Bleeding gums, swollen gums, persistent bad breath, gum recession, or loose teeth can be signs of gum disease. This page explains how periodontal treatment works at Penn Pacific Dental Center, including assessment, scaling and root planing, periodontal maintenance, and when further care may be needed.
Where Would You Like to Start?
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What Is Periodontal Disease?
Periodontal disease, also called gum disease, is a bacterial infection of the gums and the bone that supports the teeth. It begins when plaque hardens into tartar along the gumline, which the gum tissue reacts to with inflammation and, over time, the formation of pockets between the gum and the tooth.
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Left untreated, this process can progress to affect the bone supporting the teeth. Periodontal disease has also been associated with certain systemic health conditions, including cardiovascular disease, though the exact nature of that relationship is still being studied.
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Next step: see the signs you may have gum disease below, or read about bleeding gums specifically.
Signs You May Have Gum Disease
Gum disease often develops gradually and may not cause pain in its early stages. Common signs include:
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Bleeding when brushing or flossing
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Swollen, tender, or receding gums
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Persistent bad breath
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Teeth appearing longer due to gum recession
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Loose or shifting teeth
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If any of these apply to you, a dental examination will confirm whether gum disease is present and how advanced it is. If your main concern is bleeding specifically, read more about bleeding gums.
What Happens During a Gum Disease Assessment?
At your visit, the gums are checked for plaque and tartar build-up, and gum pocket depths are measured to assess how far the condition has progressed. X-rays are taken where bone levels need to be reviewed.
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This combination of pocket measurements and X-rays helps tell the difference between early gingivitis, more advanced periodontitis, a periodontal abscess, or a problem linked to a specific tooth, so the right treatment can be planned.
Scaling and Root Planing (Deep Cleaning)
Scaling and root planing is a non-surgical procedure that removes plaque and tartar from below the gumline and smooths the tooth root surfaces. This helps the tissues heal and reduces pocket depth over time.
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This is often what patients mean when they are told they need a "deep cleaning." It is more involved than a routine cleaning, since it targets the area below the gumline rather than just the visible tooth surface, and may be done in stages depending on how many areas are affected.
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Next step: read more about routine teeth cleaning, if you are due for your regular check-up instead, or contact us to find out which applies to you.
Periodontal Abscess Care
A periodontal abscess is a localised infection within a gum pocket, separate from a tooth abscess that originates inside the tooth itself. It can cause swelling, tenderness, and sometimes a visible pimple on the gum.
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Treatment focuses on draining the infection and cleaning out the affected pocket to reduce discomfort and limit further spread.
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Next step: if you have a recurring pimple or swelling on the gum, read more about gum swelling with a pimple.
Ongoing Periodontal Maintenance
Regular follow-up cleaning appointments monitor gum health and help prevent the condition from returning after initial treatment. Most patients on a maintenance programme are seen every three to four months, depending on individual gum health.
When Gum Disease Has Affected Tooth Support
In advanced cases, gum disease can reduce the support around a tooth to the point where saving it may no longer be predictable. If a tooth has already been lost or needs to be removed, tooth replacement options such as implants can be discussed once the area has healed.
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Next step: read more about implants and oral surgery at Penn Pacific.
Why Does Gum Health Matter for My Teeth?
Gum and bone support are the foundation that holds every tooth in place. A tooth with no decay at all can still be lost if the bone and gum supporting it have broken down. Periodontal evaluation gives a clear picture of that foundation, which matters both for the teeth you have now and for any restorative work, such as crowns or implants, that may be planned in future.
Periodontal Care at Penn Pacific


Periodontal maintenance, scaling, and root planing at Penn Pacific are usually carried out by Dr. Chrissie Lam as part of general and preventive care. Dr. Barry Yu also sees patients for periodontal maintenance and general care, alongside his clinical focus on root canal treatment.
Next step: read Dr. Lam's full profile or Dr. Yu's full profile, or book an appointment.
Frequently Asked Questions
How do I know if I have gum disease?
A dental exam, gum pocket measurements, and X-rays where needed are used to confirm whether gum disease is present and how advanced it is. Bleeding, swelling, and persistent bad breath are common signs, but early gum disease can also have no symptoms at all.
Is scaling and root planing painful?
The procedure is usually well tolerated. Local anaesthetic can be used to keep the area comfortable while cleaning below the gumline.
How often should I come in for gum maintenance?
Most patients are seen every three to four months after treatment, though the interval depends on individual gum health and may be adjusted by your dentist.
Can gum disease be cured?
Early-stage gum disease, known as gingivitis, can often be reversed with proper cleaning and home care. More advanced periodontitis can be controlled to prevent further bone loss, but it usually requires ongoing maintenance rather than a one-time cure.
What happens if gum disease is left untreated?
Untreated gum infection can lead to progressive bone loss, loose teeth, and eventually tooth loss. Regular gum assessments catch the condition early, when it is easier to manage.
Is periodontal treatment covered by Medisave or insurance?
Coverage depends on the specific procedure and your individual plan. Penn Pacific Dental Center accepts MHC Asia, Alliance Medinet, SODA by DA, and Inova Care for eligible treatments, and the clinic is also Medisave-accredited for procedures that qualify. WhatsApp us before your appointment if you want this checked in advance.
Is Penn Pacific Dental Center near Tanjong Pagar MRT?
Yes. The clinic is at 160 Robinson Road, #05-14 SBF Center, a short walk from Tanjong Pagar MRT (East-West Line), and also accessible from Shenton Way MRT, Telok Ayer MRT, and Raffles Place.
