Periodontics

Addressing Gum Disease
Call us today 01270 587 820
Perio at The Old Surgery
Dr Tobias Spuldaro, our leading Periodontic dentist

Healthy Gums, Confident Smiles – Specialised Care You Can Trust

Gum health is the foundation of a healthy mouth. Whether you’re dealing with mild gum inflammation or advanced periodontal disease, our dedicated periodontal team is here to help you regain control of your oral health—and keep your smile thriving for years to come.

We’re incredibly fortunate to have Dr Tobias Spuldero, a skilled dental surgeon with advanced training in diagnosing and treating gum disease. Tobias is supported by our exceptional hygiene team—Louise, Yevedzo, and Gina—who work tirelessly to help patients improve their oral hygiene, prevent disease progression, and maintain a happy, healthy smile.

Facts about Gum Diseaase

What Is Gum Disease?

Gum disease starts as gingivitis and can progress to periodontitis, leading to gum recession, loose teeth, and even tooth loss.

Gum disease (periodontitis) is a chronic inflammatory condition that affects the tissues supporting your teeth. According to the British Society of Periodontology (BSP), it is one of the most common diseases worldwide—and often goes unnoticed until significant damage has occurred.
Symptoms may include:
  • Bleeding gums
  • Bad breath
  • Gum recession
  • Loose or shifting teeth
  • In severe cases, tooth loss
The good news? Gum disease is treatable—and often reversible in its early stages. Whether you’ve noticed sudden changes or have been struggling for years, we’re here to help.
Why Specialist Periodontal Care Matters

The BSP highlights that early intervention and professional care can dramatically improve outcomes. Our team offers:
  • omprehensive assessments using advanced diagnostics
  • Non-surgical and surgical treatments tailored to your needs
  • Ongoing support to help you maintain results long-term
  • Education and motivation to empower you in your oral health journey
Gum Recession & Regeneration
Gum recession can occur due to brushing habits, genetics, or gum disease. In many cases, it can be corrected with specialist techniques to restore both aesthetics and protection.

For patients with bone loss, we offer bone regeneration procedures using materials like Emdogain and Bio-Oss. These treatments help rebuild the bone around teeth, reduce infection risk, and improve long-term stability.
Concerned About Bad Breath?

Bad breath (halitosis) is often linked to gum disease, tooth decay, or poor oral hygiene. It can also be influenced by diet, smoking, or medical conditions. We understand this can be a sensitive topic—but rest assured, your concerns will be treated with complete confidentiality and compassion.

Our goal is to identify the cause and help you enjoy the confidence that comes with fresh breath and a healthy mouth.
Gummy Smiles & Gum Contouring

If you feel your smile shows too much gum or your teeth appear short or worn, we offer gum reshaping treatments that combine periodontal and restorative techniques. These procedures can:
  • Reposition the gum line
  • Lengthen the appearance of teeth
  • Enhance facial harmony and smile aesthetics

Let’s Talk About Your Gum Health

Whether you’re facing an acute issue or have noticed gradual changes over time, our periodontal team is here to support you. Book a complimentary chat with one of our Treatment Coordinators to explore your options and take the first step toward healthier gums and a more confident smile.

Oral Health & General Health: The Vital Connection

Your mouth is more than just a smile—it's a gateway to your overall health.
Mounting evidence shows that oral health is deeply connected to general wellbeing, and neglecting it can have serious consequences far beyond the teeth and gums.

According to the World Health Organization, oral diseases affect 3.5 billion people globally, making them among the most common noncommunicable diseases. But what’s often overlooked is how these conditions interact with—and even worsen—other health problems.
Examples of Oral-Systemic Links
  • Diabetes & Gum Disease: People with diabetes are more likely to develop periodontal disease, and severe gum inflammation can make it harder to control blood sugar levels. It’s a two-way relationship that requires careful management of both conditions.
  • Heart Disease: Chronic gum disease has been linked to an increased risk of cardiovascular problems. Inflammation in the gums may contribute to inflammation in blood vessels, raising the risk of heart attack and stroke.
  • Pregnancy Complications: Poor oral health has been associated with premature birth and low birth weight. That’s why dental care during pregnancy is not just safe—it’s essential.
  • Respiratory Illnesses: Bacteria from infected gums can be inhaled into the lungs, potentially contributing to respiratory conditions like pneumonia, especially in older adults.
  • Mental Health & Quality of Life: Oral pain, bad breath, and tooth loss can lead to social withdrawal, reduced self-esteem, and even depression. The ability to eat, speak, and smile comfortably plays a huge role in emotional wellbeing.
What the Data Shows
  • In the UK, 66% of adults report having good oral health, compared to 78% who report good general health—suggesting a gap that needs attention.
  • Adults in lower income brackets are significantly more likely to report poor oral health, which correlates with higher rates of chronic illness.
  • Most oral diseases share risk factors with major health conditions like diabetes, heart disease, and cancer—such as smoking, high sugar intake, and poor nutrition.
Why It Matters
We believe that oral health is whole-body health. That’s why we take a holistic approach to dental care—working not just to treat problems, but to prevent them and support your overall wellbeing.

