Periodontics · Rotterdam West

Periodontics in Rotterdam West, keep your own teeth

Bleeding, swollen or receding gums? Periodontitis treatment at Tandarts West, your English-speaking dentist in Rotterdam West. Pocket measurement, initial periodontal therapy and lifelong maintenance to keep your own teeth. The #1 cause of adult tooth loss, early intervention matters.

First appointment within 2 weeks · diagnosis with pocket measurement
Periodontal care in-houseDPSI screening + plan4.7 · 169 reviews
Treatment room for periodontics and periodontitis treatment at Tandarts West, an English-speaking dentist in Rotterdam West. Pocket measurement (DPSI) and initial periodontal therapy by experienced dentists and dental hygienists.
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Adults have periodontitis
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Reviews · 4.7★
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Pocket warning threshold
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Since 2013

What is periodontitis, and why is early detection crucial?

Periodontitis is a chronic inflammation of the gums AND jawbone around teeth, caused by bacteria in tartar under the gum line. It often starts as gum inflammation (gingivitis) and, untreated, progresses to jawbone loss, receding gums, sensitive necks, loose teeth and eventually tooth loss. Globally the #1 cause of adult tooth loss, present in around 50% of adults over 35 in mild-severe form.

At Tandarts West, your English-speaking dentist in Rotterdam West at Taandersstraat 121, experienced dentists and dental hygienists provide targeted periodontal therapy. For complex or persistent periodontitis we refer to a registered periodontist. We start each treatment with a pocket measurement (DPSI score): a fine probe measures depth between tooth and gum. Healthy is 1-3mm, 4+mm indicates periodontitis. The DPSI (Dutch Periodontal Screening Index) is the national standard used by the KNMT (Royal Dutch Dental Association) and the Dutch Society of Periodontology (NVvP).

Periodontitis often gives no pain in early stage. That's why bi-annual check-ups and annual cleaning matter. Scientific research links periodontitis to cardiovascular disease, diabetes and pregnancy complications, so treatment matters for your general health too. Treatment follows the national NZa reference tariffs and is largely covered with a medical indication, see insurance coverage.

Dentist performs pocket measurement (DPSI) for diagnosis of periodontitis and gum inflammation at Tandarts West, an English-speaking dentist in Rotterdam West (Delfshaven).
Diagnosis firstPocket measurement maps your situationWith fine probe we measure pocket depth at 6 points per tooth. No treatment plan without clear diagnosis.
Symptoms

How to recognize periodontitis?

Three important signals for which you should book an appointment.

Bleeding gums

Bleeding when brushing or flossing is NOT normal. It's a sign of inflammation. Healthy gums don't bleed, even with firm brushing.

Receding gums

Teeth look longer because gums recede. Sensitive necks with cold or hot. Visible roots where there were none.

Bad breath or pus

Chronic bad breath (halitosis) despite good brushing, or visible pus between tooth and gum. Signs of active bacterial infection.

The treatment

Periodontitis treatment in 4 steps

From diagnosis to lifelong maintenance.

1

Pocket measurement

DPSI score: measuring pocket depth at 6 points per tooth. Diagnosis and treatment plan.

2

Initial therapy

Deep cleaning below gum line under local anesthesia, removing bacteria and tartar. 2-4 sessions.

3

Evaluation

6-8 weeks later we evaluate with new pocket measurement. Additional treatment if persistent pockets.

4

Maintenance

Lifelong periodic care: cleaning every 3-6 months, instruction, monitoring. Prevents recurrence.

Compare

Gingivitis versus periodontitis

Different stages of gum problems. Gingivitis is reversible, periodontitis no longer fully.

Reversible

Gingivitis (mild)

  • Only gum inflammation, no bone loss
  • Fully reversible with good hygiene
  • Treatment: cleaning + home care
  • Pockets < 4mm
Permanent

Periodontitis (advanced)

  • Bone loss around teeth, irreversible
  • Not 'cured' but 'stopped'
  • Treatment: initial therapy + lifelong care
  • Pockets 4+mm, risk of tooth loss
Cost

What does periodontics cost in Rotterdam?

