What is Periodontitis and how to know if you have it?
Periodontitis is a severe form of gum disease that affects the tissues surrounding and supporting the teeth.
Early symptoms include red, swollen gums, bleeding during brushing, and persistent bad breath.
Sometimes it can be totally unnoticed by the patient and picked up by regular check ups by the dentist.
As the disease progresses, you may notice gum recession and loose teeth.
At Premier Smile Dental Excellence, we provide thorough gum assessments to detect periodontitis in its early stages and offer personalised treatment plans to prevent further damage.

We believe in taking the time to fully understand your dental health, concerns, and goals.
Gum Disease: what is it?
Commonly referred to as gum disease, periodontitis or piorrea is an infection of the gums that can destroy the bone supporting your teeth.
If left untreated, it can cause significant damage, leading to tooth mobility or loss.
At Premier Smile Dental Excellence, we specialise in treating this condition with modern techniques that stop the disease in its tracks, restoring your gums and preventing future complications.
Our team’s expertise in managing piorrea ensures you receive the best care available.




Dr. Nooshin Vasfi is among the very few dentists with specialist and extensive post-graduate training in both root canal treatment and pulp therapy—focused on saving teeth—and implant dentistry, which replaces teeth that cannot be saved.
She earned her Doctorate of Dental Surgery in 1998, followed by additional professional qualifications. In 2004, she obtained her Diploma of Clinical Dental Sciences from the Eastman Dental Institute and Membership of the Faculty of Dental Surgery of the Royal College of Surgeons of England.
In 2006, Dr. Vasfi joined the specialist registrar training programme at Guy’s Hospital, completed her Master of Clinical Dentistry at the University of London, and then achieved Membership of Restorative Dentistry from the Royal College of Surgeons of Edinburgh in 2010. Subsequently, she was listed as an Endodontic Specialist on the General Dental Council’s UK register. She is also a member of the British Endodontic Society and the Langham Endodontic Study Group.
Dr. Vasfi has over 27 years of clinical experience and has taught post-graduate students in endodontics at King’s Hospital. She established her Leighton Buzzard endodontic referral base in 2009. In addition to her endodontic specialty, she completed extensive implant dentistry training (with a strong prosthodontic focus) and obtained her Diploma in Implant Dentistry from the Eastman Dental Institute in 2015. She is also a member of the British Association of Restorative Dentistry, Dental Trauma UK, and the International Team for Implantology.
Dr. Aryan Gararakhani graduated from the University of Debrecen with a Doctor of Medical Dentistry (D.M.D) Honours degree in 2016.
Periodontitis Pain
Periodontitis can cause discomfort, especially during chewing or brushing, but pain is often a sign that the disease has advanced.
If you’re experiencing pain in your gums or teeth, it’s important to seek professional help as soon as possible.
At Premier Smile Dental Excellence, we provide gentle, effective treatments to relieve pain and address the underlying causes of your periodontitis in Leighton Buzzard, ensuring your oral health is restored with minimal discomfort.
Periodontitis: Treatment and Costs
Treating periodontitis requires a comprehensive approach that may include deep cleaning (scaling and root planing) and surgical interventions in more advanced cases.
At Premier Smile Dental Excellence, we offer tailored treatment plans based on the severity of the disease, with transparent pricing so you know what to expect.
We also provide flexible payment options to ensure that quality care is accessible for everyone.
Don’t wait – early treatment can save your teeth and reduce long-term costs.

Dr Nooshin Vasfi

Teresa Stratford

Clare Holland

Susan Rouse

Dr Aryan Gharakhani

Angie Kong
Piorrea: symptoms and causes
Piorrea, or advanced gum disease, has several noticeable symptoms, including swollen, bleeding gums, bad breath, and receding gums.
The primary cause is bacterial plaque that accumulates around the teeth and gums, but factors like smoking, poor oral hygiene, and genetic predisposition can increase the risk.
At Premier Smile Dental Excellence, we help patients understand the underlying causes of piorrea and develop personalised prevention and treatment strategies to protect their oral health.
What are periodontal diseases?
Periodontal diseases include a range of conditions that affect the gums and the bone supporting the teeth, from mild gingivitis to advanced periodontitis.
Gingivitis, the earliest stage, causes inflammation without affecting the bone, while periodontitis leads to the destruction of both gum tissue and bone.
At Premier Smile Dental Excellence, we specialise in diagnosing and treating all forms of periodontal disease, using the latest techniques to halt the progression and preserve your dental health.
Periodontal treatments: what are the options to avoid tooth extraction?
When treated early, periodontitis can often be managed without resorting to tooth extraction.
At Premier Smile Dental Excellence, we offer several effective treatments to save your teeth, including deep cleaning, antibiotic therapy, laser treatment, and surgical procedures to regenerate lost bone and tissue.
Our goal is to provide you with a treatment plan that restores your gum health and prevents further damage, ensuring you keep your natural teeth for as long as possible.
Piorrea: causes and risks of the disease that leads to tooth loss
Piorrea is a serious gum disease that, if left untreated, can lead to tooth loss.
Caused by bacteria accumulating under the gum line, it weakens the tissues and bone that hold your teeth in place.
Factors such as poor oral hygiene, smoking, and genetic predisposition increase the risk of developing piorrea.
At Premier Smile Dental Excellence, we emphasise early detection and prevention to protect your teeth and gums.
Our tailored treatments are designed to combat the risks of this disease, helping you maintain a healthy smile for life.
For personalised care and to address concerns about periodontitis in Leighton Buzzard, book an appointment with our experienced team today!
We believe in taking the time to fully understand your dental health, concerns, and goals.










