Periodontal Disease

What is it?

Periodontal disease, commonly known as gum disease, is a progressive condition caused by the build-up of bacteria and plaque on the teeth and gums. If left untreated, gum disease can lead to inflammation, gum recession, bone loss, tooth mobility and eventually tooth loss.

The two main stages of gum disease are:

  1. Gingivitis: This is the early stage of gum disease, characterised by red, swollen gums that can bleed easily when brushing or flossing. Gingivitis is reversible with proper treatment and improved oral hygiene practices.
  2. Periodontitis: If gingivitis is not treated, it can develop into periodontitis. At this stage, the infection spreads below the gum line, causing destruction of the supporting tissues and bone around the teeth. Periodontitis requires immediate intervention to prevent further damage and restore gum health.


Non-surgical treatment of periodontal disease: Scaling and root planing

Scaling and root straightening, also known as deep cleaning, is a non-surgical procedure performed to treat gum disease and promote gum health. This procedure involves two main steps:

  1. Destartarisation: Our dental professionals use specialised instruments to gently remove plaque, tartar and bacteria from the surfaces of your teeth and below the gum line. This thorough cleaning helps eliminate the source of infection and inflammation.
  2. Root planing: After scaling, the roots of the teeth are smoothed and polished to remove any rough areas. This process makes it easier for the gums to bond to the tooth surfaces, promotes healing and reduces the risk of future plaque build-up.


Scaling and root planing are usually performed under local anaesthetic to ensure your comfort throughout the procedure. Depending on the extent of your gum disease, several appointments may be required for a complete treatment.

Periodontal surgery: When advanced treatment is needed

In more severe cases of gum disease, periodontal surgery may be required to effectively treat and manage the disease. Our experienced periodontal surgeons specialise in a variety of surgical techniques aimed at:

  1. Bag reduction surgery: This procedure involves accessing the gum tissue and bone to remove bacteria, reduce the depth of pockets and facilitate gum reattachment. It helps eliminate the source of infection and promotes gum healing.
  2. Soft tissue grafting: In cases where gum tissue has receded, our periodontal surgeons can perform soft tissue grafts to cover exposed tooth roots and improve the aesthetics and stability of the gums.
  3. Bone grafting: When significant bone loss occurs due to gum disease, bone grafting procedures can help regenerate and rebuild lost bone tissue, providing a stable foundation for teeth.
  4. Guided tissue regeneration: This technique involves the placement of special membranes or regenerative materials to encourage the growth of new bone and gum tissue in areas affected by periodontal disease.


Our periodontal surgeons will thoroughly assess your condition and recommend the most appropriate surgical approach to meet your specific needs.

Why choose us for the
periodontal disease treatment?

Porquê escolher-nos para o tratamento da doença periodontal?

Expertise and experience

Our dental team includes qualified periodontal specialists with extensive experience in treating gum disease. We keep up to date with the latest advances in periodontal therapies to provide the best possible results for our patients.

Comprehensive assessments

We carry out full periodontal assessments, which can include dental x-rays and periodontal measurements, to accurately assess the extent of gum disease and personalise treatment plans according to your specific needs.

Individualised treatment plans

We understand that each patient's gum disease is unique, requiring personalised treatment approaches. Our team will develop a personalised plan tailored to your condition, with the aim of restoring the health of your gums effectively.

Advanced technology

We use state-of-the-art dental technology, including digital imaging and minimally invasive techniques, to improve the precision and comfort of periodontal treatments.

Supportive aftercare

We provide comprehensive post-treatment instructions and support to help you maintain healthy gums after periodontal treatment. Regular follow-up visits will be scheduled to monitor your progress and address any concerns.

Our team and expertise

At Cunha Coutinho Saúde, we prioritise the health of your gums and are dedicated to providing effective treatment for periodontal (gum) disease. Our experienced team of dental professionals specialise in treating various stages of gum disease, offering non-surgical approaches such as scaling and root planing, as well as advanced periodontal surgery when necessary. With our expertise and personalised care, our aim is to restore the health and vitality of your gums, promoting overall oral wellbeing.


We have agreements with several insurance companies and health plans to offer you the treatments you need at the most affordable prices.

Appointment Request

If you have signs of gum disease, such as bleeding gums, bad breath or gum recession, it is essential to seek timely treatment. Contact Cunha Coutinho Health today to book an appointment and take the first step towards restoring the health of your gums and maintaining a beautiful smile.

Booking an Appointment

At Clínica Cunha Coutinho, we are committed to providing our patients with the best possible care and ensuring that every appointment is a pleasant and positive experience. Fill in the form and take the first step towards a healthier and more beautiful smile.