
Dr Anupam Sinha
BDS, MDS - Orthodontics
- Delhi State Dental Council registration number A-6723 (2015).
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Monday to Saturday, 9:30 am to 8:00 pm
Gum disease treatment · Greater Kailash 1, Delhi
Gum disease is an infection and inflammation of the gums caused by plaque, and early treatment can stop it from damaging the bone that holds the teeth. At Orion Dental Clinic, a dentist in Greater Kailash 1 (GK 1), South Delhi, this page explains the signs, the stepwise treatment recommended in a European guideline, what the research says about smoking, diabetes and extra treatments, and what can go wrong, in plain language.
Treatment is planned by Dr Anupam Sinha (BDS, MDS) and Dr Natalia DeSilva (BDS, MDS). If your gums are very sore and swollen, or teeth feel loose, call us. Ask as many questions as you need.
These statements come from NHS patient information, a European clinical guideline and systematic reviews, listed at the end of the page. Your dentist will explain what applies to your own mouth.
Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, .
Quick answer
Gum disease treatment at Orion Dental Clinic in Greater Kailash 1, Delhi follows a stepwise plan: cleaning habits and risk factors first, then thorough cleaning below the gum, then more treatment only where deep pockets remain. Dr Anupam Sinha and Dr Natalia DeSilva plan it after an examination. Smoking and diabetes affect how well it works.
01 Overview
Gum disease makes the gums red, swollen and sore, and they may bleed when you brush, floss or eat hard foods. It is caused by a build-up of plaque on the teeth. If plaque is not removed by brushing and cleaning between the teeth, it irritates the gums.1 Without treatment, complications can include bad breath, a bad taste, shrinking gums, loose or lost teeth and a dental abscess.1
Gum disease has two broad stages. Gingivitis is inflammation of the gums caused by plaque, and clinical gum health can be restored after treatment.5 Periodontitis is the later stage, in which the tissues that support the teeth are lost, and it needs more thorough treatment. Even after successful treatment, a person with a history of periodontitis stays at increased risk of it returning and has to be closely monitored.5
The European guideline for stage I to III periodontitis sets out four steps. The first covers cleaning habits, plaque removal by a professional and control of risk factors. The second is cleaning below the gum, called subgingival instrumentation. The third treats areas that have not responded, and the fourth is supportive care to keep the result.2 Our page on deep cleaning explains the second step, and our page on bleeding gums covers the early signs.
Gum disease is treated in steps, and the first step, cleaning habits and risk factors, goes on through the whole treatment.
02 Candidacy
Anyone whose gums bleed, swell or hurt should have them checked, and the dentist decides what treatment is needed after an examination.
The earlier gum disease is found, the simpler the treatment usually is.
03 Options
The European guideline sets out what to do at each step, and what not to rely on.
At the first step, the dentist advises on cleaning, such as interdental brushes, recommends stopping smoking, and may arrange a hygienist cleaning.1 The guideline recommends professional plaque removal and control of the things that hold plaque.2
First step 2
The guideline recommends cleaning below the gum with hand or powered instruments to reduce pocket depth, gum inflammation and the number of diseased sites.2 The NHS lists deep cleaning under the gums among the treatments for serious gum disease.1
Strong recommendation 2
Where pockets of 4 mm or more with bleeding, or deep pockets of 6 mm or more, remain after healing, the third step may include repeated cleaning or gum surgery, and the NHS says the dentist may refer you for further tests and treatment.12
Where pockets remain 2
Teeth lost to gum disease can be replaced as explained in dental implants.
| Cleaning advice | Deep cleaning | Surgery or referral | |
|---|---|---|---|
| Aim | Control plaque and risk factors 2 | Reduce pockets and inflammation 2 | Treat pockets that did not respond 2 |
| When | Every stage of disease 2 | Teeth with pockets or lost support 2 | Pockets of 4 mm with bleeding, or 6 mm 2 |
| Main limit | Needs daily effort from you 1 | Smokers respond less 3 | Needs extra consent and a risk check 2 |
Most people need the first two steps, and the dentist tells you if a third is needed.
