Gum disease is the main reason adults lose teeth, and it often starts without pain. At Brampton Smiles, we chart each tooth at six points, treat the cause with scaling and root planing when needed, and keep you on a maintenance schedule that protects your results. Gingivitis can be reversed. Periodontitis can be stabilized, but lost bone does not regrow, so early treatment matters.
What causes gum disease?
A bacterial film at and below the gumline triggers inflammation that damages gum tissue and bone. Risk factors include genetics, missed cleaning at the gumline, long gaps between cleanings, tobacco use, poorly controlled diabetes, hormonal changes (pregnancy, menopause), some medications, and clenching or grinding.
Warning signs
- bleeding when brushing or flossing
- red or swollen gums
- persistent bad breath
- receding gums or more root sensitivity
- loose teeth or a changing bite
- food getting trapped, or pus at the gumline
Your gum treatment, step by step
- Periodontal charting. We record pocket depths, bleeding points, gum recession and tooth movement, and take X-rays to see bone levels. This is your baseline.
- Scaling and root planing (deep cleaning). Done under local anesthetic, by quadrant or half-mouth, in 1 to 2 visits. We clean below the gumline and smooth the root surfaces.
- Targeted antimicrobial therapy. For deep pockets that need extra help.
- Re-evaluation at 4 to 6 weeks. We repeat the chart to see which sites responded and which need more attention.
- Periodontal maintenance. Cleanings move from every 6 months to every 3 to 4 months.
Why maintenance matters
Pockets do not fully close after treatment, and bacteria rebuild on a predictable schedule. Seeing us every 3 to 4 months interrupts that cycle. Gum health is also linked to heart disease, blood sugar control in diabetes and pregnancy outcomes, so we review your medical history. Attending maintenance visits over the following three years is the strongest predictor of long-term success.
Cost, insurance and CDCP
Extended plans often cover scaling and root planing and maintenance as basic services, usually in time units with annual limits. If a limit applies, we plan treatment across benefit years. CDCP covers scaling and periodontal services for eligible patients. We direct-bill Sun Life, Manulife, Canada Life, Green Shield, Desjardins and ClaimSecure, and offer 0% in-house payment plans with no third party. Your free consultation with Dr. Abbas includes a written plan with costs and timing.
Before Your Visit
- Bring your insurance or CDCP card.
- Tell us about diabetes, pregnancy, medications and smoking.
- Do not stop brushing where your gums bleed. Gentle, regular cleaning is what helps.
- Eat before your appointment if you can, as you may be numb afterward.
After Your Treatment
- Gums are often tender for 2 to 3 days, and teeth may be sensitive to cold.
- Over-the-counter pain relievers and desensitizing toothpaste help most people.
- Brush gently at the gumline and clean between your teeth daily. Bleeding usually eases in 1 to 2 weeks.
- Smokers heal more slowly. Ask us for support to cut down or quit.
- Come to your re-evaluation and maintenance visits.
- Call us if bleeding or swelling continues.
Visit Brampton Smiles
50 Sunny Meadow Blvd, Unit 300, Brampton, ON L6R 0Y7, near Bovaird Drive East. Phone: (905) 793-8668.
Hours: Mon, Wed, Thu 10 AM to 7 PM. Tue, Fri 10 AM to 5 PM. Sat 9 AM to 2 PM. Sun closed.
Book your gum disease assessment.
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Frequently Asked Questions
Does a deep cleaning hurt?
It is comfortable under local anesthetic. Expect some soreness afterward.
Can gum disease be cured?
Gingivitis can be reversed. Periodontitis is controlled, not cured.
Will I lose my teeth?
Usually not, with treatment and consistent maintenance. Tooth loss most often happens when patients stop coming in.
Should I brush less where my gums bleed?
No. Skipping those spots lets more plaque build up.
How does smoking affect gum disease?
It slows healing and hides bleeding, so the disease often shows up later and more advanced.
Does CDCP cover a deep cleaning?
For eligible patients, scaling and periodontal services are covered. Some services may need pre-authorization.