Gum & Periodontal Disease – Treatments and Prevention in Bangkok

July 21, 2025
gums showing early signs of periodontis

What Is Gum Disease? Symptoms and Causes

Gum disease isn’t just a minor irritation—it’s a progressive infection that can damage the soft tissue and bone supporting your teeth. The earliest stage, gingivitis, often starts with redness, swelling, or bleeding when you brush or floss.

This inflammation develops when plaque, a sticky bacterial film, accumulates along the gum line. If plaque hardens into tartar, it becomes even harder to remove without professional help. Over time, untreated build-up can lead to periodontal disease, a more severe form of infection known as periodontitis.

Warning signs and symptoms of periodontitis may include:

  • Gums that bleed easily

  • Receding gums making teeth look longer

  • Persistent bad breath

  • Tender or swollen gum tissue

  • Changes in the way your teeth fit together

If left unmanaged, gum disease can damage the bone that supports your teeth, ultimately leading to tooth loss.

 

Stages of Periodontitis and How It Progresses

Periodontal disease develops in stages. In the earliest stage of gum disease, gingivitis can often be reversed through good daily care and professional cleaning.

If plaque and bacteria are not removed, the infection advances to mild periodontitis, where gums begin to pull away from your teeth, forming pockets that trap bacteria. Over time, these pockets deepen and damage the tissues that support your teeth, eventually resulting in advanced periodontitis.

At this point, you may experience severe gum recession, bone loss, and teeth that feel loose. Advanced gum disease is a primary reason many adults in Bangkok need restorative treatment.

Inflamed gums showing signs of periodontitis

Inflamed gums showing signs of periodontitis.

 

Why You Should See a Dentist Early

Seeing a dentist as soon as possible is the best way to catch gum disease early. At The Smile Bar Bangkok, we recommend checking with our dentist before your whitening session—especially if you haven’t had a recent cleaning.

This proactive assessment looks for:

  • Plaque and tartar accumulation

  • Diseased gum tissue

  • Early gum recession

  • Signs of infection

If we see anything concerning, we’ll refer you to a dentist or recommend further treatment before the problem worsens. Early intervention is the key to avoiding more complex procedures.

Dental consultation.

Dental consultation.

 

How Gum Disease Can Lead to Tooth Loss

Without treatment, gum disease progresses silently. As infection of the tissues spreads deeper, your gums can no longer hold your teeth in place securely. The underlying bone and tissue deteriorate, and teeth can loosen or fall out.

In addition to tooth loss, chronic periodontitis has been linked to systemic issues like cardiovascular disease and diabetes complications. That’s why experts, including the Centers for Disease Control, emphasize the importance of good oral care and routine check-ups.

 

Periodontal Treatments Available in Bangkok

When diagnosed early, treatment for gum disease can prevent further damage. Here are common periodontal treatment options you’ll find in leading Bangkok clinics:

Deep Cleaning: Scaling and Root Planing

  • The first approach is usually scaling and root planing, a deep-cleaning procedure to remove plaque from your teeth and smooth root surfaces so gum tissue can reattach. This is highly effective in treating mild to moderate periodontitis.

Gingival Surgery (Gingivectomy)

  • If you have advanced periodontitis, a gingivectomy may be necessary to remove diseased gum tissue and allow deeper cleaning of infected areas.

Crown Lengthening

  • When damage extends below the gum line, crown lengthening reshapes gum and bone to expose healthy tooth structure, making future restorations easier.

Gingival Grafts

  • In cases of gum recession, a gingival graft uses healthy tissue to reinforce the gum line and protect exposed roots.

Guided Tissue Regeneration

  • For severe cases, guided tissue regeneration can help rebuild lost bone and support structures. Combined with LED disinfection technology, these treatments improve healing and reduce discomfort.

 

Risk Factors That Increase Gum Disease

Certain risk factors make you more prone to gum problems, including:

  • Smoking or tobacco use

  • Poor oral hygiene habits

  • Uncontrolled diabetes

  • Hormonal changes (pregnancy, menopause)

  • A family history of gum disease

  • Medications causing dry mouth

If you have any of these factors, it’s vital to keep up with regular dental check-ups and daily care.

 

Daily Oral Care: Brushing, Flossing, and Good Habits

Even the best professional treatment must be supported by consistent home care. To maintain healthy gums:

  • Brush twice a day with high quality toothpaste

  • Floss daily to remove plaque between teeth

  • Use an antibacterial mouthwash

  • Eat a balanced diet rich in vitamins

  • Avoid smoking and excessive sugar

Remember: Healthy gums are firm, pale pink, and do not bleed easily. If you see changes, consult with your dentist promptly.

Brilliant Smile products.

Brilliant Smile products.

 

A Premium Approach to Oral Health

At The Smile Bar Bangkok, we believe that prevention, early detection, and education empower you to protect your smile. Whether you’re concerned about early-stage gum disease, managing advanced periodontitis, or simply want reassurance through professional monitoring, our team is here to help.

Book your appointment today and discover a premium, proactive approach to oral wellness in Bangkok.

The Smile Bar Premise

The Smile Bar Premise

 

Conclusion – TL;DR

Gum disease is a serious but preventable condition. Early signs like bleeding or receding gums can quickly lead to bone loss and tooth loss if left untreated. With regular cleanings and early intervention, you can reverse gingivitis and stop periodontitis from progressing. At The Smile Bar Bangkok, we help you detect issues early and protect your smile with premium care.

 

Frequently Asked Questions About Gum Disease

Can gum disease be reversed?

  • Yes—gingivitis can be reversed with professional cleanings and consistent care. However, advanced periodontitis cannot be fully reversed, though treatment can stop progression.

Is gum disease hereditary?

  • Genetics can increase your risk for periodontal disease, but daily hygiene and professional care help manage this risk.

Can gum disease cause bad breath?

  • Yes. Bacteria under the gum line produce foul-smelling compounds that cause halitosis. Brushing, flossing, and professional cleanings are essential to manage it.

What does gum disease look like?

  • Swollen, red gums that bleed easily; receding gums; and pockets around teeth are common signs.

How much does periodontal treatment cost in Bangkok?

  • Costs vary. Deep cleaning treatments like scaling and root planing usually start at a few thousand Thai Baht, depending on the severity. Surgical procedures are more expensive. A consultation will give you a precise estimate based on your condition.

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