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Gum Disease Stages & Treatment · Harley Street

Expert Gum Health & Periodontal Care on Harley Street

Specialist-led treatment for bleeding, receding or swollen gums — gentle, precise, and tailored to the stage you’re at, from Dr Gita Auplish and her team.

  • Led by Consultant Periodontist Dr Gita Auplish, GDC 71011
  • Non-surgical first, surgical only where it’s truly needed
  • 20+ years treating complex gum disease on Harley Street

Which of these sounds like you?

You don’t need to self-diagnose. Hover on what you’re noticing and we’ll tell you, in plain terms, what it usually means and what happens next.

Bleeding
Gums

Healthy gums don’t bleed. Bleeding is a sign of infection, not of brushing too hard — and mouthwash alone won’t fix it.

Swollen,
tender gums

Red, puffy or tender gums mean inflammation is active. Treated properly, gums shrink back to pink, firm and healthy.

Receding
Gums

Teeth looking longer, or sensitive at the root? Recession doesn’t reverse on its own, but it can be treated and stopped.

Persistent
bad breath

Bacteria trapped in periodontal pockets is a common, treatable cause — not always a hygiene failure on your part.

Loose or
shifting teeth

Movement means the bone supporting your teeth is affected. It’s later-stage — but stabilising it is still very possible.

Specialist gum care, built around confidence

Six reasons patients travel across London — and beyond — for periodontal treatment on Harley Street.

Specialist-led,
not general care

Every treatment plan is led directly by Dr Gita Auplish, a GDC-registered periodontal specialist and hospital consultant.

20+ years on Harley Street

Two decades of experience in advanced and complex periodontal cases, in the same Harley Street practice.

Gentle by
design

Local anaesthetic and an unhurried, calm approach — built for patients who’ve avoided treatment out of nerves.

Trusted by referring dentists

We regularly take referrals from general dentists across London for cases that need specialist attention.

Minimally
invasive first

We reach for surgery only when non-surgical treatment won’t be enough — never as a default.

One practice,
full care

Hygiene therapy, implant maintenance and periodontal treatment, all under one Harley Street roof.

Gingivitis vs periodontitis

Gum disease starts as gingivitis — inflammation of the gum tissue with no bone involvement. Left untreated, it can progress to periodontitis, where the infection begins to break down the bone and ligament holding your teeth in place.

Gingivitis

Red, swollen, bleeding gums. No bone loss. Fully reversible with treatment and good home care.

Periodontitis

Gums detach from teeth, pockets form, bone is lost. Manageable and stabilised — but not reversed.

The four stages of gum disease

The earlier we catch it, the more conservative your treatment. Here’s what each stage looks like beneath the gum line.

Stage 1

Gingivitis

Red, swollen gums that bleed on brushing. No bone loss — fully reversible with cleaning and improved home care.

Stage 2

Early Periodontitis

Gums begin to detach, forming pockets of 4–5mm. Mild bone loss visible on X-ray. Stabilised non-surgically.

Stage 3

Moderate Periodontitis

Pockets of 5–7mm, visible recession, occasional looseness. Scaling and root planing plus close monitoring.

Stage 4

Gingivitis

Pockets 7mm+, significant bone loss, mobile teeth. Surgical and regenerative options — most teeth still saveable.

Noticed your gums pulling back from your teeth?

Recession can be treated with soft-tissue grafting, restoring coverage over exposed roots and reducing sensitivity.

Gums can also settle back a little after gum disease treatment, as the swelling goes down. Small gaps between the teeth are a sign of healthier gums, and they can be masked with a gum veneer, bonding or veneers. We’ll always talk this through with you first.

After gum treatment, small gaps between the teeth, then the same smile with the gaps masked by a gum veneer

Explore gum grafting

Results from Dr Auplish’s patients

Drag the handle to compare before and after.

Assessment

Pocket charting, X-rays and a full periodontal diagnosis, usually 45–60 minutes. We measure six points around every tooth and record them, so we can track improvement over time. Healthy gums measure under 4mm and don’t bleed.

Three ways to treat recession

Gum Grafting

Surgical soft-tissue grafting restores coverage over exposed roots.

Often recommended when roots are exposed or sensitive, or when receding gums are affecting how your smile looks. Unlike a gum veneer, it’s fixed rather than removable. It’s planned and carried out by Dr Gita Auplish.

Read about gum grafting →

Gum Veneers

A conservative, removable option that masks recession and black triangles.

Removable gum veneer, and the gum veneer in place over the upper teeth

Bonding or Veneers

A fixed, natural-looking option that covers exposed roots and closes small gaps, once your gums are healthy.

