Stage 1
I
Gingivitis
- Red or swollen gums
- Bleeding when brushing
- Reversible with appropriate care
- No bone loss
Do your gums bleed when you brush? Do some teeth appear longer than before? Does bad breath persist despite careful oral hygiene? These signs may indicate periodontal disease and should be assessed before the condition progresses.
At EstheticaPlus in Tangier, periodontal care covers different forms of gum disease, from diagnosis and non-surgical treatment to periodontal surgery and long-term maintenance.
Understanding the disease
What is periodontitis and why does it matter?
The periodontium is the group of tissues that support each tooth: the gums, alveolar bone, periodontal ligament and cementum.Periodontal disease progressively affects these structures and can create periodontal pockets where bacteria and tartar accumulate.
Without appropriate care, bone loss can progress and eventually lead to tooth mobility and tooth loss.
Stage 2
II
Moderate periodontitis
- 4–6 mm periodontal pockets
- Early bone loss
- Mild gum recession
- Non-surgical treatment may be used
Stage 3
III
Severe periodontitis
- Pockets greater than 6 mm
- Significant bone loss
- Tooth mobility
- Surgery may be required
Key point: gingivitis is reversible. Periodontitis is a chronic condition, but appropriate treatment can stop disease progression and help stabilise periodontal health over time.
Recognising the symptoms
Warning signs that should not be ignored
Periodontitis can progress with little or no pain. The following signs should prompt a professional assessment.
- ✓Bleeding gums — during brushing, chewing or spontaneously. Bleeding can be an early sign of active inflammation.
- ✓Swollen, red or dark gums — instead of the usual firm pale-pink appearance.
- ✓Teeth that appear longer — gum recession can expose part of the tooth root.
- ✓Persistent bad breath — bacteria can accumulate within deeper periodontal pockets.
- ✓Loose or shifting teeth — this can indicate more advanced loss of supporting bone.
- ✓Temperature sensitivity — exposed roots may become sensitive to hot, cold or sweet foods.
General health
Periodontitis and general health
The source article highlights associations between periodontal health and several systemic conditions. Periodontal bacteria and chronic inflammation may interact with health beyond the mouth.
Areas discussed in periodontal research
Cardiovascular health
The source article describes an association between
periodontal inflammation and cardiovascular disease.
Diabetes
The relationship is described as bidirectional:
diabetes can worsen periodontal disease,
while periodontal inflammation may complicate glycaemic control.
Pregnancy
Untreated periodontal disease is discussed in the source
in relation to pregnancy complications.
Respiratory health
Oral bacteria may also be relevant to some respiratory
conditions, particularly in vulnerable patients.
Treatment options
Periodontal treatment at EstheticaPlus
Periodontal care is planned according to the severity and distribution of the disease.The source treatment pathway begins with diagnosis and non-surgical care before surgery is considered where necessary.
01
Diagnosis
Complete periodontal assessment
Periodontal probing is used to measure pocket depth, together with appropriate X-rays and assessment of bleeding and tooth mobility.The findings help determine the stage of the disease and guide treatment planning.
02
Initial phase
Supra- and subgingival scaling
Plaque and tartar are mechanically removed from above and below the gumline using ultrasonic and hand instruments.Local anaesthesia may be used where required.
03
Active phase
Scaling and root planing
Root surfaces are cleaned and smoothed to remove deeper bacterial deposits.According to the source treatment pathway, this may be completed quadrant by quadrant over 2 to 4 sessions.
04
Review
Periodontal reassessment
A new periodontal assessment is performed around 6 to 8 weeks after active treatment.Persistent deeper pockets may require additional treatment or periodontal surgery.
Periodontal surgery: when may it be considered?
Periodontal flap surgery
The gum is carefully lifted to provide access to deeper root surfaces for cleaning before the tissue is repositioned and sutured.
Considered in the source for persistent pockets
greater than approximately 5–6 mm after root planing.
Connective tissue gum graft
Tissue may be taken from the palate and grafted to an area of recession to cover exposed roots and improve the gum contour.
