Periodontology / Gum Disease

Gum disease is one of the most common oral diseases and affects people of all ages. Caused by a build-up of plaque and bacteria on the gum line, gum disease can lead to bleeding, inflammation and redness and if left to progress, can lead to tooth loss.

Gum disease can also be aggravated by:

  • Smoking
  • Lack of brushing or flossing
  • If you have diabetes or other chronic diseases
  • Certain medications

If you spot signs of gum disease you can initially treat these at home by stepping up your hygiene routine and using dentist-approved products. If your symptoms do not improve, your Envisage Dental Emsworth dentist and dental hygienist will recommend a personal oral health plan to address your individual needs. Gum hygiene is important to ensure that your teeth remain supported and healthy.

Advanced gum disease - Periodontitis

The first stage of gum disease, known as gingivitis, can be simple to reverse. However, if left to progress it can develop into a more advanced form of gum disease known as periodontitis, resulting in the formation of gaps between the gums and teeth, known as pockets. More plaque can collect in these pockets and thus continue the progression of the disease. As the pockets deepen, the plaque becomes more inaccessible to cleaning, more extensive and more toxic. This leads to increasing damage to the supporting bone around the roots of the teeth.

Periodontal treatment is provided by our highly skilled dentist, with advanced skills in treating periodontal cases, who will clean the pockets around teeth to prevent damage to surrounding bone. The majority of Periodontal treatment involves non surgical treatment, thoroughly cleaning the tooth root surface. However, advanced cases may it also involve surgical and restorative techniques.

Gum surgery for implants 

 Implants can get gum disease just like teeth can, which is why its very important to ensure that you are cleaning them well on a day to day basis. The response to deep cleaning around implants is more unpredictable and the bone loss around implants can happen very quickly. In this case then surgery to allow access for cleaning and ensuring the implant threads are thoroughly cleaned is the best option.

Gum surgery for recession

Sometimes gums can recede not from a disease process but from having “thin” gums, overzealous brushing, and orthodontic treatment. Receding gums can make your teeth appear long and can make people feel self-conscious when they smile. Gum grafting allows us to replenish the lost gum tissue, providing support for your teeth.

Gum surgery for tooth wear or aesthetics 

With excessive grinding or erosion of enamel, the teeth can appear noticeably short and broken, these teeth are extremely hard to repair. In these situations, then you may also be referred to me for “crown lengthening” this is a type of gum surgery where bone is removed from around the tooth or teeth to provide the dentist with more tooth structure to allow for a long-term well-fitting crown or restoration. In other cases, people do not like their “gummy smile” and crown lengthening can also be used to make the teeth appear longer.

Periodontal maintenance plans

Some people are a lot more susceptible to gum disease than others. This can be sometimes due to genetics or existing health issues. If you have severe gum disease, the best way to keep on top of the condition is through regular maintenance and monitoring with regular “pocket charting” and radiographic assessment. 

If you are suffering with symptoms of gum disease book a review with our dental hygiene team today. 

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Meet the team

Celehte Fortuin

Dentist

GDC NO. 74757

Tara Docherty

Hygienist

GDC NO. 160710

Erika Cartland

Dental Hygienist and Therapist

GDC NO. 302968

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The biggest compliment we receive is when our patients refer their friends and family to Envisage Dental Emsworth. In fact, we have built much of our practice on these valued, trusted recommendations over the years. Read our reviews to hear why our patients are recommending us.

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Patient reviews

1214 Reviews

5.0

28th April 2026

Always very happy with service from all at Envisage

23rd April 2026

Friendly skilful staff. Two teeth prepared fro crowns, no pain and minimal discomfort.

16th April 2026

Celethe is brilliant. Understanding and always spot on. The reception team also fantastic.

15th April 2026

I have been a patient for over 5 years and have never had any complaints .Everything scheduled has always gone to plan.

13th April 2026

Fantastic staff who listen to my needs and perform to the highest standard.

11th April 2026

As a very nervous patient I am always at ease attending the clinic and no longer fear The Dentist

11th April 2026

I am a very nervous patient and, consequently, have not been to a dentist in many years. My dentist at Envisage was very patient and gentle, and explained the dental treatments clearly and in detail. My experience at Envisage has given me back my confidence in visiting the dentist.

10th April 2026

Every stage, from making the appointment to having my treatment I felt heard and my needs were meet with respect and understanding.My dentist talked me through each stage of my treatment and I have every confidence in his expertise.

8th April 2026

Being made to feel at ease when very anxious.talked through every step and checked that I was ok. Felt like I was treated as a person and not a number. Absolutely no discomfort experienced. You have my complete faith in your service.

2nd April 2026

The reception team are always friendly and helpful. Stephen is professional and caring and gave me great advice. Really happy with all my visits at Envisage :)

1st April 2026

Stephen did an excellent job of restoring and updating an ancient & large mercury filling that gad fallen out of my one remaining upper furthest back molar. I am very grateful to have the tooth saved. Stephen always explains very thoroughly.

31st March 2026

Celehte was upbeat, friendly and extremely efficient. The receptionists were friendly, and the clinic inspired more confidence than other recent treatment.

23rd March 2026

Everyone is delightful and I almost look forward to my appointments now

22nd March 2026

Everywhere clean everyone totally on the ball

21st March 2026

Celethe is welcoming, professional, and kind, I always feel reassured, and well informed of my options with my treatment plan. She is mindful of me being a little nervous and puts my mind to rest. When I saw on the screen afterwards how she 'sculpted' my new filling I was utterly amazed, she's so skilled and incredibly talented. I would highly recommend her to anyone looking for a dentist.

21st March 2026

Very satisfied with the work undertaken, detailed in explanation and the treatment and I didn’t feel a thing, needle, drilling, very good

20th March 2026

Friendly competent staff who give a high degree of confidence

17th March 2026

Friendly and efficient staff.

16th March 2026

Friendly relaxed atmosphere. Building on links having been to appointments over 10 years.

14th March 2026

Being given an appointment on the day as an emergency with confidence in my dentists diagnosis and advice.

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