Periodontal Disease

What is periodontitis in Watford?

Periodontitis is the more severe form of gum disease, it means that there is a serious infection in the gum, caused by bacteria which has accumulated on your teeth and gums.

If left unattended, periodontitis can damage your bones and teeth and lead to tooth loss. The good news is that if identified early, periodontitis can be treated, and the damage stopped.

At Dunstable Dental Practice, we promote a preventative approach to dentistry – we aim to prevent periodontal disease from arising in the first place, but our dentists do treat patients from Rickmansworth, Watford, Chandler’s Cross, Bushey, Moor Park, and throughout Hertfordshire who have gum disease.

Book An Appointment

Stages of periodontal disease

There are several stages of periodontitis. You may not notice any signs of early gum disease whilst brushing your teeth at home, and this is why we recommend regular check-ups with your dentist and hygienist who can keep a close eye on identifying and diagnosing periodontal disease.


Gum disease starts with gingivitis. This is where plaque builds up on your teeth and affects the gums. Plaque is caused by bacteria and food debris in your mouth.

Whilst bacteria will always be in your mouth, an excess of it – usually caused by poor dental hygiene – can lead to gingivitis.

You may notice red or inflamed gums which may bleed when you brush your teeth. Worryingly, you may not notice any symptoms at all.

Early periodontal disease

If gingivitis is not treated, you will go on to develop early periodontal disease.

Your gums will start to recede and small pockets between the gums and teeth are formed which attract the harmful bacteria.

Your body will begin to fight the infection. You may still notice bleeding when you brush your teeth.

Moderate periodontal disease

If left untreated, the periodontal disease will advance. At this stage you may notice more pain and bleeding from the gum.

Your teeth will start to lose the support from the bone and may become loose.

Advanced periodontal disease

At this stage, the gums, bones and other oral tissue which keep your teeth in place become destroyed.

You might experience severe pain, bad breath and are likely to lose teeth.

How is periodontitis treated in Watford?

Treatment for periodontitis at Dunstable Dental Practice will depend upon which stage of gum disease you have. Ultimately, it will involve your hygienist removing the plaque and bacterial deposits from your teeth and gums.

Professional clean

Your hygienist will conduct a thorough and professional cleaning of your mouth.

As well as removing the build-up of plaque, they will give a deep clean to any periodontal pockets that have formed in your gums, and which collect bacteria.


Sometimes, your dentist may prescribe antibiotics for persistent or severe forms of gum infections.

You may be given mouthwashes or some form of treatment plan to carry out at home. Your hygienist will show you how best to brush your teeth and boost your oral hygiene.


Your dentist will want to keep a check on the periodontal disease so you will need to come back to the dental surgery in Dunstable for regular checks.

If the gum disease persists and is not responding to other treatment, you may be offered surgery which involves lifting the gums away from the teeth roots and cleaning under the gums. You may also consider surgery if you have suffered from bone loss.

FAQ's for Periodontal Disease

What are the symptoms for periodontitis?

This will depend on the stage of periodontal disease, but you may notice bad breath, bleeding from the gums when you brush your teeth, red, tender or swollen gums, receding gums, pain in your gums, a bad taste in your mouth or a tooth becoming loose.

Are some people more likely to develop periodontal disease?

Yes, people who smoke are the group of people most at risk of developing gum disease. Other factors include type two diabetes and obesity. Certain immune diseases like leukemia can increase your chances of getting gum disease. Additionally, some medications can affect your likelihood of developing periodontal disease.

How can I prevent periodontal disease from occurring?

By taking good care of your oral hygiene. This means brushing your teeth for two minutes and in the correct way twice a day. Flossing to prevent the build-up of plaque between the teeth once a day. You should visit your dentist and hygienist every 6 to 12 months and cut out smoking.

