Your periodontal treatment roadmap

Gum disease is a long-term condition, so we treat it in four clear steps, from finding out exactly what is going on to keeping your gums healthy for good.

  1. Diagnose          X-rays and full gum evaluation
  2. Deep clean      Scaling and root planing
  3. Recare                Fine scaling at 4 weeks
  4. Maintain           Cleanings every 3 months

    Diagnosis

    We take a full-mouth series of X-rays (FMX) and complete a comprehensive periodontal evaluation, so we know exactly where your gums and bone stand today.

    • Full-mouth X-rays (FMX) to see bone levels around every tooth
    • Gum pocket measurements around each tooth
    • Checks for bleeding, gum recession and tooth movement
    • Review of your health history and risk factors

    Result: A clear diagnosis and a treatment plan made for you.

    Scaling and root planing (done in two visits- one for each side)

    A deep cleaning below the gumline. We remove plaque and hardened tartar from the root surfaces and smooth them so your gums can heal against the tooth.

    • Cleans below the gumline, where brushing cannot reach
    • Removes the bacteria and tartar that drive gum disease
    • Smooths the root surfaces to help gums reattach
    • Our team keeps you comfortable throughout

    Result: The source of the infection is removed and healing can begin.

    Fine scaling and re-evaluation 4 weeks after Scaling and Root Planing

    Four weeks after your deep cleaning we gently fine-scale any remaining deposits and measure your gums again to see how well they have healed.

    • Fine scaling of any remaining tartar and stain
    • Pocket depths and bleeding re-checked
    • Home-care coaching tailored to your gums
    • We decide together what comes next

    Result: Healing gums that are ready for long-term maintenance.

    If some areas still need attention, we will talk with you about the best next steps.

    Home care will be key in being able to maintain gum health and will be reinforced with  brushing and flossing twice a day for two minutes the rinsing with chlorine dioxide solution to control bacterial overgrowth.

    Step 4 · Ongoing Periodontal maintenance Every 3 Months

    Once your gums are in remission, we see you for a periodontal maintenance cleaning every 3 months to keep them healthy and stable.

    • Cleaning below the gumline at every visit
    • Gum measurements re-checked to catch changes early
    • About four visits a year, as a lasting routine
    • Ongoing home-care support from your hygienist

    Result: Lasting gum health, and teeth you can keep for life. What does “in remission” mean? Your periodontal disease is under control: gums are healthy and stable. Periodontal disease can relapse if not maintained, which is why these regular visits matte