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periodontist and sedation dentist Dr Boota Ubhi

Periodontist and sedation dentist Dr Boota Ubhi

Boota is an extremely skilled periodontist and sedation dentist. Leading a select team of experts devoted to delivering excellence in periodontics and implantology at the practice in Birmingham, he has a reputation for routinely surpassing patient’s expectations.

What is the definition of a periodontist dentist?

In order to define Periodontology or Periodontics (from Greek peri “around”  and odontos  “tooth”) is the speciality of dentistry that studies supporting structures of teeth, diseases, and conditions that affect them. The definition of the supporting tissues are the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament.

To define therefore; this is a professional who practises in this special field of dentistry who has additional training and qualifications. The British Society of periodontology exists to promote the art and science of periodontology. Their membership includes specialist practitioners, periodontists, general dentists, consultants and trainees in restorative dentistry, clinical academics, dental hygienists and therapists, specialist trainees in periodontology and many others.

Dr Boota S Ubhi

Qualifications and professional accreditations

BDS (Liverpool) MDentSci (Liverpool) MRD RCS (England)

  • 1992 University Of Liverpool – Bachelor of Dental Surgery
  • 1997 University Of Liverpool – Master Of Dental Science In Periodontology
  • 2000 Royal College of Surgeons (England) Restorative Dentistry (Periodontology)
  • 2000 Registered Specialist in Periodontics, UK

You are welcome to independently check my credentials.

A few words about my career as a periodontist

I qualified from Liverpool University in 1992 and worked in the Wirral area, Merseyside for 12 months as a vocational general dental practitioner.  Then I came back to my home city of Birmingham where I worked inner city area for a further 18 months in a large general dental practice. This exposed myelf to huge amount of dental disease and in particular gum disease.  I was astonished to find out that in UK’s second city with a population over 1 million that there was no Specialist Periodontist in Birmingham. The nearest practice offering this type of gum therapy and implants was in Leicester which is over 45 miles away.  Comparing this San Francisco which has a similar population,  there is over 200 Periodontists in that area alone.  This lead me to start a training programme in both dental implant implantology and also a Masters degree at Liverpool University.  After completing a Master’s degree in Periodontology in 1997, I then lectured in the periodontal department at Liverpool University from 1998 till 2000 part time.  In 2000 I was awarded membership of the Restorative Dentistry faculty of the Royal College of Surgeons (England) after passing the exams and in the same year was entered onto the General Dental Council’s Specialist Register in Periodontics. Since 1996 I have taking referrals for periodontal and implant therapy. I started in Harborne in 1997 and have been here since that date.

After almost 17 years since I started my training and I am still the only Full time Specialist Periodontist in the City of Birmingham and surrounding areas ! 

In addition to my role as Principal of Birmingham Peridontal and Implant Centre, I have also  taught part-time at the Birmingham University Dental School. Since then I  lectured extensively in the UK and Europe on Periodontology and Dental implantology.

External links to lectures and resources

Extracts of this text have been adapted under Creative Commons Attribution-ShareAlike 3.0. BPI Dental acknowledge and credit the author (s) of the original work which is used and / or appears in parts of this work. Link to source material http://en.wikipedia.org/wiki/Periodontology

Non-surgical management of periodontal diseases

This could include any of the following, instruction in plaque control, scaling and root surface debridement, bacterial analysis and antimicrobial therapy, occlusal analysis and adjustment and splinting of teeth.
The patient’s response to non-surgical therapy is closely monitored; if periodontal problems persist further treatment may be required.

Non surgical treatment for severe periodontitis

Gum disease severe periodontitis before and after treatment

Gum disease severe periodontitis before and after treatment

BEFORE
This gentleman has severe gum problems caused by neglect and also medication for his high blood pressure. After undergoing a course of gum treatment, the swelling and bleeding was completely eliminated. His teeth were much more comfortable and felt his breath was much fresher. The long term outcome is very good with good flossing and brushing.
AFTER
After treatment the periodontal condition has been stabilised with just non-surgical therapy and has been maintained by excellent plaque control by the patient.

Periodontal plastic surgery.

Problems such as excessive recession around teeth that cause aesthetic and sensitivity problems can now be dealt with great success. The use of soft tissue grafts can increase the zone of keratinised tissue and cover exposed roots. They can also be used for ridge augmentation and papilla regeneration around implants. The use of microsurgical techniques has greatly enhanced the predictability and success rate whilst also minimising post-operative discomfort.

Surgical periodontal and regenerative therapy.

This is usually performed if there are still problem areas after non-surgical therapy. Various surgical techniques are used for pocket elimination and predictable regenerative therapy using the latest materials available.

Periodontal resective therapy

BEFORE
Non-responding sites that after root surface debridement still have deep pocketing and bleeding on deep probing.

AFTER
Pocket reduction periodontal surgery was carried out resulting in minimal probing depths and no bleeding on deep probing. This also provides the patient with proper access for plaque control in home maintenance.

Periodontal regenerative therapy

BEFORE
Advanced bone loss on the distal surface of the premolars. Surgical regenerative therapy was carried out using Emdogain bone regenerative material.

AFTER

Bone regenerative therapy establishes new tooth support through new bone growth thereby enhancing the long-term prognosis of the tooth.

Root resection : root hemisection surgical procedure

Often multi-rooted teeth have a localised infection around one root. This surgical procedure is used to remove an infected root or to divide a two rooted tooth. The tooth remains functional because the infection is eliminated making it possible to perform effective plaque control and keep the site healthy.

Root resection surgery before and after treatment

Root resection surgery before and after treatment

BEFORE
Extensive bone loss and failed root filling around the distal root of the molar. The mesial root was found to be sound.

AFTER
The distal root has been removed and the mesial root retained. The mesial root will be subsequently restored by the referring dentist.

