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A diagram of dental implant at Periodontal Associates. Dental implants are a highly effective solution for lost teeth. Crowns mimic natural teeth in their form and function and titanium posts bond with and stimulate your jaw bone, allowing the Dental Implants to act just like a natural tooth would.

Unfortunately, implants can occasionally fail, and if this happens we will need you to come in so we can repair or replace them.

The Structure of an Implant


Most dental implants are made of a titanium post that is embedded in the jaw bone, a ceramic crown that acts as a replacement tooth and an abutment that connects the post and the crown. If one of these parts loosens or breaks, all three can become compromised.

Titanium is usually chosen for implants because it bonds with the jaw bone in a process known as osseointegration. If this process doesn't occur properly then you'll end up with an implant that isn't firmly in place. This will lead to problems later on.

Signs that an Implant May Fail


If the bone doesn't grow around the implant in the right way, mobility is often the primary signal that the implant may fail. This mobility is often very slight at first and usually only a dentist can see it, but as time goes on an implant that hasn't integrated properly can shift when you chew or speak. Implants that have failed completely with frequently.

Other warnings signs of impending failure include pain, inflammation, and infection, but these do not always occur. If Dr. Eshraghi notices that your implant is moving, he may conduct an x-ray to make sure the bone is growing. If the implant is failing, the x-ray may reveal considerable bone loss around the metal area.

Repair and Replacement


In cases where the implant crown becomes cracked or detached, it is an easy matter for us to attach a new, or make any other repairs if necessary. However, if the damage to the implant is too severe, we will need to remove and replace it.

It is easy for us to remove a failed dental implant, but we will need to use a local anesthetic for this procedure. Once the implant is removed Dr. Eshraghi will carefully clean the area. Then we can begin the process of inserting a new implant, making careful note of what went wrong the first time. If there is enough healthy bone in the same area, we won't need a bone graft.

However, in cases of significant bone loss, we may need to place a bone graft to improve the site of the removed implant before placing a new one. Once the bone graft is complete, your mouth may need several months to heal before we can put in a new implant. During the healing period, Dr. Eshraghi may ask you to quit smoking, postpone cancer treatment or make other lifestyle adjustments that will reduce the risk of the next implant failing as well.

Always remember to take good care of your implants by brushing and flossing daily. Also take care to eat a balanced diet and abstain from using your teeth as tools, as this can chip them. If you experience any problems with your Dental Implants, contact us right away.

If you have any other questions or concerns, please give us a call at (503) 620-2807.
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Home Periodontal Maintenance for Gum Health

Periodontal Maintenance for Gum Health



Dentist explaining oral cancer screening results on a tablet to a female patient, emphasizing early detection and prevention.If you’ve completed treatment for gum disease or have been diagnosed with chronic periodontitis, staying on top of your oral health doesn’t stop there. Periodontal maintenance is an essential, ongoing process designed to preserve your gum health and prevent disease from returning. At Periodontal Associates, we support your long-term wellness through a personalized periodontal maintenance therapy plan that keeps your smile healthy for years to come.



What Is Periodontal Maintenance?



Periodontal maintenance is a structured, recurring form of dental care intended for patients who have experienced gum disease. Unlike standard dental cleanings, it focuses on managing periodontal health after initial treatment—especially after procedures like scaling and root planing.

This specialized care removes bacterial buildup both above and below the gumline, helping to control inflammation and keep harmful bacteria at bay. It’s not a one-time fix but a critical part of a long-term strategy to stabilize and preserve gum and bone health.

•  Targets Bacteria Below the Gumline - Removes plaque and calculus where periodontal disease tends to thrive.

•  Protects Periodontal Treatment Results - Maintains the progress achieved from deep cleaning or gum therapy.

•  Goes Beyond Regular Cleanings - Includes detailed charting, pocket monitoring, and advanced plaque control techniques.

This ongoing process is essential for preventing recurrence or progression of gum disease.



Who Needs Periodontal Maintenance?



Not everyone requires periodontal maintenance therapy, but for certain individuals, it’s non-negotiable. If you’ve ever been treated for gum disease—especially moderate to severe periodontitis—you’re likely a candidate.

•  History of Gum Disease - Individuals with previous or ongoing signs of periodontitis.

•  After Scaling and Root Planing - Those who’ve undergone deep cleanings to manage chronic inflammation.

•  Symptoms of Ongoing Issues - Bleeding gums, gum recession, bad breath, or deep gum pockets.

•  Misconceptions About Treatment - Patients believing that one treatment eliminates the problem permanently.

Skipping regular follow-up periodontal care can allow infection to return—often without obvious symptoms until it’s advanced. Staying committed to maintenance is key to keeping your condition stable.



What Happens During a Periodontal Maintenance Appointment?



Each periodontal maintenance program is tailored to your specific condition, but appointments typically involve more thorough evaluation and cleaning than standard checkups. These visits focus not just on cleaning teeth, but also monitoring gum health and preventing relapse.

•  Subgingival Cleaning - Removal of plaque, tartar, and bacteria beneath the gumline.

