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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 ask your dentist.

Testimonials.

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Testimonials

I have been a patient of Dr. Jeffrey Weiner since 1981. His work is impeccable. He is meticulous and results focused. He is not happy unless you are happy. I have referred many patients over the year to his office. His staff is always accommodating and friendly. I have had to call him and his son Dr. Jason Weiner on weekends and holidays over the years for a dental emergency and they have both responded to me quickly and with concern and advice. I receive compliments every day about my smile and it is because of Weiner Dental.

Mary P., Bensalem, PA

I know from experience that patients at Weiner Dental are very fortunate in knowing that "the apple doesn't fall far from the tree." Dr. Jason Weiner is my primary dentist. He is not only adept in the painless and creative cosmetic work that he has performed on me, his easy manner and confident professionalism allays any anxiety that I may have about any dental problems. Having also been treated by Jason's father, Dr. Jeffrey Weiner, it is evident that a caring attitude and a healing aptitude has been passed on from father to son. That same demeanor seems to be instilled in everyone at Weiner Dental. I sincerely recommend the doctors and staff at Weiner Dental. I believe that they really care.

Edward M., Huntingdon Valley, PA

I have been going to Doctor Weiner for 30 years along with my wife and children. He has always given us the best of care. I do not know t oo many doctors who care so much that they call you at home to check on you. He cares about all people. When Dr. Weiner heard we were going to visit our daughter (who is a missionary in Jaraboca, in the Dominican Republic), he sent dental supplies for the folks down there. Most of them do not have the money for toothbrushes and toothpaste. If you could have seen the look of joy on their faces...it's hard to describe. And his son Jason is following in his father's footsteps. I not only feel like I have a great dentist but a good friend! Thanks Docs.

Robert B., Philadelphia, PA

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