# Gum disease treatment in Butwal: bleeding gums, swelling and loose teeth

Medically reviewed by [Dr. Rekha Pandey, BDS (NMC 38136)](https://kashyapdental.com.np/dr-rekha-pandey)

**Short answer:** Gum disease is an infection of the gums caused mainly by plaque and tartar, and made worse by tobacco. Early gum disease (gingivitis) causes bleeding and swelling and is reversible with professional cleaning and good brushing. Advanced gum disease (periodontitis) damages the bone holding teeth and can make teeth loose. It is very common in Nepal and is one of the main reasons adults lose teeth.

**Price:** Deep cleaning (root planing) costs NPR 1,000 per tooth, and full gum disease treatment costs NPR 5,000, done by Dr. Rekha Pandey (BDS).

## Signs

- Gums bleed when brushing
- Red, swollen or tender gums
- Bad breath that doesn't go away
- Gums pulling back from teeth
- Loose or shifting teeth

## In Nepal

A community study in Sunsari found periodontitis in 71.6% of rural adults, and in 85.4% of tobacco users, with cigarettes and khaini as significant factors ([BMC Oral Health, 2021](https://doi.org/10.1186/s12903-021-01416-3)). Among patients seeking gum treatment in Pokhara, the top complaints were stains/deposits, bleeding gums and loose teeth ([Gandaki Medical College study](https://nepmed.nhrc.gov.np/entities/publication/6cc8eefd-04aa-4f6a-bf03-32f695170c21)).

## Treatment

1. Examination and X-ray
2. Scaling and deep cleaning (root planing)
3. Home-care plan
4. Help to quit tobacco
5. Review visits

Advanced cases may need gum surgery or referral to a periodontist.

## Price

| Treatment | Price (NPR) | Notes |
|---|---|---|
| Root planing (deep cleaning) | NPR 1,000 per tooth |  |
| Gum disease treatment (full) | NPR 5,000 |  |
| [Scaling & polishing](https://kashyapdental.com.np/general-dentistry) | NPR 2,000–4,000 |  |

Prices last updated: 24 October 2026. Your exact cost is explained and agreed before treatment starts.

See [all treatment prices](https://kashyapdental.com.np/prices).

## Frequently asked questions

### Is bleeding when I brush normal?

No. It is a common early sign of gum inflammation and should be checked, but it is usually reversible.

### Can loose teeth become firm again?

If gum disease is treated early, teeth may stabilise. Advanced bone loss cannot be fully reversed, which is why early treatment matters.

Last updated: 24 Oct 2026

## Clinic details
- **Kashyap Dental & Aesthetics**, Butwal (काश्यप डेन्टल एन्ड एस्थेटिक्स)
- Address: Tilottama Path (Hospital Line), near Gastrocare, Butwal 32907, Lumbini Province, Nepal (तिलोत्तमा पथ (हस्पिटल लाइन), ग्यास्ट्रोकेयर नजिक, बुटवल). On Hospital Line (Tilottama Path), next to Gastrocare. Plus code MFX8+29 Butwal.
- Phone / WhatsApp: +977 974-3679953 (https://wa.me/9779743679953)
- Email: kashyapdcaa@gmail.com
- Opening hours: every day, 8 AM–6 PM
    - Sunday: 8:00 AM–6:00 PM
    - Monday: 8:00 AM–6:00 PM
    - Tuesday: 8:00 AM–6:00 PM
    - Wednesday: 8:00 AM–6:00 PM
    - Thursday: 8:00 AM–6:00 PM
    - Friday: 8:00 AM–6:00 PM
    - Saturday: 8:00 AM–6:00 PM
- Payment: Cash, eSewa, Khalti, Fonepay / bank QR, debit and credit cards
- Doctors: Dr. Rekha Pandey, BDS (NMC 38136), performs every treatment except braces and aligners; Dr. Madhav Pandey, MDS Orthodontics (NMC 15670), plans and treats every braces and clear aligner case.
- Google Maps: https://maps.google.com/?cid=2552023128400234002
- Prices: https://kashyapdental.com.np/prices
- Book an appointment: https://kashyapdental.com.np/book

Source: https://kashyapdental.com.np/gum-disease-treatment