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Your treatment is led by Dr Gita Auplish, a Consultant and GDC-registered specialist in gum health.
Decades of clinical expertise in managing advanced and complex gum disease cases.
We use local anaesthetic and a calm, caring approach to ensure complete comfort.
We regularly receive referrals from general dentists for complex periodontal care.
Advanced technology and techniques for faster healing and better outcomes.
Access full care in one location, including hygiene therapy and implant maintenance.
Gum disease (periodontal disease) is a chronic condition that affects the gums and bone supporting your teeth. Early signs include bleeding when brushing, bad breath, and receding gums. If left untreated, it can lead to tooth loss. Our specialist-led care identifies the problem early and stops it from progressing.
Treatment begins with a detailed consultation and periodontal assessment. For most patients, we start with non-surgical deep cleaning under local anaesthetic. In advanced cases, Dr Gita Auplish may recommend minimally invasive surgical treatments to regenerate bone, reduce pockets or correct gum recession.
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When it comes to complex gum problems, experience matters. Dr Gita Auplish is a hospital consultant and GDC-registered specialist with over 25 years of advanced training and clinical success. Known for her gentle, honest approach and precise technique, Gita delivers exceptional results while putting even the most nervous patients at ease.
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Gum disease develops in stages, and the earlier we diagnose it at our Harley Street clinic, the more conservative your treatment can be. Knowing which stage you’re at helps Dr Gita Auplish recommend the right level of care.
Scaling and root planing is the gold-standard non-surgical treatment for gum disease and the foundation of almost every periodontal plan at our Harley Street clinic. It’s a deep, careful clean of the tooth roots beneath the gum line, where ordinary brushing and routine hygiene visits cannot reach.
Under local anaesthetic, Dr Auplish removes the bacterial plaque, tartar and toxins that have built up inside the periodontal pockets, then smooths the root surfaces so the gums can re-attach. Most patients describe the experience as comfortable and far gentler than they expected. Scaling and root planing is highly effective at stabilising mild-to-moderate gum disease, and is the safest place to start for the majority of patients in London before any surgical option is considered.
Pricing depends on the stage of your gum disease and the treatment required. A new patient periodontal consultation with Dr Gita Auplish covers a full assessment, pocket charting, X-rays and a written diagnosis. Non-surgical treatment is then quoted per quadrant, and any surgical or regenerative work is costed separately so you only pay for what you need. Full fees for gum disease treatment on Harley Street are available on our Fees & Finance page, and 0% interest-free finance is available to spread the cost. We’ll always confirm the full plan in writing before any treatment begins.
No — you do not need a referral to be seen at our Harley Street clinic. We accept both dentist referrals and self-referring patients, so you can book directly if you’re worried about bleeding gums, recession, loose teeth or a previous diagnosis of gum disease. If you have been referred by your general dentist, simply forward the referral when you book. After your consultation in London, Dr Auplish will send a written summary back to your referring dentist (if applicable) so your overall care stays joined up.
Your first consultation usually takes around 45–60 minutes and includes a full periodontal assessment. Non-surgical treatment (deep cleaning under local anaesthetic) is typically delivered over 1–2 visits, depending on how many areas of the mouth are affected. Surgical or regenerative procedures are scheduled separately and planned around your healing. After active treatment, most patients move into supportive maintenance every 3–4 months. Many of our London patients are seen, stabilised and into maintenance within a few months of their first appointment.
Early-stage gum disease (gingivitis) can be fully reversed with the right combination of specialist treatment and excellent home care. Once gum disease has progressed to periodontitis and bone has been lost, the disease cannot be ‘cured’ in the traditional sense — but it can be stabilised so that you keep your teeth for the long term. That’s why most of our Harley Street periodontal patients move into a personalised maintenance programme after active treatment, with reviews every few months to keep the disease under control.
Yes. At Bandlish & Auplish, we emphasise that poor oral hygiene can contribute to issues like gum disease, which has been linked to heart disease, diabetes, and other systemic conditions. Maintaining good oral care helps to protect not only your teeth and gums but also your overall health and well-being.
Yes. A growing body of research links untreated gum disease to systemic conditions including type 2 diabetes, cardiovascular disease, adverse pregnancy outcomes and respiratory disease. Inflammation in the gums doesn’t stay in the mouth — it enters the bloodstream and can contribute to inflammation elsewhere in the body. For patients with diabetes in particular, treating periodontal disease often improves blood-sugar control. We work alongside GPs and consultants across London where appropriate to make sure your gum health is managed as part of your overall wellbeing.
Not necessarily. Even patients with advanced periodontitis can usually keep most of their teeth when treatment is planned and delivered by a specialist periodontist. Modern non-surgical therapy, combined where needed with minimally invasive surgery, pocket reduction and bone regeneration, can save teeth that would otherwise be lost. The single biggest factor in the outcome is how early you seek specialist care. If you’ve been told your teeth are ‘hopeless’, it’s worth getting a second opinion from our Harley Street periodontal team before anything is removed.