Our Reviews

Iqbal J.
Heena and Adriana were absolutely fantastico during treatment of my tooth
Julia S.
Been attending for years - lovely staff - brilliant treatment - and especially good at treating my nervousness - well recommended!!
Sal Z.
Very pleased with the service I received. Dr Hussain was very helpful and patient with me as I worry alot. Also Elaine was very kind and got me an urgent appointment which was just what l needed.
Carole N.
Very friendly staff Heena & Anais & Adnene.
Paul B.
My dentist Heena and her dental nurse Adriana always give me a professional experience and are pleasant and friendly. I’ve been seeing Heena for a fair number of years now and always feel comfortable and at ease . I’m not a fan of the hygienist cleaning due to sensitivity but let Heena do it and honestly it was quick and without drama. Would recommend her and her work
Ziaur R.
I'd like to take this opportunity to thank Ms. Lynne at reception, who was very nice and polite when booking the appointment over the phone. She is very patience and calm to understand both the patients and dentists availability to accommodate. It's a great customer service I experienced and would like to wish her all the very best! Great Job Ms. Lynne! All the very best for your future endeavours!
I hate the dentist. I'm a very nervous patient. But the staff at Dunstable Dental Practice are so lovely it makes it a bearable experience! Reception staff are lovely, friendly & efficient. The Dentists are reassuring and professional as well as friendly.Thoroughly recommend
I went to Dental Practice Dunstable for a check up and needed two fillings. Dr Heena was very kind and gave me an emergency appointment after I've told her that I work in school and the only time I can take an appointment is in holidays.Dr Heena and Adriana were very friendly and talked to me all the time during my procedure.
Katie H.
Embarrassed to admit I don’t know the name of the hygienist I saw today and it’s not on my appointment email reminder, but she was lovely, really professional. I had the scale & polish with a different hygienist a few years ago before teeth whitening & I was honestly dreading going in today but it wasn’t an ordeal at all. She was really helpful & I will definitely not be worried about my next appointment, thanks so much
Richard D.
Excellent and friendly service by the dentist and the reception staff
Christina I.
I have been coming to this Dentist for many years , at the weekend I got a chip in my back tooth , so called on Monday and got an appointment straight away , had it checked and X-rays and booked in again next day to see what treatment needed , lucky for me only a small chip so was able to have a filling . I was so pleased Mr Bukhari and the dental nurse was so calming and made me at ease very quickly as I was very anxious about my tooth and what would happen , the staff friendly and welcoming Great Dentist see you again soon Thank you
Graham R.
I had an appointment with Heena and Anaïs to have a severely broken tooth extracted. I was very wary that this may not be able to be done at the surgery. Heena assured me that she would be able to complete this procedure. Heena managed to get all of the tooth out (in 2 or 3 pieces) successfully and without any excess pain. All throughout I was asked if I was ok and not feeling pain or uncomfort.I would like to recommend this dental surgery and especially Heena and her assistant for a very professional approach.Thank you. You are Great 👍
Lorna F.
Had a few bits of work done today. Was made to feel very welcome and comfortable. Had a full explanation of what was happening every step, and was always asked if I was okay. Fantastic service from Heena and Anais.Thanks ladies
Michelle J.
I’ve always gone to Dunstable Dental Practice and have always found all the staff here very nice , reception staff will always try their best to accommodate you . Have seen a few dentists over many years and have to say all have been really good . My mum own parents have been going there since 1970’s and also think it’s a great practice . My mum is a nervous patient and the dentist is great with her . Absolutely great practice and would highly recommend.
sheila W.
I'm a very scared patient always to the point I'm sick and shakes my dentist Mrs bhunva is the best one so far she's so kind and caring and puts me at ease all the time the staff are loveky to I would defiantly recommend dunstable dental practice I have 100 per cent trust and faith in my dentist she's the best 👌
Bryan I.
