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.
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.

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.

Three important signals for which you should book an appointment.
Bleeding when brushing or flossing is NOT normal. It's a sign of inflammation. Healthy gums don't bleed, even with firm brushing.
Teeth look longer because gums recede. Sensitive necks with cold or hot. Visible roots where there were none.
Chronic bad breath (halitosis) despite good brushing, or visible pus between tooth and gum. Signs of active bacterial infection.
From diagnosis to lifelong maintenance.
DPSI score: measuring pocket depth at 6 points per tooth. Diagnosis and treatment plan.
Deep cleaning below gum line under local anesthesia, removing bacteria and tartar. 2-4 sessions.
6-8 weeks later we evaluate with new pocket measurement. Additional treatment if persistent pockets.
Lifelong periodic care: cleaning every 3-6 months, instruction, monitoring. Prevents recurrence.
Different stages of gum problems. Gingivitis is reversible, periodontitis no longer fully.
NZa tariffs. With medical indication often covered by Dutch basic insurance.
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.
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.
Early detection makes the difference between keeping and losing your teeth. Book a pocket measurement with your English-speaking dentist in Rotterdam West.