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Can You Have Composite Bonding With Gum Disease?

Teeth with gum disease
Teeth with gum disease

For individuals dealing with gum disease, questions often arise about the feasibility and safety of undergoing composite bonding

In this comprehensive guide, we delve into the intersection of composite bonding and gum disease, addressing common concerns, exploring the possibilities, and shedding light on whether this procedure is a viable option for individuals facing periodontal challenges.

Key Takeaways:

  • Patients with gum disease/periodontitis can have composite bonding.
  • Composite Bonding will not cost more if you have gum disease

What is Gum Disease / Periodontitis?

Gum disease, also known as periodontitis, is a prevalent oral health condition characterised by inflammation and infection of the gums and surrounding tissues that support the teeth. It typically begins with gingivitis, where bacteria accumulation along the gumline causes redness, swelling, and bleeding. If left untreated, gingivitis can progress to periodontal disease, leading to more severe symptoms such as:

  • Gum recession
  • Pockets forming between the teeth and gums
  • Persistent bad breath
  • Loose teeth
  • Eventual tooth loss

The primary cause is poor oral hygiene, allowing plaque (a sticky film of bacteria) to build up, triggering an inflammatory response from the body. Other factors like smoking, genetic predisposition, hormonal changes, certain medications, and systemic diseases can also contribute to the development and progression of gum disease. 

Regular dental check-ups, proper oral hygiene practices, and prompt treatment are essential in managing and preventing the advancement of gum disease.

Health Impact of Periodontal Disease

Periodontitis extends its impact beyond oral health, potentially affecting overall well-being. Beyond the evident discomfort of sore, inflamed, and bleeding gums, this condition, if left unchecked, can lead to more severe consequences. As the disease progresses, the supporting structures around the teeth gradually deteriorate, causing teeth to become loose and eventually leading to tooth loss.

Periodontitis has been linked to various systemic health issues. Research suggests a potential connection between gum disease and conditions like heart disease, diabetes, respiratory infections, and complications during pregnancy. The inflammation associated with periodontitis might exacerbate underlying health problems or contribute to their development.

Managing and treating periodontitis is not only crucial for preserving oral health but also for potentially mitigating risks associated with broader health complications. Regular dental care and prompt intervention can significantly reduce the impact of periodontitis on both oral health and systemic well-being.

What is Composite Bonding?

Composite bonding refers to a cosmetic dental procedure used to enhance the appearance of teeth by applying a tooth-coloured composite resin material to correct imperfections, reshape teeth, fill in gaps, or improve overall aesthetics.

This technique involves the skilful application of a composite resin, a dental material composed of a mixture of plastic and fine glass particles that closely mimic the natural appearance of tooth enamel. The resin is soft and malleable when applied, allowing the dentist to sculpt and shape it to the desired form before hardening it with a special curing light.

The Composite Bonding Procedure

The composite bonding procedure involves several steps to ensure the proper application and shaping of the composite resin onto the tooth surface. Here’s an outline of the typical process:

Initial Examination

The dentist conducts an initial examination to assess the tooth or teeth that require treatment. This involves evaluating the extent of the issue and discussing the desired results with the patient.


Teeth cleaning and root planning may be necessary where tartar is removed from the gums, root planning will remove the soft tissue and smooth the tooth’s rough surface.

Minimal preparation is usually required for composite bonding. The dentist may roughen the surface of the tooth slightly and apply a conditioning liquid to help the bonding material adhere effectively.

Colour Matching

The dentist selects a shade of composite resin that closely matches the natural colour of the patient’s teeth for a seamless blend.


The composite resin, in a putty-like consistency, is applied to the tooth surface. The dentist carefully moulds and shapes the material to achieve the desired shape and contour, correcting imperfections or enhancing the appearance.


Once the composite resin is correctly positioned, a special curing light is used to harden or cure the material. This process allows the resin to bond securely to the tooth structure.

Shaping and Polishing

After the resin hardens, the dentist further shapes and refines the bonded area to ensure proper alignment and a natural appearance. This step involves trimming excess material and polishing the surface to match the sheen of the surrounding teeth.

Final Assessment

The dentist evaluates the bonding to ensure proper fit, comfort, and aesthetic harmony with the rest of the teeth.

Post-Procedure Care

Patients are usually advised to maintain good oral hygiene practices and schedule regular dental check-ups to ensure the longevity of the composite bonding.

