Welcome to Simply Periodontics
Practice Limited To Periodontics
B A Varghese
BDS, MFDS RCS (Eng) (GDC No. 105566)
Bobby Varghese qualified with a Bachelor of Dental Surgery (BDS) in 2002 and gained his MFDS from the Royal College of Surgeons (England) in 2007. In 2010, he completed a postgraduate certificate in Restorative Dental Practice at the Eastman Dental Institute, London and has had broad training in hospital dentistry.
Bobby spent several years working in general practice gaining a wide range of experience and this is where he developed an interest in Periodontics. He is currently doing specialty training in Periodontics (treatment of gum condition), at Guy’s Dental Institute, London and shares his time at Guy’s Hospital -in training and teaching the undergraduates. Bobby’s work in dental practice is now limited to Periodontics.
Bobby is a member of the British Society Of Periodontics and currently the secretary of the Early Career Group of the society. Having lived and worked in Kent since 2010, he is delighted to be able to offer a dedicated periodontic service in the local area.
We are delighted to offer you and your patients a private referral clinic for periodontal treatments in East Kent, based locally in Birchington-on Sea.
At Simply Periodontics we can offer your patients periodontal treatment carried out in a relaxed environment using up to date equipment, techniques and advice.
Many people suffer from a mild form of periodontal disease. Whilst good oral hygiene and regular visits to the dentist can result in significant improvements to the gum condition, you may wish to refer more complex or severe cases to our clinic to determine the extent and severity of periodontal disease.
The Treatments we offer are in the management of:
- Generalised or localised chronic periodontal diseases
- Generalised or aggressive periodontal diseases
- Gum recession and grafting (muco-gingival plastic surgery)
- Grafting of periodontal defects
- Gingival veneers
- Crown lengthening surgery
Referring Your Patients
There are several warning signs that can indicate that your patient may be experiencing some form of periodontal disease:
- Red, swollen, tender gums
- Bleeding while brushing, flossing, or eating
- Gums that have pulled away from the teeth
- Persistent bad breath or bad taste
- Permanent teeth that are loose or separating
- Any change in the way your teeth fit together when you bite
- Any change in the fit of dental appliances
Referrals may be made by using the referral form enclosed in this pack, or by downloading a referral from my website at simplyperiodontics.co.uk
Following referral, your patient will be offered a consultation appointment for assessment. At this appointment, they will be fully informed of the procedure and will receive a written treatment plan outlining costs and the number of proposed appointments, thereby gaining their informed consent.
Assessment And Treatment
- At the initial consultation, a full assessment of your patients periodontal condition is carried out to assess the depths of pockets between teeth, recession, and loss of attachment along with radiographs to establish the extent of the condition. Possible treatment options are discussed with the patient and full written treatment plans with costs are provided.
- Periodontal treatment depends on the type of disease and how far it has progressed. The first step is usually to improve the patient’s plaque control and bring down the inflammation. Following this, we remove the plaque and calculus deposits from beneath the gum line, using the root surface debridement technique, allowing the gum tissue to heal and reattach. This treatment is carried out over 4-5 visits, depending on the extent and severity of disease.
- Following the initial therapy, your patient will be reassessed. Further debridement may be carried out, or surgical treatment will be undertaken to access the deep pockets or to eliminate the pockets.
- Maintenance therapy or supportive periodontal therapy is an ongoing program designed to prevent periodontal disease from recurring in patients who have undergone periodontal treatment. This on-going phase will allow assessment of the patient’s health and make sure infection stays under control.
- On completion of periodontic treatment, your patient will be returned to you for their ongoing dental care. Patients and referring dentists will be able to contact us should any queries arise before, during or after treatment. Your patient will only be offered treatment for which they have been specifically referred.
At Simply Periodontics, referring dentists and patients can expect the following service:
- Patients will have a full consultation including clinical and radiographic examination based on the nature of the referral.
- Patients will be fully consented for any treatment proposed and subsequently undertaken.
- Patients will receive a written treatment plan outlining costs and the number of proposed appointments.
- Patients will receive a high standard of periodontic treatment using up to date equipment, materials and techniques.
