Detailed periodontal assessment
Pocket depths, bleeding sites, tooth mobility and plaque or calculus deposits are documented tooth-by-tooth; x-rays and intraoral photographs may be added when indicated.
Periodontal Treatment
Gum Disease Treatment in Tokyo — Periodontal Therapy
Assessment, non-surgical treatment and ongoing maintenance, explained in English with a written plan and estimate.
Bleeding or sore gums?
Worried about gums that bleed or swell, bad breath, or a tooth that suddenly feels loose?
Gums that bleed when you brush, persistent bad breath, or a tooth that has started to feel loose are easy to put off — but they are often the early signs of gum disease, and they rarely settle on their own.
We can assess what is happening and treat it gently, in English and at your pace, here in Tokyo — with a clear written estimate before anything begins.
About
What is periodontal disease?
Periodontal disease (gum disease) describes inflammatory conditions affecting the gums and the tissues that support the teeth. Gingivitis is limited to the gums; periodontitis also involves loss of supporting tissue and bone.
Possible signs include gums that bleed, swell or recede, persistent bad breath, discomfort when chewing, sensitivity, or teeth that feel loose. Gum disease can become advanced before symptoms are obvious, so the diagnosis cannot be made from symptoms alone.
At RODIN, we record periodontal charting, bleeding, tooth mobility, and plaque or calculus deposits as clinically indicated, and take X-rays and intraoral photographs when needed. We use these findings to assess and diagnose the condition, explain the findings in English, and provide a staged treatment plan and written estimate before treatment begins.
How it works
How does periodontal treatment work?
- 01
Periodontal assessment
Pocket depths, bleeding sites, tooth mobility, and plaque or calculus deposits are recorded. X-rays and intraoral photographs may also be taken as needed before the diagnosis and plan are confirmed.
First visit
- 02
Patient education
We examine the condition of the mouth and assess whether current brushing and self-care are effective. We then suggest practical care methods tailored to the patient's oral environment and daily routine.
Initial or follow-up visit
- 03
Non-surgical therapy
Scaling and root planing below the gumline. Local anesthesia may be used, and visits are scheduled according to the number and location of affected sites.
Schedule confirmed after assessment
- 04
Re-evaluation
After initial healing, pocket depths and bleeding are re-measured to assess the response and decide whether further treatment is indicated.
After initial therapy
- 05
Surgical intervention (if needed)
After re-evaluation, surgery may be discussed for selected sites with persistent deep pockets or significant bone defects. Procedures for gum recession are considered separately according to symptoms, tissue condition and treatment goals.
Case-by-case
- 06
Maintenance
Recall examinations and professional cleaning at an interval based on the diagnosis, risk factors and response to treatment.
Ongoing when indicated
Why Rodin
Why Rodin for periodontal treatment?
Staged treatment approach
Non-surgical therapy is considered first; surgical treatment is discussed only when clinically indicated after re-evaluation.
English-speaking care
Education and hygiene instruction in English; written treatment plans.
Integration with restorative work
Periodontal stability is established before veneers, crowns, or implants — coordinated within the same practice.
Guided biofilm management
AIRFLOW® may be used for professional biofilm and stain removal where appropriate; it does not replace periodontal diagnosis or treatment below the gumline.
Personalised maintenance plans
Recall intervals are set according to diagnosis, risk factors and response, then adjusted at follow-up visits.
Your RODIN team
A specialist team — and not a word of Japanese required
From a U.S.-trained prosthodontist to multilingual patient support, these are the people who will look after you — so there is no language barrier between you and your care.
Dr. Ryosuke Murai, D.D.S., M.S.D.
U.S. Trained Prosthodontist · All-on-4 / Full-Arch Restoration Lead
“Every Smile Makeover starts with understanding what the patient wants to feel — not just see — in the mirror. The technical work is precise, but the goal is always personal.”
Prosthodontic expert with U.S. experience.
- Aichi Gakuin Dentistry Graduate
- Indiana University Prosthodontics Graduate
- Former Dentist at Major Corporation
Dr. Ayaka Nakamura, D.D.S.
Pediatric Orthodontics · Aesthetic Dentistry Lead
Cutting-edge personalized treatments for beauty and health.
- Hiroshima University, Faculty of Dentistry (D.D.S.)
- Residency — General Dentistry, Hiroshima University Hospital
- Invisalign Certified
Dr. Eri Akasaka, D.D.S.
Prosthodontics & Periodontics
Prosthodontics · Periodontics · Implants.
- Asahi University School of Dentistry
- Clinical training — Oral & Maxillofacial Surgery, Kyoto University Hospital
- Certified Member, Japan Prosthodontic Society
Dr. Tsubasa Yoshizawa
Oral Surgery · Periodontal Care
Oral Surgery · Periodontal Care.
