and a pleasure to visit. I have been a customer/patient for many years along with my wife. I recommend Geans Dental as an excellent choice if you want 1st class dentistry.

Anonymous patient

A beyond excellent service every step of the way. Completely fantastic.

Anonymous patient

In recent months I have seen the dentist and visiting dental surgeon as well as the dental hygienist. I would like to say that I always find their care and professional skills are exemplary, putting me at ease and providing excellent dental care and advice – Thank you all!

Anonymous patient

A very positive experience. Came away with real confidence and trust in the quality of care and advice received. Thank you.

Anonymous patient

A very positive experience. Came away with real confidence and trust in the quality of care and advice received. Thank you.

Anonymous patient

Will you please pass my thanks to Shrina Nathwani for her wonderful, professional care when I had a tooth extracted… I had been dreading the procedure but Shrina made me feel so relaxed and I must say I felt no discomfort. Shrina and the dental nurse who assisted her are a definite asset to your practice.

Anon 1, October 2018

I had excellent service from Shrina, not even any swelling or bleeding after the extraction last week. It’s just such a relief to have this sorted. Thank you for your prompt action.

Anon 2, December 2018
Geans Clinic - Patient Testimonials

Discover what other patients have to say about their experiences with Geans Clinic…

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Non-Surgical Treatment (Scaling)

When plaque bacteria build up on your teeth it can calcify or harden and stick hard forming calculus (tartar).

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Periodontal Surgery

Periodontal surgery can be used to target areas where regular scaling has not responded and allows our dentist to clean the area more thoroughly by being able to see the areas under gum that are causing the issues.

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Prevention

At Geans Clinic we believe prevention is better than cure and prevention isn’t just about cleanings—it’s about building strong, healthy habits and catching small issues before they become big ones.

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Periodontal Maintenance

Periodontal maintenance, also known as supportive periodontal therapy (SPT) is for everyone essentially to keep your gums in good health.

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At Geans Clinic we believe prevention is better than cure and prevention isn’t just about cleanings—it’s about building strong, healthy habits and catching small issues before they become big ones.

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EMS Airflow

At Geans Clinic we are fortunate to offer every patient treatment using our EMS Airflow.

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