The Benefits Of Composite Bonding

Benefits of Composite BondingDescription
Aesthetic ImprovementEnhances the appearance by correcting imperfections like chips, cracks, discolouration, and minor gaps; blends seamlessly with natural teeth for a more pleasing smile.
Conservative ApproachRequires minimal alteration of natural tooth structure, preserving more of the original tooth compared to other restorative options.
VersatilityAddresses various cosmetic issues by reshaping misaligned or uneven teeth, repairing minor damage, and enhancing overall tooth aesthetics.
Quick and ConvenientOften completed in a single dental visit, providing immediate improvements to the smile and being a time-efficient option.
Durable and Long-lastingWhen properly cared for, can last several years; and maintains appearance and functionality with good oral hygiene and regular dental check-ups.
Natural AppearanceMimics natural colour and translucency of tooth enamel, shade-matched to blend seamlessly with surrounding teeth for a natural-looking result.
Minimally InvasiveTypically requires minimal removal of the tooth structure, considered a minimally invasive dental treatment, preserving more of the natural tooth.
Cost-Effective OptionCompared to certain other cosmetic dental procedures like veneers or crowns, it can be a more cost-effective solution for improving teeth appearance.
Appeal for Cosmetic EnhancementsOffers minimal invasiveness and a natural-looking result, making it an appealing choice for individuals seeking cosmetic dental enhancements.

Reasons For Getting Composite Bonding

Composite bonding is versatile and can address various issues, including chipped or cracked teeth, discolouration, misshapen teeth, and minor gaps, providing a more aesthetically pleasing smile. Composite resin bonds well with the natural tooth structure, offering durability and a natural look once polished and finished, making it a popular choice for cosmetic dental procedures.

Tooth bonding can be used for a number of reasons, for example:

  • To treat gum recession – The dentist may apply resin to the exposed tooth root
  • To prevent tooth sensitivity
  • To cover a small localised recession

Getting Composite Bonding With Gum Disease

Getting composite bonding with gum disease requires careful consideration and evaluation by a dentist. While composite bonding primarily focuses on improving the appearance of teeth, the presence of gum disease can impact the success and longevity of the procedure. Here are key points to consider:

Assessment of Gum Health: Before proceeding with composite bonding, it’s crucial to assess the severity and stage of gum disease. Active gum disease might affect the success of bonding due to the compromised condition of the gums and supporting structures.

Gum Disease Treatment: Treating gum disease is a priority before undergoing any cosmetic dental procedures. Your dentist may recommend periodontal treatment to manage and resolve gum disease issues. This may involve professional cleaning, scaling, root planing, or other procedures to address gum inflammation and infection.

Stability of Oral Health: Composite bonding requires a stable oral environment for successful adhesion and durability. If gum disease has caused significant gum recession, bone loss, or instability in the affected teeth, it may impact the bonding procedure’s success.

Individual Evaluation: Each case varies, and a dentist will assess your specific situation to determine if composite bonding is suitable. Factors such as the extent of gum disease, overall oral health, and the specific teeth requiring treatment will influence the decision.

Long-Term Considerations: Individuals with a history of gum disease might need more vigilant oral hygiene practices and regular dental check-ups to maintain the bonding’s integrity. It’s essential to follow the dentist’s advice for post-procedure care and ongoing maintenance.

Collaboration between Specialists: In complex cases involving both gum disease and cosmetic dental needs, a collaboration between a periodontist (gum specialist) and a cosmetic dentist might be necessary to ensure comprehensive care.

Always communicate openly with your dentist about your oral health history, including any issues related to gum disease. They will guide you on the best course of action, whether it involves treating gum disease first or proceeding with composite bonding while managing the gum condition.

How Much is Composite Bonding For a Patient With Gum Disease?

Direct Dental in Wandsworth offers composite bonding services for patients with gum disease at an affordable rate of £350 per tooth. Our esteemed dental practice prides itself on delivering exceptional care and employing cutting-edge techniques to address both the cosmetic aspects and the complications arising from gum disease. 

Our expert team ensures that patients receive personalised attention, tailoring treatments to suit individual needs while maintaining a focus on quality and effectiveness. With a commitment to excellence and a dedication to patient satisfaction, Direct Dental in Wandsworth provides reliable composite bonding solutions for those seeking to enhance their smiles, even amidst gum disease, making it an accessible and reputable choice for comprehensive dental care.

Finance Options At Direct Dental

Discover the simplicity of our 0% payment plan at Direct Dental. Apply online in just 5 minutes for quick approval within 24 hours. Once approved, schedule your treatment at a local Direct Dental Clinic and spread your payments over 3, 6, 9, or 12 months. Our 0% interest payment plan saves you time and money, eliminating the need to delay crucial dental procedures due to financial concerns. 
Direct Dental financing offers a hassle-free and budget-friendly way to achieve the smile you’ve always wanted. Trust Direct Dental, is a leading provider of reliable and flexible dental financing options tailored to your needs. Start your application today and experience the ease of paying for your dental care with manageable monthly payments at 0% interest.

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