- Graduate of Tokyo Dental College
- Residency — Oral and Maxillofacial Surgery, Nagoya University Hospital
- Worked at a periodontal specialty practice in the United States
- Residency in Periodontics, University of Pennsylvania (starting 2027)
Comparison
Gingivitis vs periodontitis
Gum disease exists on a spectrum. The distinction below outlines the difference between the reversible early stage and the more advanced form.
—
Gingivitis (early)
Periodontitis (advanced)
Tissue affected
Gingivitis (early)Gums only
Periodontitis (advanced)Gums + supporting bone
Symptoms
Gingivitis (early)Bleeding, redness, swelling
Periodontitis (advanced)Recession, mobility, persistent bad breath
Bone loss
Gingivitis (early)None
Periodontitis (advanced)Present — irreversible
Response to care
Gingivitis (early)Often improves with professional cleaning and daily plaque control
Periodontitis (advanced)Lost support does not regrow on its own; disease can be slowed and managed
Treatment
Gingivitis (early)Cleaning + hygiene improvement
Periodontitis (advanced)Scaling and root planing; surgery in advanced cases
Follow-up
Gingivitis (early)Interval based on current gum health
Periodontitis (advanced)Ongoing maintenance interval based on individual risk
Process
Your periodontal journey at Rodin
For most patients, booking a visit directly is perfectly fine. An online consultation is an optional step — mainly helpful if you're considering a larger case such as full-mouth treatment, or simply prefer to discuss things in advance.
01
Comprehensive examination
Periodontal assessment integrated into the comprehensive examination.
Initial visit
02
Treatment plan
Diagnosis, staging, and written plan with transparent written estimate.
Same or follow-up visit
03
Active therapy
Scaling and root planing performed for the sites identified in the treatment plan. Local anesthesia may be used.
Schedule confirmed after assessment
04
Re-evaluation
After initial healing, pocket depths and bleeding are re-measured to assess response and decide the next step.
After initial therapy
05
Surgery (if needed)
After re-evaluation, surgery may be considered for selected sites with persistent deep pockets or significant bone defects. Gum-recession procedures are assessed separately.
Case-by-case
06
Maintenance phase
Professional cleaning and monitoring at an interval based on individual risk and treatment response.
Ongoing when indicated
Key Takeaways
- Bleeding, swollen gums, persistent bad breath, recession or loose teeth can be signs of gum disease; an examination is needed to identify the cause.
- Gingivitis affects the gums. Periodontitis also involves loss of the tissues and bone supporting the teeth and requires ongoing management.
- Before a treatment plan is made, we record periodontal charting, bleeding, tooth mobility, and plaque or calculus deposits as clinically indicated, and take X-rays and intraoral photographs when needed.
- Treatment may include oral-hygiene coaching, scaling and root planing, re-evaluation, and surgery only when clinically indicated.
- RODIN explains the findings, treatment options and written estimate in English before treatment begins.
Quick Facts
At a glance
Treatment Duration
Depends on the diagnosis and number of sites requiring treatment
Cost
Initial examination ¥19,900; treatment estimate provided after assessment
Number of Visits
Planned after examination; maintenance continues long term when indicated
Anesthesia Type
Local anesthesia may be used for treatment below the gumline
Recovery Time
Temporary tenderness, bleeding or sensitivity can occur after deep cleaning
Suitable for
Patients with gingivitis or periodontitis
Pricing
Periodontal treatment cost
RODIN is a private, self-pay clinic; Japanese public health insurance does not apply. The fees below include Japanese consumption tax. Because treatment depends on the diagnosis and number of affected sites, a written treatment estimate is provided after the examination.
Initial examination
Base examination fee. Additional imaging or treatment is quoted separately when indicated.
¥19,900
First Visit Cleaning Package
Comprehensive check-up, imaging/x-rays, gum test, PMTC and AIRFLOW® GBT.
¥39,900
Scaling and root planing
The fee depends on the number and location of sites requiring treatment.
Written estimate after examination
Periodontal surgery
Discussed only when clinically indicated after assessment and re-evaluation.
Written estimate after examination
What's included — no hidden costs
- Periodontal assessment (charting + x-rays)
- Patient education and hygiene instruction
- Scaling and root planing for the planned quadrants
- Re-evaluation after healing
- Maintenance scheduling plan
We accept Visa, Mastercard, American Express, JCB, bank wire transfer, and cash in JPY. Payments are processed in Japanese yen. International credit cards are accepted.
For international patients
Periodontal care for international patients
An assessment can usually be completed at the first clinic visit. If treatment is required, we can provide an English record of the sites requiring periodontal care and a written treatment schedule to support continuity after you leave Tokyo.
Pre-arrival online consultation
A doctor reviews your photographs and history before you travel, and replies in writing within two business days with a preliminary plan.
Hotel & access guidance
We can recommend hotels within walking distance of the clinic in Onarimon / Minato-ku, and provide written directions in your preferred language.
