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Periodontal Maintenance
Diagram of periodontitis and health toothPeriodontal maintenance is a process by which we thoroughly clean your teeth. This procedure is an important element in preventing the spread of periodontal disease (also known as periodontitis).

Periodontitis and gingivitis (the early phase of periodontal disease, characterized by red, swollen and bleeding gums) are caused by bacteria spreading above or below the gum line on the gingival (gum) tissue. These bacteria come from plaque and cause severe irritation and inflammation. This results in chronic inflammation in your body, causing your body to systematically degrade gum and bone tissue. This destabilizes your teeth, making them shift or even fall out. The gaps between your teeth and gums then widen, housing more bacteria which can then travel through the bloodstream to infect other areas of your body.

Why Do I Need Periodontal Maintenance?


While there is no substitute for taking proper care of your teeth yourself, we here at Nicholas W. Feldman, DDS, MBA rightly recommend periodontal maintenance to keep your teeth healthy and to prevent periodontal disease from getting worse.

Periodontal maintenance has several benefits, including:
•  Removing tartar (a deposit that forms when dead bacteria harden on teeth) that has built up around the gum line
•  Restoring the appearance of your teeth
•  Making your breath fresh again
•  Allowing us to identify any other dental problems

When Do We Perform Periodontal Maintenance?


We can perform periodontal maintenance either in the course of a regular dental check-up or under anesthetic if the situation demands it. We use the latter once we determine that the periodontitis has reached a severe phase.

What Is The Procedure For Periodontal Maintenance?


We usually conduct periodontal maintenance in the following stages:
•  First, Dr. Feldman will use scaling tools to thoroughly clean the location above the gum line to eliminate plaque.
•  Second, he will remove the tartar and bacteria beneath the gumline and inside the gum pockets.
•  The next step is root planning, in which we smooth out the tooth root to eradicate any bacteria that might remain. This is highly important because the bacteria that grow in this area are very dangerous.
•  After that, we may place an antibiotic or antimicrobial cream in the gum pockets to promote speedy healing in the pockets and to ease any discomfort.
•  Finally, we will take x-rays of your teeth. These x-rays show the extent to which bone and gums have receded, and aid us in locating areas which might require future attention.

How Often Do We Perform Periodontal Maintenance?


We recommend periodontal maintenance once every 3-4 months. Studies have shown that bacteria start forming on teeth and gums right after the cleaning is completed, and harmful bacteria show up after three months. By frequently removing the bacteria that forms underneath the gum line, we can remedy any inflammations and prevent the gums and bone that support your teeth from breaking down further. Periodontal maintenance is one of the most effective methods we have to properly halt the destructive progress of gum disease.

If you have any questions or concerns about periodontal disease or treatment, please call us at (907) 802-4519.
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