Advanced Periodontal Treatment in North London

Seek an urgent assessment if symptoms persist despite improved home care. Look for gums that are swollen, bright red, or bleed when you brush. Gum recession, where teeth look longer, or new gaps between teeth are signs. Persistent bad breath or a bad taste and teeth that feel loose signal possible bone involvement and require professional attention. Many patients in North London come to us with discomfort when chewing or pus around the gum line, which indicates an advanced infection.

The journey starts with a thorough 60‑minute consultation. We perform a detailed examination, measure pocket depths around each tooth, and take digital X‑rays or a 3D CBCT scan to assess bone loss. The primary treatment is a deep cleaning called scaling and root planing, delivered in one or two sessions of 60 to 90 minutes under local anaesthetic for your comfort. We remove tartar and plaque from below the gum line and smooth the tooth roots to help the gums reattach. A follow-up is scheduled 6–8 weeks later to check healing. Then we establish a long‑term maintenance plan with hygiene appointments every 3–4 months to prevent recurrence. For very advanced cases we discuss surgical options.

Right after scaling and root planing you may feel tenderness and mild swelling for 2–3 days. Teeth can be sensitive to hot and cold for up to a week. Use over‑the‑counter pain relief as needed. Eat soft foods for the first 24–48 hours, such as soups, yogurt, and mashed potatoes, and avoid hard, spicy, or crunchy items. Brush gently on the same day and skip flossing the treated area for a day or two. Rinsing with warm salt water can soothe the gums. Follow your personalised home care plan for the best long‑term result. If you have severe pain after 3 days, persistent heavy bleeding, or fever, contact us during office hours (Mon/Wed/Fri 9‑5, Tue/Thu 11‑7).

Non‑surgical treatment remains the main approach. If the disease is very advanced or unresponsive to initial therapy, other options include tooth extraction as a last resort to stop the infection from spreading to adjacent teeth. The missing tooth can be replaced with a dental implant or a bridge. In borderline cases, some patients choose watchful waiting with intensive hygiene maintenance every 2–3 months. This carries the risk of progression but may suit individuals who are not candidates for invasive procedures. During your consultation we present the full picture and help you decide the best path for your situation.

To decide on periodontal care, whether with us or another North London practice, ask these essential questions: the total cost of the initial treatment plan and long‑term maintenance costs; the type of periodontal therapy they recommend and why; their success rate for similar cases and the technology they use for diagnosis and treatment. Inquire what is included in the fee, such as follow‑up visits and x‑rays. Finally ask about long‑term care and how they will help prevent recurrence.

Private periodontal treatment costs in London depend on the severity of the gum disease. An initial consultation with a full mouth assessment is typically about £95 to £200. Non‑surgical treatment for the full mouth ranges from £400 to over £1,000. At our Finchley practice we provide a clear quote after your exam with no hidden fees. The price includes the deep cleaning procedure, local anaesthetic, and a follow‑up review to check healing. We accept private insurance from Max Bupa, Denplan, and Cigna, and can help you understand coverage. Long‑term maintenance with our hygienist is a separate ongoing cost.