General Dentistry Gum Disease

At The Smile Collective, gum health assessment, monitoring, and care are available at all six locations — Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough, and Strathmore.

Gum disease, model 1, The Smile Collective

Gum conditions such as periodontal disease can develop gradually and may not show early signs. Regular check-ups and professional cleaning help identify changes early and support the ongoing care of the gums and surrounding tissues.

What Is Gum Disease?

Gum disease refers to inflammatory conditions affecting the gums and structures around teeth. It ranges from mild gingivitis (gum irritation) to more advanced periodontitis (involving bone and connective tissue). If left unmanaged, it can lead to gum recession, bone loss and even tooth mobility or loss.

Gum conditions can develop gradually over time and may progress through several stages:

  • Gingivitis – inflammation of the gums that can cause redness or bleeding, but does not affect the bone.
  • Early periodontitis – mild loss of bone around the teeth and deeper spaces forming between the gums and teeth.
  • Moderate to advanced periodontitis – further loss of bone support and changes that can affect how firmly teeth are held in place.

Because symptoms may be subtle, regular professional monitoring is crucial for early detection.

Why Gum Health Matters

Gums play an important role in keeping teeth supported and stable. They protect the bone and tissues that hold each tooth in place. When gum disease develops, these tissues can become weakened, which may lead to tooth movement, discomfort, or, in advanced cases, tooth loss.

Research has also shown links between gum health and general health conditions such as diabetes and heart disease. While dental care does not replace medical care, regular gum checks can help identify signs that may need further medical attention.

Looking after your gums supports comfort and helps maintain the strength and function of your teeth over time.

Causes and Risk Factors

Gum conditions can develop due to a combination of factors. Some of the main contributors include:

  • Plaque build-up: A film of bacteria that forms on the teeth and gums is often the starting point.
  • Oral hygiene habits: Irregular brushing or not cleaning between the teeth can allow plaque to remain.
  • Tobacco use: Smoking or chewing tobacco can affect gum tissues and slow healing.
  • General health: Conditions such as diabetes, hormonal changes, or immune-related issues can influence gum health.
  • Medications: Some medicines can reduce saliva flow or cause changes in gum tissue.
  • Family history: Genetics can play a role in how gums respond to plaque and bacteria.
  • Lifestyle factors: Diet, stress, and daily habits may contribute to how gum conditions develop or progress.
  • Age: The effects of plaque and inflammation can increase over time if not managed.

Not all gum disease is painful early on, so even patients without discomfort may need evaluation.

Recognising Early Signs

Some early indicators of gum disease include:

  • Gums that bleed when brushing or flossing
  • Swollen, tender or red gums
  • Persistent bad breath or bad taste
  • Mild gum recession or sensitivity
  • Areas that feel rough, or pocketing (the “gap” between gum and tooth)

As the disease advances, deeper pockets form, pus may appear, teeth may shift or loosen, and bone loss becomes visible on imaging.

Early gum disease may not cause obvious signs, so regular dental check-ups are the best way to detect any changes.

How We Assess Gum Health

At The Smile Collective, gum checks are part of regular dental visits and may also be carried out as a separate, detailed assessment when needed. These assessments can include:


Medical and Risk Discussion

Reviewing general health, medications, habits, and family history helps tailor assessment and risk management.

Clinical Examination

A detailed periodontal exam measures pocket depths (the distance from the gum edge to where the tooth attaches), looks for bleeding on probing, assesses gum recession, checking mobility and evaluating gum tissue quality.

Radiographic Imaging

X-rays or digital imaging help assess bone levels around teeth, detect hidden bone loss, and visualise anatomical factors.

Risk Classification & Treatment Planning

Based on findings, a classification of gum health is made (healthy, gingivitis, mild, moderate or advanced periodontitis). A personalised plan is developed in collaboration with the patient, considering risk factors and preferences.

Periodontal Charting

Recording pocket depths and attachment levels for each tooth over time helps track progression, response to therapy, or warning signs.

Monitoring Schedule

Patients with gum disease may be scheduled more frequently for periodontal review, deeper cleans or maintenance therapy.

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Treatment & Management Strategies

Treatment is tailored to disease severity, patient risk factors, and individual needs. Common approaches include:

1. Non-Surgical Periodontal Therapy
The first stage of gum care often involves a deep professional clean, known as scaling and root planing. This process removes plaque and hardened deposits from around the teeth and beneath the gums. The root surfaces are carefully cleaned to help reduce the build-up of bacteria.

2. Maintenance & Supportive Care
After initial therapy, regular maintenance visits help prevent recurrence. These visits may include professional cleaning, monitoring pocket depths, reassessing risk, and reinforcing home care.

3. Adjunctive Therapies
In some cases, extra measures may be used to support gum care, such as antiseptic mouth rinses or medication placed around the gums. The use of these options depends on individual needs and professional assessment.

4. Surgical or Advanced Intervention
When non-surgical therapy is insufficient, surgical options may be considered. These may include flap surgery, regenerative procedures (to encourage bone growth), or guided tissue regeneration. Referral to a specialist may occur if needed.

5. Risk Factor Management
Managing everyday factors can play an important role in caring for gum health. This may include steps such as stopping smoking, maintaining stable blood sugar levels for those with diabetes, eating a balanced diet, and managing stress.

Before any treatment begins, the dental team explains what it involves, including possible options, timing, and any considerations, so you can make an informed decision about your care.

What Patients Should Expect

During gum care appointments, some mild sensitivity or tenderness may occur, particularly if deep cleaning is required. Any discomfort can be managed with measures recommended by the dental team.

Some temporary swelling or soreness may follow treatment, especially in areas that were more affected. Follow-up visits are often scheduled more frequently at first — sometimes every three to four months — so healing and progress can be reviewed.

Ongoing care is important because gum conditions can persist over time. Regular monitoring, professional cleaning, and consistent home care all play a role in long-term management.

Healing times differ for each person and depend on several factors, including the condition of the gums, general health, and how daily care is maintained.

Home Care & Prevention

Professional care works most effectively when combined with good daily habits at home. Helpful practices include:

Effective brushing
Use a soft-bristle toothbrush and fluoride toothpaste. Brush gently but thoroughly at least twice daily.

Interdental cleaning
Tools such as floss, interdental brushes or water flossers help remove plaque between teeth and beneath the gums.

Antiseptic mouth rinses (if recommended)
Under guidance, certain rinses may assist in controlling bacterial load, especially during active therapy.

Lifestyle modifications
Adequate nutrition, limiting sugary and acidic foods, controlling stress, stopping tobacco use, and maintaining hydration support gum health.

Monitoring changes
Be attentive to any gum changes (bleeding or swelling) and communicate them at dental visits.

Gum Disease Care at The Smile Collective

Gum disease assessment and treatment are available at each of The Smile Collective’s six clinics in Mount Eliza, Mornington, Oakleigh, Mooroolbark, Greensborough and Strathmore.

Our goal is to support patients in maintaining healthy gums, preserving supporting structures, and managing periodontal conditions through careful monitoring, tailored therapy and ongoing care. For further information about gum disease or to arrange a consultation, please contact your nearest Smile Collective clinic.