Have you been told that you need a deep cleaning? There’s a big difference between someone who needs a regular, routine teeth cleaning and someone who requires a deep cleaning, or scaling and root planing. With periodontal disease (gum disease) there are more harmful, destructive bacteria present that have the potential to destroy your jaw bone and other supporting structures leading to tooth loss.
A routine teeth cleaning, or, preventive cleaning , maintains a healthy mouth which is typically done every six months. At each visit, a comprehensive dental health evaluation is conducted and measurements of the gum tissue are taken. With a diagnostic tool called the periodontal probe, measurements within the 1-3mm range with no bleeding are recorded which means there is no active disease present. When bleeding (inflammation) is present and the numbers reach 4mm or above, the bacteria causes the gum tissue to pull away from the tooth, causing pockets.
At this time, intervention is necessary to prevent further destruction. To proactively treat the progressive nature of periodontal disease, appointments are usually separated into two visits. For patient comfort, numbing of the teeth and gum tissue may be necessary to effectively remove tartar buildup below the gumline. Usually, one half of the mouth is treated and it is recommended for the other half to be completed within one week of the first periodontal treatment. Sometimes, adjunctive therapy is necessary which may include antimicrobial rinses, localized antibiotics, or salivary testing. After completing initial periodontal therapy, your oral health will be reevaluated and based upon the status of your periodontal disease, three to four month periodontal maintenance cleanings will be recommended to prevent relapse.