Periodontal FAQs

Can periodontitis be cured?

Periodontitis cannot be fully cured because it involves permanent damage to the supporting structures of the teeth, such as bone and connective tissue.

However, it can be effectively managed and stabilised with proper treatment and ongoing care. The goal of treatment is to halt disease progression, prevent further damage, and maintain oral health.

Why do I have periodontitis?

Periodontitis is an immune-inflammatory condition associated with a dysbiotic plaque biofilm. Your immune-inflammatory response aims to protect you from the plaque biofilm.

However, in doing so, it damages the tissues and bone that support your teeth. Several factors may increase your risk of delevoping periodontitis, including poor oral hygiene, smoking, uncontrolled/ undiagnosed diabetes, genetics and stress.

Why have I got periodontitis when I brush very well?

Even with excellent oral hygiene, you may develop periodontitis due to factors beyond brushing.

Some reasons include:

  • Genetics – your genetic make-up may predispose them to periodontitis, making your gums more susceptible to inflammation
  • Systemic Conditions – conditions that may affect your immune-inflammatory response (e.g. diabetes or immune disorders) can affect how your body responds to the plaque biofilm.
  • Stress – chronic stress may impair your immune system, reducing your body’s ability to work efficiently
  • Smoking – tobacco-based products impair the immune response.

What does bleeding when brushing mean?

Patients often state that they do not have any bleeding when they brush their teeth with but do if they use their interdental brushes (small brushes to clean between teeth) and often believe the bleeding is due to trauma from using such brushes.

However, this is unlikely to be the case. Bleeding, a sign of inflammation, is likely to indicate an underlying issue such as gingivitis or periodontitis.

When should I see a dentist or dental care professional?

It is recommended to visit a dentist or dental care professional (dental hygienist or dental therapist) at your earliest convenience for a thorough assessment and diagnosis if you have any of the signs and symptoms of gum disease (gingivitis or periodontitis).

They will help you to address your concerns and manage your disease.

What does it mean to be referred to a specialist periodontist?

A referral to a specialist periodontist means your dentist has identified a periodontal tissue that requires additional expertise. Periodontists are dental specialists with additional training in diagnosing, preventing and treating gum diseases and conditions affecting the supporting structures of the teeth.

You may have been referred due to the severity of your periodontitis, the complexity of your case, the need for surgical interventions to manage your periodontitis or because of specific medical conditions. Seeing a periodontist is a proactive step towards preserving your gum health and overall well-being.

Diabetes FAQs

Can diabetes be cured?

Currently, there is no definitive cure for diabetes, but type 2 diabetes mellitus (T2DM) can often be effectively managed or even placed into remission in some cases. The potential for remission depends on the type of diabetes and individual circumstances.

What are some of the main types of medications used in the management of diabetes?

  • Biguanides (e.g. metformin) – the first-line therapy for most people with type 2 diabetes. It reduces hepatic glucose production and improves insulin sensitivity.
  • Sulfonylureas (e.g., glimepiride, glipizide) – stimulate the pancreas to release more insulin.
  • Incretin Mimetics: (e.g., liraglutide, semaglutide, tirzepatide) – these drugs help lower blood sugar, promote weight loss, and may have cardiovascular benefits.
  • SGLT-2 Inhibitors (e.g., dapagliflozin, empagliflozin, canagliflozin) – these medications help lower blood glucose by preventing the kidneys from reabsorbing glucose and promoting its excretion through urine, whilst offering benefits to the heart and kidneys.
  • DPP-4 Inhibitors (e.g., sitagliptin, linagliptin) – help to increase insulin secretion in response to meals and reduce glucose production.
  • Insulin Therapy – Given that people with type 1 diabetes can no longer produce insulin, they must take insulin from external sources. While people with type 2 diabetes typically starts with oral medications, insulin therapy may be necessary if blood glucose control is not achieved with oral medications, at times of acute illness, or where rapid glucose control is desired.

Our Team

Team - The Periodontitis-Diabetes Hub

Dr Varkha Rattu

Founder & Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Amar Puttanna

Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Rajeev Raghavan

Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Mark Ide

Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Luigi Nibali

Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Dominika Antoniszczak

Education & Support Advisor

Team - The Periodontitis-Diabetes Hub

Dr Jasmine Loke

Clinical Content Advisor

Team - The Periodontitis-Diabetes Hub

Dr Mira Shah

Patient Resource Advisor

Team - The Periodontitis-Diabetes Hub

Elaine Tilling

Outreach & Communications Lead

Team - The Periodontitis-Diabetes Hub

Dr Varkha Rattu

Periodontitis-Diabetes Hub Position: Founder & Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Amar Puttanna

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Rajeev Raghavan

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Mark Ide

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Luigi Nibali

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Dominika Antoniszczak

Periodontitis-Diabetes Hub Position: Education and Support Advisor

Team - The Periodontitis-Diabetes Hub

Dr Jasmine Loke

Periodontitis-Diabetes Hub Position: Clinical Content Advisor

Team - The Periodontitis-Diabetes Hub

Dr Mira Shah

Periodontitis-Diabetes Hub Position: Patient Resource Advisor

Team - The Periodontitis-Diabetes Hub

Elaine Tilling

Periodontitis-Diabetes Hub Position: Outreach and Communications Lead

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