04 Procedure
Every case is individual, so your steps may differ. This is the usual order, based on the European guideline.2
Treatment is repeated checking and cleaning, and the home care between visits is as important as the visits.
The dentist examines your gums and teeth, measures the pockets around each tooth, takes X-rays where needed and asks about smoking, diabetes and your medicines.
You are told the diagnosis, the causes, the risk factors, the treatment choices and the expected risks and benefits, including the option of no treatment.2
You learn how to remove plaque at home, and the dentist helps with stopping smoking and with diabetes control, which the guideline recommends.2 Professional plaque removal above the gum is done at this step.2
Plaque and hard deposits are removed from the roots with hand or powered instruments, either by quarter of the mouth or all at once within 24 hours.2
After the gums have healed, the dentist re-examines them. The aim is no pockets over 4 mm with bleeding and no deep pockets of 6 mm or more.2
Areas that did not respond may need repeated cleaning, gum surgery or a referral, with extra consent.12
Once the aims are reached, you join a programme of regular visits so that the result lasts, with the same home cleaning advice at every visit.2
05 Aftercare
Your dentist will give you written instructions, and those come first. These are the basics from the NHS.1
Brush with fluoride toothpaste at least twice a day, and spit without rinsing afterwards.1
Clean between your teeth every day with floss or interdental brushes. Your dentist will show you which size suits each gap.1
Call the clinic on 098115 01995 if your gums become very sore and swollen, if a tooth becomes loose, if you notice ulcers or red patches in the mouth, a lump in the mouth or on the lip, or if a painful swelling appears on the gum, because these need an urgent look. If you have trouble breathing or swallowing, or swelling that spreads across your face or neck, call 112 or go to a hospital emergency department.
Daily cleaning, no smoking and regular visits are what keep the result.
06 Limits and risks
Treatment controls gum disease, but it can come back, and some things sold as extras are not backed by research. These are situations where more may be needed:
In these cases further treatment, gum surgery, help to stop smoking, diabetes review or taking out a tooth may be needed.
Smoking weakens the result. In 17 studies, smokers had 0.33 mm less pocket depth reduction and 0.20 mm less attachment gain than non-smokers after non-surgical treatment.3
Extras are not routine. The guideline does not recommend routine antibiotics with cleaning below the gum, because of concerns for your health and public health,2 and it suggests against lasers and photodynamic therapy as add-ons, against probiotics, and against omega-3 supplements.2
Diabetes and gum disease interact. In 9 trials, deep cleaning in people with type 2 diabetes lowered HbA1c and C-reactive protein, so the gums and the blood sugar are treated together.4
It can come back. A person with a history of periodontitis remains at increased risk of it returning and needs close monitoring.5
A good plan names these limits before treatment starts and sets out the visits that follow it.
07 Your visit
At your first visit, a dentist at Orion Dental Clinic asks what you have noticed about your gums, such as bleeding, swelling, bad breath or loose teeth, and how long it has been going on. You are asked about your health, medicines, smoking, diabetes and how you clean your teeth.
The dentist examines your gums, measures the pockets around the teeth and takes X-rays where needed. You then talk through what the findings mean, what the steps of treatment would be, how long they might take, the risks and the alternatives, including no treatment, and you can take your time to decide.
The first visit is for measurements and a plan, and treatment starts only when you agree.
08 Why this clinic
You meet the doctors who plan your treatment, and you can ask them how they would stage it for your mouth.

Dr Anupam Sinha
BDS, MDS - Orthodontics

Dr Natalia DeSilva
BDS, MDS - Oral Medicine and Radiology
Dr Anupam Sinha and Dr Natalia DeSilva see patients with gum problems, and a patient mentions Dr Natalia DeSilva in a review about gum problems.
Imaging is available at the clinic, so the X-rays used to see bone around the teeth can be taken there.
If a tooth cannot be kept, replacement with a bridge or an implant can be planned at the same clinic.
Ask how many steps your gums are likely to need and how often you would be seen afterwards.
09 Reviews
4.9 out of 5 overall Google rating from 804 reviews, as of . Read more patient reviews
“Great experience and the right treatment helped me with my gum problems. Thanks to Dr. Natalia and team.”