Whether you're managing a chronic condition or simply want to stay healthy, maintaining good oral hygiene and attending regular dental check-ups can make a profound difference.
Picture of three dental hygienists from The Old Surgery Dental Practice, Crewe

Our Wonderful Dental Hygiene Team

Goodbye Scale & Polish –
Say Hello to GBT – Guided Biofilm Therapy

A Cleaner, more gentle and more effective hygiene clean

More precise More comfortable Focussed on preventionLearn more about GBT - Guided Biofilm Therapy
Get in touch with us today, to book a consultation with Tobias and discuss how we can help you look and feel your best.
Contact us by phone, through our social media channels, our chat bot or click below to send us your enquiry
Contact us
David Cohen

PhD, MSc, BDS, MFGDP, LDSRCS, CUEW, MEWI

GDC Reg No: 45658

David is a Specialist Endodontist, and for over 25 years has been helping general dental practitioners solve their endodontic problems. In that time he has treated something over 20,000 teeth!

David qualified in 1971 with BDS from the Royal Dental Hospital of London and 1972 LDSRCS from the Royal College of Surgeons of England. Following qualification he worked in general practice in Manchester.

At a lecture by an endodontist in 1976, David became interested in Endodontics and in order to advance his knowledge in this field he undertook a number of postgraduate courses in the United States at Boston University School of Graduate Dentistry, under the leadership of Dr. Herbert Schilder.

In 1981 David commenced part-time postgraduate research in Endodontics, which led to him being awarded an MSc in 1984 on the strength of a thesis entitled “An Investigation into the relative merits of some Endodontic Filling Systems”.

In 1986 he was invited to undertake further research work, culminating in him being awarded a PhD by the University of Manchester in 1991 on the basis of his thesis entitled “Development and Evaluation of Endodontic Filling and Pulp Capping Materials”. This led to the development of new materials in both areas of root filling and pulp capping and worldwide patents for such materials.

In 1981 David opened a practice ‘Limited to Endodontics’ part-time, which has now grown into the full time practice. For a number of years he taught postgraduate Endodontics and undergraduate studies as a Lecturer at Manchester Dental Hospital and he currently holds the position of Honorary Research Associate at Manchester University. David was admitted to the endodontic specialist register as soon as the register was inaugurated in 1998. He has written widely on endodontic subjects and in 1994 he was a Visiting Fellow to the Singapore Ministry of Health. David has also lectured extensively in the U.K. and U.S.A.

David has served as the President of the British Endodontic Society and Chairman and/or executive member of a number of local dental and endodontic associations. He has also since 1979 been a member and regular attender at meetings of the American Association of Endodontists.

David has also been producing medico-legal reports for many years, and have to date produced over 500 reports for solicitors, both claimant and defendant. In 2005 he was awarded a Certificate of Expert Witness Accreditation by Cardiff University and in 2008 he was accepted as a member of the Expert Witness Institute.

Steve Lomas

BDS (Birmingham) Honorary
PG Dip Rest Dentistry from BARD
GDC 68108

Steve qualified from the University of Birmingham in 1992. He remained in the West Midlands for the next five years before moving to Crewe. Steve opened The Old Surgery Dental Practice in February 1998 and has developed it from a single handed practice to its current six surgeries.

Steve is highly committed to a preventive approach to dentistry, aiming to help his patients attain and retain excellent dental health. His special interest is the management of tooth wear, especially early diagnosis and intervention to prevent more severe problems occurring later in life.

This has led to Steve becoming one of only a handful of UK dentists to have completed the full Dawson Academy training pathway, allowing him to practise Complete Dentistry and fully understand the whole masticatory system, including being able to help with uncomfortable bites and clicking joints.

Being a Dawson dentist allows Steve to do what is necessary to achieve long term maintainable health and comfort, along with the creation of a beautiful natural smile, knowing that he is using the least amount of dentistry possible.

Steve is a Full Member of the British Academy of Cosmetic Dentistry. He is also a member of the British Academy of Restorative Dentistry, and facilitates a South Cheshire study group on behalf of the BARD, providing postgraduate education for other dentists.

He spent 2010 completing a Certificate in Aesthetic Dentistry with the prestigious Tipton Training academy, and was delighted to have been given the accolade of Dentist of the Year 2010 by the Academy. In 2012 Steve was awarded a Diploma in Restorative Dentistry.

Steve is also very keen on cosmetic orthodontic treatments, to help quickly and easily realign teeth to significantly improve smiles without the need for more destructive crown and veneer work – beautiful results can now be achieved just through a combination of realignment, whitening and sometimes bonding a little white filling to replace worn edges of teeth.

Steve was the first dentist in South Cheshire to provide the Inman Aligner.

Steve’s other dental activities have included being a Vocational Trainer to newly qualified dentists, President of the North Staffordshire Society of Dental Surgeons, leading Peer Review study groups for local dentists, and has been a member of the Local Dental Committee and an examiner for the National Examining Board for Dental Nurses.

