|The Need for
Now that we have completed your active periodontal therapy (whether it be surgical or
non-surgical, we must now concern ourselves with the prevention of a relapse
(re-occurence of your original problems). You must remember that we are now only
back to "GO", meaning where you were many years ago. We together must be
sure you stay that way. It is now YOUR responsibility to determine the future
success or failure of the procedures that we have performed on you. To put it
bluntly, you must now be very fastidious with your home care in addtion to returning for
routine maintenance visits. These maintenance visits are NOT included in the cost of
your initial treatment and will incur an additional charge (usually covered by insurance),
similar to your recall visits with your general dentist.
Frequency of Maintenance Visits:
As each patient's level of oral
hygiene care differs, the frequency of these visits will vary from patient to patient.
Thus, these visits can represent the difference between sustained success or
relapse (reoccurence) of periodontal disease. REMEMBER, there is NO cure for
periodontal disease, just the degree of control by pocket reduction to allow for better
oral hygiene and control of the bacterial flora.
|What Procedures are
performed during Maintenance Visits:
| The following procedures will
be performed during your 45 minute visit with us:
- Periodontal Examination by Dr. Mao or by the hygienist to
evaluate your level of care (oral hygiene) and to be sure that the periodontal disease has
- A scaling and light curettage (cleaning under the gum) will be
performed by Dr. Mao or the hygienist. Occassionally a root planing will be
performed to remove any calcified buildups (tartar), esp. below the gum level (in the
- A review of oral hygiene procedures may
need to be performed possibly involving some new techniques (ex: electric toothbrush or
- Your BITE will be evaluated,
including the mobility of your teeth. If you have an occlusal appliance (Hawley BitePlane), it will be checked and possibly re-layered.
- A review of your medical history is also important. A review
of any medications (ex; blood pressure medication or antibiotics) will be evaluated as
they may have an affect on your gums and bone tissues.
Performed or Suggested at the Maintenance Visit:
Occasionally, there are more
significant changes that have occurred due to lack of care or unforeseen circumstances,
such as health issues. This will necessitate one or more of the following procedures:
- More extensive scaling and root planing
by Dr. Mao or by the hygienist may be necessary if you have an unusual accumulation of
plaque and calculus (subgingivally or under the gums) . Most of the time this is due
to a longer than usual period between recall visits OR due to excessive calcium intake
(ex: water supply or pills or Tums). This may require local anesthetic
- Occlusal Adjustment (bite adjustment) may
be necessary to ensure that the relationship between the teeth will remain stable.
The decision to do this "grinding" is usually made due to an increase in
mobility in your teeth or some recurrent bone breakdown around some of your teeth.
Many times this increase in mobility is from grinding/clenching or your teeth. The
construction of an occlusal appliance (Hawley Bite Plane)
may be recommended.
- HEADACHES are also caused by a poor
bite combined with grinding and clenching of the teeth and can usually be treated with the
Hawley Bite Plane.
- Surgical Re-Treatment may be
necessary should the pocketing and bone breakdown be excessive. Of course, we usually
attempt conservative treatment first, esp. if you have already
had periodontal surgery within the not too distant past.
- A Bacterial Culture may be
performed prior to surgical re-treatment depending on the nature of the periodontal
breakdown and the severity of the breakdown. If the culture results show positive,
antibiotic therapy will probably be attempted.
|Richard Mao, D.M.D.
Practice Limited to Periodontics
|402 Severn Bldg.
8600 La Salle Rd.
Towson, Md. 21286
|707 N.Hickory Ave.
Bel Air, Md. 21014