5 doctors weighed in:

How many times do I need deep cleaning before my gum disease goes away? I just had a deep cleaning, and my hygienist wants me to come back in 3 months for more cleaning. She said i might have to do this several times. Why? How many cleanings does it reall

5 doctors weighed in
Dr. John Francis
Dentistry - Periodontics

In brief: Depends

A deep cleaning is just the first phase of what can be done for you.
You should have a deep cleaning once, and if your gum disease is still present, you may need to proceed to the next phase of gum treatment--surgery. Repeated deep cleanings is not the best way to be treated. The cleanings every three months are maintenance cleanings, technically not a deep cleaning.

In brief: Depends

A deep cleaning is just the first phase of what can be done for you.
You should have a deep cleaning once, and if your gum disease is still present, you may need to proceed to the next phase of gum treatment--surgery. Repeated deep cleanings is not the best way to be treated. The cleanings every three months are maintenance cleanings, technically not a deep cleaning.
Dr. John Francis
Dr. John Francis
Thank
Dr. Duane Keller
Dentistry

In brief: Resolve the problem

1, 000, 000 bacteria fit on the head of a pin and grow very fast (dividing every 20 minutes, 1 bacteria grows to 5, 000 billion, billion in 24 hours).
You cannot control them with deep cleaning. Try something that kills the bacteria and keeps them from growing back; like the perio protect method. Then get your teeth cleaned at regular (probably 6 month) basis.

In brief: Resolve the problem

1, 000, 000 bacteria fit on the head of a pin and grow very fast (dividing every 20 minutes, 1 bacteria grows to 5, 000 billion, billion in 24 hours).
You cannot control them with deep cleaning. Try something that kills the bacteria and keeps them from growing back; like the perio protect method. Then get your teeth cleaned at regular (probably 6 month) basis.
Dr. Duane Keller
Dr. Duane Keller
Thank
Dr. Milita Borguet
Dentistry - Periodontics

In brief: Once

Once you have been diagnosed as a periodontally susceptible patient you should have routine three month recall care which are called periodontal maintenance.
The research done, shows that you prevent the recolonization of the periodontal pathogens if they are removed from the root surfaces every three months. Once scaling and root planning is complete; you should be in a 3 month routine recall program. This will avoid any further loss of periodontal attachment and will reduce your need for more advanced periodontal therapy. Good job for asking the right questions.

In brief: Once

Once you have been diagnosed as a periodontally susceptible patient you should have routine three month recall care which are called periodontal maintenance.
The research done, shows that you prevent the recolonization of the periodontal pathogens if they are removed from the root surfaces every three months. Once scaling and root planning is complete; you should be in a 3 month routine recall program. This will avoid any further loss of periodontal attachment and will reduce your need for more advanced periodontal therapy. Good job for asking the right questions.
Dr. Milita Borguet
Dr. Milita Borguet
Thank
Dr. Neil Gottehrer
Dentistry - Cosmetic

In brief: As

As a leading clinical opinion leader in nonsurgical periodontal care, the early stages of periodontal disease can be successfully controlled with full mouth scaling and root planing, number of visits depending on patient comfort, routine use of an power tooth brush to remove the placque above the gum and dislodge the placque below the gum, and a water pik to remove the remaining plaque which was dislodged below the gum. Your hygienist should give you professional instruction in how to use these.
If the disease is chronic, it should be supplemented by oral medication, low dosage of doxycycline, 20mg, two times a day. It is a submicrobial dosage, formerly known as periostat, and eliminates the enzymes which are produced by the bacteria that destroy the gum and jaw bone and cause pocketing. It also has been documented to raise the level of hdl, the good cholesterol, and reduce hi sensitivity creactive protein, measured by blood studies, which is used to measure risk to cardiac disease. Since you cannot get rid of the bacteria, you can control it with this routine, used successfully in thousands of patients. However, you do need quarterly periodontal scaling/maintenance visits to help maintain your health. There is always some plaque left behind and it can be successfully removed and the condition controlled with these regular followups.

In brief: As

As a leading clinical opinion leader in nonsurgical periodontal care, the early stages of periodontal disease can be successfully controlled with full mouth scaling and root planing, number of visits depending on patient comfort, routine use of an power tooth brush to remove the placque above the gum and dislodge the placque below the gum, and a water pik to remove the remaining plaque which was dislodged below the gum. Your hygienist should give you professional instruction in how to use these.
If the disease is chronic, it should be supplemented by oral medication, low dosage of doxycycline, 20mg, two times a day. It is a submicrobial dosage, formerly known as periostat, and eliminates the enzymes which are produced by the bacteria that destroy the gum and jaw bone and cause pocketing. It also has been documented to raise the level of hdl, the good cholesterol, and reduce hi sensitivity creactive protein, measured by blood studies, which is used to measure risk to cardiac disease. Since you cannot get rid of the bacteria, you can control it with this routine, used successfully in thousands of patients. However, you do need quarterly periodontal scaling/maintenance visits to help maintain your health. There is always some plaque left behind and it can be successfully removed and the condition controlled with these regular followups.
Dr. Neil Gottehrer
Dr. Neil Gottehrer
Thank
Dr. Vikram Likhari
Dentistry - Periodontics

In brief: If

If a patient is susceptible to periodontal disease and has been treated to a point where the periodontal attachment levels have stabilized then the patient is usualy kept on a 3 month recall to eliminate the possibility of recuurence of the periodontal disease.
The patient might be kept on this recall for a year or two and if the periodontium stays stable may then be switched to a 4 month recall.

In brief: If

If a patient is susceptible to periodontal disease and has been treated to a point where the periodontal attachment levels have stabilized then the patient is usualy kept on a 3 month recall to eliminate the possibility of recuurence of the periodontal disease.
The patient might be kept on this recall for a year or two and if the periodontium stays stable may then be switched to a 4 month recall.
Dr. Vikram Likhari
Dr. Vikram Likhari
Thank
Get help from a real doctor now
Dr. Adam Levy
Board Certified, Obstetrics & Gynecology
34 years in practice
1M people helped
Continue
111,000 doctors available
Read more answers from doctors