Periodontal Disease

What is periodontitis in Watford?

Periodontitis is the more severe form of gum disease, it means that there is a serious infection in the gum, caused by bacteria which has accumulated on your teeth and gums.

If left unattended, periodontitis can damage your bones and teeth and lead to tooth loss. The good news is that if identified early, periodontitis can be treated, and the damage stopped.

At Watford Dental Practice, we promote a preventative approach to dentistry – we aim to prevent periodontal disease from arising in the first place, but our dentists do treat patients from Rickmansworth, Watford, Chandler’s Cross, Bushey, Moor Park, and throughout Hertfordshire who have gum disease.

Book An Appointment

Stages of periodontal disease

There are several stages of periodontitis. You may not notice any signs of early gum disease whilst brushing your teeth at home, and this is why we recommend regular check-ups with your dentist and hygienist who can keep a close eye on identifying and diagnosing periodontal disease.

Gingivitis

Gum disease starts with gingivitis. This is where plaque builds up on your teeth and affects the gums. Plaque is caused by bacteria and food debris in your mouth.

Whilst bacteria will always be in your mouth, an excess of it – usually caused by poor dental hygiene – can lead to gingivitis.

You may notice red or inflamed gums which may bleed when you brush your teeth. Worryingly, you may not notice any symptoms at all.

Early periodontal disease

If gingivitis is not treated, you will go on to develop early periodontal disease.

Your gums will start to recede and small pockets between the gums and teeth are formed which attract the harmful bacteria.

Your body will begin to fight the infection. You may still notice bleeding when you brush your teeth.

Moderate periodontal disease

If left untreated, the periodontal disease will advance. At this stage you may notice more pain and bleeding from the gum.

Your teeth will start to lose the support from the bone and may become loose.

Advanced periodontal disease

At this stage, the gums, bones and other oral tissue which keep your teeth in place become destroyed.

You might experience severe pain, bad breath and are likely to lose teeth.

How is periodontitis treated in Watford?

Treatment for periodontitis at Watford Dental Practice will depend upon which stage of gum disease you have. Ultimately, it will involve your hygienist removing the plaque and bacterial deposits from your teeth and gums.

Professional clean

Your hygienist will conduct a thorough and professional cleaning of your mouth.

As well as removing the build-up of plaque, they will give a deep clean to any periodontal pockets that have formed in your gums, and which collect bacteria.

Antibiotics

Sometimes, your dentist may prescribe antibiotics for persistent or severe forms of gum infections.

You may be given mouthwashes or some form of treatment plan to carry out at home. Your hygienist will show you how best to brush your teeth and boost your oral hygiene.

Surgery

Your dentist will want to keep a check on the periodontal disease so you will need to come back to the dental surgery in Watford for regular checks.

If the gum disease persists and is not responding to other treatment, you may be offered surgery which involves lifting the gums away from the teeth roots and cleaning under the gums. You may also consider surgery if you have suffered from bone loss.

FAQ's for Periodontal Disease

What are the symptoms for periodontitis?

This will depend on the stage of periodontal disease, but you may notice bad breath, bleeding from the gums when you brush your teeth, red, tender or swollen gums, receding gums, pain in your gums, a bad taste in your mouth or a tooth becoming loose.

Are some people more likely to develop periodontal disease?

Yes, people who smoke are the group of people most at risk of developing gum disease. Other factors include type two diabetes and obesity. Certain immune diseases like leukemia can increase your chances of getting gum disease. Additionally, some medications can affect your likelihood of developing periodontal disease.

How can I prevent periodontal disease from occurring?

By taking good care of your oral hygiene. This means brushing your teeth for two minutes and in the correct way twice a day. Flossing to prevent the build-up of plaque between the teeth once a day. You should visit your dentist and hygienist every 6 to 12 months and cut out smoking.

