Periodontal Maintenance (Teeth Cleaning)

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Periodontal maintenance is a cleaning procedure performed to thoroughly clean the teeth.  Maintenance is an important dental treatment for halting the progression of periodontal disease.

Periodontal disease and gingivitis occur when bacteria from plaque colonize on the gingival (gum) tissue, either above or below the gum line.  These bacteria colonies cause serious inflammation and irritation which in turn produce a chronic inflammatory response in the body.  As a result, the body begins to systematically destroy gum and bone tissue, making the teeth shift, become unstable, or completely fall out.  The pockets between the gums and teeth become deeper and house more bacteria which may travel via the bloodstream and infect other parts of the body.

Reasons for Periodontal Maintenance (teeth cleaning)

Prophylaxis is an excellent procedure to help keep the oral cavity in good health and also halt the progression of gum disease.

Here are some of the benefits of periodontal maintenance:

  • Tartar removal – Tartar (calculus) and plaque buildup, both above and below the gum line, can cause serious periodontal problems if left untreated.  Even using the best brushing and flossing homecare techniques, it can be impossible to remove debris, bacteria and deposits from gum pockets.  The experienced eye of a dentist using specialized dental equipment is needed in order to spot and treat problems such as tartar and plaque buildup.

  • Aesthetics – It’s hard to feel confident about a smile marred by yellowing, stained teeth.  Maintenance can rid the teeth of unsightly stains and return the smile to its former glory.

  • Fresher breath – Periodontal disease is often signified by persistent bad breath (halitosis).  Bad breath is generally caused by a combination of rotting food particles below the gum line, possible gangrene stemming from gum infection, and periodontal problems.  The removal of plaque, calculus and bacteria noticeably improves breath and alleviates irritation.

Identification of health issues – Many health problems first present themselves to the dentist.  Since prophylaxis involves a thorough examination of the entire oral cavity, the dentist is able to screen for oral cancer, evaluate the risk of periodontitis and often spot signs of medical problems like diabetes and kidney problems.  Recommendations can also be provided for altering the home care regimen.

What does periodontal maintenance involve?

Prophylaxis can either be performed in the course of a regular dental visit or, if necessary, under general anesthetic.  The latter is particularly common where severe periodontal disease is suspected or has been diagnosed by the dentist.  An endotracheal tube is sometimes placed in the throat to protect the lungs from harmful bacteria which will be removed from the mouth.

Prophylaxis is generally performed in several stages:

  1. Supragingival cleaning – The dentist will thoroughly clean the area above the gum line with scaling tools to rid them of plaque and calculus.

  2. Subgingival cleaning – This is the most important step for patients with periodontal disease because the dentist is able to remove calculus and bacteria from the gum pockets and beneath the gum line.

  3. Root planing - This is the smoothing of the tooth root by the dentist to eliminate any remaining bacteria.  These bacteria are extremely dangerous, so eliminating them is one of the top priorities of the dentist.

  4. Medication - Following scaling and root planing, an antibiotic or antimicrobial cream may be placed in the gum pockets.  These antibiotic treatments may promote fast and healthy healing in the pockets and help ease discomfort.

  5. X-ray and examination – Routine X-rays can be extremely revealing when it comes to periodontal disease.  X-rays show the extent of bone and gum recession, and also aid the dentist in identifying areas which may need future attention.

Periodontal maintenance is recommended every three to four months.  Research indicates bacterial formation on teeth and gum occurs almost immediately after the cleaning, and  bad bacteria forming after 3 months.  Frequent removal of the bacteria from under the gumline can control the inflammation and can often prevent the further breakdown of the bone and gum supporting your teeth. Though gum disease cannot be completely reversed, periodontal maintenance is one of the tools the dentist can use to effectively halt its destructive progress.

If you have questions or concerns about prophylaxis or periodontal disease, please ask one of our staff!