NZa tariffs. With medical indication often covered by Dutch basic insurance.

Pocket measurement (DPSI)

NZa tariff
30 minutes
  • Diagnostic screening
  • Treatment plan
  • Including explanation and advice
Book measurement

Initial periodontal therapy

NZa tariff
2-4 sessions, 60-90 min
  • Deep cleaning under anesthesia
  • Per jaw half
  • Often covered by basic insurance
Request info

Fees follow the national NZa reference tariffs, not the practice's own prices. With a medical indication (periodontitis diagnosis with DPSI score), treatment is largely covered by Dutch basic insurance, maintenance runs via supplementary insurance. More on insurance coverage or questions about cost.

FAQ

Periodontics · FAQ

What is periodontitis?
Chronic inflammation of gums and jawbone around teeth, caused by bacteria in tartar under gum line. Untreated leads to bone loss, receding gums, loose teeth, eventually tooth loss. #1 cause of adult tooth loss.
Symptoms of periodontitis?
Bleeding gums when brushing, swollen/red gums, bad breath, receding gums, sensitive necks, loose teeth, pus between tooth and gum. Often painless in early stage.
What does periodontics cost in Rotterdam?
Dutch NZa tariffs: pocket measurement fixed price, initial therapy per jaw half. With medical indication often covered by basic insurance with referral.
How is periodontitis treated?
3 phases: 1) Pocket measurement (DPSI); 2) Initial therapy: deep cleaning below gum line under anesthesia, 2-4 sessions; 3) Maintenance every 3-6 months.
Is periodontitis curable?
Not completely 'cured' but progression effectively stopped. Lost bone doesn't return, but further loss prevented.
Is periodontal treatment covered by insurance?
Yes. With a medical indication (periodontitis confirmed with a DPSI score), periodontal treatment is largely covered by the Dutch basic health insurance. The maintenance treatments afterwards usually run through supplementary dental insurance. All fees follow the national NZa (Dutch Healthcare Authority) tariffs, not the practice's own prices. See our insurance coverage and rates pages, or call 010 846 6539 for a cost estimate in advance.
What happens if you don't treat periodontitis?
Untreated periodontitis is progressive: the inflammation slowly breaks down the jawbone around the teeth. Gums recede, tooth necks become sensitive, pockets deepen and eventually teeth loosen and are lost. That lost bone does not grow back. Periodontitis is the leading cause of tooth loss in adults. It also leaves a chronic bacterial inflammation in your mouth that is linked to cardiovascular disease and poorer blood sugar control in diabetes. Early intervention prevents irreversible damage.
Which English-speaking dentist in Rotterdam West treats periodontitis?
At Tandarts West at Taandersstraat 121 in Rotterdam West, experienced dentists and dental hygienists provide the periodontal treatment. For complex or persistent periodontitis we refer specifically to a registered periodontist. Call 010 846 6539.
Gingivitis vs periodontitis?
Gingivitis: only gum inflammation, reversible. Periodontitis: also bone loss, permanent.
What is pocket measurement?
Measuring depth between tooth and gum with fine probe. Healthy 1-3mm, 4+mm indicates periodontitis. DPSI score per jaw half.
Connection with general health?
Yes, links with cardiovascular disease, diabetes, pregnancy complications, possibly Alzheimer.
How to prevent gum problems?
Daily brushing 2x, flossing or interdental brushes, bi-annual cleaning, no smoking, regular check-ups.

Medically reviewed by Semra Genc, dentist, BIG 39915035302. Last reviewed on 14 July 2026. Sources: the Dutch Society of Periodontology (NVvP), the KNMT and the NZa tariff decree 2026.

Bleeding gums? Don't wait

Early detection makes the difference between keeping and losing your teeth. Book a pocket measurement with your English-speaking dentist in Rotterdam West.