Our dentist and hygienist are friendly, considerate and always willing to give advice. They make a visit to the dentist a pleasant experience. We continue to stick with Dunstable Dental Practice even though we’ve moved away from the area.
Jose Luis S.
Amazing dental practice starting from the ladies at the reception who really make you feel welcomed and then every other member of the staff like dental assistants who are very friendly and professional.I have to specially mention Adam who has been amazing from the first day, very professional and very reassuring. Considering that my level of anxiety while at the dentist is very high, every member of the staff has offered reassurance and they always made me feel more calm.Absolutely everything and everyone in this place is outstanding!! As I am leaving the country soon, I wish I could take you all back to Spain with me.Thank you guys. You are amazing!
David F.
I've just had my 6 month check up with Poonam Tanna. My teeth are rubbish but Poonam Tanna makes you feel like a special human being. Always encouraging and friendly. Only see one problem? If she left.
Dawn M.
Had an appointment with the hygienist today. Wow, my teeth feel so clean and they look amazing. I have made another appointment for three months time. I am thrilled!!
jithu K.
Went in to get my cavities sorted out. Got my appointment through Dano, who was very helpful and considarate. Up on my visit, I was greeted and well welcomed by a pleasant and charming reception team. Moreover, the dentist Mrs Prem was very gentle and reassuring, making sure I was comfortable throughout the procedure. I needed some drilling and fillings she did everything thoroughly while ensuring I was calm and comfortable during the whole procedure. In the end, she gave valuable insights on how to take care of dental health. It was really a good experience, I will recommend them to everyone
Allison O.
Poonam is great, explained my procedure in full and always puts you at ease, not a pleasure coming to the dentist but I am glad she is my dentist 😁 !!
Lee M.
Friendly, helpful and great service. Thanks very much.
Fran G.
I recently sadly had to have a tooth extracted after treatment was not successful. The practice was magnificent throughout. I always received a prompt, even same day, appointment and was treated with professionalism and kindness.
kamonporn G.
Excellent service . Very efficient.
John H.
I visited Dunstable dental today for my second part of a course of 4 fillings and 2 composite rebuilds.i cannot thank the dentist for his work awesome is an understatement made me feel a million dollars when I walked out with no chipped teeth anymore.i am a very nervous dental patient but will no longer worry so much thanks to this dentist ...kindest regards.see you in 3 months
Nuz F
Having struggled to find an emergency NHS dental appt I was seen by Dr Tanna several times over the past month. She has been amazing and was able to save my infected tooth.I highly recommend the practice and staff. Thank you once again!
Idris O.
Painless filling & professional handling
Sarah R.
Highly recommend this dentist, I’m a very nervous patient but Poonam & Adriana were fantastic. So kind and caring. Poonam always does a 5* treatment. Thank you so much ladies.
Milky Chu (.
Very good service provided.
Mary S.
Dental practice is amazing they always do their bestDaniel and Adriene were lovely
Alexandra I.
Kind and friendly staff!
michelle J.
Myself and my family have been clients of Mr Abbay Shah for over 20 years, always a great service and looked after well each visit. Todays visit was Abbay and Adriana and again all good, happy and polite visit. Will happily recommend them.
Dawn R.
Been registered here forever, never had an issue. Professionals all the way.
Dave T.
Very polite and friendly, giving lots of information and making you feel at ease, thabkyou Hussain & elaine
Imdad A.
This was my first time that I had to go to a dental, the staff was very helpful and friendly. It was my son’s dental check up and everything was great. Thank you so much
Jacek M.
Very happy with Hygienist
Kevinlaura P.
No problems well organised,welcoming staff,nice friendly helpful dentists(update) Had major issues with teeth, recently,and it was dealt with fantastically by Receptionists and also the dentist, sorted, issues out brilliantly, Kudos all round 👍☺️
sue H.
I’ve been visiting Danielle for over 25 years & she is an amazing dentist. With my very sensitive teeth she is so careful & I cannot praise her work & friendliness enough. Thank you so much
megan I.
Quick and easy. Lovely lady