Gum Disease Treatment at Smileworks


Have you got Liverpool’s most common disease?  It’s a disease that makes your breath smell, mouth bleed and if left untreated can cause your teeth to fall out.  It’s a disease that increases the risk of heart disease, premature birth, cancer, depression, dementia and obesity.  It’s a disease that’s carried (in some form) by a staggering three out of four adults over 35 here in Liverpool.  It’s Gum Disease.


The latest NHS statistics  tell us that and over 3/4 of adults over 35 have gingivitis or periodontal disease and 95% of individuals in Liverpool will suffer from some form of gum disease in their lifetimes.  Worryingly, children are more and more at risk of gum disease and decay in Liverpool and we have the highest incidence of children under 5 with decay out of the entire uk.


These statistics are worrying but that doesn’t mean that you need to be part of them.  Dental Hygiene Therapists say ‘gum disease is treated at home’ which means that simply brushing your teeth, using Tepe brushes or floss and maintaining a good oral hygiene routine (including trips to the hygienist) will keep your gums and teeth healthy for your entire life.  The success rate for gum disease treatment is extremely high at Smileworks and we help dozens of patients feel great about their smile each month.


Call the office today and speak to a member of the team about getting an appointment with either of our hygiene therapists.  It’s never to late to start thinking about a healthy smile and there’s no problem that can’t be fixed by our expert team.  Here at Smileworks we love treating gum disease because it means developing great relationships with our patients and watching your confidence and happiness increase as your smile and health improves.



I did went Saturday morning as an emergency customer. No previous contact with them in the past. I was extremely happy of what I found. The place itself & location is great. But even better the staff; They were very understanding and helpful. MJ who finally attend my case did work the extra mile (and extra time too :)) so later than 17:30 Sat. Quick/Nice/Effective & Reliable. So far the best dental clinic I have been. Definitively I will recommend & use them again.
13:30 03 Oct 17
Had my fast braces fitted at Smileworks at the beginning of the year and recently had my lips done, MJ and the team are Lovely! Always a Friendly and professional service! Perfect opening hours which work around my job. Highly recommend! 😀
Elle Benson
Elle Benson
13:25 05 Sep 17
The most welcoming and friendly staff I have ever experienced anywhere, let alone a dentist. I felt in safe hands from the get-go and was so happy with the staff arranging appointments for me even outside of the practice. The creative and clever practice design (airplane) topped the fun experience off! Thanks MJ, Georgiana and Heloise.
Sean Donohue
Sean Donohue
22:03 03 Sep 17
Visited smileworks Saturday, place is amazing everyone was really welcoming and friendly. I was given all the answers to any questions i had before I even asked them!. Hannah was fantastic she gave me a full consultation. I am really happy with the outcome. I will be visiting smileworks in the future.
Laura Harte
Laura Harte
18:39 07 Aug 17
I received my Spmu eyeliner treatment today at Smileworks. I am completely over the moon with the results and would highly recommend the treatment. The clinic itself it just wonderful really clean, fresh and highly professional. My therapist was Hannah Taffe who was extremely knowledgeable, but also so warm and welcoming and put me completely at ease. The treatment was really relaxing and didn't hurt one bit. So very impressed and will certainly be back. Next time I will be booking in to see an orthodontist. Huge thanks to Hannah you really are just fabulous. Sarah Bell xx
18:10 05 Aug 17
The staff at Smileworks are fantastic, very welcoming and accommodating. They are always happy to go the extra mile to help you. I had fast braces and 1ml lip filler, i absolutely love the result. Would 100% recommend to anyone looking to get braces or facial aesthetics, they really listen to what you want and combined with their professional knowledge you achieve the perfect result.
Kerry Browne
Kerry Browne
10:46 27 Jul 17
I went to Smileworks to have the composite reconstructions on my two front teeth replaced as well as my teeth whitened. On my first appointment with M.J I was given detailed explanations of what these processes involved, which not only eased my apprehensions but stood out from all the previous dentists I had visited. The teeth whitening took approximately two weeks, after which I had the most amazing reconstruction done on my front teeth by Dr Billal Arshad, including a flawless colour match to my newly whitened teeth. The treatment I received was incredible and the end results speak for themselves, I have had numerous people within the fist week comment on how incredible my teeth look. To all the staff at Smileworks I say thank you so much, you have made me a very happy customer.
David Birtles
David Birtles
11:55 26 Jul 17
Easily the best dentist appointment I've had. I was recommended to go by a friend who couldn't have spoken more highly of them. The facilities are top notch, service friendly and comforting. The staff were great. The treatment was thorough, honest and well explained. First class (excuse the airline'll see why!)
Adam Samy
Adam Samy
19:10 01 Jun 17
Absolutely excellent service. All the staff are friendly and make sure all your treatment options are fully explained. Don't do anything unless your 100% sure of all that's available. Shiron made sure my treatment was the absolute best it could be.
Keith Chellew
Keith Chellew
18:41 24 May 17
Absolutely great find. Friendly staff and MJ who treated me was professional, reassuring and positively fantastic about what my needs were and what I was looking for. There was no pressure on anything and she spoke in depth about full details on every procedure without any rush in me in making an option. I will definitely be visiting again. Thank you once again!
Samina Mubarak
Samina Mubarak
20:02 06 May 17
I found Smileworks after looking online for the best specialist orthodontist, and after several visits now, I do believe that they live up to the hype! Every visit has been a pleasure, with the excellent reception always offering a warm and hearty welcome. Due to the severity of problems with my teeth, my treatment plan is extensive and means that despite being early days, I have met with and been treated by a range of the staff here; I can confirm that they're all fantastic and incredibly thorough - everything is explained in detail and nothing is ever rushed. I should also thank Paula (and her assistant whose name I've forgotten - sorry!) yesterday for cleaning the insides of my teeth so thoroughly when I don't even think it was necessarily part of the appointment (the appointment was for a filling). I look forward to continued excellent care from Smileworks and can't wait to get my braces on! Cheers guys!
Michael Kelly
Michael Kelly
08:04 14 Apr 17
I had dental work and a procedure on my top lip. I was really nervous on my first visit but the staff are truly lovely and put me at ease straight away. I loved the quirkiness of the waiting room- very different from any dentist/doctors waiting room I've been in. The treatment rooms are very clean, love the design and layout. I also loved the patients photo smiles on the wall!! straight away I relaxed and I could feel the friendliness of the staff. MJ really listened to my fears and listened to what I required, she understood completely my views and the treatment I received was given exactly as I requested!! They really want to help you and they're interested in what you have to say - they love their job!!! I've made a follow up visit and will continue to use them. I've also recommended Smileworks to my friends and will continue to do so.
Nicci Richards
Nicci Richards
20:11 26 Feb 17