Ruchi GandhiGoogle review
“On my first visit to the clinic I got undivided attention and a thorough examination by Dr Natalia who seemed very proficient in her area of dentistry. It has given me a lot of confidence to approach her for my further consultation and treatment. I feel my search for a good dentist has ended here - thank you Dr Natalia !”
Banmala SinghGoogle review
“I visited Dr Natalia for oral check up . Dr Natalia is very knowledgeable and understand patient’s concerns . She provided me clear reason and resolutions for the issues. Overall it was a very good experience.”
uttkarsh saraswatGoogle review
10 Visit us
Mon to Sat, 9:30 am to 8:00 pm
Orion Dental Clinic Basement, E 75, Greater Kailash-1,| Monday to Saturday | 9:30 am to 8:00 pm |
|---|---|
| Sunday | Closed |
If you are looking for gum disease treatment in Greater Kailash or nearby, Orion Dental Clinic is in the basement of E 75, Greater Kailash Enclave 1 (GK 1), opposite Anubhav Play School, with the entrance at Gate 1, so call or message us on WhatsApp to book an appointment and use the map for directions. More about the clinic: dentist in Greater Kailash.
11 Travelling patients
Gum treatment is repeated checking and cleaning, with a re-examination after the gums have healed,2 so it suits people who can come for more than one visit or who have a dentist at home to continue. The guideline found that cleaning below the gum by quarter of the mouth or all at once within 24 hours gave similar results, so a first deep clean can fit a short stay.2 Tell us how long you can stay and we will say what is possible.
You can read about how dental tourism in Delhi works.
A first deep clean can be done in a short stay, but the checking afterwards needs another visit.
12 Questions
Red, swollen, sore gums that bleed when you brush, floss or eat hard foods, bad breath, a bad taste, shrinking gums and loose teeth.1
Early gum inflammation, called gingivitis, can be returned to health with treatment. Periodontitis, where support for the teeth has been lost, can be controlled, but a person with a history of it stays at increased risk of it returning.5
In steps: home cleaning and risk factors first, then cleaning below the gum, then more treatment where pockets remain, then regular supportive care.2
Usually not. The European guideline does not recommend routine antibiotics as an add-on to cleaning below the gum, though they may be considered for specific patients.2
When the gums are very sore and swollen, teeth are loose or falling out, there are ulcers or red patches, or there is a lump in the mouth or on the lip.1
Orion Dental Clinic is a gum disease treatment clinic in Greater Kailash 1 (GK 1), in the basement of E 75, Greater Kailash Enclave 1, opposite Anubhav Play School, with the entrance at Gate 1. Patients come for gum disease treatment in Greater Kailash from Kailash Colony, CR Park, Nehru Place, Lajpat Nagar, Defence Colony and South Extension. Call or message us on WhatsApp to book an appointment.
13 Second opinion
A consultation lets the dentist examine them, measure the pockets, explain what stage the gum disease is at and set out the steps of treatment, including what you can do at home. Bring any earlier X-rays or reports, and a list of your medicines. Call us or message us on WhatsApp; there is no form to fill in.
14 Related
Read this for the cleaning below the gum that is the second step.
Read this for the early signs and what you can do at home.
Read this if a tooth has been lost to gum disease.
Patient guides
Why the mouth becomes dry, the symptoms and dental risks, what helps at home, medicines and conditions linked to it, and when to see a dentist or doctor.
A practical cleaning routine for braces and aligners, including brushing technique, interdental brushes, fluoride, mouthwash and when to see the dentist.
What the old term pyorrhea means, how it relates to gingivitis and periodontitis, the warning signs, and what modern treatment and home care involve.
Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, on . Dr Anupam Sinha is also a doctor at Orion Dental Clinic. Next review April 2027.
General information for patients, first published on , from the sources listed below. NHS statements describe UK patient information, and the guideline is European. Updated at least every six months and not advice for any one person. Orion Dental Clinic provides this treatment, so read the risks as well as the benefits. To report an error, contact us.
This page is general information, not a diagnosis or a substitute for an examination, and results vary between patients.