Our Reviews

Zeeshan M.
My family and I have been using this dentist for a number of years now.Dr Hirani is knowledgable friendly and polite. She often recommends the course of treatment that is best for the patient versus other dentists I have visited who seem to want to just take money for extra treatments!The reception staff are also pleasant and helpful to me, my wife and my children. This is often against a backdrop of when the a dental practice is busy, or when dealing with some challenging clients.Would recommend this as a they do NHS treatment and have good dental hygienists.There is free parking on the surrounding streets after 10am and before 5pm.
Denise B.
My family and I have been seeing Dr Shah for about 15 years. When I first began seeing him my teeth was not in the greatest condition and the work he has done since to make them neater and comfortable via the NHS is phenomenal. He always takes time to listen to your issues and deals with problems efficiently. He's very gentle and has been excellent with my daughter who's a little nervous. Overall the best dentist I've ever had and highly recommended. The practise aa a whole is friendly, clean and the staff are always polite and helpful.
Michael W.
Denisa and Maria (hygienist) are amazing. In only 2 sessions they made my teeth look and feel so much better than they have in decades! They were honest, direct, very knowledgeable, yet very empathetic. I would definitely go back
Rumaisa M.
Great service very friendly. Dr Hussain is a great dentist! 10/10 🤌🤌
Sean K.
I saw Denisa for a second Hygenist appointment today.A wonderful practitioner and so very thorough.At my first appointment with Denisa, she told me in a very honest way what to do to increase my oral hygiene. I listened to her and put what she suggested into practice.I cannot recommend her & this practice highly enough.
Mihailici C.
Dr. Priya is a remarkable dentist with genuine care for her patients. Her work is exceptional and it reflects her years of experience. She explains every step, ensuring comfort and confidence. Her kindness and dedication make even the most anxious patients feel at ease. Dr. Priya is a true gem at Watford Dental!
Shainy C.
We have been coming to Watford Dental Practice for a number of years. Our family is under the care of Ms Hirani who is a wonderful dentist. She is really lovely, quick and has a wonderful manner with my children. The reception staff are polite and try to accommodate appointments as much as they can. Definitely recommend this practice.
Richard K.
Rani and her assistant very kind and very professionalThank youRichard Kent
Vivek M.
The appointment is required to see a dentist. Overall, you are looked after from the beginning to end. Until you get the bill 😃
ADRIAN P.
Very impressed....very professional...very modern clean environment.... dentist was excellent...will stay with practice...
booboo
R Hirani is an excellent dentist who makes me feel at ease….I would highly recommend her and this dental practice
Hayley
This practice and the staff were a complete life saver! I was suffering from impacted wisdom tooth pain, and unable to get an appointment at my usual dentist any sooner than 5 days time. I was referred here by NHS 111, and the staff couldn't have been more helpful. The receptionist was lovely, very empathetic and was able to get me an emergency appointment two hours later. My appointment was with Mr. Aftab Hussain, and he was superb! Diagnosed the issue speedily, provided me with the treatment, discussed preventative measures and how the issue would be treated if it occured again, and made me laugh. Excellent all around! Thank you so much!
lillianne B.
had a wonderful experience with watford dental all pleasantly delightful and friendly. Made me feel so at ease as I am a nervous patient and guided me through all my treatment in such detail. Reception team were lovely. Spoke with the manager too who was a delight and very helpful, when i needed a refund for cancellation of a hygiene, as I was moving out of the area she explained in such detail of how the process worked. Thank you to everyone at watford dental.
Asha P.
Been a patient of Watford Dental since I was a child. Dr Abhay Shah is just incredible. So patient, reassuring and brilliant. Wouldn’t go anywhere else. 5 stars
Krishan P.
Fantastic practice. Wonderfully clean and professional environment. Team from reception to dentists and nurses are friendly, welcoming and know how to put your mind at ease. Thank you!
E.Pepp
I am very happy with my dentist Mr Patel Manish ,
Albert S.
After experiencing serious toothache for days the receptionist was more than helpful and happy to try and get me a same-day emergency appointment can't speak highly enough
Nishma S.
Had a really nice experience today at Watford Dental Practice. I am always anxious to visit the dentist and I was on this occasion too. However from the moment I was called in I was made to feel relaxed. The dentist explained everything to me and made sure I understood what was going on. The dentist was very gentle and I can honestly say the whole appointment was much better than I anticipated. I have recently changed to this dental practice and whole heartedly recommend them.
Kirsty P.
Always a wonderful experience with Watford dental practice. The receptionist staff are always helpful and friendly. I’ve just finished Invisalign treatment with Roshni who has been incredible. I’ll almost be sad to not be going back aside from for check ups! Very happy with everything from start to finish and would always recommend.
letitia J.
Visiting Watford Dental practice was a great experience for me and my sister, we travelled 2hours to been seen at this dentist and it did not disappoint.I was called in early for my appointment as I arrived early. To my delight the staff were very pleasant and helpful.I had a fantastic clean and check up and some brilliant advice was given. Sapphire and Roshni were particularly helpful and I would like to thank them for their amazing service.
Sushila S.
Excellent service from Priya and her team at Watford Dental Practice.
Willow H.
Feel so lucky to have this as my local dentist. The staff there are always so lovely and helpful. A special thank you to Roshni who is always such a joy to see and is so attentive, professional and caring!
T B
I’ve been coming to this Practice for over 20 years and have had the same Dentist all this time Mr Shah is fantastic always puts me at ease due to my health there has been times I’ve had to cancel at the last minute once the receptionist has spoken to Mr Shah who is very understanding a new appointment is made so I’m sure they don’t strike you off for medical reasons more like not turning up without an explanation I would always recommend this practice and of course Mr Shah
Céline F.
I would highly recommend Watford Dental Practice. I have seen most of the dentists here and they are all amazing and all go out of their way to make sure you get the best care possible. I would like to especially thank Aftab and Zara who have both recently done treatment on my teeth. You cannot tell that my teeth have been restored they all look completely natural and white.Aftab and Zara were able to fit me in quickly at fairly short notice so that I could start my ortho treatment. Thanks for always being amazing 🙂
Kennan N.
I can only say that this was absolutely fantastic. The surgeon Zara was great and very gentle with my sensitive teeth and gums. Very easy to get an appointment and did not have to wait upon arrival.
Rabah D.
Excellent customer services, and good Dr 👍 experience,,,I'm highly recommend this practice.
Shahzad S.
A great practice to be associated with. Genuinely care about you and go out of the way to arrange consultations where necessary by the most appropriate doctor in the field . Special mention to Dr Roshni Hirani and Adrian Mullish .Cannot thank you both enough !
Jay R.
Roshni, Alisha and Nikki have been nothing but amazing with the treatment of my wisdom tooth managed to give great advice to ease the pain while I await for it to be removed, all this while keeping the cost to a minimum. Highly recommend and couldn't stress to get yourself booked in to see these absolute legends
adrian I.
dantastic service here today loverly staff best dentists going thank you to all loverly staff
michael S.
Been going there for a few months now, and I cannot recommend it highly.My,dentist, Roshhni,was amazing and so highly recommended 👌👏🙌😍They are a busy practice, but it's worth the Wait.
js_loader