Tuesday, September 27, 2011

Periodontal Maintenance

A routine oral prophylaxis (routine teeth cleaning) includes scaling or polishing procedures to remove plaque, calculus and stains from the crowns of teeth.  A routine cleaning is performed on healthy tissue or in the presence of inflammation, gingivitis, the response of healthy tissue to the toxic deposits of bacterial plaque and calculus.  A routine cleaning is performed every 3,4 or 6 months to maintain healthy gums or reverse a gingivitis to return the mouth to health.


Periodontal maintenance is initiated following the treatment of periodontal disease, the loss of tooth support to gum and bone decay resulting in unsupported and exposed root surfaces.  Periodontal maintenance includes the removal of bacterial plaque and calculus from the crowns and exposed root surfaces of teeth above the gum-line and deposits on the root surfaces of teeth below the gum-line.  Periodontal maintenance is performed every 3 months to prevent the progression of periodontal disease.

Once tooth support has been lost, it cannot be restored.  Tooth loss in periodontal patients has been shown in studies to be inversely proportional to the frequency of periodontal maintenance.  Ten years following completion of periodontal therapy, patients who had received periodontal maintenance had significantly less progressive gum and bone decay and reduced tooth loss compared to patients who had not received periodontal maintenance.  In fact, numerous studies have demonstrated the effectiveness of periodontal maintenance and have shown that progressive periodontitis can be prevented or limited by optimal personal oral hygiene and thorough periodontal maintenance.  Since patients are rarely completely effective in removing plaque at home, 3 month periodontal maintenance eliminates or reduces the toxic effects of bacterial plaque on teeth and supporting tissues.


Patients with a history of periodontitis require continuing periodontal maintenance since brushing and flossing alone has not been shown to control the progression of attachment loss.  Occasionally, despite the best efforts of the dentist and hygienist, some patients may suffer tooth loss despite continuous periodontal maintenance.  Additional diagnostic information, such as microbial and genetic testing, as well as antimicrobial therapy and periodontal surgery my be required for these patients.  For a free periodontal exam which includes an update of your medical and dental histories, extra-oral and intra-oral soft tissue examination, dental examination, periodontal evaluation, implant evaluation, and radiographic review, visit Adult Dentistry of Rochester.

Tags: Oral Prophylaxis, Periodontal Maintenance, Teeth Cleaning, Periodontal Disease, Gingivitis, Gum Disease

7 comments:

  1. More than 75% of Americans over 35 have some form of gum disease. The goal of periodontal treatment is to control any infection that exists and to halt progression of the disease.

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  2. Many people when they hear that they have gingivitis they think that it's okay and don't do anything about it. But what they really are doing for them self is setting them up for periodontal disease.
    That is why it is important to see you dentist when they say you need to.

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  3. The majority of Americans have some form of periodontal disease, ranging from on-set gingivitis to on-going periodontal disease-related, secondary problems.

    Choosing to postpone care of your periodontal disease places your significant other at risk through constant exposure & opens the door for increased health challenges for them as well.

    Making the choice to ignore yours & failure to consider others' health & well being is only going to result in more expense because the money will be going towards treating the illnesses that will eventually occur. For you & for them. wm

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  4. Many people assume that losing teeth is an inevitable consequence of aging. "My parents lost their teeth and so will I." This does not necessarily have to be true. With proper early diagnosis and treatment of periodontal disease, tooth loss can be reduced or even prevented. Periodontal disease is caused by bacteria. By getting frequent (3-6 month) cleanings the patient, dentist, and hygienist work to remove this bacteria from both above and below the gumline.

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  5. Periodontal diseases are common in people nowadays. So it is compulsory to everyone who is suffering from periodontal disease to have periodontal or Gum Disease Treatment at the right time.

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  6. Whilst some oral problems are greatly influenced by genetic elements, there are some causes that are introduced about by poor oral well being habits. First of those are cigarette smoking or chewing tobacco. Of course, the nicotine in cigars rob our physique from the minerals that strengthen our gums and teeth. Secondly, increased amount of carbohydrates and sugars may also contribute to this oral issue. These substances cause cavities and once they are not eliminated in the mouth, they are able to hurt each and every component of it. Click here to know more about Receding gums

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  7. Nice Blog...! I got many useful information from this blog.. Healthy eating habits lead to healthy and happy teeth. Thanks for sharing such a informative post with us...

    Betty
    Dentist in Mulund

    ReplyDelete