For those who have been diagnosed with advanced gum disease (periodontitis), Nick draws on his expertise to carefully but thoroughly remove deposits from under the gum. Whilst this process can sometimes be conducted without the need of local anaesthetic, most patients find it more comfortable to have it. 

The treatment normally takes place over 2-4 hour long visits, depending on patient need. This allows exacting removal of deposits and adequate time for in-depth oral hygiene advice for you to know what you need to do to control and stabilise your gum health moving forward. 

Nick provides you with a long-term treatment plan to ensure your smooth transition onto the maintenance phase of treatment.

What should I expect after deep cleaning?

It is normal to expect the gums to be sore after treatment, whether or not local anaesthetic was used. If your gums are sore, simply take analgesics as appropriate. You can also rinse with warm salt water.


As soon as you are able, it is important to ensure you carefully brush and clean in between your teeth ensuring you are effectively removing the plaque bacteria. Remember bacteria is the primary cause of gum disease.


As your gums heal you might notice the following:


  1. Your gums appear pinker and firmer

  2. Your gums bleed less

  3. Bad breath reduces

  4. The spaces in between your teeth increase in size (remember your gums were enflamed before treatment).

    • It is important to use a TePe brush that adequately touches both sides of the teeth and offers some resistance when pushed through

    • Try to lightly wiggle the TePe around in the space to ensure you effectively clean both sides of the tooth

    • Nick reassesses your TePe sizes on an ongoing basis to give you the peace of mind to know you are always using the right products

  5. Increase in sensitivity

    • Use a sensitive toothpaste employing a spit don’t rinse technique

    • If your sensitivity persists there is much can be done, from application of desensitising varnishes to special toothpastes on prescription

What Nick's Patients Say...

'I couldn’t be happier with the help, advice and treatment I receive from Nick. Thank you.'    Paul Mcdonnell



What is Nick’s Approach to Dental Hygiene?

Nick's is an exceptional Hygienist who has a proven track record as a kind and caring clinician with an exceptional eye for detail

​Nick's treatments are tailored to your specific requirements with the aim of treating and preventing gum disease. He has built a wealth of experience in periodontal disease (gum disease) treatment in NHS, private and specialist private practices from Harley Street in Central London to West Byfleet, in Surrey. He also has a special interest in Dental Hygiene treatment for patients with orthodontics.

He is a regular speaker at local schools to help children learn good oral self-care from the outset. This passion is carried through to his adult patients, with whom he spends time ensuring they are using the right products to meet their specific needs.

  • Nick cares about you not just your mouth.
  • Nick is an exceptional listener who cares for people and their problems.
  • Nick’s treatments go above and beyond ‘scaling and polishing’. Every treatment is tailored to your individual needs on that day. As your needs change over time so does his treatment approach.
  • Nick’s approach is perfectly suited to phobic patients giving them the chance to start off gently and build up their confidence in the chair over a number of sessions
  • Nick is an exceptional communicator who takes the time to explain his treatments and patient self-care.
  • Nick is a perfectionist with a formidable eye for detail

Nick’s approach is preventative; aiming not only to treat periodontal issues but to stop their return.

  • Nick regularly receives hygiene referrals from outside gum specialists (periodontists) to maintain their patients’ oral hygiene.
  • Nick has a wealth of experience in diverse areas of dental hygiene such as implant care and orthodontics.
  • Nick is constantly updating his knowledge and skills to ensure he is top of his game.

What is a Dental Hygienist?

Dental hygienists are the members of the dental team who focus specifically on your gum health. Hygienists do so much more than simply provide a “scale and polish”. They provide gum treatment to both prevent and treat gum disease and improve the aesthetics of your mouth. You don’t need to see a dentist in order to see a hygienist. This makes it easy to access a hygienist’s care and makes it even easier to fit in a hygiene treatment when it suits you best.

Some dental hygienists (including Nick) are dual qualified as dental therapists. Dental therapists perform routine restorations (fillings) in adults and children. They are particularly adept at children’s dentistry including extractions.

What are the benefits to visiting a Dental Hygienist?

  1. Prevention of bleeding gums. Bleeding gums or spitting out blood when you brush are signs of gum inflammation (and can be an early sign of gum disease). In most cases the bleeding is totally reversible. Nick stops the bleeding by removing hard and soft deposits (tartar and plaque) at the gum line and between the teeth. Always up to date with the latest product knowledge, Nick will show you how to prevent the bleeding coming back with a personalised oral care regime.

  2. Treatment of gum disease. In more advanced cases of gum disease, the gums can become painful and sore, teeth can become mobile and infections can occur. Nick helps treat these issues by means of careful deep cleaning with a range of products, techniques and methods to ensure treatment is as comfortable as possible.

  3. Treatment and access of hard to reach areas. No matter how well you brush and clean in between your teeth, there will just always be some areas that are hard to reach and require extra attention to stop tartar and plaque building up. For this reason, even hygienists need to visit a hygienist from time to time!

  4. Prevention of bad breath. The same bacteria that cause gum disease and tooth decay release odours that can lead to bad breath. Again, removal of the tartar and plaque deposits further helps to eliminate this.

  5. Stain removal. Nick uses a combination of dental polish and airflow (jetwash) to remove stains that accumulate on the teeth from such things as food, drink and smoking. Not only does this make the teeth look great but they feel great too. There is nothing like that ‘just cleaned’ feeling.

  6. Detection of dental and oral issues. Visiting Nick is no substitute for a dental check-up but nonetheless when working in your mouth, Nick is ideally placed to notice such things as early decay, lumps and swelling and chipped or failing fillings that you yourself might not have been aware of.

  7. Disease prevention. Oral bacteria have been proved to exacerbate such issues as heart disease and diabetes. Regular hygiene treatments therefore form part of your holistic self-care routine.