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Prophylaxis (Teeth Cleaning)

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

Periodontal disease and gingivitis occur when bacteria from plaque colonize on the gingival (gum) tissue – either above or below the gum line. These bacteria colonies cause serious inflammation and irritation which in turn produce a chronic inflammatory response in the body.  As a result, the body begins to systematically destroy gum and bone tissue, making the teeth shift, become unstable, or completely fall out.  The pockets between the gums and teeth become deeper and house more bacteria which may travel via the bloodstream and infect other parts of the body.

Reasons for prophylaxis/teeth cleaning

Prophylaxis is an excellent procedure to help keep the oral cavity in good health and also halt the progression of gum disease.

Here are some of the benefits of prophylaxis:

  • Tartar removal – Tartar (calculus) and plaque buildup, both above and below the gum line, can cause serious periodontal problems if left untreated.  Even using the best brushing and flossing homecare techniques, it can be impossible to remove debris, bacteria and deposits from gum pockets.  The experienced eye of a dentist using specialized dental equipment is needed in order to spot and treat problems such as tartar and plaque buildup.

  • Aesthetics – It’s hard to feel confident about a smile marred by yellowing, stained teeth.  Prophylaxis can rid the teeth of unsightly stains and return the smile to its former glory.

  • Fresher breath – Periodontal disease is often signified by persistent bad breath (halitosis).  Bad breath is generally caused by a combination of rotting food particles below the gum line, possible gangrene stemming from gum infection, and periodontal problems.  The removal of plaque, calculus and bacteria noticeably improves breath and alleviates irritation.

  • Identification of health issues – Many health problems first present themselves to the dentist.  Since prophylaxis involves a thorough examination of the entire oral cavity, the dentist is able to screen for oral cancer, evaluate the risk of periodontitis and often spot signs of medical problems like diabetes and kidney problems.  Recommendations can also be provided for altering the home care regimen.

What does prophylaxis treatment involve?

Prophylaxis can either be performed in the course of a regular dental visit or, if necessary, under general anesthetic.  The latter is particularly common where severe periodontal disease is suspected or has been diagnosed by the dentist.  An endotracheal tube is sometimes placed in the throat to protect the lungs from harmful bacteria which will be removed from the mouth.

Prophylaxis is generally performed in several stages:

  1. Supragingival cleaning – The dentist will thoroughly clean the area above the gum line with scaling tools to rid them of plaque and calculus.

  2. Subgingival cleaning – This is the most important step for patients with periodontal disease because the dentist is able to remove calculus from the gum pockets and beneath the gum line.

  3. Root planing - This is the smoothing of the tooth root by the dentist to eliminate any remaining bacteria.  These bacteria are extremely dangerous to periodontitis sufferers, so eliminating them is one of the top priorities of the dentist.

  4. Medication - Following scaling and root planing, an antibiotic or antimicrobial cream is often placed in the gum pockets.  These creams promote fast and healthy healing in the pockets and help ease discomfort.

  5. X-ray and examination – Routine X-rays can be extremely revealing when it comes to periodontal disease.  X-rays show the extent of bone and gum recession, and also aid the dentist in identifying areas which may need future attention.

Prophylaxis is recommended twice annually as a preventative measure, but should be performed every 3-4 months on periodontitis sufferers.  Though gum disease cannot be completely reversed, prophylaxis is one of the tools the dentist can use to effectively halt its destructive progress.

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

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Testimonials

Dr. K was kind enough to examine my situation and create a mouth night guard for me. The guard really helped to ease the pain of grinding my teeth at night. She helped explain what was happening to my jaw/joints/teeth and was able to create the guard in a few days. Thanks Dr. K and Ana!

Kristina L.

I sought out dental services by Dr. Kasparian after hearing about her through a colleague at work. She came highly recommended. Happy to say that I've been a satisfied patient of hers since January 2012. My oral hygiene wasn't the best that it could've been back when I first started going to Dr. Kasparian. She was very direct in her recommendations and I appreciated her honesty in describing to me the reality of the situation in how I was going to need to improve my oral hygiene. I have taken her consultations seriously and my teeth are the best they've been. She is the type of dentist who makes you want to follow her advice because she knows what she's talking about. I recommend her to anyone who wants superior service for dental hygiene. Also, her staff are always so nice!

Marissa B.

I was referred to Dr. Kasparian through a coworker after avoiding the dentist for well over 3 years (oops). Upon my first appointment with her, I quickly realized how thorough and knowledgeable she was about dentistry and improving the state of my mouth.

Because it had been years since receiving any dental service, my teeth required extensive help. Dr. Kasparian and her staff were wonderful, patient, and friendly throughout the whole experience. I actually enjoyed going to the dentist, knowing that my oral hygiene was in the hands of a dentist with vast experience in the field and who truly had my best interests in mind.

Now that my teeth are at their healthiest they've been in ages, I must highly recommend Dr. Silvia Kasparian to anyone in need of a dentist. She'll make sure your teeth receive all the attention they require and will set you up with an awesome oral hygiene regimen to get your smile looking as beautiful as possible.

Also, once you've completed all of your necessary treatments, you get a free professional grade teeth whitening kit that is legit. I'm telling you... your smile will be looking beautiful once Dr. Kasparian is through with it.

Chelsea M.

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