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In simple terms, gum disease (or periodontitis) represents loss of bone and other supporting tissues of the teeth. Most people are unaware that the early stages of gum disease are quite often effectively treated. However, the more severe forms of periodontal disease may lead to early tooth loss.

Gum disease, surprisingly, does not usually hurt even when quite advanced. The 1998 and 2009 Adult Dental Health survey highlights the fact that 40 to 45% of adults had lost a third of tooth support and 8% were found to suffer even worse disease i.e. loss of more than half of tooth support.

About Dr David Fealey

David is born and raised in Merthyr Tydfil, South Wales. He firstly completed a biomedical science degree at Cardiff University in 2011, and then returned to Cardiff Dental School to study dentistry, graduating in 2017.

He also completed a certificate in restorative dentistry, which lead him to develop a special interest in periodontology. He is currently finishing his final year of a Masters Degree in periodontology at Plymouth University.

David provides patients with a comprehensive examination of their gum health, giving a prognosis of all remaining teeth. He will then be able to treat the gum disease non-surgically using methods similar to what a patient may have already experienced, using advanced knowledge and methods to treat more deeply. In some cases he may need to perform small localised surgeries in order to stabilise the gum disease.

David accepts referrals for:

Dr David Fealey Periodontics

Flap Surgery/Pocket Reduction Surgery

Gum Recession

Root Decay

Crown Lengthening

Non-Surgical Periodontal Therapy

What are the signs of gum disease?

These are very variable but include: bleeding on tooth brushing, red and swollen gums, gums that have pulled away from the teeth (pocketing), receding gums and loose teeth.

Medical Aspects

There has been considerable research to suggest that periodontitis may be a risk factor in the progression of certain medical conditions e.g. ischaemic heart disease, strokes, blood pressure and diabetes. In the case of diabetes, there is evidence to suggest that not only does poorly controlled diabetes affect the gum condition, but also active and/or untreated periodontitis can affect the diabetes status.

At the time of updating this webpage (March 2021), the periodontal literature also suggests that gum disease in expectant mothers may be a risk factor for low birth weight and possibly premature babies.

Oral Health Instruction

How to brush using an Electric Toothbrush

How to use Interdental Products (i.e TePe's)


How long does treatment take?

Periodontal treatment is not a quick fix, stabilisation of periodontitis (gum disease) can take 12 months or longer, unlike other treatment where there’s a set end point, for example having a filling.

A typical journey could be a course of non-surgical treatment and review 2-3 months afterwards, but this can differ depending on an individual's case.

How Much?

A 60 minute comprehensive consultation with David costs £150, while the cost of treatment starting from £225 per session. Typically patients will have either 2 or 4 sessions, and all costs will be discussed before any treatment begins.

What's involved in treatment?

Generally speaking, there are 3 scenarios:

a) 60% respond well to 2-4 visits of deep cleaning and usually just require regular maintenance and supportive periodontal therapy.
b) 30% partially respond and may require further treatment e.g. localised gum surgery.
c) 10% show a limited or poor response and may require further extractions.

What Next?

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