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Where bleeding occurs
Pocket measurements and bleeding points help identify which areas need treatment and where home cleaning is not reaching.
Periodontal care in English
Gum Disease Treatment in Saitama
Gum disease can affect the tissues and bone that support the teeth. We examine the gums and bone support, explain the findings in English and plan treatment and maintenance based on the condition of each area.
The booking form is in Japanese. If you need help choosing a service or arranging English support, please message us on LINE.
Medically reviewed by Dr. Ayaka Nakamura (Clinic Director) · Last updated: 2026-09-15
- Coverage
- Japanese health insurance may apply
- Treatment stages
- Examination, initial therapy, review and maintenance
- Visits
- Several or ongoing, depending on severity
Your treatment options
Understanding the extent of gum disease
The same complaint can reflect local inflammation or broader loss of support around several teeth.
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Whether bone support has changed
Appropriate X-rays are used with the clinical examination to assess the support around teeth. Advanced loss may limit what treatment can restore.
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How the mouth will be maintained
Initial treatment is followed by re-evaluation. We set the maintenance interval according to the inflammation and disease risk that remain.
Treatment options
Treatment options for gum disease
More invasive treatment is not the first step for every patient.
Periodontal examination
We record pocket depth, bleeding, plaque and tooth mobility. X-rays are reviewed when they are needed to assess bone support.
Initial periodontal therapy
Professional removal of plaque and calculus is combined with specific home-care instruction.
Re-evaluation
The response is measured after initial care. Persisting deep sites or advanced defects may need further discussion.
Surgery or supportive care
Periodontal surgery may be considered for selected sites. In other situations, continued supportive care or extraction may be more appropriate.
After your examination, we will explain the recommended option, total fee and expected schedule before you decide.
Examination and treatment planning
What we examine before gum treatment
Active gum disease can affect the timing and prognosis of implants, orthodontics and restorative dentistry. Stabilising the foundation may need to come first.
- Pocket depth and bleeding on probing
- Plaque, calculus and areas that are difficult to clean
- Tooth mobility and bone support on appropriate imaging
- Smoking, diabetes, medication and other risk factors
- Implants, crowns or orthodontic appliances that affect access
What to expect
From periodontal examination to maintenance
Step 1
Examination
We assess the gums, teeth, cleaning and relevant health information before defining the treatment areas.
Step 2
Initial treatment
Calculus and plaque are removed in stages, and home cleaning is adapted to the sites that are difficult to reach.
Step 3
Re-evaluation
Measurements are repeated to see which areas have responded and which still need treatment or a different plan.
Step 4
Maintenance
Supportive periodontal care continues at an interval based on the remaining disease risk.
Treatment details
Fees, treatment time and possible risks
The figures below are general guides. After examining you, we will provide a written estimate and expected schedule.
- Treatment
- Periodontal examination followed by professional plaque and calculus removal, home-care instruction, re-evaluation and ongoing maintenance. Surgery may be considered for selected advanced sites.
- Fees
- Japanese health insurance may apply when the diagnosis and insurance eligibility meet the requirements. Your out-of-pocket amount varies with the examination, number of treated areas, procedures and insurance status. Any self-pay option is explained and estimated separately before treatment.
- Time and visits
- Several visits or ongoing care may be needed depending on severity. Maintenance continues after active treatment at an interval based on the oral condition.
- Possible risks and side effects
- Teeth may feel temporarily sensitive after calculus removal, and the gums may appear lower as inflammation settles. Advanced bone loss may not be reversible, and surgery or extraction may be required. Disease can recur when plaque control and maintenance are insufficient.
Amounts include tax. Self-pay care is not covered by Japanese public health insurance. When insured care may apply, eligibility and cost depend on the diagnosis and your insurance status.
Clinical review
Dr. Ayaka Nakamura
Dr. Ayaka Nakamura reviews the clinic’s periodontal information. Treatment is carried out by the dentist and dental-hygiene team according to the examination and required procedure.
- Hiroshima University School of Dentistry
- Member, Japanese Society of Pediatric Dentistry
The dentist who provides each part of your care may vary with the treatment and appointment schedule. We will explain who will be involved before treatment begins.
Frequently asked questions
Gum disease treatment questions
Are bleeding gums an emergency?
Persistent bleeding should be assessed, but urgent care is more important when there is rapidly increasing swelling, fever, facial swelling or difficulty swallowing or breathing.
Can one deep cleaning appointment cure gum disease?
One visit may not treat all affected areas. The number of visits depends on severity, and re-evaluation is needed to measure the response.
Why do my teeth look longer after treatment?
Inflamed gums can be swollen. As inflammation reduces, the true gum level or existing recession may become more visible.
Do I need gum treatment before implants or orthodontics?
Active inflammation may need to be stabilised first. The sequence depends on the gum findings and the larger treatment plan.
Is periodontal treatment covered by Japanese insurance?
It may be covered when the diagnosis and your insurance eligibility meet Japanese requirements. Your exact out-of-pocket amount depends on the care provided.
Related care
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THE DENTAL OFFICE Shiki
Talk with us about gum disease treatment
You do not need to choose a treatment before booking. Tell us what concerns you, and we will arrange the right consultation in English.
Access
Camel Building 4F, 2-30-20 Tohoku, Niiza, Saitama 352-0001, Japan · 2 minutes on foot from Shiki Station South Exit (Tobu Tojo Line)
Opening hours
Weekdays: 10:00–13:00 / 14:00–20:00 · Sat–Sun: 10:00–13:00 / 14:00–19:00 · Closed: Thursdays and public holidays