Interpretation support
Care is delivered in English by default. Mandarin, Korean, and Spanish support is available for consultations on request.
Aftercare from your home country
Video follow-ups and written records in English. Where local in-person care is needed, we coordinate with a referral network of trusted clinics.
Risks & considerations
Risks & considerations
Every dental procedure carries some risk. The points below outline what most patients can expect. Your individual risk profile is discussed in detail during your consultation, and any case-specific considerations are noted in writing as part of your treatment plan.
- Temporary gum tenderness, bleeding or tooth sensitivity can occur after scaling and root planing. Ask your clinician which pain relief is appropriate for you.
- Gum recession may become more apparent after treatment as inflammation resolves.
- Some sites may not respond fully to non-surgical therapy. After re-evaluation, surgery may be considered for persistent deep pockets or selected significant bone defects; gum-recession procedures depend on symptoms, tissue condition and treatment goals.
- Periodontitis requires ongoing maintenance because disease activity can recur after treatment.
- Smoking, diabetes and some medications can affect periodontal risk or healing; tell the dental team about your health history and medicines.
Concerns addressed
Common questions from international patients
Can the examination and treatment plan be explained in English?
Yes. RODIN can provide the periodontal findings, records of the sites requiring treatment, treatment options, written schedule, estimate and aftercare instructions in English.
How will I know the total cost before treatment?
After the examination, the written estimate lists the planned procedures and fees. If the diagnosis or plan changes, any additional treatment is discussed before it is carried out.
What if I need continuing care after leaving Japan?
We can provide an English summary identifying the sites that require periodontal care, the treatment completed at RODIN and the planned schedule. Continuing in-person care should be arranged with a dentist or dental hygienist where you live.
How long should I stay in Tokyo?
A periodontal assessment can usually be completed at one clinic visit. If treatment is indicated, the number and timing of visits can only be confirmed after the diagnosis.
Common questions
Frequently asked
What does periodontal treatment cost in Tokyo?
+
The initial examination is ¥19,900 including tax. If further periodontal treatment is indicated, the number and location of affected sites determine the fee; RODIN provides a written estimate before treatment. The clinic is private and self-pay, so Japanese public health insurance does not apply.
Is scaling and root planing painful?
+
Experiences vary. Local anesthesia may be used during treatment below the gumline. Temporary tenderness, bleeding or sensitivity can occur afterward; your clinician will explain what to expect and which pain relief is appropriate for you.
How many visits does periodontal treatment take?
+
The number of visits depends on the diagnosis and extent of treatment. After the examination, RODIN provides a written schedule covering initial therapy, re-evaluation and any ongoing maintenance that is indicated.
Can gum disease be cured?
+
Gingivitis can often improve with professional cleaning and effective daily plaque control. Periodontitis involves irreversible loss of supporting tissue and bone; professional treatment can slow and manage the disease, but ongoing maintenance is usually needed.
Will I need gum surgery?
+
Not necessarily. The need for surgery is decided after examination and, where non-surgical therapy is provided, re-evaluation. It may be discussed for selected sites with persistent deep pockets or significant bone defects. Procedures for gum recession are considered separately according to symptoms, tissue condition and treatment goals.
What's the difference between a regular cleaning and a deep cleaning?
+
A regular cleaning removes plaque and calculus from visible tooth surfaces and areas above the gumline. Deep cleaning (scaling and root planing) treats deposits deeper in periodontal pockets and contaminated root surfaces. The appropriate approach depends on the patient's periodontal condition and helps manage progression of gum disease.
Can I have periodontal treatment as a tourist?
+
A periodontal assessment can usually be completed at one clinic visit. If treatment is needed, the feasible schedule depends on the diagnosis and your time in Tokyo. We can provide English records for continuity with a dentist or hygienist at home.
Will gum surgery affect my smile?
+
Some surgical procedures intentionally reshape gum tissue for aesthetic reasons (crown lengthening, gum grafting). Others (pocket reduction surgery) may slightly increase the visibility of root surfaces. All cosmetic implications are discussed before any surgery.
Patient stories
Case studies available upon consultation.
Specific case details are shared in person or in writing during your consultation, with patient consent obtained for every disclosure in line with medical advertising guidelines.
Related treatments
Continue exploring
General & Preventive Dentistry
General & Preventive Dentistry
Learn More →
Single & Multiple Tooth Replacement
Dental Implants
Learn More →
Restorative & Cosmetic Dentistry
Ceramic Crowns
Learn More →
Calm, Comfortable Sedation Dentistry
IV Sedation Dentistry
Learn More →
Dental Tourism Japan
Dental Tourism in Japan
Learn More →
Ready to discuss periodontal treatment?
Choose the option that fits where you are in your decision. A doctor — not a coordinator — replies to every online consultation within two business days.
Reply within 2 business days from a doctor — not a coordinator.
