A dental prophylaxis is a professional cleaning procedure performed to thoroughly clean the teeth. Prophylaxis is an important treatment for halting the progression of periodontal disease and gingivitis.

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Why Prophylaxis is Important

Periodontal disease and gingivitis develop when bacteria from plaque colonize the gums, either above or below the gum line. These bacteria cause inflammation, which triggers a chronic response in the body. Over time, this can lead to destruction of gum and bone tissue, tooth shifting, instability, and eventual tooth loss. Deepened gum pockets can harbor more bacteria, which may enter the bloodstream and affect other parts of the body.

Benefits of Prophylaxis

  • Tartar removal: Even with diligent brushing and flossing, plaque and calculus can accumulate in hard-to-reach areas. Professional cleaning removes these deposits, preventing serious periodontal issues.
  • Aesthetics: Prophylaxis removes surface stains and discoloration, restoring a clean and bright smile.
  • Fresher breath: Eliminating plaque, tartar, and bacteria improves breath by reducing odor caused by infection and debris.
  • Health assessment: A thorough oral exam allows the dentist to screen for oral cancer, assess periodontal disease risk, and identify signs of systemic conditions such as diabetes or kidney problems.

What Prophylaxis Treatment Involves

Prophylaxis can be performed during a regular dental visit or, in more severe cases, under general anesthesia. The procedure generally involves several stages:

  • Supragingival cleaning: Removal of plaque and tartar from above the gum line using scaling tools.
  • Subgingival cleaning: Cleansing of gum pockets below the gum line, critical for periodontal disease patients.
  • Root planing: Smoothing the tooth roots to remove bacteria embedded in the cementum and dentin.
  • Medication: Antibiotic or antimicrobial creams may be applied to gum pockets to promote healing and reduce discomfort.
  • X-rays and examination: X-rays reveal the extent of bone and gum recession and help plan further preventive or restorative care.

Prophylaxis is recommended twice annually for general prevention, and every 3-4 months for patients with periodontitis. While it cannot fully reverse gum disease, it is an effective method to halt its destructive progress.

If you have questions or concerns about prophylaxis or periodontal disease, please contact our practice for guidance and consultation.