About Gum Disease


Gum Disease is an infection of the gums that causes them to become inflamed and red.  If left untreated, this gum infection can lead to gum recession and also attack the bone, ligaments and structures that support your teeth causing them to become loose and eventually fall out.  Gum disease also causes you to have unpleasant smelling breath.  Gum disease is exacerbated by smoking and certain ‘dry mouth medications’.


It’s caused by plaque, a sticky film of bacteria that forms on the teeth and gums.  Brushing regularly removes this plaque although you will need to visit the hygienist (or dental hygiene therapist) to have your teeth scaled every three to six months.  Scaling is where a high pressure jet of air and water is blasted under the gum-line to remove plaque and bacteria that brushing cannot reach.



Sometimes you can get bad smells and abscess-like symptoms from impacted wisdom teeth.  This is not the same as gum disease and causes pain in your wisdom teeth (or third molars).  Often the wisdom teeth need to be extracted and you can read more about that here: wisdom teeth removal.

When patients come to smileworks they will have a number of diagnostic checks as part of their check-up.  Your dentist or dental hygiene therapist will take x-rays. The reason we do this is the measure the amount of bone loss and any damage to supporting structures of the teeth.  Remember the bacteria damage your bone and this is what makes your teeth wobble with advanced periodontal disease.

We will also conduct a ‘pocket chart’.  This is not a chart you keep in your pocket but a depth measurement of the ‘pockets’ between the gum and bone.  The deeper the pockets in mm the worse the situation.  Bleeding is often not common with advanced periodontal disease because the blood pools in the pockets and you don’t see it.



Your Clinicians

Types of Gum Disease

Gingivitis is the mildest and most common form of gum disease affecting 95% of adults at some point in their lives. You may notice symptoms like:



Gingivitis does not affect the underlying tooth structures and is easy to prevent with a good oral hygiene regime that includes brushing twice daily.  In addition to brushing you will need to floss or use intra-oral brushes or ‘Tepe brushes’.  Gingivitis is also straight forward to treat at the dentist with regular hygiene appointments where the therapist will clean under the gemlike and remove the bacteria that type brushes and floss cannot reach.  Watch the video here to learn more;



Periodontal Disease


When gingivitis is left untreated and you are not regularly brushing, flossing or using intra-oral brushes, you will develop full gum disease or periodontal disease. This is where the bacteria in the plaque causes a full blown infection in the mouth.  It’s not the actual bacteria that cause the problems but how your body responds to the bacteria that causes many of the issues associated with gum disease.




Chronic Periodontal Disease / Periodontitis


This is where the bacterial infection is severe and chronic.  You will notice severe gum recession, wobbly or loose teeth and you may have a number of missing teeth.  When the disease has progressed this far there is an increased risk that you may develop other systemic health problems as a consequence.  Brushing and oral hygiene will not be enough to treat advanced perio and you will need to come to see your dental hygiene therapist for a treatment plan to get the disease under control.


Here’s a helpful video explaining periodontitis in more detail including your treatment options.



When should I get treatment?


If you were bleeding from your ears or nose every day would you just ignore it or go and see a doctor? Of course you would see a doctor!  Likewise if you had a swollen or infected hand would you go and see a doctor or just leave it?  Gum disease is an infection of a significant part of your body and you must get it treated if you want to keep all your teeth and have a healthy smile.  But more than this, gum disease is also linked to a whole host of other inflammatory diseases and can create problems with your overall health if left untreated.


