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Periodontal Maintenance Therapy

Periodontal Maintenance Therapy (PMT) is more intensive than a prophylaxis.  When a patient has periodontitis then the required care to avoid bone loss and further gum recession is a regular routine of PMT’s.  It’s necessary for the dental hygienist to clean the plaque both above and below the gum line for periodontal patients.  PMT’s are scheduled three to four times a year for a patient to stay ahead of the plaque build up.  There are other factors that can affect the frequency of PMT visits for a patient.  Depending on their health and well being they may need more visits or less.  If a patient’s self care at home is poorly executed then this could also play a role in frequency of visits.  It’s the norm for insurance companies to consider PMT’s the same as prophylaxis.  If you’re only covered for two regular preventative visits a year, which is typically what’s needed for a healthy mouth, then you may have to pay out of pocket for the remaining PMT visits.  Because of this, proper at home care and regular visits to your dentist are the healthiest option and most cost effective.


Scaling and Root Planing (SRP)

When gingivitis goes unchecked and bacterial levels in the mouth are above average a hygienist will diagnose a need for scaling and root planing (SRP).  At this stage gingivitis has progressed into peridontitis.  

A “deep cleaning” is truly a scaling and root planing treatment.  The treatment got this nickname because during the appointment the hygienist goes into every pocket along the teeth and scale and root plane between the gums and teeth.  This is one of the main differences between a standard clinical hygiene visit and a scaling and root planing treatment. Scaling of the tooth surfaces alone is not adequate for patients needing scaling and root planing under the gum line.  They require the cleaning of the teeth’s surfaces and the pockets between their teeth and gums. 

Scaling and root planing are recommended for patients with large buildup of plaque and tartar along their gums.  When there is a buildup of plaque or tartar the gums begin to recede, which is known as periodontal disease. Gingivitis is the inflammation of the gums, and when it goes untreated it becomes periodontitis.  Periodontitis occurs when the inflammation starts to affect the supporting tissue in the gums and supporting bone. If periodontitis goes unchecked then tooth loss and bone loss occurs. 

Our Difference

Our team takes great pride in making you as comfortable as possible for this procedure and every procedure here at the office.  Whether you’d like a blanket, pillow, an ipad and headphones, or even a form of sedation or nitrous, we’ll take great care of you.  Just ask any of our team members for a comfort menu during your visit.