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Periodontal Disease is not "curable"
care is MORE important for
Periodontal maintenance or recall
visit follows active periodontal therapy. After treatment it will be
individually determined to place you for ongoing periodic care.
This individualized care will be with our trained staff.
The goal of this
visit and active home care is to:
- prevent recurrence of this
- prevent a
FURTHERANCE of this disease
- avoid surgical intervention
- avoid gum and/or tooth loss
- monitor gum tissue health
Your Total Oral Care
YOU do for yourself every day is more important than what
WE do ever three months.
DISEASE IS USUALLY A PAINLESS PROGRESSIVE INFECTIOUS DISEASE that
can never be cured but can be controlled, and if it is not
carefully monitored and controlled gum disease will
eventually cause you to lose your teeth.
At this appointment :
|Periodontal (gum) tissue exam will be done|
examination including hard and soft tissue|
|Medical and dental history will be
|An evaluation of your periodontal status will be
|Pocket depths will be measured.|
|Removal of bacterial plaque will be done from the
pocketed areas around your teeth.
|Scaling and root planing and
debridement, to remove plaque and bacteria from crown and
above and below the gumline as needed.|
|Breakdown the bacteria in your gums|
|Minimize the occurrence of infection|
|Slow or eliminate the toxic bacteria
|Polishing teeth |
|Review effectiveness of your home care routine.|
|Review of the use of your Rota-dent.|
|Patient education about your present
|X-rays as needed|
The successful long-term
control of periodontal disease depends on active maintenance
care through supportive periodontal treatments by dental
insure successful results following periodontal treatments, patient
cooperation in maintaining excellent oral hygiene is essential.
Why is this appointment
maintenance visit is vitally important, as pathogens have been
shown to re-populate in 9-11 weeks to original numbers.
The pathogens have to reach 'critical mass' or sufficient
numbers to cause the host immunity to be overwhelmed and ensuing
breakdown of gum tissue and bone to occur. Thus the perio
maintenance appointment is vitally important to you long term
success. These three month 'disease control' appointments
need to be scheduled for the first year, then everything will be
re-evaluated. At that time, some people can be moved out
to a longer interval.
Another reason why these appointments are
vital is because patients can't debride pockets.
It is also a fact that toothbrushes do not reach
but 1-2 mm and rarely 3mm into a sulcus.
happens in the appt. is different from treating a healthy
patient. There has to be careful deep de-plaqueing and scaling,
and it needs to happen numerous times throughout the
course of the appt. If the patient is a smoker, the
appt. is much more difficult, especially if root surfaces
maintenance following active gum
disease therapy is shown to be VERY important and vital to
controlling gum disease. It is a site specific disease
which means you may experience a reoccureance of infection in
one or more of the 192 sites in your mouth. Studies
have found that there is an increase in gum tissue pockets in
treated but non complaint patients which leads to increase
bone loss, resulting in greater tooth loss than compliant
It has been discovered that in
least than 3 months the destructive bacteria that caused this
disease can reach destructive levels again.
is why the typical 6 month recall appointment just isn't enough
for people who have had periodontal disease. These appointments
and the treatment you receive helps us break down the
stronghold of bacteria in your gums. It has been proved that patients who do not keep
their perio maintenance appointments have increased pocket depths
and greater tooth loss because it is difficult for you to see or
notice this condition.
as compliance with perio maintenance appointments increases...
tooth and bone loss decreases.*
Patient Preferences in Periodontal
Maintenance, Dr. Croft, Dr Nunn, Dr Holbrook, Dr McGuire PPAD
Vol 16, No. 2 pg 116, March 2004.
February 06, 2008
( Gum ) Disease Index