Awards and Recognition

Over the years, we have been immensely proud that the outstanding qualities of our practice and they way we manage it, has been recognised by leading authorities in the dental industry.

This encourages us to strive to not only maintain our standards, but to improve them year on year.

We invest in our wonderful team to ensure they well trained and enjoy their work, as this is a fundamental benchmark to ensure our customers receive the best experience and dental care available.
2016
Best Practice UK 2016
Best Patient Care 2016
Best Practice North West 2016
Best Patient Care North West 2016
2015
Winners of Best Dental Team – North
Highly Commended in ‘Best Employer
Finalists in Best Dental Team
Finalists in Best Patient Care
Finalists in Best Employer
Finalists in Practice of the Year
2015
The Dental Awards
Winners of Hygienist of the Year
Finalist in Team of the Year
Finalist in Hygienist of the Year
The Dental Awards 2015
Highly Commended in Best Hygienist
Finalists in Best Hygienist
2014
Winners of Best Dental Team – North West
Winners of Most Outstanding Team Member – West
Winners of Most Outstanding Team Member – Overall
Finalists in Best Dental Team
Finalists in Best Patient Care
Finalists in Most Outstanding Team Member
Finalists in Practice Of The Year
2014
Highly Commended in Best Team Finalists in Best Dental Team Finalists in Best Patient Care Finalists in Best Team Member Finalists in Best Community Project Finalists in Best Employer Finalists in Practice of the Year
Additional Dentistry Awards
Tipton Training Course
Cosmetic and Restorative Course

Winner – Dr Steve Lomas – Dentist of the Year 2010
Winner – Dr Rich Willis – Dentist of the Year 2013
South Cheshire Chamber of Commerce Awards
Winner Excellence in Customer Service – Winner 2012

Cosmetic Dentistry

I am Dr. Dentist, my team and I are dedicated to undertaining cosmetic dentistry for you when it's purely the best option for your dental health.

There is ahuge range of treatments and prcedures that fall under the description of cosmetic dentistry. Yes, of course, the typical 'Hollywood Smile' is how many first think of. Whilst we can certainly amke those wonderful transformations for you, we also ensure that you never have more than you need and receive the very best care throughout.

Below are a few of the procedures we carry out on a daily basis. Hollywood, or not.

Dark discoloured teeth?

Tooth whitening is a simple procedure completed at home or in-surgery with excellent long term results which do not harm your teeth.

Discoloured Fillings

Fillings in back teeth can be made practically invisible with cosmetic fillings. Old metal fillings in back teeth can be replaced with white fillings or ceramic inlays.

Missing Teeth or Gaps

If you have missing teeth or unsightly gaps in your teeth these can be filled with cosmetic dentures, bridges or dental implants with natural looking results.

Misshapen Teeth

Can be straightened and whitened with cosmetic veneers, metal-free cosmetic crowns or invisible braces.

Old Discoloured Crowns

If you are concerned by the discolouration of your dental crowns then we can replace these with the latest metal-free eMax or Lava crowns.

False Looking Dentures

Old dentures that fit badly or look false can often be replaced with natural feeling, cosmetic dentures or possibly replaced completely with fixed bridgework.

We replace old or loose dentures with a bridge or metal based denture that is stronger, tighter, more comfortable. For the ultimate in stability we can provide implant retained dentures or bridgework.

Cosmetic Dentistry

I am Dr. Dentist, my team and I are dedicated to undertaining cosmetic dentistry for you when it's purely the best option for your dental health.

There is ahuge range of treatments and prcedures that fall under the description of cosmetic dentistry. Yes, of course, the typical 'Hollywood Smile' is how many first think of. Whilst we can certainly amke those wonderful transformations for you, we also ensure that you never have more than you need and receive the very best care throughout.

Below are a few of the procedures we carry out on a daily basis. Hollywood, or not.

Dark discoloured teeth?

Tooth whitening is a simple procedure completed at home or in-surgery with excellent long term results which do not harm your teeth.

Discoloured Fillings

Fillings in back teeth can be made practically invisible with cosmetic fillings. Old metal fillings in back teeth can be replaced with white fillings or ceramic inlays.

Missing Teeth or Gaps

If you have missing teeth or unsightly gaps in your teeth these can be filled with cosmetic dentures, bridges or dental implants with natural looking results.

Misshapen Teeth

Can be straightened and whitened with cosmetic veneers, metal-free cosmetic crowns or invisible braces.

Old Discoloured Crowns

If you are concerned by the discolouration of your dental crowns then we can replace these with the latest metal-free eMax or Lava crowns.

False Looking Dentures

Old dentures that fit badly or look false can often be replaced with natural feeling, cosmetic dentures or possibly replaced completely with fixed bridgework.
We replace old or loose dentures with a bridge or metal based denture that is stronger, tighter, more comfortable. For the ultimate in stability we can provide implant retained dentures or bridgework.
Book a consultation