A dental hygienist is trained to remove plaque and tartar, polish teeth and reinforce home care — essential for prevention and routine maintenance. A specialist periodontist has additional postgraduate training (usually 3+ years) in diagnosing and treating gum disease, including surgical and regenerative procedures. If your gums keep bleeding despite hygiene visits, or you’ve been told you have pockets, recession or bone loss, that’s the point at which specialist care on Harley Street adds real value. Our hygienists and Dr Auplish work as one team, so you get both routine and specialist support under one roof.
Yes — and most of our implant patients in London have a history of gum disease. The key is to fully stabilise the gums before any implant is placed, because implants can develop their own form of gum disease (peri-implantitis) if the underlying condition is not controlled first. Dr Auplish often prepares the site by treating the periodontal disease, regenerating lost bone and grafting soft tissue, before our implant team places the implant. This staged, specialist-led approach gives implants the best possible long-term prognosis.
Don’t wait until it’s too late. Book your consultation with Dr Gita Auplish and get expert support to stop gum disease in its tracks. Whether you’ve been referred or are self-referring, we’re here to help you feel comfortable, confident and cared for every step of the way.
Each tooth has two main parts: the crown (the visible portion) and the root (anchored in the jawbone). The crown is protected by enamel, beneath which lies dentin and the dental pulp. The pulp contains nerves, blood vessels, and connective tissue. The root of the tooth is covered by a layer called cementum and is secured in the jawbone by tiny fibers known as periodontal ligaments. These fibers act like elastic bands, firmly attaching the root to the surrounding bone. The roots are usually longer than the crown, giving the tooth stability and strength during chewing.
Gum disease, also known as periodontal disease, is an infection of the tissues that support your teeth. Early gum disease symptoms include redness, swelling, and bleeding gums. If left untreated, it can lead to more serious issues affecting oral health. At Bandlish & Auplish, we offer specialised gum therapy treatment and gum infection therapy to manage and reverse the condition. Our clinic in Harley Street London provides thorough assessments and tailored care plans to control gum disease effectively and maintain your oral wellbeing. Early intervention is key to preventing progression and preserving healthy gums.
The gingiva—commonly called the gums—is the pink tissue that surrounds and protects the base of each tooth. Healthy gums fit snugly around the teeth like a collar and act as part of the support system that keeps teeth in place.
They are made up of two main layers: a thin protective surface (epithelium) and a stronger connective tissue layer beneath, which contains fibers and small blood vessels. This structure gives healthy gums their firm, pale pink appearance.
The periodontium refers to all the tissues that support and hold a tooth in place. This includes the gums (gingiva), the jawbone, the root surface (covered in cementum), and the periodontal ligaments that attach the tooth to the bone.
This support system absorbs the forces of biting and chewing. In healthy teeth, the periodontium surrounds the entire root. When gum disease (periodontitis) occurs, these supporting tissues can break down, leading to bone loss and tooth instability.
Gingivitis is the early stage of gum disease caused by plaque buildup. Within just a few days of poor cleaning, the gums can become irritated and inflamed. They may appear red, swollen, or bleed when brushing or flossing.
Fortunately, gingivitis is reversible with consistent oral hygiene and professional care. However, untreated gingivitis can progress to more serious gum disease. Most people experience gingivitis at some point in their lives, especially in areas of the mouth that are harder to keep clean.
Hormonal changes during pregnancy can also make gums more prone to inflammation, which is why expectant mothers are advised to maintain excellent oral care and see their dentist regularly.
No. Most procedures are carried out under local anaesthetic to ensure comfort. Patients typically report minimal discomfort, and we’ll advise you on post-treatment care to minimise any soreness.
Gum disease is mainly caused by the buildup of plaque, a sticky layer of bacteria that forms on teeth. If not removed through regular brushing and flossing, this bacteria irritates the gums, leading to inflammation and infection. At Bandlish & Auplish, we emphasise early prevention and treatment to stop gum disease from progressing. Other factors such as smoking, certain medications, and health conditions can also increase the risk of gum disease.
Common signs include bleeding when brushing, bad breath, receding gums, tooth sensitivity and loose or shifting teeth. In early stages, symptoms may be subtle, which is why early diagnosis is key.
You’ll meet with Dr Auplish for a full gum health assessment, including clinical measurements and X-rays. We’ll discuss your concerns, provide a clear diagnosis and present a tailored treatment plan. A written summary is sent to your referring dentist if applicable.
General dentists refer patients to periodontists for complex or persistent gum problems. A periodontist has specialist training in managing gum disease, including surgical treatments, regeneration and implant site preparation.
Gingivitis is the early stage of gum disease, characterised by red, swollen gums that may bleed during brushing. It is reversible with proper care. If left untreated, it can progress to periodontitis, a more severe condition in which the infection damages the tissues and bones supporting the teeth. This can lead to tooth mobility or loss. Bandlish & Auplish focus on diagnosing and treating both stages to maintain oral health.
Periodontitis is a serious form of gum disease that damages the tissues and bone supporting the teeth. It usually develops when gingivitis is left untreated. As the gums pull away from the teeth, deep pockets form where plaque and tartar collect. Over time, the supporting fibers and bone are destroyed, and the teeth may loosen or even fall out. This condition is very common and is one of the leading causes of tooth loss in adults. Studies suggest that up to 40% of adults experience some form of periodontitis, with around 70% of tooth loss linked to this disease.Â
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Flat 1, Harmont House 20 Harley Street London, W1G 9PH
