Advanced gum disease — treated to save your teeth
Periodontitis Treatment in Coimbatore
At Arasu Dental Care, periodontitis treatment stops advanced gum disease from destroying the bone and tissue that hold your teeth in place — so you keep your own teeth instead of losing them one by one. It’s the care you need once gum disease has moved past bleeding gums into deeper damage: gums pulling away from the teeth, a bad taste that won’t clear, teeth that feel loose or have begun to drift or splay.
This is the stage many people in Tamil Nadu know as pyorrhea (பயரியா) — and it’s exactly the kind of case our periodontist manages routinely. The earlier we see you at our R.S. Puram or Saibaba Colony branch, the more of your natural bite we can save.
A tooth starting to feel loose, or gums pulling away? The sooner we see you, the more we can save. Both Coimbatore branches are open all seven days — call R.S. Puram +91 88380 22157 or Saibaba Colony +91 74491 88777.
Read the signs
Do these sound like you? The signs your gums need more than a cleaning
Gum disease is easy to ignore because it rarely hurts until it’s advanced. If you recognise several of the signs below, your gums have likely progressed beyond the early, reversible stage and need targeted treatment rather than a routine scale-and-polish:
Signs of advanced gum disease worth acting on
- Gums that bleed when you brush, floss, or eat — not just occasionally, but most days. If bleeding is your main worry, our bleeding gums page covers it too.
- Receding gums — teeth that look longer than they used to, or feel sensitive at the roots.
- Persistent bad breath or a lingering bad taste that mouthwash doesn’t fix.
- Loose or drifting teeth — teeth that feel mobile, or new gaps opening up between teeth that used to sit tight.
- Pus, swelling, or tenderness around the gumline, or gums that feel sore when you chew.
The line that matters: the earliest stage, gingivitis, is inflammation of the gums only — and it can usually be reversed completely with a professional cleaning and better home care. Periodontitis is what comes next, once the infection has reached the bone and started to dissolve the support around your teeth. That lost bone doesn’t grow back on its own — which is why this stage is treated, then managed for life, rather than simply cured. If you’re not sure which stage you’re at, that’s the first thing we establish at your consultation.
Where you stand
How advanced is your gum disease?
Where you sit on this scale decides how much treatment you’ll need — from a single deep clean to surgical care. We assess it by measuring the pockets between your gums and teeth and, where needed, taking X-rays to see the bone level. Here’s what each stage looks like:
| Stage | What’s happening | What you’d notice | Typical treatment |
|---|---|---|---|
| Gingivitis (reversible) | Gums inflamed; no bone loss yet | Red, puffy gums that bleed easily | Professional cleaning + home care |
| Early periodontitis | First bone loss around teeth begins | Bleeding, mild recession, slight looseness | Deep cleaning (scaling & root planing) |
| Moderate periodontitis | Deeper pockets, more bone lost | Bad breath, sensitivity, teeth starting to move | Deep cleaning ± laser or flap surgery |
| Advanced periodontitis | Severe bone loss; teeth poorly supported | Loose teeth, gaps, pus, painful chewing | Flap / regenerative surgery; some teeth may need replacing |
What we do about it
How we treat periodontitis at Arasu Dental Care
We match the treatment to how far the disease has advanced — starting with the least invasive option that will actually control your case, and moving up only when the pockets and bone loss require it. Your care is led by our periodontist, , who holds an Associate Fellowship in Laser Dentistry from the World Clinical Laser Institute (WCLI), USA. Most treatment plans move through some of these steps:
The foundation of nearly every case
Deep cleaning (scaling & root planing)
We clean the plaque and hardened tartar from below the gumline — down inside the pockets a normal cleaning can’t reach — and smooth the root surfaces so the gum can reattach and the pockets can shrink. For early and many moderate cases, this alone brings the infection under control. It’s usually done over one or two visits under local anaesthesia, so it’s comfortable, and you’re back to normal eating within a day or two. Read more about our deep cleaning / scaling.
Minimally invasive, where it fits
Laser-assisted periodontal therapy
For suitable cases, we use dental lasers alongside deep cleaning to target infected tissue in the pockets and support healing, often with less bleeding and faster recovery than surgery. This is where our periodontist’s laser fellowship comes in — it lets us take a minimally invasive route for some patients who would otherwise need cutting. Whether a laser approach fits your case depends on the pocket depth and bone loss, and we’ll tell you honestly if it does or doesn’t. More on laser gum therapy.
For deep pockets
Flap surgery
When pockets are too deep to clean thoroughly from above, we perform flap surgery: the gum is gently lifted back so we can clean the roots and diseased tissue directly, then secured back into place to fit more snugly against the tooth. It sounds bigger than it feels — it’s done under local anaesthesia, and it’s the reliable way to save teeth that a deep clean alone can’t rescue. Learn more about our dental flap surgery.
