4.9 on Google from 107 reviews4.9 from 107 Google reviewsDenplan practice since 2012Invisalign Gold Provider
£76New patient appointment, usually £95 · Book now
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Ethicare Dental
£76New patient appointmentUsually £95 · Book now

250 Upper Richmond Road, Putney SW15 6TGEvening appointments on Tuesdays · Open Saturdays

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General & preventive

Gum disease treatment in Putney

A clear protocol for preventing and treating gum disease, shared between your dentist, our hygienist and our periodontal consultant. We chart your gums at every examination and act early.

Clinically reviewed by Dr Glafcos Tombolis, BDS, GDC 74754
Last reviewed 27 September 2026

Gum disease treatment at Ethicare, in brief

How much does it cost?

Your gums are charted as part of an examination (£85). Deep cleaning with local anaesthetic is £165 a visit. Treatment with our periodontal consultant is priced after assessment.

Who treats it?

Your dentist and Sylwia, our hygienist, working to one protocol. Pockets that do not respond are referred to our periodontal consultant.

Can I pay monthly?

Hygiene visits are included in our Denplan plans from £24.82 a month, and members get 10% off private treatment.

How long does it take?

Deep cleaning, then a review two to three months later to see whether the pockets have reduced. Once stable, you need hygiene visits every three to four months to keep it that way.

Dr Glafcos Tombolis in a consultation with a patient

Gum disease is quiet until it isn't.

At every examination we score your gums section by section, looking for bleeding, inflammation, recession and pockets where the bone has started to go. A high score means more detailed charting, at six points around each tooth, so we know exactly where the problem is.

Pockets are cleaned thoroughly by Sylwia, with local anaesthetic where needed, and your dentist reviews them two to three months later. A pocket that closes means a healthy environment has been created. One that does not respond, despite good home care, is referred to our periodontal consultant, who can carry out more involved procedures to eliminate pockets and, in some cases, regenerate bone.

  • Gums scored at every examination
  • Deep cleaning with local anaesthetic
  • Reviewed at two to three months
  • Referral to our periodontal consultant when needed
“He is extremely patient and thorough and makes time to explain all procedures fully and answer any questions.”
Sharon Wright · Google review

Your gum treatment, step by step

  1. 01AssessmentYour gums are scored and, where needed, charted in detail so we know where the pockets are.£85
  2. 02Deep cleaningSylwia cleans the affected areas thoroughly, below the gum line, with local anaesthetic if needed.£165
  3. 03ReviewTwo to three months later your dentist re-measures the pockets to see how they have responded.At 2 to 3 months
  4. 04Maintain, or referStable gums need hygiene visits every three to four months. Pockets that have not responded are referred to our periodontal consultant.Ongoing

What if my gums don't respond?

Most gum disease responds to thorough cleaning and good home care. Where a pocket does not, the reason is often the shape of the roots or a spot that is hard to reach, and our periodontal consultant can treat it with more involved procedures. If you consider your case severe, or your own dentist has referred you, you can see our periodontal consultant straight away.

Hygiene appointmentsRegular scaling and advice to keep gums healthy once treatment is complete.£105PeriodontistTreatment for advanced gum disease with our periodontal consultant.On assessmentReplacing lost teethIf a tooth has already been lost to gum disease, the options for replacing it.Options compared
What to expect, and the honest partAfter deep cleaning your gums may be tender and your teeth sensitive for a week or so, and as swelling settles you may notice the gums sit lower and the teeth look longer. That is the disease that has already happened, not the treatment. Bone that has been lost does not usually grow back with standard treatment. Once you have had gum disease you can get it again, so it needs more frequent hygiene visits, usually every three to four months, and a high standard of home care.

Gum disease questions

Something else? Call us on 020 8870 5059 or send a WhatsApp message.

How do you know if I have gum disease?

At your examination we score your gums using the CPITN system, which grades each section of your mouth from 0, perfect health, to 4, more severe bone loss. A score of 4 means detailed charting at six points around each tooth so we can measure the pockets.

Does gum treatment hurt?

Deep cleaning below the gum line can be uncomfortable, so we use local anaesthetic. Most patients find it much less unpleasant than they expected, and tender gums settle within days.

Will my gums grow back?

Standard treatment creates a healthy environment and stops the disease progressing, but it does not regrow lost bone or gum. Some procedures carried out by our periodontal consultant can regenerate bone in certain cases.

How often will I need to see the hygienist afterwards?

Usually every three to four months. Gum disease is episodic, so keeping the bacteria under control with regular visits and good home care is what protects your teeth.

How much does gum disease treatment cost at Ethicare?

Assessment is part of a £85 examination. Deep cleaning with local anaesthetic is £165 a visit, and a one-hour appointment with Airflow is £215. Treatment with our periodontal consultant is priced after assessment.

What our patients say

4.9from 107 Google reviews
Read more on Google
“When I first visited his practice… as a nervous patient, I found dental visits quite daunting. Glafcos has been a fantastic professional—calm, reassuring, and incredibly skilled.”
Silvana Mammolino · Google review
“As a family we have visited them for many years for routine check ups, hygiene and orthodontic appointments with Priti.”
Sarah Taylor · Google review
“Dr Glafcos has provided me with a very friendly and professional service. I will not hesitate to recommend him to anyone.”
Yris Vivas · Google review

Start with a conversation.

Book online, call us, or send a WhatsApp message. New patient exams are £76, including four small X-rays.

Find us

250 Upper Richmond Road
Putney, London SW15 6TG
250 Upper Richmond Road, Putney SW15 6TG

Opening hours

Mon, Wed, Thu
8:45am – 6pm
Tuesday
8:45am – 9pm
Friday
8:15am – 5pm
Saturday
9am – 2:30pm

Open until 9pm Tuesdays · Saturdays 9am–2:30pm

The Ethicare Dental shopfront on Upper Richmond Road, Putney
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