Periodontal Maintenance vs Routine Cleaning: Why It Matters

Periodontal Maintenance vs Routine Cleaning: Why It Matters

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You probably know that routine dental cleanings are an important part of maintaining your oral health. By going to the dentist every 6 months to have your teeth cleaned and your mouth examined, your risk of tooth decay and gum disease is greatly reduced. 

Another type of dental cleaning you may need is a deep cleaning, otherwise referred to as periodontal maintenance. A deep cleaning may be necessary if you have signs of periodontal (gum) disease. 

Learn the difference between a routine cleaning and periodontal maintenance and the importance of both for a healthy smile. 

What is a Routine Dental Cleaning?

A routine dental cleaning involves the removal of plaque and calculus (hardened plaque) from the visible surface of the teeth. This may be done with a variety of specialized dental tools that are designed to remove unwanted material from the teeth without damaging the enamel. The teeth are also polished until smooth to eliminate places for plaque to gather. 

What is Periodontal Maintenance? 

Periodontal maintenance involves a deep cleaning of the teeth, both above and below the gumline. The gum tissue is gently pulled away from the teeth in order to reach the roots of the teeth. Plaque and calculus are removed and the root surface is buffed to be smooth so that the gum tissue can reattach more firmly to the teeth, eliminating spaces for plaque to gather. 

What is Scaling and Root Planing? 

Scaling and root planing are the two parts of a deep cleaning. The first part, scaling, is the removal of plaque and calculus from the roots. This process can often leave the root surface rough and uneven. Root planing is the process of smoothing the roots to encourage reattachment of the gum tissue. After the first deep cleaning, you may need periodic deep cleanings on a regular schedule. This is referred to as periodontal maintenance. 

Why Do I Need a Deep Cleaning? 

Your dentist may recommend a deep cleaning if you have signs of moderate to advanced stage gum disease. A deep cleaning is often performed by a periodontist, a dental specialist whose expertise is focused on gum health. 

Gum disease is an infection of the gum tissue caused by bacteria contained in plaque and calculus. In the early stages, gum disease may look like red, swollen gum tissue that bleeds when you brush your teeth. As it progresses the gum tissue pulls away from the teeth, leaving more space between the teeth and gums for bacteria to gather. The teeth may eventually become loose and even fall out due to lack of support. 

Once gum disease reaches the advanced stages it must be managed with regular deep cleanings. Periodontal maintenance on a personalized schedule can keep gum disease under control and minimize residual damage. 

Frequently Asked Questions About Periodontal Maintenance

How often do I need periodontal maintenance?

A typical schedule for periodontal maintenance is appointments every 3-4 months. More frequent cleanings may be necessary for severe cases. Your schedule is determined based on the rate at which you develop calculus. 

Does a deep cleaning hurt?

Your comfort is always top priority. Local anesthesia can be used to numb the gum tissue during a deep cleaning to minimize discomfort. 

Contact Hudson Valley Periodontics and Implantology

If your dentist has recommended a deep cleaning, Hudson Valley Periodontics and Implantology provides periodontal maintenance programs that are customized to meet your individual needs. Call 845-623-6666 or contact us today to learn more and schedule an appointment.