Periodontal Maintenance: Importance, Procedure, And Benefits

What is Periodontal Maintenance?

Periodontal maintenance is a specific type of in-depth dental cleaning that surpasses a routine cleaning. The cleaning you typically receive from your dentist every six months is called Prophylaxis, and it serves as a routine, preventative cleaning for healthy mouths. Periodontal maintenance is specifically designed for individuals with a history of gum disease who have completed active periodontal treatment.

Who can it help?

Individuals previously diagnosed with gum disease and who have undergone periodontal therapy, such as  scaling and root planing, are suitable candidates for periodontal maintenance. In fact, periodontal maintenance is crucial for them to preserve the results of the work they have already had done.

Why is it important?

• Prevents disease progression: Periodontal maintenance helps prevent gum disease from worsening and causing further damage to gums and the bone supporting the teeth.
• Controls bacterial growth: It effectively removes plaque and tartar buildup, which are the primary culprits behind gum disease.
• Monitors gum health: Regular maintenance visits allow dental professionals to monitor the health of your gums and detect any signs of recurrence or new issues.
• Prevents related health issues: Gum disease is often linked to other systemic health problems. Periodontal maintenance can help manage it and prevent these complications.

How much does it cost?

The good news is that many dental plans cover the cost of periodontal maintenance. However, coverage can vary by policy, so it's important to verify the specifics of your plan. If you are paying out of pocket, periodontal maintenance typically costs between $150 and $300 per visit. This cost can also fluctuate based on the severity of gum disease and the specific treatments required. Geographic location can also influence pricing.

The appointment commences with a comprehensive examination. Your dentist will meticulously examine your gums, teeth, and oral tissues, measuring the depth of gum pockets and assessing the severity of gum disease. Additionally, X-rays may be taken to evaluate the amount of bone supporting your teeth. The subsequent step involves a thorough cleaning of the gum pockets. Plaque and tartar buildup will be removed from both above and below the gum line. This procedure differs from the initial, more intensive "deep cleaning" (scaling and root planing) used to first treat the disease. During a maintenance visit, your hygienist might perform localized scaling and root planing on any specific areas that exhibit signs of returning disease activity, but it typically isn't a full-mouth procedure at every visit. Your hygienist may use an antiseptic irrigation to flush the gum pockets with antiseptic medications to reduce inflammation or infection. Additional periodontal maintenance appointments will typically be scheduled every 3-4 months, depending on the severity of your gum disease and your individual needs.

The benefits of periodontal maintenance are manifold, encompassing improvements in both cosmetic appearance and overall health.

• Fresher breath: Eliminating plaque and tartar can significantly help freshen your breath.
• Improved gum health: Regular maintenance can reduce gum inflammation and prevent further damage to gums and bone.
• Better overall health: Maintaining gum health can positively impact your overall health and well-being.

Versions of periodontal maintenance have existed since the mid-20th century. In its nascent stages, the focus was primarily on removing plaque and calculus from tooth surfaces, and in more advanced cases, surgical removal of soft and hard tissues. There was considerably less emphasis on patient education and long-term home care. Periodontal maintenance as we understand it today truly gained prominence in the 1970s, when studies demonstrated that plaque accumulation was a key factor in the development and progression of periodontal disease. This understanding helped refine treatment plans and also led to a greater emphasis on helping patients comprehend how to both prevent and mitigate the gum disease that was the underlying cause. The appointment frequency also evolved as research indicated that patients receiving more frequent periodontal maintenance visits experienced better outcomes compared to those with less frequent care. This is why your dentist might prescribe visits at three-to-four-month intervals, though the frequency can be adjusted based on the stability of your condition. Surprisingly, discomfort is generally manageable, and dental professionals take steps to minimize pain during the procedure in periodontal maintenance. Dentists and hygienists go to great lengths to minimize any discomfort. So, while undergoing the procedure isn't anyone's preference, it's reassuring to know that this state-of-the-art treatment is widely available and effective.

For advanced gum disease, professional maintenance is essential. However, you also have a vital role to play. Excellent oral hygiene practices, such as consistent brushing and flossing, are crucial for maintaining healthy gums. Attending to your responsibilities will help ensure that periodontal maintenance is as effective as possible. This is why we encourage regular brushing and the use of the best brush you can, such as an Oral-B electric toothbrush. It provides superior plaque removal compared to a regular manual toothbrush, which will significantly assist with your treatment plan. Beyond the bathroom, you can implement other lifestyle changes. Factors like quitting smoking and adopting a balanced diet can also contribute to improved oral health.

Periodontal maintenance is a specialized procedure designed for individuals who have been treated for gum disease. It goes beyond preventative care and involves a more in-depth dental cleaning than routine visits, utilizing deep cleaning techniques to eliminate plaque and tartar buildup below the gum line. It provides numerous oral health benefits, including preventing the progression of gum disease, controlling bacterial growth through the removal of plaque and tartar buildup, and safeguarding against related health issues. Your dentist will conduct an examination of your gums, teeth, and oral tissues, then proceed with a deep cleaning to remove plaque and tartar from above and below the gum line.

The benefits of periodontal maintenance are numerous and range from fresher breath, improved gum health, and better overall health and well-being. Home care is an important part of the process. Good oral hygiene practices, such as regular brushing and flossing, are essential for maintaining your healthy gums.

Healthy gums are fundamental to overall tooth and mouth health. In the event of gum disease (also known as gingivitis), the initial and most crucial step is to consult a dental professional. They can conduct a thorough examination, ascertain the severity of periodontal disease, and recommend appropriate treatments. However, there are also proactive measures you can take.

• Crest Gum Detoxify Toothpaste is formulated with stannous fluoride, which works along the gumline to help neutralize plaque bacteria for 24 hours (with twice-daily brushing), leading to healthier gums.
• Rinsing with a mouthwash like Crest Pro-Health Clinical is clinically proven to provide 24-hour protection against plaque and gingivitis with twice-daily use. 
• Oral-B iO electric toothbrushes  help safeguard your teeth and gums. Studies show they can be more effective at improving gum health than manual toothbrushes. For individuals with advanced gum issues like periodontitis, an Oral-B iO toothbrush with its brushing app has been demonstrated to enhance disease management when integrated into a comprehensive care plan.
• Brush heads like Oral-B iO Gentle Care brush heads feature up to 4,000 ultra-thin bristles for a gentle, effective clean. When paired with an Oral-B iO toothbrush, the brush head's micro-vibrations help dislodge plaque. Additionally, the smart pressure sensor located in the iO handle helps protect you from brushing too forcefully.
• Complete your oral care ritual by flossing at least once daily with Oral-B floss. Flossing is crucial for reaching the tight spaces where food particles and plaque accumulate. By meticulously removing these odor sources, you ensure every surface of your teeth is clean, contributing to an undeniably fresh and clean smile