As it sits undisturbed, the inflammation and endotoxin cause more bone loss around the teeth which could lead to pain when chewing, loose teeth, and if left untreated the teeth can fall out. Calculus around a tooth root is as tenacious as barnacles on a rock, and the bacterias are like little sea creatures that live on the barnacles. ![]() ![]() As the gums pull away from the teeth, the bacteria and food are able to get further and further down into the gum pockets around your teeth, making the problems worse. The presence of this tartar allows harmful germs to thrive to produce endotoxins with causes the gums to be irritated and to push away from the tooth. When left alone due to the lack of brushing around the gums and flossing daily, food particles along with proteins in your saliva and bacteria harden and form a cement-like substance around the crevices and roots of your teeth, called calculus or tartar. Source: Central For Disease Control & Prevention This is called gingivitis and it is a warning sign that the disease is starting. It starts with bacteria in the mouth getting into the gums and causing irritation, inflammation, and bleeding when brushing or flossing. Periodontal disease increases with age, 70.1% of adults 65 years and older have periodontal disease. A recent CDC report provides the following data related to prevalence of periodontitis in the U.S.:Ĥ7.2% of adults aged 30 years and older have some form of periodontal disease. Periodontitis, also known as gum disease, is caused by an infection in the gums. Whatever the situation, the doctor has diagnosed you with periodontal disease and that means a “basic cleaning” just won’t cut it. Maybe it has been a while since your last cleaning, maybe this is a new dental office for you, maybe you haven’t really been keeping up with your routine oral care of brushing and flossing at home, or maybe it is genetic and runs in your family. This time the doctor has diagnosed you with periodontal disease and says you need a periodontal scaling and root planing (SRP) which you probably know as a “deep cleaning.” You just came for your basic cleaning, so you ask, “Can I just get my regular cleaning, please?” It doesn’t make sense: you go to the dentist expecting to get your normal, routine dental cleaning. To prevent re-infection and avoid more periodontal treatment, it is quite important that you follow the periodontal maintenance program set out by your periodontist and your dentist.Supervised and Edited by Dr. On-going Periodontal Maintenance treatments in our office and dental visits and cleanings with your dentist will ensure your optimum oral health and highest possible care. When you see our office, we will concentrate mostly on what is happening below the gums. During the cleaning at your dentist’s office, they will concentrate on what is happening with your teeth above the gum line. Many times periodontal cleanings will be alternated between our office and your dentist. We work together with your dentist as a team to provide you with the best possible care. ![]() A periodontal examination & measurement of your periodontal pockets.An update of your medical & dental history.Your Periodontal Maintenance visit will include: This is why 3-4 month periodontal cleanings are very important. ![]() If not cleaned out every 3-4 months, this periodontal bacteria can grow to a point where bone loss starts to occur again. PMP will help in gaining control of the disease and increase your chances of keeping your teeth. This entails periodontal maintenance procedures (PMP) or supportive periodontal therapy. The key to control is early diagnosis and treatment, followed by prompt ongoing treatment. What is Periodontal Maintenance?Periodontal Disease is similar to other chronic diseases, such as Diabetes.
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