Supportive Periodontal Care
After Dr. Farris, Dr. Gonzalez or Dr. Sharma has completed the active phase of periodontal treatment, your periodontal disease will be under control. He will provide you with a personalized maintenance program of care to keep your gums healthy.
Maintenance therapy is an ongoing program designed to prevent disease in the gum tissues and bone supporting your teeth. Adherence to a program of conscientious home oral care and regularly scheduled maintenance therapy visits with your dentist and Drs. Farris, Gonzalez or Sharma will give you an excellent chance of keeping your teeth for your lifetime.
At Sarasota Periodontal Associates, we have a highly trained dental hygiene team. We have five excellent hygienists, three of them that have been with our practice for over 20 years and all of them with at least ten years of experience. Supportive periodontal therapy includes the treatment and maintenance of patients with periodontal diseases.
Patients with periodontal disease require closer and more frequent follow-up checks, or periodontal maintenance. Periodontitis leaves affected teeth with a reduced level of attachment, making them more susceptible to breakdown. With proper periodontal maintenance, typically every three months, we are able to monitor and treat further progression of the disease effectively. We often alternate these cleanings between our office and your general dentist’s office.
The main reason we often ask patients to undergo a three-month recall is that periodontal bacteria regularly grows as a pyramid, starting with the initial layers being normal healthy flora. As more layers of different pathogens grow, the complexity of the bacteria increases. The tip of the pyramid is made up of the worst kind of bacteria. We reach this tip in approximately 100 days, thus the reasoning behind 3 months in between cleanings.
Why is supportive periodontal care important?
As you have learned, you are susceptible to gum disease. And, you have probably learned, too, that the main cause of gum disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth. The bacteria in this plaque produce toxins, or poisons, which constantly attack your gums and teeth. Unless plaque is removed, it hardens into a rough, porous deposit called calculus, or tartar. Daily brushing and flossing will help to minimize the formation of calculus, but it won’t completely prevent it. No matter how careful you are in cleaning your teeth and gums, bacterial plaque can cause a recurrence of gum disease from two to four months after your last professional cleaning. Therefore, a dental professional must check for hidden problems and remove the hardened plaque at time intervals appropriate for you so that your teeth and gums stay healthy.
Who should perform supportive periodontal therapy?
The answer depends on you and the severity of your gum disease before treatment. Generally, the more severe your periodontal disease is initially, the more often we need to oversee your care. Together, you, your general dentist and Drs. Farris, Gonzalez or Sharma will work out the most effective schedule for your supportive periodontal care.
Your maintenance/supportive periodontal care visit may include:
- discussion of any changes in your health history
- examination of your mouth tissues for abnormal changes
- measurement of the depth of pockets around your teeth
- assessment of your oral hygiene habits and provision of instruction
- removal of bacterial plaque and tartar
- x-ray film studies to evaluate your teeth and the bone supporting your teeth
- examination of your teeth for decay and other dental problems
- checkup on the way your teeth fit together when you bite
- application or prescription of medications to reduce tooth sensitivity or other problems you may have
How often should you have supportive periodontal care visits?
Your periodontal condition is the deciding factor. The interval between your supportive periodontal care (SPC) visits it typically every months. Everyone’s situation is different. The frequency of your supportive care visits will be influenced by:
- the type of periodontal disease you have
- the type of periodontal treatment you have
- your response to treatment
- your rate of plaque growth
- your personal commitment to good oral care at home
What is the relationship between your dentist and your periodontist?
Your dentist and Drs. Farris, Gonzalez or Sharma work together as a team to provide you with the best possible care. They combine their experience to formulate the best maintenance plan for you. They keep each other informed about your progress. Although a periodontist may see you periodically for maintenance therapy, you will need to see your general dentist as well. Appointments for periodontal maintenance do not replace regular dental checkups. If your doctor detects tooth decay during a maintenance visit, you will be referred to your general dentist for treatment. Your general dentist is primarily responsible for your overall dental health, including such dental needs as filling new or recurrent cavities or making changes in fillings, crowns or bridges.
To prevent periodontal disease, the major cause of tooth loss in adults—and keep your natural teeth for your lifetime—carefully and conscientiously follow the guidelines of the maintenance program that Drs. Farris, Gonzalez or Sharma recommends. Protecting your periodontal health through preventive maintenance has great benefits for you. You will be able to chew with more comfort, and you will be able to smile and speak with greater confidence. You will be able to keep dental costs down by preventing future problems. Your commitment to maintenance therapy is your commitment to your better oral health.