Periodontal Maintenance

PeriodontaL Maintenance

  • Perio maintenance is significantly different from regular dental cleaning (oral prophylaxis). 
  • Oral prophy is a non-therapeutic procedure that is provided every 6 months to maintain a healthy mouth and is mainly focused above the gum line (suragingival procedures)
  • Periodontal maintenance, on the other hand, is performed on patients who have had periodontal disease in the past that was treated and stabilized by some kind of periodontal treatment.
  • Periodontal maintenance is a treatment that focuses and debrides both above and below the gum line (supra and sub gingival procedure).
  • Periodontal maintenance also closely monitors and keeps a check on your periodontal disease by making pocket depth and attachment loss measurements.
  • Periodontal maintenance, unlike a regular dental cleaning (oral prophylaxis), may include administering antibiotics directly into your pockets to control the bacteria that causes disease progression.
  • Unlike regular dental cleanings (oral prophylaxis), periodontal maintenances are performed at shorter time intervals of 1, 3, or 4 months, based on several factors. The time interval appropriate to you will be determined and advised by our team.

Treatment Options for Periodontal disease

periodontitis

If you’ve been diagnosed with gum disease, you have a variety of treatment options, depending on the details of your situation and the severity of the problem. We always start with the least invasive options, which are non-surgical. However, in more serious cases, surgery may be necessary.

Non-Surgical Treatment

The first line of defense against gum disease is a unique type of cleaning called scaling and root planing. In this procedure, an ultrasonic cleaning device is used to remove plaque and tartar from your teeth where regular cleaning devices can’t reach: under the gum line, on the tooth, and around the root.

Then the rough surface of the tooth and the root are smoothed out (planed). This provides a healthy, clean surface that makes it easier for the gum tissue to reattach to the tooth.

If you address your gum/periodontal disease before it becomes severe, scaling and root planing may be the only treatment you need. However, as with any dental procedure, after-care is vital. In order to keep your teeth in good shape and resist future occurrences of gum disease, you must brush and floss daily, eat a healthy diet, avoid tobacco use, and have regular dental checkups.

Even after a successful scaling and root planing, you must attend to your teeth properly and follow your dentist’s instructions. If you do not, it’s quite likely you’ll develop progressive gum disease again.

Once periodontal/gum disease causes bone loss, the bone does not naturally regenerate. However, with appropriate treatment the progression of bone loss can be stopped and bone grafting options can be discussed. Our doctors will determine whether you are candidate for bone grafting after bone loss due to periodontal disease. 

Surgical Treatment Options

If the tissue or bone surrounding your teeth is damaged, it may not be repaired with non-surgical treatment alone. Several surgical procedures are available to prevent severe damage and to restore a healthy smile. We will recommend the procedure that is best suited for your condition. The following is a list of common types of periodontal surgery:

  • Pocket Depth Reduction
    In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call “pockets.” The deeper these pockets are, the easier it is for bacteria to collect inside them, leading to increased damage over time. Eventually the supportive structure degrades to the point where the tooth either falls out or needs to be removed.

    During pocket reduction procedures (also known as “flap surgery”), we fold back the gum tissue and remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have collected. We may also remove any tissue that is too damaged to survive. We put the healthy tissue back into place and hold it with sutures. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth.

  • Regeneration
    When the bone and tissue supporting the teeth have been lost due to severe gum disease, we can restore these areas with a regeneration procedure. During this process, we begin by folding back the gum tissue and removing the bacteria, plaque, and tartar. Depending on your situation, we may then perform a bone graft to stimulate new bone growth, or apply a special kind of protein that stimulates tissue growth to repair the areas that have been destroyed by the disease.

  • Soft-Tissue Graft
    A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, more of the roots are revealed. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease as bacteria, plaque, and tartar attack the surface of the tooth and the root.

    During a soft-tissue graft, tissue from the top of your mouth or another source is attached to the deficient area, to cover the roots and restore the gum line to its original, healthy location. This procedure can also be performed for cosmetic reasons.

What Our Patients Are Saying

“I initially sought Dr. Nodesh for his specialty and advanced experience in prosthodontics. Dr. Nodesh, along with his entire staff, has been incredibly helpful and thorough in responding to all my questions and concerns in developing a treatment plan. This practice has completely exceeded my expectations! I see Dr. Nodesh and staff for all general dentistry concerns as well and I recently had a wonderful cleaning visit! I’d also like to note that the front desk is composed of two of the most delightful women I have ever met!” Krista Read More “Dr. Raina is absolutely amazing! She is professional, compassionate, and just so friendly and pleasant. She made the 'braces experience' wonderful for my son and her confidence gives me every confidence!! Dr. Raina explains her decisions for treatment and your child's progress every step of the way. She's the best and my family loves her!” Kacie & Drake Read More “I don’t have to smile with my mouth closed anymore! Dr Nodesh’s expertise at Beaches Dentistry made me smile big again. I’m so happy to have a healthy smile. He truly cares about his patients and their needs. I highly recommend Dr. Nodesh. He is gentle, patient, trusting, and positive, & has a wonderful staff, especially my hygienist of many years, Anethette.” Esther Read More “CAN'T say enough about what a great experience I've had, and continue to have, with Dr. Nodesh and all the girls at Beaches Dentistry. If anyone out there needs a dentist that's kind, gentle, and very caring, this is the dentist for you! Thank you Dr. Nodesh and staff!” Sylvia Read More “We have had only positive experiences with Dr. Raina. She is excellent with children and has a way to make everyone feel comfortable. She explains each part of the process clearly and lets you have an informed decision in your treatment plan. I would recommend anyone to her, and if any of my other children need braces, I wouldn't even look someplace else. We feel so blessed to have Dr. Raina as part of this community.” Rassoull Read More “Dr. Nodesh and staff are very friendly and knowledgeable. I’m very impressed with the up-to-date technology and procedures. The office is very clean, decorated professionally, and gives a warm home effect. I would highly recommend this dentist office.” Shelly Read More “I love Dr. Nodesh’s 'bedside' manner. I feel very cared for when I visit. The hygienist is conscientious of my time, the front staff makes me feel like family, and they have the latest technology making dental care much more advanced. Great place!” Wendy Read More “Dr. Raina is a wonderful professional. She made my son and myself feel not only as a patient but as a family. She always gave us a smile and made every appointment with her a great experience. She did a good job with my son's braces and made us enjoy the journey with confidence. We are going to miss Dr. Raina.” Anonymous Read More “I highly recommend Dr. Nodesh. He recently handled a dental emergency that required an implant. I was pleased with the way he answered all of my questions, provided information about my options, and most importantly, with the skill with which he handled the procedures from start to finish. I appreciate that he makes the time to communicate not only during the office visit but with followup.” Victoria Read More
Get in Touch With Us
(904) 246-6714
324 3rd Ave N
Jacksonville Beach, FL 32250

Office Hours:

Mon: 8AM - 5PM Tue: 8AM - 5PM Wed: 8AM - 5PM Thu: 7AM - 3PM Fri: Appointment
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