Is maintenance required after periodontal treatment?
Yes, in most cases. As mentioned earlier, periodontitis is a chronic condition that is not cured but can be stabilized and maintained. Periodontists have a great track record when it comes to getting periodontal conditions under control. Once the initial treatment has been completed, maintenance care is essential for future good oral health. Periodontitis often follows certain patterns. Pockets and bone loss usually begin in the maxillary (upper) molars, followed by the mandibular (lower) molars. In time, it will involve other teeth, as well. Once formed, periodontal pockets do not get worse on a daily basis. Rather, pockets can remain stagnant for long periods of time, only to have short bursts of problems when they worsen, only to become stabilized again. We call this periodontal breakdown “episodic.” Along the way, abscesses can occur, and pockets and bone loss can progress to the point that teeth need to be removed. Treatment retards and, in many instances, can even stop this progr