Crown lengthening.

Short and inadequate tooth length prevents the placement and retention of a new crown or bridge. This procedure increases the amount of tooth structure to support a crown or bridge by contouring the gingiva and the underlying bone. In addition it can also be used to improve the appearance of the anterior teeth prior to any advanced dental treatment or by removing excess gum tissue in the case of a “gummy” smile.

Periodontal surgery for tooth fracture

crown lengthening surgical procedure

crown lengthening surgical procedure

BEFORE
A tooth fracture with inadequate tooth structure for crown retention.

AFTER
After crown-lengthening procedure was carried out additional tooth is available to provide successful placement of a crown. After the procedure you can see a full coverage crown that is more retentive and natural looking.

Periodontal surgery for gummy smile

BEFORE
Short teeth and a gummy smile that compromises the aesthetic appearance of the smile.

AFTER
After aesthetic periodontal surgery the gums were positioned in a more pleasing position and contour. The beauty of this smile was completed with new porcelain veneers.

florida probe is a periodontal probe used to diagnose gum disease

periodontal probe used to diagnose gum disease

 

How is periodontal disease diagnosed? What are gum pockets?

During a consultation or routine check up the dentist inspects the colour and firmness of the gums. Teeth are tested for looseness. The bite is checked. At some point, a small measuring instrument the periodontal probe – is gently inserted between the tooth and gum to measure the depth of the gum pockets. Periodontal Pockets are spaces between the tooth and gum, the deeper the gum pocket the worse the problem. This “periodontal” exam should be done at frequent intervals for all adults, especially when there is a history of periodontal disease in the immediate family. X-rays should be taken at appropriate times to evaluate changes in the bone supporting the teeth

Broad definition of the stages of periodontal disease
*Warning Signs*

There are few if any early warning signs, but as the disease progresses, the signs and symptoms become more obvious.

  • Red swollen gums that may bleed easily
  • Persistent bad breath
  • Tall looking teeth (Recession)
  • Loose teeth (Mobility)

 

HEALTHY GUMS AND TEETH

periodontal chart healthy gumsimage of healthy gum diagnosis

  1. Coral pink gums
  2. Gums hug teeth tightly
  3. No bleeding
  4. Periodontal Pockets 1-3mm deep

FIRST STAGE DIAGNOSIS: GINGIVITIS

periodontal chart gingivitisimage of gingivitis diagnosis

  1. Gums become red/swollen that may bleed easily
  2. Warning – This stage is not always obvious
  3. Periodontal Pockets 1-4mm deep

SECOND STAGE DIAGNOSIS : EARLY PERIODONTITIS

periodontal chart early periodontitisimage of early periodontitis diagnosis

  1. Periodontal Pockets form as gums separate from teeth
  2. Periodontal Pockets 4-5mm deep

THIRD STAGE DIAGNOSIS : MODERATE PERIODONTITIS

periodontal chart moderate periodontitisimage of moderate periodontitis diagnosis

  1. Periodontal Pockets deepen as more bone supporting the tooth is lost
  2. Periodontal Pockets become difficult to clean as they deepen
  3. Periodontal Pockets 5-6mm deep

FOURTH STAGE DIAGNOSIS : SEVERE PERIODONTITIS

periodontal chart severe periodontitisimage of severe periodontitis diagnosis

  1. More than 50% of the bone supporting the tooth has been lost
  2. Teeth loosen or may need to be extracted
  3. Periodontal Pockets 6-10mm deep

patient education stages of gum disease

BPI Dental use the leading high tech Florida Probe system for diagnosis of gum disease and periodontal pocket depth

Dental research continues to solidify the link between periodontal (gum) disease and your overall health. Although periodontal disease is often difficult to detect in the early stages without a periodontal exam, it can be very easy and painless to treat. If not treated in a timely manner, periodontal disease has been associated with an increased risk of heart disease, stroke, diabetes, and low birth-weight babies.
We are excited to let our patients know that we utilize the Florida Probe® System as an advanced diagnostic tool for the tracking and monitoring of this disease. This system, which utilizes an automated, computerized probe, has proven to be more accurate and consistent than traditional methods of assessing periodontal disease and provides both you and the dental team with advanced information.

Software automatically tracks good and bad changes in your periodontal health over time and creates a printable periodontal chart that visually illustrates these changes to enhance understanding.

 

Florida Probe system also calculates your risk of periodontal infection

Their new Risk Assessment Screening tool calculates your risk of periodontal infection or re-infection based upon your specific risk factors, which include smoking habits, systemic health, oral hygiene, medications you may be taking, genetics, age and other contributing factors. You are assigned a high, medium, or low risk score based on combining these risk factors and your periodontal exam data to date.

You will leave with a clear picture of your gum health and a better understanding of your treatment options. Florida Probe®, helping to protect your beautiful smile for a lifetime!

sample image of periodontal chart

Do you have periodontal disease? The diagnosis?

If left untreated, periodontal disease can lead to bleeding, discomfort, receding gums and tooth loss. More that 50% of Americans over 30 have some gingivitis and more than 33% (35 million) have periodontitis. Periodontal disease affects 3 out of 4 people at some point in life. Dental research had linked periodontal disease to and increase rate of heart disease, stroke, diabetes, respiratory disease and pre-term and low birth weight babies. The Florida Probe has been designed has a high tech instrument used in the war against periodontal disease. Speak with your dentist about routine periodontal probing, maintenance of deep pockets and ways to improve your home care. Remember that early diagnosis is the key to maintaining your oral health and preventing serious systemic problems.

Extracts of this text have been adapted and used under copyright of Florida Probe Corporation. BPI Dental acknowledge and credit the author (s) of the original work which is used and / or appears in parts of this work. Link to source material http://www.floridaprobe.com