Our excellent hygienist Emanuela Todorova cooperates with specialists in periodontology to provide the best care of gum diseases. The typical sign of early stages of gingivitis​ ​and periodontitis​ ​is bleeding gums accompanied by inflammation and bad breath. At final stages, the teeth become loose which can result into a complete loss of teeth. It is not reasonable to underestimate even minor gum bleeding. Book your visit right when the early symptoms set in.



The first stage, called gingivitis, occurs when bacterial plaque is not thoroughly removed from your teeth. Red, swollen and bleeding gums are the telltale signs of this infection. Gingivitis affects the majority of people, and advanced periodontitis is estimated to affect 5-15% of adults. The detection and diagnosis of these common diseases is a fundamentally important component of oral health care. That is why our patients undergo a periodontal assessment as part of routine oral examination.

Hygiene phase

Once a gingivitis or periodontitis is diagnosed, we need to stop disease progression by controlling plaque levels and eradicating active oral infections. Adequate control of bacterial plaque by the patient is crucial for healing and for maintaining healthy gums. That is why we will help you uncover the issues in your brushing technique and recommend good plaque removing tools. Gingivitis is easily reversible with daily brushing and flossing – and a professional cleaning at the dentist’s office.


Follow up treatment

When left untreated, gingivitis can progress into a more serious condition called periodontitis. Toxins from this buildup of bacterial plaque not only affect your gum tissue, but also the bone which can lead to your teeth eventually becoming loose. In that case they may need to be treated surgically or removed. But even advanced cases of periodontal disease don’t have to progress to this point. Nowadays there is a wide range of effective treatment methods which is successfully used in our dental clinic.

Non-surgical​ ​treatment

Your first step in treating periodontitis is nonsurgical treatment called scaling​ ​and​ ​root​ ​planing​. This process removes the plaque and tartar off of your teeth and root surfaces by scaling, and then smoothing away any roughness on the roots to prevent bacteria from gathering again. After this, the gums will heal and reattach themselves to the healthy, clean teeth. Within a few weeks, we will evaluate your healing and decide if further treatment is necessary.

Surgical​ ​treatment

Non-surgical periodontal treatment has its limitations. When it does not achieve periodontal health, various periodontal surgeries may be indicated:

  • Periodontal pockets reduction with medical solutions (rinsing the gap between a tooth and gums)
  • Open flap debridement (a surgical procedure intended to reduce periodontal pockets)
  • Osseous surgery (bone surgery)
  • Bone grafting
  • Guided Tissue Regeneration with a membrane application
  • Bone transplantation in case of significant bone destruction
  • Loose teeth splinting with an application of aesthetic composite splints

Prevention is the key

Maintaining a healthy smile starts with prevention and regular dental check-ups. It’s important to keep up-to-date with regular appointments, to ensure that your teeth and gums are looking and feeling its best.