Discussed for recession associated with exposed roots
and sensitivity.
Guided bone regeneration
Regenerative materials and membranes may be used in selected periodontal bone defects where regeneration is clinically appropriate.
Intended for selected vertical bone defects
considered suitable for regenerative treatment.
Supportive periodontal maintenance
Follow-up generally includes professional cleaning, periodontal monitoring and reinforcement of daily oral-hygiene techniques.
The source recommends maintenance every
3 to 6 months after periodontal treatment.
Pricing
Periodontal treatment costs: Morocco vs Europe
−60%
Average saving vs France stated in the source
2–4
Sessions for the active phase
6–8 weeks
Before periodontal reassessment
| Treatment | France / Belgium | EstheticaPlus Tangier | Saving |
|---|---|---|---|
| Complete periodontal assessment | €80 – 150 | ~€40 | −55% |
| Scaling & root planing — per quadrant | €150 – 300 | ~€80 | −65% |
| Complete treatment — 4 quadrants | €600 – 1,200 | ~€320 | −65% |
| Periodontal flap surgery | €500 – 1,000 | ~€250 | −60% |
| Gum graft | €800 – 1,500 | ~€350 | −65% |
| Maintenance session — every 3–6 months | €80 – 150 | ~€50 | −50% |
Every periodontal treatment plan is quoted individually after the assessment.You can send your panoramic X-ray through WhatsApp for the preliminary evaluation described in the source.
Prevention
How can recurrence be reduced?
Periodontal disease is chronic. Once stabilised, it can recur if contributing factors are not controlled.Long-term prevention therefore depends on daily care and professional maintenance.
- ✓Careful daily oral hygiene — use a soft toothbrush, appropriate brushing technique and daily interdental cleaning.
- ✓Smoking cessation — tobacco can mask gum bleeding and adversely affect periodontal healing.
- ✓Management of systemic factors — the source highlights diabetes control, stress management and general health as relevant factors.
- ✓Regular professional maintenance — the source recommends appointments every 3 to 6 months according to periodontal risk.
Patient experiences
What patients say about their periodontal care
★★★★★
“I had experienced bleeding for years without realising how serious it could be. EstheticaPlus identified everything during the first assessment. Effective treatment, a caring team and lasting results.”
★★★★★
“Complete treatment over five days, with no pain after the sessions. The result was excellent and I was even able to enjoy Tangier with my family between appointments.”
★★★★★
“A very professional and attentive team. Loubna always answers questions patiently. I would recommend them without hesitation.”
★★★★★
“I came from France with some reservations. I left feeling reassured, treated and at ease. Thank you to the entire team for their professionalism and gentle approach.”
Frequently asked questions
Questions about gum disease and periodontal treatment
How can I tell if I have gum disease?
Warning signs include bleeding when brushing, swollen or red gums, persistent bad breath, gum recession, teeth that appear longer or teeth that have become mobile.A periodontal examination is required to confirm the diagnosis.
Can periodontitis be cured?
Periodontitis is a chronic condition. Appropriate treatment can stop progression and stabilise periodontal health.Long-term maintenance and good daily oral hygiene remain important afterwards.
Is scaling and root planing painful?
According to the source treatment pathway, root planing is performed under local anaesthesia.Mild gum sensitivity may occur afterwards.
Can periodontal treatment be completed during one stay in Tangier?
The source article states that the active phase involving four quadrants may be completed during a stay of approximately 4 to 6 days.A reassessment is then scheduled 6 to 8 weeks later, which may require a second short visit.
Can I receive implants if I have periodontitis?
Active periodontal disease should first be stabilised. Patients with active periodontitis are at higher risk of complications around implants.EstheticaPlus states that a periodontal assessment is performed before implant treatment planning.
What is the difference between scaling and root planing?
Routine scaling removes deposits above and around the gumline.Root planing reaches deeper periodontal pockets to clean and smooth affected root surfaces and is used as part of periodontal treatment.
Your gums deserve care that starts with the right diagnosis.
Periodontal assessment, personalised treatment planning and follow-up at EstheticaPlus in Tangier.