Detailed periodontal charting
Pocket depths and bleeding sites documented tooth-by-tooth, providing a measurable baseline for treatment.
Periodontal Treatment
Gum Disease Treatment in Tokyo — Periodontal Therapy
Comprehensive periodontal care: assessment, non-surgical therapy, gum surgery where needed, and individualised maintenance plans.
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) is a bacterial infection affecting the gums and the bone supporting the teeth. It begins as gingivitis — inflammation limited to the gums — and can progress to periodontitis, in which bone is lost and teeth become loose.
Common signs include bleeding gums during brushing, persistent bad breath, gum recession, sensitivity, and in advanced cases, tooth mobility. Many patients have no symptoms until the disease is well-established, which is why routine examination is important.
At Rodin, periodontal assessment is part of every comprehensive examination. When disease is identified, a staged treatment plan addresses bacterial load, controls inflammation, and restores the periodontium to a maintainable state.
How it works
How does periodontal treatment work?
- 01
Periodontal assessment
Pocket depths measured around each tooth, bleeding sites recorded, x-ray review of bone levels. Diagnosis confirmed.
First visit
- 02
Patient education
Personalised oral hygiene instruction — interdental brushing, flossing technique, and any adjunctive aids appropriate to the case.
First visit
- 03
Non-surgical therapy
Scaling and root planing under local anesthesia — usually quadrant by quadrant or full mouth depending on the case.
2–4 visits over 4–8 weeks
- 04
Re-evaluation
After healing (typically 6–8 weeks), pocket depths and bleeding are re-measured. Most sites respond to non-surgical treatment.
Single visit
- 05
Surgical intervention (if needed)
For sites that have not responded, gum surgery may be recommended to access deep areas and reshape tissue or bone.
Case-by-case
- 06
Maintenance
Regular cleanings every 3–4 months to prevent recurrence and monitor for change.
Ongoing
Why Rodin
Why Rodin for periodontal treatment?
Staged treatment approach
Non-surgical therapy first; surgery only for sites that don't respond. Conservative philosophy.
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.
AIRFLOW® Guided Biofilm Therapy
Advanced biofilm removal protocol supports maintenance phase outcomes.
Personalised maintenance plans
Maintenance interval set by case severity — typically every 3–4 months for periodontitis history.
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
Prosthodontic expert with U.S. experience.
Dr. Ayaka Nakamura, D.D.S.
Pediatric Orthodontics · Aesthetic Dentistry Lead
Cutting-edge personalized treatments for beauty and health.
Dr. Eri Akasaka, D.D.S.
Prosthodontics & Periodontics
Prosthodontics · Periodontics · Implants.
Dr. Sanober Ahmed, B.D.S. (India)
Patient Support
Multilingual support — from your first message through to follow-up.
Robert Brammer
General Manager
Oversees clinic operations and your overall patient experience.
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
Reversible
Gingivitis (early)Yes with cleaning and improved hygiene
Periodontitis (advanced)Bone loss is not reversible; progression can be halted
Treatment
Gingivitis (early)Cleaning + hygiene improvement
Periodontitis (advanced)Scaling and root planing; surgery in advanced cases
Maintenance interval
Gingivitis (early)Every 6 months
Periodontitis (advanced)Every 3–4 months
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 under local anesthesia. Usually 2–4 visits depending on case extent.
4–8 weeks
04
Re-evaluation
After healing, pocket depths and bleeding re-measured to assess response.
6–8 weeks after active phase
05
Surgery (if needed)
For non-responding sites, gum surgery to access and reshape tissue or bone.
Case-by-case
06
Maintenance phase
Cleanings every 3–4 months with ongoing monitoring.
Ongoing
Key Takeaways
- Periodontal (gum) disease affects the supporting tissues around teeth — if untreated, it can lead to tooth loss.
- Treatment is staged: assessment, non-surgical therapy (scaling and root planing), surgical intervention where needed, and maintenance.
- Detailed periodontal charting documents pocket depths and bleeding sites — used to plan and track progress.
- English-speaking care; treatment plan in writing; coordinated with restorative work where applicable.
- Maintenance visits every 3–4 months are typical for patients with periodontitis history.
