(Dental Cleaning): periodontal disease is not a "curable"
disease, but it is controllable
in most patients. Therefore, when a patient has experienced periodontal disease in the past, we must be ever-vigilant to monitor for signs of active disease long after the disease has been brought under control through good periodontal therapy. Oral hygiene education
is very important at those cleaning visits since patients’ adherence determine the success of the therapy.
- Prophylaxis aka prophy (Regular Cleaning): This is a simple procedure on a patient that does not have significant subgingival deposits or periodontal pocketing. The typical prophy patient comes every six months, exhibits excellent homecare, has healthy gingival tissues, does not bleed on gentle probing, and has no pockets over 4mm. Typically, it is recommended every 6 months or at least upon every yearly check-up exam
- Scaling and Root Planing (Deep Cleaning): This procedure involves instrumentation of the crown and root surfaces of the teeth to remove deposits and is therapeutic, not prophylactic, in nature. Root planing is the definitive procedure designed to remove plaque and calculus from these surfaces. It is indicated for patients with periodontal disease and is for the removal of cementum and dentin that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some soft tissue removal occurs.
- Perio Maintenance: This procedure is for patients who have completed periodontal treatment and includes removal of the bacterial flora from crevicular and pocket areas, scaling and polishing of the teeth, periodontal evaluation, and a review of the patient's plaque control efficiency. Typically, an interval of three months between appointments results in an effective treatment schedule, but this can vary depending upon the clinical judgment of the dentist. When new or recurring periodontal disease appears, additional diagnostic and treatment procedures must be considered. Periodic maintenance treatment following periodontal therapy is not synonymous with a prophylaxis