Natural-looking smile after recession was masked with veneers

How we treat Gum Disease

Every plan starts non-surgically. Surgery is only ever the next step — not the first one.

Gum pocket chart before and after treatment, showing shallower pockets and less bleeding

Assessment

Pocket charting, X-rays and a full periodontal diagnosis — usually 45–60 minutes.

Non-surgical Treatment

Scaling and root planing under local anaesthetic, over 1–2 visits.

Review

We re-measure pockets to confirm the disease has stabilised.

Surgical care, if needed

Minimally invasive regenerative or corrective surgery for advanced cases.

Dr Gita Auplish

Specialist Periodontist/Owner

BDS (Hons), MSc (Dist), MFDS RCS (Eng) – GDC 71011

Gita has spent over 20 years treating gum disease on Harley Street, known equally for precise clinical technique and an unhurried, honest way of explaining things. She works as a hospital consultant alongside her private periodontal practice, and is trusted by general dentists across London for their most complex referrals.

Qualifications
  • BDS with double honours, Guy’s Hospital, 1995
  • MSc in Periodontology (distinction), Eastman Dental Hospital, 1998
  • Membership of the Faculty of Dental Surgery (MFDS), Royal College of Surgeons of England, 2001

What patients say about Gita

The practice is incredibly client focused from the moment you pick up the phone to the aftercare provided. Gita was fantastic and clear in explaining … Read More

Pete Leslie

I came to Dr. Gita Auplish after being turned away by an Invisalign provider who found gum disease during a routine clean and told me I’d need to se… Read More

Hafsa Yasin

Like many people, I’ve had a longtime fear of the dentist but I’m very happy to leave a review here to let other people know you couldn’t be in … Read More

Jamie McCabe

After a previous horrific incident at former dentist, I was extremely hesitant to attend another, I eventually found bandlish & auplish and now needed… Read More

D K

I made an appointment with Doctor Auplish after finding out I’d experienced bone loss due to gum disease. From the moment I met Gita she made me fee… Read More

Elodie Ashworth

0%

Interest-free finance available, so you can spread the cost of your treatment plan over manageable monthly payments.

Cost & 0% finance

Pricing depends on the stage of your gum disease and treatment needed. Your consultation covers a full assessment, pocket charting and X-rays, with any non-surgical or surgical work quoted separately — so you only pay for what’s required. We’ll confirm everything in writing before treatment begins.

View fees & finance

Frequently Asked Questions

How much does gum disease treatment cost?

It depends on the stage of disease and treatment needed. Your consultation includes a full assessment and written diagnosis; non-surgical treatment is quoted per quadrant and surgical work costed separately, with 0% finance available.

Do I need a referral to see Dr Auplish?

No. You can book directly with Dr Gita Auplish, or your dentist can refer you using our online referral form.

How long does treatment take?

Your first assessment takes 45–60 minutes. Deep cleaning under local anaesthetic is usually done in two appointments, treating half of your mouth at each. We then re-check your gums after around eight weeks of healing. After that, hygienist visits every three months help keep them stable.

Can gum disease be cured?

Gingivitis, the early stage, can be fully reversed. Once periodontitis has caused bone loss, the lost bone won’t grow back on its own, but the disease can be stabilised. With good daily care and regular hygienist visits, many patients keep their gums stable for decades.

Will I lose my teeth if my gum disease is advanced?

Not necessarily. Even when gum disease is advanced, treatment can often stabilise the gums and help you keep your natural teeth. Gum disease is often painless until it’s well developed, so the sooner you’re seen, the more options you have.

Can I still have implants if I’ve had gum disease?

Often, yes. Your gums need to be healthy and stable first, because the same infection can affect implants too. Read more about dental implants in Marylebone, planned with gum health in mind.

we love making you smile

The practice is incredibly client focused from the moment you pick up the phone to the aftercare provided. Gita was fantastic and clear in explaining then resolving the issues I had. The results at th… Read More

Pete Leslie

I came to Dr. Gita Auplish after being turned away by an Invisalign provider who found gum disease during a routine clean and told me I’d need to see a specialist, then put me on a waiting list with… Read More

Hafsa Yasin

Like many people, I’ve had a longtime fear of the dentist but I’m very happy to leave a review here to let other people know you couldn’t be in better hands than with Gita. I was referred by my … Read More

Jamie McCabe

After a previous horrific incident at former dentist, I was extremely hesitant to attend another, I eventually found bandlish & auplish and now needed peridontal care it having been that long, I was b… Read More

D K

I made an appointment with Doctor Auplish after finding out I’d experienced bone loss due to gum disease. From the moment I met Gita she made me feel like we would solve everything together, and I n… Read More

Elodie Ashworth

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