Ongoing Gum Care
Periodontal Maintenance
For patients with a history of gum disease, a routine cleaning isn't enough. Periodontal maintenance is the specialized care that keeps things stable long-term.
Reviewed by our dentists — Updated April 2026
What is it?
Periodontal maintenance is a more thorough cleaning designed for patients who have had active gum disease treated in the past. It reaches deeper beneath the gum line than a standard cleaning, removes biofilm and tartar from the root surfaces, and monitors gum pocket depths to catch any regression early.
Who needs it?
Patients who have completed scaling and root planing (sometimes called a “deep cleaning”), or who have a history of gum recession, bone loss, or periodontitis. Once bone has been lost to gum disease, the goal shifts from prevention to long-term stabilization — and that requires closer monitoring.
What happens during a periodontal maintenance visit
- A complete periodontal charting — measuring the depth of the gum pockets around every tooth — to track stability or regression.
- Scaling and deep cleaning of areas where bacteria are building up, both above and below the gum line.
- Careful debridement of root surfaces where gums have receded.
- Polishing to remove surface staining.
- A thorough exam to catch any new decay or concerns early.
- A conversation about home care — what's working and what to focus on before your next visit.
How often?
Most periodontal maintenance patients come in every 3–4 months rather than every 6. The shorter interval is not a sales tactic — it's what the research clearly shows works best to stabilize gum disease. We'll set the interval that matches your situation.
The connection to whole-body health
Gum disease has been linked to cardiovascular disease, diabetes, stroke, and pregnancy complications. Keeping periodontal disease under control is about more than just your teeth — it's part of your overall health.
Frequently Asked Questions
What is the difference between a regular cleaning and periodontal maintenance?+
A regular cleaning (prophylaxis) is for patients with healthy gums. Periodontal maintenance goes deeper beneath the gum line, removes biofilm from root surfaces, and includes gum pocket measurements to monitor stability in patients with a history of gum disease.
Why do I need cleanings every 3 to 4 months instead of every 6?+
Once gum disease has caused bone loss, bacteria rebuild faster. Research clearly shows that a 3- to 4-month interval is needed to keep gum disease stable and prevent further damage. It's not a sales tactic; it's what works.
Can gum disease be cured?+
Gum disease can be managed and stabilized, but bone that has already been lost doesn't grow back on its own. That's why ongoing periodontal maintenance is so important for long-term health.
Does periodontal maintenance hurt?+
Most patients find it manageable. Some areas may be more sensitive, especially where gums have receded. We work gently and can numb any areas that are uncomfortable.
Is gum disease connected to other health problems?+
Yes. Research has linked gum disease to cardiovascular disease, diabetes, stroke, and pregnancy complications. Keeping periodontal disease under control is part of protecting your overall health.
How do I know if I need periodontal maintenance?+
If you've had scaling and root planing (a deep cleaning), or if you have a history of gum recession, bone loss, or periodontitis, you likely need periodontal maintenance rather than a standard cleaning. We'll evaluate your situation at Roanoke Dental Center.
★ When You're Ready
Come see for yourself.
Take your time choosing the office that fits.
Pick the Cave Spring office that's closer to you. Appointment scheduling is open 24/7 by phone or online — clinical visits are Monday–Friday, 8 AM to 5 PM at both offices.
Visit Electric Rd
2660 Electric Rd Suite A
Visit Brambleton Ave
4907 Brambleton Ave
Or call the front desk