Professional cleaning
When inflammation is mainly around the gum margin, professional removal of plaque and calculus combined with improved home cleaning may be enough to reverse gingivitis.
Treat inflamed or infected gums early to protect the tissues supporting your teeth.

Gum disease ranges from gingivitis, where the gums are inflamed, to periodontitis, where the infection and inflammatory response affect the bone and tissues supporting the teeth. Bleeding gums are common but should not be treated as harmless if they persist. Patients with heavy calculus sometimes fear that professional cleaning will make the teeth loose because the deposits appear to be holding everything together. In reality, the underlying gum and bone support—not the calculus—is what supports the teeth. The first step is to measure the gums, assess plaque and calculus, bleeding, recession, mobility and bone levels so treatment can match the severity of disease.
Bleeding gums are often normalised because they are common, but healthy gums should not routinely bleed with gentle brushing. At the same time, brushing harder is not the answer—technique, interdental cleaning and the presence of calculus or periodontal pockets all need to be considered.
If teeth feel loose or spaces seem to be increasing, ask for a full periodontal assessment rather than only a quick cleaning. Bone levels, pocket depths and bite forces can all influence the treatment plan.

Treatment is planned after an in-person examination; imaging is used when it is expected to change diagnosis or treatment planning.
Bleeding while brushing, persistent bad breath, swollen gums, gum recession and loose teeth are common reasons to arrange a periodontal assessment. Gum disease can progress with surprisingly little pain, so waiting for severe discomfort can allow avoidable damage to continue.
Your gums bleed when brushing or flossing
You have persistent bad breath or a bad taste
Gums look swollen, red or have started to recede
Teeth feel loose or spaces are changing
You have been told you have bone loss around the teeth
Treatment aims to reduce inflammation and plaque-retentive deposits, then help you maintain the result at home. The plan is different for simple gingivitis and for periodontitis with bone loss.
When inflammation is mainly around the gum margin, professional removal of plaque and calculus combined with improved home cleaning may be enough to reverse gingivitis.
Deeper pockets and deposits below the gum line may need more thorough root-surface debridement, often performed in sections of the mouth with local anaesthesia where needed.
The gums are reviewed after initial therapy. Remaining deep pockets, bleeding and mobility help determine whether additional periodontal treatment is needed.
Periodontitis has a tendency to recur when plaque control and professional maintenance lapse. Ongoing review intervals are based on risk rather than a one-size-fits-all cleaning schedule.
These are common concerns patients raise when deciding whether to book, when something feels different after treatment, or when they are unsure whether they should wait or ask for a review.
People with very heavy calculus sometimes feel that the deposits are holding the teeth together. After the calculus is removed, spaces may feel more noticeable and a tooth that already had reduced bone support may feel different. Cleaning does not remove healthy bone support; it removes deposits that contribute to inflammation. If a tooth is mobile, the underlying periodontal condition needs to be explained clearly.
Bleeding usually points to inflammation, but brushing technique, areas missed between teeth, calculus below the gum line, smoking and other health factors can affect the picture. Brushing harder is not the solution. The goal is to find where plaque and inflammation are persisting and whether deeper periodontal treatment is required.
A routine scale and a periodontal deep cleaning are not interchangeable labels for the same thing. Deeper treatment is considered when periodontal pockets, subgingival calculus and bone loss show that disease extends below the gum margin. Ask what measurements or X-ray findings support the recommendation.
Gum inflammation, plaque and deep periodontal pockets can contribute to persistent bad breath, but they are not the only possible causes. If breath does not improve with good oral hygiene and professional cleaning, other dental and medical causes may need consideration.
We examine gum inflammation, bleeding, recession, pocket depths and tooth mobility and use dental imaging when needed to assess bone support.
Plaque and calculus are removed. Deeper periodontal cleaning may be advised when deposits and inflamed pockets extend below the gum line.
Brushing and interdental cleaning are tailored to the areas that need the most attention. Without effective daily plaque control, professional treatment alone cannot keep gum disease stable.
The gums are reassessed after treatment. Persistent deep pockets, mobility or inflammation may need additional periodontal care and a shorter maintenance interval.
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Read treatment guideBleeding is commonly associated with gum inflammation, although other factors can contribute. A dental examination can identify whether improved home cleaning, professional scaling or periodontal treatment is needed.
Same-week appointments most days. WhatsApp us a quick photo of what’s bothering you and we’ll come back with a likely plan before you arrive.