Quick Facts
At a glance
Treatment Duration
Initial therapy: 2–4 visits over 4–8 weeks
Cost Range
Contact for personalized quote
Number of Visits
Multiple over the treatment course; quarterly maintenance after
Anesthesia Type
Local anesthesia for deeper procedures; IV sedation available
Recovery Time
Mild gum tenderness for 1–3 days after deep cleaning
Suitable for
Patients with gingivitis or periodontitis
Pricing
Periodontal treatment cost
Pricing depends on case severity and the extent of treatment required. A personalised quote is issued in writing after the initial assessment.
Periodontal Assessment
Included with new-patient examination. TBD for standalone.
Contact for personalized quote
Scaling & Root Planing (per quadrant)
TBD.
Contact for personalized quote
Periodontal Surgery
Quoted case-by-case. TBD.
Contact for personalized quote
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
Active therapy typically requires 2–4 visits over 4–8 weeks. For international visitors, treatment can be staged: initial therapy in Tokyo, maintenance with a local hygienist, and milestone reviews at Rodin.
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.
- Mild gum tenderness for 1–3 days after scaling and root planing is common; managed with over-the-counter pain relief.
- Gum recession may become more apparent after treatment as inflammation resolves.
- Some sites may not respond fully to non-surgical therapy and require surgical intervention.
- Periodontal disease cannot be permanently 'cured' — long-term maintenance is essential to prevent recurrence.
- Smoking, uncontrolled diabetes, and certain medications can reduce treatment outcomes.
Not suitable for
- Patients unable to commit to home oral hygiene improvements and maintenance visits.
- Active heavy smokers — outcomes are significantly reduced.
Concerns addressed
Common questions from international patients
Will language be a barrier?
No. Our team provides care fully in English, with additional support available in Mandarin, Korean, and Spanish. Treatment plans, consent forms, and aftercare instructions are issued in your preferred language.
Are there hidden costs?
No. Every estimate is issued in writing before treatment begins, with transparent pricing covering consultation, imaging, materials, the procedure itself, and routine follow-up. Anything not included is disclosed explicitly.
What about post-treatment care after I return home?
We provide remote video consultations and written aftercare instructions in your language. If urgent attention is required, we maintain a referral network of trusted clinics in major cities and coordinate directly with your local dentist.
How long do I need to stay in Tokyo?
Stay length depends on the treatment — see the section above for the typical timeline. Your final itinerary is confirmed after the online consultation so flights and accommodation can be planned with confidence.
Common questions
Frequently asked
What does periodontal treatment cost in Tokyo?
+
Pricing depends on case severity. A personalised quote is issued in writing after the initial periodontal assessment. The assessment itself is typically included within a comprehensive new-patient examination.
Is scaling and root planing painful?
+
Scaling and root planing is performed under local anesthesia, so the procedure itself is not painful. Mild gum tenderness or sensitivity for 1–3 days afterward is common, managed with over-the-counter pain relief.
How many visits does periodontal treatment take?
+
Initial active therapy typically requires 2–4 visits over 4–8 weeks, depending on case extent. A re-evaluation visit 6–8 weeks after active treatment assesses healing. Maintenance visits every 3–4 months follow long-term.
Can gum disease be cured?
+
Gingivitis (early gum disease) can be fully reversed with proper cleaning and improved hygiene. Periodontitis (advanced gum disease) cannot be reversed — bone loss is permanent — but progression can be halted, and the periodontium stabilised through treatment and maintenance.
Will I need gum surgery?
+
Most periodontal cases respond to non-surgical therapy alone. Surgery is recommended for sites that have not responded after re-evaluation, or for specific indications such as gum recession or implant site preparation.
What's the difference between a regular cleaning and a deep cleaning?
+
A regular cleaning (prophylaxis) removes plaque and tartar from the visible surfaces of teeth above the gum line. A deep cleaning (scaling and root planing) addresses bacteria and tartar below the gum line, requires local anesthesia, and is performed when pocket depths indicate gum disease.
Can I have periodontal treatment as a tourist?
+
The initial assessment and first phase of treatment can be performed during a single visit (typically 5–7 days). Continued maintenance is best coordinated with a local hygienist between visits to Rodin.
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.
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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.
