Here at Ethicare Dental we have a well defined protocol which was formulated in co-ordination with our general dentists, hygienists and periodontal consultant specialist. At your initial assessment we will chart and monitor the condition of your gums.
As well as looking for things like bleeding, inflammation, recession, pain etc we use a scoring system called the CPITN (Community periodontal Index of treatment needs). This scores various sections of your mouth between 0 and 4. 0 meaning perfect health and 4 meaning there is more severe bone loss. As soon as you get a CPITN score of 4 this indicates that more detailed charting is required and we record the bone loss (pocketing) at 6 points around each tooth.
If you do have pocketing or bone loss this area will require special attention and our hygienist will need to clean this area out more thoroughly possibly using local anaesthetic. 2-3 months later this area should be reviewed again by your dentist to see if the pocketing has reduced.
This does not mean you are growing new bone back but if the pocket is disappearing this means a healthy environment has been created and indicates success. If the pocketing has not responded then the area will need be cleaned thoroughly again by our hygienist and reviewed once more 2-3 months later. If at this point the pocket has not responded to standard therapy despite our best efforts and despite a good standard of oral hygiene you will be offered a referral to our Periodontal specialist.
The reason why one particular area does not respond is often unclear but often the anatomy of the roots or the location in your mouth means the bacteria or tartar is more difficult to remove. Our periodontal specialist is well practiced in carrying out more complex procedures to eliminate periodontal pockets and regenerate bone.
If you consider your case particularly severe or you have been referred by your own practitioner you can see our periodontal specialist straight away. Indeed there are indications where immediate referral to a periodontal specialist is indicated.
It is important to realise that once you have suffered from periodontal disease it is something that you have the potential to experience again. Indeed many of the problems are episodic and cumulative. It will require more frequent hygiene appointments (3-4 monthly) and a high standard of oral hygiene is necessary to prevent problems.
Dr. Steve Bassi BDS, LDSRCS(Eng), FDSRCPS(Glasg),FDSRCSEd, FDS (Rest Dent), RCPS, MDentSci
Consultant in Restorative Dentistry
Specialist in Restorative Dentistry, Prosthodontics and Periodontics
Clinics: Saturdays 10.30 am – 2.00 pm
Private Appointments: Ethicare Dental Tel: 020 8870 5059
Training and Background
Dr Bassi qualified from the University of London and then entered into a period of General Professional Training that included posts in general dental practice and the hospital services. During this time he gained his Fellowship from the Royal Colleges of Glasgow and Edinburgh. In 1999, Dr Bassi commenced a 5-year Specialist Registrar training programme in restorative dentistry that provided extensive experience of complex restorative problems including the management of patients requiring implant, prosthodontic, periodontal and endodontic treatment. He also passed the Master of Dental Science degree with distinction for his research on resin-bonded bridges. Dr Bassi has lectured extensively and published a wide variety of articles in scientific journals, and also has a Consultant post in Restorative Dentistry.
Restorative Dentistry – the treatment of general and complex restorative problems including the management of worn teeth, correcting cosmetic dental problems and rehabilitating the failing dentition.
Prosthodontics – crown and bridgework and all types of partial and complete dentures.
Implantology – placement and restoration of dental implants and maintenance/long-term care of implants.
Periodontics – gum treatment ranging from scaling and polishing of teeth through to complex surgical techniques.
Service at Ethicare Dental
Dr Bassi provides a consultation, diagnostic and treatment service in accordance with his special interests.