06/26/2022
This question comes up on a regular basis:
What is the difference between a regular cleaning and a periodontal maintenance?
A regular cleaning, or prophylaxis, us the removal of plaque, calculus (tartar), and stain for persons who do not have any bone loss, periodontal disease, or infection around their teeth. It is preventive in nature. In other words, the mouth should be healthy with no gum or bone problems.
If you have periodontal disease, you may require scaling and root planing to remove diseased deposits from the root surface. An electric device, called an ultrasonic scaler may be used to get down the full depth. Various types of anesthetic may be used if the teeth or gums are sensitive for your comfort and to facilitate thorough cleaning. This is no longer preventive in nature, it can only be maintained to decrease the odds of it returning and causing more bone/tissue loss. After the disease process is under control, a regular cleaning is not appropriate anymore. You will require special ongoing gum and bone care procedures, known as periodontal maintenance, to keep your mouth healthy.
There is another type of "cleaning" that you may have heard about and that is a debridment. This type of procedure is used to start the cleaning process. Someone who needs immediate decrease in the amount of calculus, plaque, or inflammation/infection will receive this type of cleaning to start the healing process and allow us to see what we have to do for complete health of these tissues (regular cleaning or scaling and root planing followed by periodontal maintenance). There are times when x-rays are not available for one reason or another and this type of cleaning is all that can be provided due to the lack of diagnostic information.
Hopefully this will help answer that question for many of you.