For advanced cases
Regenerative procedures & gum grafting
In advanced cases, we can go a step further to rebuild what was lost — bone grafts, membranes that guide new tissue growth, or gum grafts to cover exposed roots and restore a stable gumline. These are for specific situations, not every patient, and we’ll only recommend them when the tooth is worth saving and the biology supports it.
The part that keeps it controlled
Periodontal maintenance
Periodontitis is a chronic condition, so treatment doesn’t end when the pockets close. To keep it from returning, most patients move onto a maintenance schedule — professional cleanings every three to four months instead of the usual six, plus a home routine we’ll coach you through. This is the single biggest factor in keeping your teeth long-term, and it’s why we build it into the plan from day one rather than leaving you to guess.
Treated by a periodontist, not referred out
Most gum treatment in the city is handled by general dentists. At Arasu, periodontitis is staged and treated by , whose Associate Fellowship in Laser Dentistry from the WCLI (USA) means we can offer minimally invasive, laser-assisted options alongside conventional surgery — not just refer them elsewhere. If your case also involves loose-tooth replacement, the implant and restorative team are under the same roof.
Periodontist · Associate Fellowship in Laser Dentistry, WCLI (USA)
Leads gum care at Arasu Dental Care — from staging periodontitis with pocket charting and imaging, to deep cleaning, laser-assisted gum therapy, flap surgery and regenerative grafting. Because every stage sits with one specialist, your gums are read and treated by someone who manages gum disease at every level. View profile
Why it happens
What causes periodontitis — and what raises your risk
At its root, periodontitis starts with plaque — the sticky bacterial film that builds up on teeth and hardens into tartar when it isn’t removed. Left along the gumline, it triggers the inflammation that slowly destroys the support around your teeth. But some things make it progress faster and hit harder, and knowing yours helps us plan your care:
What makes gum disease progress faster
- Smoking and tobacco / paan use — one of the strongest risk factors; it also masks bleeding, so the disease advances quietly.
- Diabetes — poorly controlled blood sugar and gum disease feed each other (more on this below).
- Irregular cleaning or missed dental visits — the most common and most fixable cause.
- Genetics, stress, and hormonal changes — which can make some people more prone even with good habits.
The cost of waiting
What happens if you leave it untreated
Periodontitis doesn’t stall — it advances. As more bone is lost, teeth loosen, shift, and eventually fall out or need to be removed, and periodontitis is one of the leading causes of tooth loss in adults. The infection can also flare into painful abscesses and spread to neighbouring teeth. This isn’t said to alarm you — it’s the honest reason we’d rather see you at the loose-tooth stage than the missing-tooth one.
If teeth have already been lost, we can talk about replacing them with dental implants once the gum disease is stabilised — but keeping your natural teeth, where we can, is almost always the better outcome. That’s the whole point of treating it now.
The honest part
Honest considerations before you start
Controlled, not cured
We’ll be straight with you: once periodontitis has caused bone loss, that stage can be halted and managed extremely well — but it isn’t reversed like a cavity is filled. The goal of treatment is to stop the damage, close the pockets, and keep the disease inactive for the long term. Gingivitis, caught earlier, genuinely can be reversed; periodontitis is managed.
A few realistic expectations worth setting
- Some recession stays. Gums that have pulled back usually don’t return fully to where they were on their own, though grafting can restore some of it.
- Maintenance is for life. Skipping the three-to-four-monthly cleanings is the most common reason gum disease comes back. Results depend heavily on this.
- Not every tooth can be saved. Where support is too far gone, removal and replacement may be the more predictable choice — and we’ll tell you honestly which teeth are worth fighting for.
Individual results vary based on the stage of disease, your overall health, smoking status, and how consistently the maintenance routine is followed. A personalised assessment with our dentists is the only way to know what your case needs.
Beyond the mouth
Why treating your gums protects more than your smile
Gum disease isn’t sealed off inside your mouth. The clearest, most consistently researched connection is with diabetes, and it runs both ways: uncontrolled blood sugar makes gum disease worse, and active gum infection makes blood sugar harder to control. Periodontitis has also been linked in research to heart and other inflammatory conditions. For diabetic patients especially, getting the gums under control is part of managing overall health — which is one more reason we treat it seriously rather than as a cosmetic issue.
