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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 contact our practice.

Testimonials.

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Testimonials

My mother is in a nursing home in Harrisville Michigan. She dropped her dentures and broke a tooth. The entire staff was in her room trying to find the broken tooth, but it must have fallen into the heat register or something. Anyway it never turned up. My brother, Rick, went to visit and called to tell me about it. "We have to do something," he told me. "I can't stand to see mom looking like this." He was planning to take a few days off and take me up north to see about getting her to the dentist to get her plate fixed. I went online and called several dentists in the area. They could not help me with the problem. Then I found Dr. Gregg Resnick DDS in Alpena. He said he could fix them and have them ready by the next day. I had our friends, Shirley and Tom Harmon, pick up the plate and take it to his office. The doctor called me (I live over 200 miles from where my mom is). Dr. Resnick was concerned that he might not be able to grind the tooth properly and that my mom wouldn't be able to chew properly. You see he was under the impression she had a full set of dentures and didn't realize that she had some lower teeth. He told me that although the tooth was broken mom would not have a problem chewing with it that way. "But, we do have a problem," I told him. "My brother can't stand to look at her with that broken tooth." He sighed and said, "Let's do it then." I could have hugged him through the phone. I promised him that if mom had a problem chewing that I would bring her handicap van and get her to his office the next day. Well, mom got her plate today. She ate dinner and said that she could chew just fine. I have Dr. Resnick to thank for this. He did me a favor and it worked out just fine. I wish there were more dentists like him. He and his staff gave me 5 star service.

Sandra C.

My name is Brad Boehm. I am a local physician in Alpena, Michigan. I had an erosion problem with my teeth that made them appear yellow and deformed. I went to see a cosmetic dentist in Atlanta, Georgia. The repair work to my teeth including veneers was over $70,000. I came home very depressed. While at a routine cleaning I discussed this with Dr. Gregg Resnick, my new dentist. He formulated a treatment plan that was identical to the plan from Georgia at less than one-third the cost. I am sure the cost in Georgia included partial rent payment for the mansion the clinic was located in.

I chose to have my teeth fixed by Dr Resnick and I truly could not be happier! During the treatment process minor adjustments were made. This required a quick end of the day visit to see Dr. Resnick instead of a day or two wasted flying to Atlanta. My family and friends comment all the time about my teeth and how I smile so much more. I would recommend Dr. Resnick to anyone who wishes to improve their smile.

Dr. Boehm

I first met Dr. Resnick 20 years ago when referred by a friend for emergency care. Now Nancy and I are thankful he has been our dentist ever since. We think of our appointments as going to an office where we will be treated as friends, not only by him, but also by the staff.

Dr. Resnick is always calm, patient, encouraging and knowledgeable in dental care. His staff reflects his demeanor. Furthermore, he is an interesting guy.

He is always interested in patients as individuals outside of the office. I remember telling him of impending surgery and later he called me at home to encourage and wish me well.

We recommend him to all our friends.

Robert and Nancy Sloan

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