Periodontology

We treat periodontal disease — inflamed, bleeding or receding gums — to stop bone loss and help you keep your natural teeth for the long term.

  • Stops bone loss
  • Reduces gum bleeding
  • Saves natural teeth
  • Maintenance programme
Periodontology — anatomy of the tooth and its supporting tissues, at Smile by Ada

Periodontal disease is a common (and silent) cause of tooth loss. We start with a full periodontal assessment — gum probing, X-rays and diagnosis — then build a staged treatment plan.

Treatment combines subgingival scaling, gingival curettage and, when needed, periodontal surgery, followed by a strict maintenance programme that stabilises the result.

Gum disease or periodontitis: the same thing?

In everyday speech, yes. In medical language, the disease is called periodontitis: a chronic inflammation of the tissues that hold the tooth in the bone, sustained by the bacteria in dental plaque. The term periodontosis has survived from older literature, but what a patient using it is looking for is exactly this disease.

What matters is not the name but the mechanism: the inflammation destroys the bone around the root. Lost bone does not grow back on its own, and the tooth moves because it has lost its support.

The signs you should not ignore

Periodontal disease becomes painful late. That is why it often reaches the dentist at advanced stages, when there are already fewer options.

  • Bleeding when brushing or flossing, even occasionally
  • Persistent bad breath
  • Receding gums, teeth that look longer
  • Sensitivity to cold on the exposed part of the root
  • Teeth that move or start to drift apart

What treatment looks like, stage by stage

Treatment follows an established sequence, with re-evaluation after each stage. We do not move on to the next stage before seeing what responded to the previous one.

  • Control of risk factors and hygiene instruction. Without this part, the rest does not hold
  • Subgingival instrumentation: mechanical cleaning of the root below the gum, over the entire surface of the periodontal pocket
  • Laser decontamination, as an adjunct, where indicated
  • Re-evaluation after a few weeks: pocket depth and bleeding are measured again
  • Periodontal surgery, only for areas that have not stabilised
  • Long-term maintenance, at individually set intervals. This stage never ends

What can and cannot be recovered

Treatment stops the progression of the disease and stabilises the teeth. This is realistic and verifiable. What does not happen on its own is regeneration of bone that has already been lost.

That is why the moment you see a dentist changes the outcome more than any technique. A mobile tooth in bone that has largely been lost may not be salvageable, and the conversation then turns to implants.

The link with diabetes and general health

Periodontitis and diabetes influence each other. Chronic inflammation in the mouth makes blood sugar control harder, and poorly controlled diabetes speeds up bone loss.

A Cochrane review shows that treating periodontitis improves blood sugar control in patients with diabetes. If you have diabetes, periodontal treatment is not a cosmetic matter.

What it includes

  • ✓Full periodontal assessment
  • ✓Subgingival scaling
  • ✓Gingival curettage
  • ✓Treatment of gingivitis
  • ✓Supportive periodontal (maintenance) therapy
  • ✓Treatment of gum recession

Periodontology prices

Indicative fees for periodontology at Smile by Ada, Bucharest. The final price is confirmed at your consultation and depends on the complexity of your case.

  • Consultation + periodontal charting

    300 lei≈ €55

  • Laser decontamination (per arch)

    600 lei≈ €115

  • PRP biostimulation (per session)

    675 lei≈ €130

  • Gum debridement (both arches)

    1,000 lei≈ €190

  • Closed periodontal curettage (2 arches)

    1,500 lei≈ €285

  • Periodontal deep cleaning

    600 lei≈ €115

  • Laser gingivectomy (per tooth)

    300 lei≈ €55

Fees are charged in Romanian lei (RON). Euro amounts are approximate, at today's National Bank of Romania rate.

See all dental prices →
Your specialist

Dr. Cristina Berechet

Specialist in periodontology · PhD in Medical Sciences

Precise periodontal diagnosis and a staged plan — from controlling inflammation to long-term stabilisation of the gums and bone.

Frequently asked questions

How do I know if I have gum disease?

Common signs: gums that bleed when you brush, gum recession, teeth that look longer or are slightly loose, persistent bad breath. A periodontal assessment confirms the diagnosis.

Can gum disease be cured?

It can be stopped and kept under control, but it does not go away. Treatment stabilises the teeth and prevents further bone loss. Bone already lost does not grow back on its own, and keeping the result requires maintenance appointments at set intervals. That is why early diagnosis matters.

Can loose teeth still be saved?

It depends on how much bone is left around the root. Mobility caused by inflammation often decreases after treatment. Mobility caused by advanced bone loss cannot be reversed, and we then discuss the alternatives, including implants.

How long does treatment take?

The active phase usually lasts a few weeks, with a re-evaluation at the end. Maintenance then continues for life, at an interval set according to how each case responds.

Does it hurt?

Subgingival instrumentation is carried out under local anaesthetic, so you feel no pain during it. After the session there may be sensitivity to cold and mild discomfort, which pass within a few days.

Sources and references

The information above is for education only and does not replace a medical consultation.