Periodontal Care
Periodontal Maintenance
Procedure Description
Periodontal maintenance is specialized cleaning and care for patients who have been treated for gum disease. Unlike routine cleanings, these appointments involve more thorough removal of plaque and tartar from above and below the gumline, especially in areas of previous disease activity. the dentist and his associate dentists carefully monitor pocket depths, assess tissue health, and remove bacterial deposits to prevent disease recurrence. These appointments typically occur every 3-4 months rather than the standard six-month interval.
Indications
Periodontal maintenance is essential for patients who:
When to Consider Periodontal Maintenance
Previous Gum Disease Treatment
Anyone who has completed treatment for periodontitis requires ongoing maintenance to prevent recurrence.
History of Bone Loss
Patients who have experienced bone deterioration from gum disease need more frequent care.
Persistent Deep Pockets
Areas with pocket depths of 4mm or greater that remain after initial treatment.
High-Risk Patients
Those with diabetes, smoking habits, genetic predisposition, or other risk factors for gum disease.
Implant Maintenance
Dental implants require regular professional cleaning to prevent peri-implantitis (gum disease around implants).
Note: Periodontal maintenance is not the same as routine cleaning. It's a therapeutic procedure that manages chronic gum disease and prevents progression.
Benefits
Why Choose Periodontal Maintenance?
Prevents Disease Recurrence
Regular maintenance keeps bacterial levels controlled and prevents gum disease from returning.
Protects Your Investment
Preserves the results of your gum disease treatment and the teeth you've saved.
Reduces Systemic Health Risks
Managing gum disease helps reduce risk of heart disease, stroke, and diabetes complications.
Early Problem Detection
Frequent monitoring allows the dentist to identify and address issues before they become serious.
Maintains Comfort
Prevents the pain, bleeding, and infection associated with active gum disease.
Alternatives
Regular Cleanings Only
Insufficient for periodontal disease patients; nearly guarantees disease recurrence
Skipping Appointments
Leads to disease progression, tooth loss, and need for more extensive treatment
Home Care Only
Cannot reach bacteria below the gumline or remove hardened tartar deposits
Authored By
Dr. Vahag Mehrabian
Frequently Asked Questions
How often do I need periodontal maintenance?
Most patients need periodontal maintenance every 3-4 months. This frequency is based on research showing that bacterial colonies repopulate to damaging levels within this timeframe. Some patients with well-controlled disease and excellent home care might extend to every 4 months, while others with risk factors may need appointments every 3 months. the dentist will recommend the optimal schedule for your situation.
Is periodontal maintenance covered by insurance?
Many dental insurance plans cover periodontal maintenance separately from routine cleanings, often allowing 3-4 maintenance appointments per year instead of just 2 cleanings. However, coverage varies by plan. Our office will verify your specific benefits and help you understand any out-of-pocket costs. Investing in maintenance is far less expensive than treating disease recurrence or replacing lost teeth.
Can I ever go back to regular cleanings?
Once you've been diagnosed with periodontal disease, you'll generally need periodontal maintenance for life. Even though treatment can control the disease, the underlying susceptibility remains. However, maintaining excellent oral hygiene and attending all scheduled maintenance appointments can keep your gums healthy long-term. Think of it like managing any chronic condition – ongoing care is key to success.
What happens if I skip my maintenance appointments?
Skipping appointments allows bacterial colonies to rebuild below the gumline, reactivating gum disease. You'll likely experience return of symptoms like bleeding, inflammation, and eventually bone loss. Research shows that patients who don't maintain their periodontal maintenance schedule lose significantly more teeth over time. Regular appointments are essential for preserving your oral health and avoiding costly problems.
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