Between 8 and 12 weeks after active treatment of your gum disease, Dr. Bouclin will reexamine you in order to evaluate the healing that has occurred, and to determine whether:
- Additional treatment is recommended, or
- you can move on to the maintenance phase.
The periodontal maintenance phase is a critical component of a patient’s overall periodontal health care program. Regardless of the initial periodontal therapy, a good maintenance program is necessary to maintain the health of your gums and teeth, and to prevent relapse of periodontal disease progression. Periodontal disease is a chronic condition, which cannot be cured but can successfully be controlled given the following provisions:
- Patients must actively improve their technique and maintain an excellent home care regimen, that includes:
- Brushing at least twice a day
- Flossing at least once a day
- Using additional aids (proxybrush, floss threaders) to gain access to hard to reach areas.
- Patients may benefit from the use of electric toothbrushes provided they are used with good technique. Mouth rinses may also be of benefit, provided they do not contain alcohol and are used in moderation.
- Patients must work to eliminate destructive habits, including:
- Smoking-If you are thinking of quitting please discuss this with your family physician who may be able to help you and refer you to additional resources to aid you in this process.
- Clenching and grinding-If you think you do this please mention it to Dr. Bouclin who may recommend that you wear a day or night appliance.
- Patients must work with their family physician to control systemic diseases including:
- High Blood Pressure
- Patients must maintain a regular schedule of evaluations and professional supportive therapy (SPT). At each SPT appointment, we will determine the stability of your periodontal health by assessing your:
- periodontal pocket depths (up to 3 mm is considered healthy)
- tooth mobilities
- bleeding upon probing
- gingival recessions and furcations
Based on these assessments, x-rays may be taken of suspect teeth. In addition, you will have a thorough cleaning, with scaling and root planning, and polish. We will also review and coach you on your homecare technique. These regular appointments are crucial to intercept any minor problems before they become major ones.
Typically, our office co-ordinates an alternating program with your regular dentist. The interval and length of each appointment will be customized to your individual needs.