Dental Hygiene
Why maintenance matters
Keeping your smile healthy after periodontal treatment takes more than a one-time fix—it takes consistent care. Regular periodontal maintenance helps protect your investment, reduce the risk of recurrence, and ensure your gums stay as healthy as your smile looks.
We recommend visiting us every three to four months (or more often, depending on your needs) for gentle spot scaling, root planing, and a full exam. At home, it’s important to brush at least twice a day, floss daily, and gently clean your tongue. A soft-bristled manual toothbrush works great—and electric toothbrushes are also a good option, though they don’t reach any deeper into pockets than manual brushes. Interdental cleaners like proxy brushes are ideal for reaching tight spaces and should be used once a day. And if you’re wondering about the Waterpik—it’s a favorite of ours and a powerful tool to help keep gum disease in check.
Understanding periodontal disease
Gum disease might seem like a mystery, but here’s what we want you to know—it’s actually pretty simple:
It’s caused by bacteria we all naturally have in our mouths.
Some bacteria are more aggressive and destructive than others.
Just like other diseases, some people are more susceptible than others.
And like high blood pressure or diabetes, there’s no cure—but there are effective long-term treatments that help you stay healthy, even if the bacteria are still present.
Gum disease doesn’t usually cause pain—and your gums can look and feel normal even when infection is present.
With the right treatment plan and consistency, you can maintain a healthy foundation for life.
What increases the risk—and how to prevent it
While bacteria are the main cause of gum disease, there are several factors that can raise your risk or make it harder to treat. We’re here to help you understand them and navigate each one with a plan that works for you.
Genetics
About 30% of people may have a genetic predisposition to gum disease. But that doesn’t mean it’s inevitable—with great oral care, it’s preventable and controllable.
Smoking + Tobacco
Smoking is one of the biggest risk factors. It makes gum disease more severe and harder to treat. Smokers are more likely to build up tartar, develop deep pockets, and lose more bone. If you smoke, quitting can be one of the most powerful steps you take for your gum health.
Crowded teeth, braces, and bridges
Anything that makes brushing and flossing harder can increase plaque and tartar. We’ll show you tools and techniques to clean thoroughly, even in tricky areas—and if needed, recommend orthodontics to help improve access and prevent disease.
Clenching or grinding teeth
These habits can worsen existing gum disease by increasing pressure on your gums and bone. If you grind your teeth at night, we may suggest a custom night guard to protect your smile.
Stress
Stress weakens your immune system and makes it harder to fight infection, including gum disease. Managing stress helps your body—and your mouth—stay healthier.
Hormonal changes
Hormonal shifts during puberty, pregnancy, and menopause can temporarily increase gum sensitivity and inflammation. We’re here to help you manage those changes with extra care during these times.
Medications
Some medications can cause dry mouth, which increases the risk of gum disease. Let us know what you’re taking so we can adjust your care accordingly.
Underlying health conditions
Conditions like diabetes, HIV, leukemia, and inflammatory bowel disease can make gum disease more likely and more severe. Knowing your full health picture allows us to fine-tune your treatment and protect your gums.
Nutrition
Healthy eating supports strong immunity, tissue repair, and overall oral health. A nutrient-rich diet helps your body fight infection and heal more effectively.
By understanding your unique risks and staying consistent with care, you can protect your gums—and your health—for life. If you ever have questions about your maintenance plan or want to revisit your routine, we’re always here to support you.
