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 ask your dentist.

Testimonials.

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Testimonials

Everyone at the practice is super friendly, starting from the front desk to Dr. Mahlin. I normally get the first appointment in the morning and I have never had to wait. I have been going to them for probably 20 years and have never had an issue that isn't promptly resolved. Last time I had my crown done, Dr. Mahlin even gave me his mobile number in case of an issue. I'll definitely recommend them.

Sanjiv Bhatia

Dr. Mahlin and his staff are absolutely wonderful! His bedside manner is among the best, if not the best, when it comes to compassionate, patient-centered care. He even called me after I had a new crown placed just to see how I was doing. He's thoughtful, gentle (both as a person and as a dentist), and most importantly is excellent at dentistry! His staff couldn't be friendlier or more accomodating and I have never had a long wait in the waiting room. I would give him 10 stars if this rating scale allowed it!

Gregory Polites

Kim, my hygienist, is the best, she has a passion for insuring she does her best to ensure patient comfort and that I will leave with the cleanest teeth and gums as well as a plan for addressing potential issues! Dr. Mahlin is very professional in his final inspection and verification of any of Kim's findings while performing the cleaning. An added bonus that Dr. Mahlin provides is a follow up call in the evening to ensure that your experience that day for treatment has gone as expected and there aren't any abnormalities. Very Caring person!

John Helbing

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Scott Mahlin, DDS, FAGD, FICOI and Clarkson Dental Group, serving West St. Louis County area in Chesterfield, MO Disclaimer: This website is provided for information and education purposes only.  No doctor/patient relationship is established by your use of this website.  No dentistry diagnosis or treatment is being provided.  The information contained here should be used in consultation with a dentist of your choice.  No guarantees or warranties are made regarding any of the information contained within the website.  This website is not intended to offer specific medical or dental advice to anyone.  Further, this web site and Dr. Scott Mahlin, DDS, FAGD, FICOI take no responsibility for web sites hyperlinked to this site and such hyperlinking does not imply any relationships or endorsements. Please contact us with any concerns.

 

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