•  Pocket Depth Measurement - Periodic monitoring of gum pocket depths to track disease stability or progression.

•  Antimicrobial Treatments - Localized application of medications to target infection-prone areas.

•  Specialized Tools - Use of ultrasonic scalers and fine instruments for deep access and precision.

These appointments are generally recommended every 3–4 months, depending on your risk level and disease history. The goal is early detection and swift management of any issues that may arise.



How Periodontal Maintenance Helps Prevent Gum Disease



The real value of gum disease maintenance lies in prevention. Even after active infection is treated, gum disease is a chronic condition. Without consistent care, bacteria can re-colonize and inflammation can flare up again.

•  Prevents Recurrence - Regular cleanings remove buildup that can restart disease processes.

•  Controls Tartar and Plaque - Helps manage the bacterial load to avoid bone and tissue damage.

•  Preserves Natural Teeth - Maintenance helps extend the lifespan of your teeth by supporting their structural foundation.

•  Complements Daily Hygiene - Professional care reinforces brushing and flossing efforts at home.

Studies show that patients who adhere to their periodontal maintenance therapy experience significantly better long-term outcomes than those who do not.



Periodontal Maintenance vs. Deep Cleaning



It’s important to understand that deep cleaning for gums and periodontal maintenance serve different purposes. One is treatment; the other is ongoing management.

•  Deep Cleaning (Scaling and Root Planing) - Initial treatment that targets active infection and buildup in deep pockets.

•  Periodontal Maintenance - Follow-up care to keep the condition from returning or worsening.

•  Different Focus - Deep cleaning addresses disease progression; maintenance focuses on keeping gum tissues stable.

•  Frequency - Deep cleanings are typically done over a short period, while maintenance is a lifelong routine.

Some patients may need occasional deep cleanings even during maintenance if signs of active disease reappear. Your dental team will evaluate and adjust your care accordingly.



Importance of Consistency in Periodontal Care



Consistency is one of the most powerful tools in preventing gum disease from progressing. Regular oral hygiene routines paired with ongoing professional maintenance can dramatically improve long-term outcomes.

•  Regular Visits - Missing maintenance appointments can reverse much of the progress you’ve made.

•  At-Home Care - Brushing twice a day, flossing daily, and using dentist-recommended rinses are crucial.

•  Tailored Frequency - Most patients are seen every 3–4 months based on severity and risk.

•  Partnership with Your Dentist - Open communication and trust with your care team ensure optimal results.

Think of long-term dental care as a shared responsibility—what you do between appointments is just as important as what happens in the chair.



Insurance, Scheduling, and What to Expect



Unlike routine cleanings, periodontal maintenance programs may be billed differently depending on your insurance. Understanding your coverage can help you plan and avoid unexpected costs.

•  Coverage May Differ - Insurance providers often categorize periodontal maintenance separately from standard cleanings.

•  Verify with the Office - Our staff can help clarify what your specific plan includes and any potential out-of-pocket expenses.

•  Appointment Expectations - First visits typically include gum charting, deep cleaning, and review of your oral hygiene routine.

•  Ongoing Schedule - Most patients return every 3–4 months for continued care.

Call (503) 620-2807 to speak with our team and get help navigating coverage or booking your next visit.



Ready to Protect Your Smile Long-Term?



Sticking to a periodontal maintenance therapy plan is one of the best steps you can take to prevent recurrence of gum disease and protect your oral health. At Periodontal Associates, we’re committed to helping you preserve your smile through personalized care and consistent support.

Call our office today to schedule your next periodontal maintenance visit and keep your smile healthy for years to come.



FAQs



How often should I have periodontal maintenance cleanings?


Most patients are scheduled for periodontal maintenance every 3 to 4 months. However, the exact frequency depends on the severity of your gum disease, your response to treatment, and how well you maintain your oral hygiene at home.


What’s the difference between a regular cleaning and periodontal maintenance?


Regular cleanings are preventive and performed on healthy patients, focusing on plaque removal above the gumline. Periodontal maintenance goes deeper, targeting bacteria beneath the gums, monitoring pocket depths, and preventing disease recurrence.


Can gum disease come back even after treatment?


Yes. Gum disease is a chronic condition and can return if not properly managed. That’s why ongoing maintenance and good home care are critical to long-term success.


Is periodontal maintenance covered by insurance?


Coverage varies by insurance provider. Periodontal maintenance is often categorized differently from routine cleanings. Contact our office to verify your benefits and ensure you understand any potential costs.
Periodontal Associates in Beaverton, OR

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Periodontal Maintenance for Gum Health & Disease Prevention
Our experts provide periodontal maintenance therapy to manage gum disease and improve long-term oral health. Prevent issues with consistent care today.
Periodontal Associates, 17895 NW Evergreen Pkwy, #150, Beaverton, OR 97006 ^ (503) 620-2807 ^ portlandimplantdentistry.com ^ 11/17/2025 ^ Key Phrases: dental implants Beaverton OR ^