- From Aylesbury
Take the A418 towards Leighton Buzzard, continue on Leighton Road, and follow signs for Hockliffe Street.
- From Milton Keynes
Follow the A5 south to A4146, then take Hockliffe Street into the town centre.
- From London
Take the West Midlands Railway to Leighton Buzzard station. From there, it’s a 15-minute walk or a short taxi ride to the practice.
- From Milton Keynes
Take a direct train to Leighton Buzzard station and proceed as above.
- From Dunstable
Use the Arriva bus service towards Leighton Buzzard, stopping at Leighton Buzzard High Street, a short walk from the practice.
- From Luton
Take the Arriva bus service towards Leighton Buzzard and alight at the High Street stop.
- Where To Park
There is free parking at the rear of the practice with limited spots. Alternatively, you can park at Morrison’s (5-minute walk) or the city centre car parks, all within a short walk of the practice.
- Dunstable: Follow the A505 to Leighton Buzzard, then take Hockliffe Street.
- Aylesbury: Take the A418 to Leighton Road, then follow signs to Hockliffe Street.
- Milton Keynes: Use the A4146 towards Leighton Buzzard, turning onto Hockliffe Street.
- Luton: Drive on the A505 towards Dunstable, then continue to Leighton Buzzard on the A4146.
- Hemel Hempstead: Follow the A4146 directly to Leighton Buzzard, then turn onto Hockliffe Street.
EXCELLENT Based on 147 reviews Laura PTrustindex verifies that the original source of the review is Google. My son had a routine appointment with Dr Khan , and he was wonderful with him. He answered all my questions and the experience was very good. Douglas HoldingTrustindex verifies that the original source of the review is Google. Thourgh and professional Dentist. Would recommend their practice Dan GTrustindex verifies that the original source of the review is Google. Had a great experience at the clinic, getting both dentistry and hygienist appointments. The staff were very helpful, informative and happy to go the extra mile. Emma BousfieldTrustindex verifies that the original source of the review is Google. I am very anxious about coming to the dentist but the team make me feel at ease and give good guidance how to better manage my teeth hygiene. Would highly recommend Dan JonesTrustindex verifies that the original source of the review is Google. Excellent service- recommend mary myersTrustindex verifies that the original source of the review is Google. Fantastic staff who will do everything they can to help. Lots of suggestions and talking through different options. Tina HucklesbyTrustindex verifies that the original source of the review is Google. My dentist since 1964. Brilliant and welcoming. GabbieTrustindex verifies that the original source of the review is Google. I recently visited Dr. Vasfi for two very lengthy root canal appointments after being referred to her by my regular dentist. To say I was absolutely dreading these procedures was an understatement, but I needn’t have worried at all. Nooshin is very calm, kind, and patient, and her demeanour immediately puts you at ease. As an anxious and nervous patient, the entire team at Premier Smile Dental Excellence went out of their way to make sure that I was looked after and answered my many questions. The overall procedure was painless, and the actual root canal work that was undertaken was incredibly thorough. Nooshin talks you through each stage of the root canal process, so you know exactly what to expect during the procedures (you can even choose what music you might like to be played during your treatment if this helps to relax you too). Nooshin takes x-rays and photographs of your teeth before and after treatment so you can really see the difference she makes! If you need any kind of intricate dental work done (especially if you have been putting this off) then I wouldn’t hesitate to recommend Dr Vasfi, her caring nature, expertise and attention to the personalised level of dental care she provides is second to none. Thank you Nooshin and the team - I can't thank you enough. Josh DuffyTrustindex verifies that the original source of the review is Google. Fantastic Service received, and very friendly and helpful staff Leslie ToleTrustindex verifies that the original source of the review is Google. Great experience, very good clean!Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more