Routine scaling removes plaque and tartar. Bleeding or swollen gums may need a gum assessment and deeper cleaning. The dentist will explain which care fits your condition.
Dr. Anushka Ayare, BDS, assesses gum health and explains what she finds before recommending cleaning or further treatment. Her soft-spoken, compassionate approach helps patients understand each stage of care.
Most patients who come in with bleeding gums have never been properly screened for gum disease. A full periodontal assessment, measuring pocket depths around every tooth, takes 20 minutes and gives a complete picture of what is actually happening beneath the gumline.
Routine cleaning removes plaque and tartar around teeth and above the gumline. Deep cleaning, also called scaling and root planing, treats deposits below the gumline when an examination shows gum disease. The dentist will advise which treatment is appropriate after checking your gums.
The dangerous part: gum disease is largely painless until it is advanced. Most patients do not realise anything is wrong until teeth start moving. Regular screening, and treatment when needed, is the only way to catch it before permanent damage occurs.
Full charting of gum pocket depths around every tooth. This 20-minute assessment tells us exactly which areas have active disease, how deep it is, and whether non-surgical or surgical treatment is needed.
Thorough removal of tartar and bacterial deposits from above and below the gumline. Root planing smooths the root surface so gum tissue can reattach. Done under local anaesthesia where needed. Most patients need 2–3 sessions.
In advanced cases where pockets cannot be fully cleaned non-surgically, a gum flap procedure allows direct access to the root and bone. This is done under local anaesthesia as an in-clinic procedure.
Gum disease does not disappear permanently, it requires ongoing monitoring. After active treatment, 3-monthly cleaning visits keep disease in remission and catch any recurrence early.
Gum disease progresses silently. Here is what changes between healthy gums and untreated disease.
| Factor | Healthy Gums | Signs of Gum Disease |
|---|---|---|
| Gum Colour | ✓ Pink, firm, tight against teeth | Red, swollen, pulled away from teeth |
| Bleeding | ✓ No bleeding when brushing | ✗ Bleeds on brushing or probing |
| Bone Level | ✓ Bone supports teeth fully | ✗ Bone loss begins, permanent |
| Tooth Stability | ✓ Teeth firm and stable | ✗ Teeth loosen as bone decreases |
| Systemic Links | ✓ No additional health risk | ✗ Linked to heart disease & diabetes |
| Reversibility | ✓ Fully treatable when caught early | ✗ Bone loss is not reversible |
Pricing depends on severity. All patients receive a full assessment first, we quote your specific treatment before starting.
Early-stage gum disease and prevention. Recommended every 6 months.
Active gum disease with deeper pockets. Done in 2–3 sessions.
Advanced pockets requiring surgical access. Per-quadrant pricing.
Questions about bleeding gums or gum disease? Dr. Firke answers on WhatsApp, no obligation.
A full periodontal assessment takes 20 minutes and tells you exactly what is happening beneath your gumline, before any damage becomes irreversible.
Patients from across Dombivli and surrounding areas visit for periodontal care