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Gum Disease (Periodontitis)-

Photodynamic Therapy: an effective and minimal invasive Treatment for Periodontal Disease around teeth AND Implants.

What is “Periodontitis” = Gum Disease

Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss. The word periodontal literally means “around the tooth.” Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth. Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed.


Causes of Periodontal Disease:
1. bacterial Plaque
2. Genetics
3. Smoking
4. Puberty, Pregnancy, Menopause
5. Stress


  • Gingivitis is the mildest form of periodontal disease. It causes the gums to become red, swollen, and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is often caused by inadequate oral hygiene. Gingivitis is reversible with professional treatment and good oral home care.We recommend a 6 monthly Interval for Hygienist Treatments.
  • Aggressive periodontitis occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss and bone destruction and familial aggregation.
  • Chronic periodontitis results in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss. This is the most frequently occurring form of periodontitis and is characterized by pocket formation and/or recession of the gingiva. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
  • Periodontitis as a manifestation of systemic diseases often begins at a young age. Systemic conditions such as heart disease, respiratory disease, and diabetes are associated with this form of periodontitis.
  • Necrotizing periodontal disease is an infection characterized by necrosis of gingival tissues, periodontal ligament and alveolar bone. These lesions are most commonly observed in individuals with systemic conditions such as HIV infection, malnutrition and immunosuppression.

Scaling and Helbo Photodynamic Therapy  Treatment

We  are treating  Periodontal Disease with a combination of deep scaling and Helbo-Soft Laser application. The Treatment is also called “antimicrobial photo-dynamic therapy”  This combined treatment approach reduces the amount of destructive bacteria (i.e. Staphylococcus aureus) significantly.

Illustration of the HELBO Laser Treatment:

Application of the dye into the pocket and activation with HELBO Laser



The patient will be treated under local anaesthesia. The pockets, bleeding and tooth mobility are measured and recorded in the patients file. The pockets are then thoroughly mechanically cleaned  using scalers and curettes. The photosensitizer (dye) is applied and after the contact time rinsed out. The pocket probe (Helbo Laser) is inserted into the pocket and activated.  The procedure can be repeated in severe cases with 7 days to achieve the best results. Since introduction in our practice the HELBO Photodynamic Therapy has shown great results in the treatment of Periodontal Disease and Peri-implantitis.


Peri-implantitits treatments:

Staphylococcus aureus is a bacteria which is responsible for infections around dental implants (Peri-implantitis). It is also present in cases of MRSA because of its affinity to titanium surfaces and resistance to many Antibiotics.  Dental Implants manufactured from titanium are at a high risk of infections if the  neighbour teeth are infected with Staphylococcus aureus. Within minutes of the placement  a dental implant is colonized with Staphylococcus aureus bacteria from the surrounding teeth!   Therefore the treatment of gum disease before dental implant therapy is essential. The treatment of Staphylococcus infected implants is difficult as local antibiotics don’t reach the areas. The use of systemic antibiotics is very questionable due to the fact of the ever increasing global resistance to antibiotics. Mechanical cleaning of implant surfaces is difficult as the risk of damage to the implant surface is high. It also does not remove the bacteria completely. The concept of photo-dynamic therapy has been proven to be very successful in the treatment of peri-implantitis.   We are offering this treatment to our patients as well as to patients who had implants fitted elsewhere.

To book a consultation about Periodontal Disease Treatments call 01637852888