Therefore, we recommend that you maintain a
3 month
Periodontal Maintenance Schedule, so the hygienist can access deeper pocket areas and disrupt the bacteria so that they do not continue to multiply and cause increases in pocket depth and additional bone loss which results in loose teeth or even tooth loss.
Is periodontal maintenance basic or major?
Rough areas of the roots are smoothed if needed, pocket depths are carefully monitored, and inflamed pockets may be irrigated with antibacterial medicines if necessary. Periodontal maintenance is considered
a basic service
by your insurance carrier, and may be subject to a yearly deductible.
What does periodontal maintenance include?
Unlike a normal, preventative cleaning, periodontal maintenance is a treatment prescribed to combat periodontal disease. It involves both
scaling and root planing
, meaning tartar must be removed from deep between the teeth and gums.
Is periodontal maintenance considered preventive care?
Although periodontal maintenance is similar to regular dental cleaning,
it is considered a prescribed treatment rather than preventative care
. Periodontal maintenance is part of a soft tissue management program that is essential to help continually battle the bacteria that causes periodontal disease.
Can I get a regular cleaning with periodontal disease?
Prophylaxis, or Regular Cleaning
A regular cleaning is recommended for patients who do not have bone loss, periodontal disease, or infection around the teeth
. There should be no bleeding, mobility of the teeth, receded areas, or gaps where the spaces around the roots of the teeth are exposed.
Is deep periodontal cleaning necessary?
A deep dental cleaning is necessary when there is a significant amount of bacteria and tartar buildup on the surfaces of your teeth
. Once pockets form from gum disease, the bacteria and tartar begin to fill these pockets. If not removed, periodontal disease and eventually tooth loss can take place.
What is periodontal maintenance D4910?
D4910 periodontal maintenance
It includes
removal of the bacterial plaque and calculus from supragingival and subgingival regions, site specific scaling and root planing where indicated, and polishing the teeth
.
What is the difference between a prophylaxis and periodontal maintenance?
While standard prophylaxis cleans the crowns of your teeth above your gumline, periodontal maintenance goes a little deeper, slightly below the gumline
, since you are more susceptible to plaque and tartar buildup based on your past history of gum disease.
Does periodontal maintenance hurt?
Regular teeth cleanings only remove debris at or above the gum line. With scaling and root planing, your dentist will give you local anesthetic so they can clean below the gum line and shape your roots with
minimal pain
.
How many deep cleanings are needed?
Typically, most people are required to undergo two dental cleanings a year; however, a dental deep cleaning is required because the gums and teeth are in bad shape. With that being said, general dentists typically recommend that patients get cleanings
every three months
after a dental deep cleaning.
Does periodontal maintenance require anesthesia?
Dr. Cieplak may numb the gums to reduce any discomfort during the periodontal cleaning session, but
most patients are just fine without anesthesia
. We will check for signs of plaque buildup, tartar deposits, and decay, and evaluate the health of the gums.
Why do teeth require so much maintenance?
The enamel on your teeth is the strongest substance your body produces. This strength doesn’t make them impervious to decay
. That is why teeth require daily care and routine checkups by a dentist.
Do gums reattach after deep cleaning?
Do gums reattach after deep cleaning?
Yes, deep cleaning ensures gum reattachment by removing the obstructions, bacteria, plaque, and tartar from the roots of your teeth
. By removing the infection and tartar, the dentist smoothens the roots, allowing your gums to heal around the teeth.
Can teeth fall out after deep cleaning?
Can deep cleanings make teeth loose?
No. Deep cleanings do not remove the tooth’s attachment to the gum and bone
.
Can gums grow back?
Unfortunately,
once gums have receded, they will not grow back on their own
. The good news is that there are treatments available that can help cover the exposed tooth root, restore the gum line, enhance your smile, and protect your oral health.
Is periodontal scaling and root planing necessary?
Scaling and root planing are
not necessary for those with healthy gums
. A dentist will only recommend the deep cleaning procedure if a patient has gum disease.
What is the difference between D1110 and D4910?
D1110 is meant for healthy tissue. D4910 is meant to be used after periodontal treatment such as scaling/root planing or osseous surgery
. It is meant to describe a more in-depth procedure than a prophylaxis in the presence of a disease state.
What is the difference between D1206 and D1208?
D1206 refers to professionally applied fluoride varnish and D1208 is any topical application of fluoride including fluoride gels or fluoride foams (excluding fluoride varnish)
. This measure does not take into account alternate home-use fluoride products including supplements.
Can you alternate between prophy and perio maintenance?
Alternating periodontal maintenance and prophys at three-month intervals is inappropriate because the prophys are non-therapeutic and supragingival
. This regimen has the same net clinical effect as the perio patient who presents for maintenance every six months.
Is root planing the same as deep cleaning?
Deep cleaning is also known as scaling and root planning
. Removing plaque and tarter from the teeth’s surface and gum pockets is known as scaling, while root planning involves removing plaque and tarter from the surface of the roots.
