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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

The casues of periodontitis

To understand this we must look at what causes gum disease in the first place. The cause of gum disease (gingivitis and periodontitis) is bacteria (bacterial plaque) inside your mouth which has overgrown. This is known as the indigenous bacteria i.e. it comes from own body. Just like the bacteria which we have inside our gut. The treatment for plaque induced gum diseases is all aimed at reducing the bacteria above and below the gum. However, we cannot get rid of indigenous bacteria, as this resides in our own body. That’s why antibiotics have only a limited effect in reducing the symptoms and the effect does not last more than a few weeks.

periodontitis cure before treatment

Treatment for periodontitis : Surgery and non-surgical management

All of periodontal treatments are aimed at reducing plaque bacteria to such a level that it does not become harmful and cause any further problems. First line of periodontal therapy is called non surgical treatment. Firstly we need to reduce the plaque build up above the gum by improving brushing & flossing techniques. Then any hardened deposits of plaque bacteria (called calculus or tartar) are removed both above and below the gum line by the use of both hand and ultrasonic instruments. Finally any fine deposits of bacteria and calculus are removed from the root surface with the use of specialised hand instruments called gracey curettes. In addition any teeth/tooth which have moved out of position and cause any problems with the bite may be adjusted (occlusal adjustment).

Management of periodontitis

Reducing periodontal pocket depths and bleeding

A reassessment is carried out approximately two months later to check the success of the treatment. The vast majority of cases we have treated at the Birmingham Periodontal & Implant Centre show at least 90% improvement in reduction of pocket depths. Almost all of the bleeding gums should be eliminated and in most mild to moderate cases this should be all the treatment that is needed. At this visit if we still find problems, then there is the option to have gum surgery. Gum surgery enables the periodontist to see the actual roots and bone surrounding the roots and also to remove any plaque/calculus deposits and any infection. Secondly the gum could be lowered to completely reduce the periodontal pockets also.

The final phase of any periodontal treatment is called maintenance therapy. Here 3 monthly hygiene appointments are arranged and professional cleaning above and below the gum line is carried out. Periodontitis needs to be treated like other chronic diseases such as diabetes and high blood pressure which cannot be cured but can be controlled by medication. The medication for periodontitis is good home care and regular professional hygiene visits. With this regime one can expect to keep their teeth for hopefully rest of their life.

aggressive periodontitis before treatment

BEFORE
Severe Chronic Periodontitis together with drug induced gingival hyperplasia (Nefidipine). After liasing with the General Medical Practitioner to change medication, the patient underwent a full course of non-surgical therapy.
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.