No, you do not always need a referral to see a periodontist. It largely depends on your specific dental situation and the practice’s policies.
Many periodontists accept self-referred patients, especially if they are experiencing symptoms of gum disease, such as gingivitis, bleeding gums or receding gum lines. However, in some cases, your general dentist may recommend or refer you to a periodontist for specialised treatment.
What Is A Periodontist?
A periodontist is a dental specialist who focuses on preventing, diagnosing and treating gum disease and other conditions affecting the supporting structures of the teeth. Unlike general dentists, periodontists receive additional training in managing complex gum issues, including advanced cases of periodontitis and procedures such as gum grafting and dental implants.
Their expertise is crucial for maintaining healthy gums, as untreated gum disease is one of the leading causes of tooth loss in adults.

A periodontists’ expertise is crucial for maintaining healthy gums, as untreated gum disease is a leading cause of tooth loss in adults.
When Should You See A Periodontist?
You should consider seeing a periodontist if you experience symptoms of gum disease, including swollen, red or bleeding gums. Gingivitis, the earliest stage of gum disease, can often be reversed with professional cleanings and improved oral hygiene. However, if left untreated, it can progress into periodontitis, a more severe condition that can lead to gum recession and bone loss.
Other reasons to visit a periodontist include persistent bad breath, loose teeth or discomfort when chewing. If you have a family history of gum disease or chronic conditions like diabetes, you may also be at a higher risk of developing periodontal issues and should seek specialist care sooner.
Can You Book An Appointment Without A Referral?
Yes, in most cases, you can book an appointment with a periodontist without a referral. Many private practices allow patients to self-refer if they are concerned about their gum health.
At The Perio Centre, we accept self-referrals and encourage patients to get in touch so that we can help treat your symptoms promptly! If you suspect you have gum disease or require periodontal treatment, you can contact a periodontist directly to schedule an assessment.
Why Might Your Dentist Refer You To A Periodontist?
A general dentist may refer you to a periodontist if they detect signs of advanced gum disease during a routine examination. While general dentists can manage mild cases of gingivitis, more complex conditions often require specialist intervention.
If you have deep gum pockets, significant gum recession or persistent inflammation despite treatment, your dentist may recommend specialist care. Additionally, if you require surgical procedures such as gum grafting, bone regeneration or dental implants, a periodontist is the most qualified professional to perform these treatments.
How Common Is Gum Disease?
Gum disease is incredibly common, affecting a significant portion of the population. According to research, more than 70% of adults aged 65 years old and over experience gum-related issues.
These statistics highlight the importance of early detection and specialist care. Since gum disease is often painless in its early stages, many people may not realise they need treatment until the condition has progressed. Seeing a periodontist at the first sign of gum problems can help prevent long term damage.

Seeing a periodontist for treatment at the first sign of gum problems can help prevent long term damage.
What Treatments Do Periodontists Offer?
Periodontists provide a range of treatments designed to improve gum health and prevent tooth loss. These include:
Scaling | A deep cleaning procedure that removes plaque from below the gum line. |
Gum Grafting | A procedure to cover exposed tooth roots and restore receding gums. |
Dental Implants | The placement of artificial tooth roots to support replacement teeth. |
Pocket Reduction Surgery | A treatment to reduce the depth of gum pockets, making it easier to maintain oral hygiene. |
By seeking specialist care, patients can access advanced treatments that go beyond routine dental cleanings.
What Happens During Your First Visit To A Periodontist?
Your first appointment with a periodontist typically involves a thorough assessment of your gum health. The specialist will examine your gums, measure the depth of any pockets around your teeth and may take X-rays to assess bone levels.
Based on these findings, they will discuss treatment options and develop a personalised plan to address your gum concerns. If gum disease is detected, they may recommend a combination of professional cleaning, medication or surgical intervention, depending on the severity of the condition.
The Bottom Line
While a referral is not always required to see a periodontist, it depends on whether you are seeking private or NHS treatment. If you have symptoms of gum disease, such as gingivitis, bleeding gums or gum recession, booking an appointment with a periodontist can help prevent serious dental problems.
Early intervention is key to maintaining healthy gums and preventing tooth loss. Whether you obtain a referral or self-refer, prioritising gum health is essential.

Dr Simon Stern is a registered Specialist Periodontist at The Perio Centre. His qualifications include BDS MJDF RCS (Eng) MClinDent MPerio RCS (Ed). He lectures at both national and international conferences, and has published papers in several well-respected journals.