Recall Visits for Periodontal (Gum) Disease Management

What is a Recall Visit?

A recall visit consists of a maintenance appointment where the stains and plaque buildup on the surfaces of the teeth are removed. Recall visits are necessary to control the presence of gum disease. We are able to do this by controlling the levels of harmful bacteria in the mouth.

What is a cleaning?

There actually is no such thing as a "cleaning", there is only gum treatment. I am often asked by patients for a cleaning. Often times we use this term because our teeth are "clean" when the treatment is completed.

It is important we distinguish between periodontal treatment and a simple polish (prophylaxis):

A prophylaxis or polishing removes staining and small amounts of plaque buildup on the surfaces of the teeth. This is the only treatment for normal and healthy gums.
Periodontal Treatment is needed when active gum disease is present and destroying healthy tissues. This disease results from aggressive bacteria that feed on the bone tissue surrounding the roots of the teeth. There is usually a noticeable pungent smell, bleeding gums, and shrinkage of the gum tissue around the roots of the teeth. The treatment consists of the removal of the heavy buildup around the roots of the teeth and a thorough cleansing of the gum tissue with an antibacterial medication.

What determines my recall schedule?

The overall health of the gums are what will determine the type of treatment needed and the type of treatment needed will determine the necessary recall schedule. The complexity of each case is different from individual to individual. Periodontal disease occurs in stages and over time will increase in severity if left untreated.

What are the common recall schedules?

6 months - This is our basic recall schedule for most patients. Most often this recall is for individuals with well-controlled periodontal disease and those with healthy gums that have never been diagnosed with periodontal disease.
4 months - This recall schedule is for all periodontal maintenance appointments for mild to moderate periodontal disease cases. In some cases, prophylaxis treatments are performed for individuals with heavy plaque accumulations or for medically-compromised patients that are prone to rapidly progressing periodontal disease.
3 months - This recall schedule is for periodontal maintenance appointments for severe periodontal disease cases. These are individuals that require additional help in maintaining the healthy appearance of the teeth and gums.

When a comprehensive gum treatment is needed, Dr. Warren will determine the recall schedule.

Why are recall visits important?

Recall visits are very important to maintain the overall health of your teeth and gums. When we have the opportunity to catch problems early, we can offer conservative treatments that have desired outcomes and predictable results. One fact is clear, routine visits for examinations, x-rays, and periodontal maintenance will help you keep your teeth for a lifetime.

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