Surgical periodontal therapy in London

Targeted surgical care to restore gum and bone health

Advanced gum disease treatment for sites that non-surgical care alone cannot fully reach.

What It Is

Surgical gum treatment, considered only when it's needed.

Dental professional pointing to a patient's smile as she checks it in a hand mirror

Periodontal disease is a chronic condition that can affect the gums and the supporting structures of the teeth, including the bone and connective tissues. While many cases can be managed with non-surgical periodontal therapy and ongoing maintenance, some patients require surgical periodontal treatment as part of a structured care plan.

Surgical periodontal treatment refers to a range of procedures used to manage more advanced periodontal conditions and improve access to areas that are difficult to clean or treat non-surgically. All treatment recommendations are based on a comprehensive clinical assessment and your individual periodontal needs.

If you are considering periodontal surgery in London, a specialist assessment is always the first step in understanding whether surgical treatment is appropriate in your case.

How It Works

Surgical treatment is staged, not a single appointment.

In most cases, periodontal care begins with non-surgical treatment: professional cleaning below the gum line, paired with a focus on improving daily oral hygiene. Surgical gum treatment is generally considered only once this initial phase has been completed and reviewed.

It becomes appropriate where non-surgical therapy has not fully resolved deeper periodontal concerns, where certain areas remain inaccessible for effective cleaning, or where further access is needed to manage specific disease sites properly.

This staged approach allows treatment to be tailored precisely to the severity of the condition and how it has responded so far.

Advantages

Why surgery can help, when it is needed.

Treatment is always planned on an individual basis, following a full periodontal assessment.

Reaches what cleaning can't

Improves access to tooth roots and bone that non-surgical care alone cannot reach.

Reduces pocket depth

Supports lasting reduction of deep periodontal pockets, improving long-term cleaning access.

Targets persistent disease

Addresses inflammation and disease sites that have not resolved with initial therapy.

Protects long-term stability

Helps prevent further bone loss and supports the structures around your teeth.

Comfortable, managed care

Carried out under local anaesthetic, so the procedure itself should not be painful. Some swelling and tenderness for a few days afterwards is normal.

Individually planned

Guided entirely by your diagnosis, response to therapy, and periodontal condition.

Types of Procedures

Matched to your specific diagnosis.

Regenerative surgery

Periodontal regeneration works differently from resective surgery. Rather than only reducing the pocket, it aims to regrow some of the lost support around the tooth: bone, root cementum and periodontal ligament. It is mainly used for deep, narrow bone defects beside a tooth and for some defects between the roots of back teeth. Not every defect is suitable, so a thorough examination and radiographs come first.

Resective surgery (pocket reduction)

The gum is gently lifted so the roots and underlying bone can be cleaned thoroughly. Where needed, the bone is reshaped and the gum repositioned to reduce pocket depth, making the area easier to keep clean. Because the gum heals at a slightly lower level, teeth can look a little longer and may be more sensitive for a while.

Am I Suitable?

Surgery is considered, not assumed.

Periodontal surgery is not required for all patients with gum disease. It may be considered where periodontal inflammation and tissue changes persist despite initial non-surgical treatment, or where deeper periodontal issues are identified.

An assessment may be recommended where there is persistent bleeding on brushing or probing, deep periodontal pockets, ongoing gum inflammation despite treatment, bone loss identified on radiographs, difficulty maintaining certain areas of the mouth, or progression of periodontal disease in specific sites.

The decision to proceed with surgical gum treatment is always based on clinical examination and your response to initial periodontal therapy, never on assumption.

What to Expect

A planned, staged pathway.

From your first consultation to long-term maintenance, here is how treatment unfolds.

01

Clinical assessment and diagnosis

02

Non-surgical therapy and review

03

Surgical periodontal procedure

04

Guided recovery and aftercare

05

Long-term periodontal maintenance

Common Questions

Frequently asked questions

What is periodontal surgery?

Periodontal surgery involves gently lifting the gum under local anaesthetic so the roots can be cleaned thoroughly and the bone reshaped or, in suitable sites, regenerated. The gum is then stitched back into place.

When is periodontal surgery needed?

It may be recommended when deep pockets or bleeding remain at your review appointment after non-surgical treatment.

Is periodontal surgery uncomfortable?

The procedure is carried out under local anaesthetic, so it should not be painful. Afterwards, most people manage any discomfort with over-the-counter painkillers for a few days.

How long does recovery take?

Most people return to normal activities within one to two days. Stitches are usually removed after one to two weeks, and the gums settle over the following weeks. The result is assessed at a review a few months later.

Will I need ongoing care after surgery?

Yes. Regular periodontal maintenance, usually every three to four months at first, is essential to keep the results stable.

Find out whether surgical treatment is right for you.

Book a consultation with Specialist Periodontist Dr Payvand Menhadji to discuss periodontal surgery in London and receive personalised guidance based on your periodontal condition and treatment needs.

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Get in Touch.

Whether you are a patient, a referring dentist or a professional contact, tell us a little about what you need and we will make sure your message reaches the right person.

For rapidly spreading facial swelling, or difficulty breathing or swallowing, call 999 or go to A&E. For urgent advice out of hours, call NHS 111.

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