- Patients can contact us before, during or after their treatment should any queries arise.
- Referring dentists can contact us with any queries or regarding their patients’ progress.
- Referring dentists will be kept informed of their patients’ progress.
- A discharge letter will be sent to the referring dentist upon completion of their patients periodontic treatment. The patient will also receive a copy of this.
- No other treatment other than that for which the patient has been referred will be undertaken.
We very much look forward to working with you and your patients and thank you for choosing to use our service.
Frequently Asked Questions
Click to view an answer
What Is Periodontal (Gum) Disease?
In summary, Periodontal Disease or ‘Gum Disease’ is a very common condition in which the gums and deeper supporting structures become red and inflamed. There may also be some bleeding of the gums during tooth brushing/flossing. This stage is called ‘gingivitis’ and can be reversed with treatment from your dentist and good oral hygiene. Inflammation develops when a layer of bacteria and food debris, known as plaque, builds up and is left undisturbed on the teeth and hardens into calculus. This build up tends to occur commonly in hard-to-reach areas such as between the teeth. If gingivitis is left untreated, the disease may then progress into Periodontitis where plaque and calculus build up below the gum line creating pockets (increased space) between the teeth and gums. As the disease progresses further, the pockets get deeper and the supporting bone is lost, eventually leading to loosening and potential loss of teeth.
What Are The Symptoms Of Periodontal Disease?
It is largely a silent and painless disease, so it is possible to have no obvious symptoms. However, patients with more advanced periodontal disease may experience some of the following symptoms:
- Red, swollen, tender or bleeding gums
- Tooth sensitivity to heat/cold
- Bad breath or bad taste
- Deep pockets around the teeth
- Receding gums around the teeth (teeth look longer)
- Spaces between the teeth
- Loose or moving teeth
- Missing teeth
What Causes Periodontal Disease?
Around 40% of the population is susceptible to periodontal disease due to a lowered resistance to periodontal bacteria. This causes a continuing gum inflammation as the disease progresses. The main factors that can cause a dramatic increase in the severity of your periodontal disease are:
- Poor oral hygiene
- Dental plaque/calculus build up
- Genetic factors
- Uncontrolled cardiovascular disease
How Is Periodontal Disease Treated?
The aim of treatment is to halt the progression of the disease and to restore and maintain gum health. The specific treatment depends on the type and stage of the disease and this will vary according to each patients individual needs. Following your initial assessment, we will discuss the treatment options available to you.
In most cases, the first step of any treatment is to remove the plaque and calculus deposits from beneath the gum line and to prevent it from coming back. This is called ‘debridement’, which is done under local anaesthetic and allows the gum tissue to heal and reattach. If the disease has been left untreated for a long time, treatment can be more difficult and take longer.
Maintenance therapy or supportive periodontal therapy is an ongoing program designed to prevent periodontal disease from recurring in patients who have undergone periodontal treatment. This ongoing phase will allow assessment of your health and make sure that infection stays under control.
Successful periodontal treatment requires your full co-operation and commitment to your daily oral hygiene practices as well as attendance at regular follow-up appointments.
How Can Periodontal Disease Be Prevented?
Regular dental examinations and screening for pocket formation and bone loss will help. You must remove plaque from your teeth and gums every day with proper brushing and flossing. In addition, professional cleaning needs to be carried out at least twice a year. The frequency of professional cleaning will depend on your individual needs. If your dentist suspects periodontitis an appropriate referral should be made as soon as possible.
Periodontic treatment fees
Following your consultation, you will receive a customised treatment plan so you will always know exactly the treatment you require and how much it will cost. Treatment options may vary depending on your clinical need and personal preference.
Estimates given are valid for three months. A fee guide for our main items of service is available upon request. Please feel free to contact the Practice if you would like to discuss treatment, fees or any other matter.
If you are unable to attend your appointment, we would ask that you give us at least 48 hours notice to allow us to give your appointment to someone else and to avoid a possible charge being levied
B A Varghese at Simply Periodontics
14 Alpha Road,
Kent CT7 9EQ.
Phone: 01843 842306
For more information on other dental treatments visit www.alphahousedentalpractice.co.uk