Call the office on 0151 236 5166 or fill in the form below and speak to someone about gum disease treatment at Smileworks.  It’s never to late to start your journey towards a healthy smile.


See our Practice

Gum Disease Treatment


As we’ve already said, the best treatment for gum disease is prevention.  The best way to get rid of gum disease is not to get it in the first place.  Gingivitis treatment will usually start with brushing twice daily, using Tape brushes and flossing.  Take a look here at the Smileworks guide to Oral Hygiene Gadgets for a great review of all the different oral hygiene tools and hacks available to keep your teeth and gums healthy.



If the problem is more severe and you have periodontal disease then this can be treated at the dentist with more frequent hygiene appointments.  Patients with healthy mouths should visit the dental hygiene therapist or hygienist at least twice a year.  For individuals with periodontal disease, you’ll need to visit four times a year or even more.



The therapist may also proscribe special antibiotics that will help your body fight the infection and get your period under control.  Many patients ask whether periodontal disease has a cure.  The answer is that it cannot be ‘cured’ but can be managed so it stops causing you more problems in the future.


How much does it cost?


This is another question frequently asked by patients.  Here at Smileworks we have a tailored gum disease membership plan that costs just £30 per month for:



if you have advanced periodontal disease then your dental hygienist therapist will need to conduct additional treatments to stabilise your gum disease including a course of antibiotics and frequent debridements to remove the plaque, tartar, dead tissue and debris from around the teeth and gums to allow the infection to heal and your situation to improve.  This will incur an additional cost but patients are often surprised at how much can be done and how their position can improve without spending very much money. 



Here at Smileworks our dentists very rarely if ever treat gum disease.  We leave it to the experts who are dental hygienist therapists and spend their entire careers treating and managing gum disease.  This is not only a better solution to get you the results you deserve but also a less expensive alternative to being treated by a dentist.


How long does treatment take?


Gum disease treatment is not a simple fix and it involves work from both the hygiene therapist and you to fix the problems and improve the health of your mouth.  Treatment can take months and often seems to get worse before it gets better.  This is normal though and your dentist or hygienist will give you all the advice you need on what to expect during your treatment.


Is it Painful?


Gum disease can sometimes be painful but a lot of the time there is no pain from the infection.  This is one of the main reasons it is such a widespread disease.  People assume that everything is ok so long as it doesn’t hurt.  Treatment for advanced gum disease is not painful and your therapist will use local anaesthetic to numb the treated areas before any potentially painful work is carried out.


How to find us

Gum Disease and your general health

When you have fixed braces, it can be more difficult to keep your teeth clean and patients are at slightly increased risk of gum disease.  During your braces treatment, your dentist or orthodontist will keep a close eye on the health of your smile and instruct you on how to keep your teeth, gums and braces clean.


If you already have periodontal disease then this must be brought under control before you undergo orthodontic treatment.  This is fairly common and having gum disease doesn’t mean you can’t get braces it just means we need to teat it before we start orthodontic treatment.  Smileworks braces patients get hygiene appointments as standard and you can be assured that your gum disease will be fully controlled so that you can get your teeth straightened and get the smile you deserve.


Gum disease and other illnesses


Dr. Charles (Chip) Whitney of the American Academy of Oral and Systemic Health (AAOSH) gave a wonderful keynote speech in 2017 about the link between oral health and systemic (overall) health.  There is a powerful effect of oral bacteria on cardio vascular disease and many other diseases an this is proven to a high standard in medicine. 


When a patient has gum disease the bacterial infection in their mouth is literally raging out of control.  Swallowing and absorbing the toxins and byproducts of this bacteria for a long time can cause serious health effects in your body – not just in your mouth.  Each year dentists, cardiovascular researchers and scientists find out more and more increasingly worrying links between heart disease, cancers and other systemic diseases that are linked to and made worse by gum disease or ‘Oral Bacteremia’ 



There is an incredible amount of illnesses including heart disease, stroke, diabetes, preeclampsia (premature birth), cancers and even dementia.  Many of these associations are ‘Level A Associations’ which mean there is a direct cause. There is also a possible association between fertility and gum disease.


A recent study by the American Dental Association found that gum disease sufferers had an overall risk of 14% for cancers generally with some specific types of cancer being 30% more likely in gum disease sufferers.  According to the study:


“men with a history of periodontal disease had a 36 percent increased risk of lung cancer, a 49 percent increased risk of getting kidney cancer, a 54 percent higher risk of pancreatic cancer and a 30 percent increased risk of white blood cell cancers”


So if you needed a reason to get your gum disease treated, then this is certainly it.  Many people don’t get treatment and say ‘gum disease can’t kill you’ but it’s clear from these findings that this statement is not entirely accurate.


Gum disease is exacerbated by certain medications.  The reason for this is that they cause you to have a dry mouth (also called xerostomia).  Your dentist or Dental Hygiene Therapist will take a full medical history and discover whether medications you are taking might cause your gum disease to worsen.


Click the image to download our report; “Liverpool’s Most Common Disease”.

Liverpool's most common disease