Transparent pricing
Periodontitis treatment cost in Coimbatore
What you’ll pay depends entirely on how advanced the disease is — an early case controlled with a deep clean costs a fraction of an advanced case needing surgery across several areas of the mouth. We price transparently and explain what each step covers before you commit to anything. As a guide, here’s where our fees sit for the stages of periodontal care:
| Stage of care | What it covers | Cost at Arasu Dental Care |
|---|---|---|
| Consultation & gum assessment | Exam, pocket-depth charting, treatment plan | ₹300 – ₹500 |
| Diagnostic imaging (if needed) | IOPA / OPG / CBCT to check bone level | IOPA ₹200–300 · OPG ₹400–600 · CBCT ₹1,000–4,000 |
| Routine scaling (early stage) | Cleaning above the gumline | ₹1,500 – ₹3,000 |
| Deep cleaning — scaling & root planing (full mouth) | Cleaning below the gumline, both arches | ₹12,000 – ₹15,000 |
| Flap surgery (moderate–advanced) | Surgical access to clean deep pockets | Quoted after assessment |
| Gum grafting / regenerative care | Rebuild lost tissue & support | Quoted after assessment |
| Periodontal maintenance (ongoing) | Cleanings every 3–4 months | Quoted after assessment |
Prices are subject to individual consultation and depend on the stage and extent of treatment — which is exactly what the assessment tells us. We’ll give you a clear figure for your case before we start, and we accept cash, UPI, cards and net banking, with EMI options available for larger surgical plans.
Get a clear treatment plan and quoteA short consultation stages your gum disease and tells you exactly what it needs — and what it will cost — before you commit to anything. R.S. Puram +91 88380 22157 · Saibaba Colony +91 74491 88777.
Book a gum check-upWhy Arasu
Why patients choose Arasu Dental Care for gum treatment
Most gum treatment in the city is handled by general dentists. Where it helps to have a dedicated periodontist is in staging the disease accurately, choosing the least invasive route that will actually control it, and keeping it controlled for the long term.
A dedicated periodontist
Your periodontitis is treated by , with an Associate Fellowship in Laser Dentistry from the WCLI (USA) — so laser-assisted options are offered, not just referred out.
Multispecialty, under one roof
If your case also involves loose-tooth replacement or restoration, the implantologist and restorative team are in the same clinic — so your care is coordinated, not scattered across referrals.
Open all seven days
10:00 AM – 8:30 PM. That makes fitting in the regular maintenance visits — the part that actually keeps gum disease away — realistic around work and family.
Two central branches
R.S. Puram (+91 88380 22157) and Saibaba Colony (+91 74491 88777), both easy to reach across Coimbatore.
FAQs
Periodontitis: your questions answered
Not in the way a cavity is filled. Once bone has been lost, that stage is halted and managed rather than reversed — we stop the damage, close the pockets, and keep the disease inactive with maintenance. The earlier stage, gingivitis, genuinely can be reversed, which is why we’d rather catch it sooner.
The deep cleaning and surgical steps are done under local anaesthesia, so the procedure itself is comfortable. Any tenderness afterwards is usually mild and settles within a day or two, and for many patients the treatment relieves the soreness they arrived with.
Not necessarily. A tooth loosened by gum disease can often be saved if we treat the infection and, where needed, splint or surgically support it. Whether it’s savable depends on how much bone is left — we’ll tell you honestly at your assessment which teeth are worth keeping.
An early case controlled with deep cleaning may need just one or two visits plus reviews. Advanced cases involving surgery are staged over several appointments, followed by ongoing three-to-four-monthly maintenance cleanings.
Gingivitis is inflammation of the gums only, with no bone loss, and it’s reversible. Periodontitis is the next stage, where the infection has reached and started destroying the bone that supports your teeth — which is why it’s managed for the long term rather than simply cured.
Yes. Pyorrhea (பயரியா) is the common local name for advanced gum disease with pus and loosening teeth — the same condition dentists call periodontitis.
Yes, and it matters more than anything else. Regular maintenance cleanings, usually every three to four months, are the single biggest factor in keeping gum disease from returning. We build this into your plan from the start.
It can. The clearest link is with diabetes, and it runs both ways — active gum infection makes blood sugar harder to control, and vice versa. Getting the gums stable is part of managing overall health, especially for diabetic patients.
This page is for general information and does not replace a clinical examination. Individual results vary depending on the stage of gum disease, your overall health, smoking status, and how consistently maintenance is followed. Consult our dentists for a personalised assessment.
Arasu Dental Care — open all 7 days, 10:00 AM – 8:30 PM
Book your gum check-up
If your gums bleed, feel sore, or a tooth has started to feel loose, the sooner we see you the more we can save. Let’s take a look and give you a clear plan. WhatsApp +91 96007 56297 · arasudentalcare@gmail.com.
R.S. Puram (main branch)
Saibaba Colony
More From Arasu
