Dear patients and friends,

We have good news! We have decided to stay in our Sylvan Highlands location and make this space our permanent home. We’re thankful that this location is only 8 minutes from our old office. Please do not hesitate to contact us if you have questions or concerns, or are wondering when you can be seen. For all the patients who stayed with us through the challenge of recovering from the fire, thank you. We will always be thankful for your support during this time.

We are always excited to meet new patients so please reach out to us if you are looking for a new dental home. To longtime patients and other professionals who refer their family and friends to us, thank you for your support and confidence. Whether you are looking for routine dental care or have a question about a dental procedure, please reach out to us, we are happy to help.

We’re excited to continue to serve you and your families in this next chapter.

Sincerely,

Dr. Tom Pollard and Dr. Jill Pollard

Periodontal Therapy

Periodontitis diagram at Pollard Family Dentistry

Periodontal Maintenance

A periodontal maintenance procedure (PMP) is defined as a procedure that is recommended following periodontal treatment (such as scaling and root planing) and continues at varying intervals, determined by the clinical evaluation of the dentist.

These intervals can be as frequent as every two months and they can be extended as long as six months, depending on the patient. Keeping up your PMP interval is important because periodontal disease can recur without adequate follow-up.

PMP includes removal of plaque and tartar above and below the gums, scaling and root planing of specific areas, and polishing. PMP is always completed following active periodontal treatment such as scaling and root planing or more extensive gum surgery.

Scaling and Root Planing

Scaling and root planing is a special type of treatment that goes deeper below the gumline to remove contaminated debris and bacteria, most often performed on patients with active periodontitis.

This seems to be a procedure that causes much confusion for patients trying to understand the difference between "just a cleaning" and scaling and root planing, and the need/reason for this procedure.

A professional polishing, or prophy, removes only the soft sticky plaque and hard crusty calculus that is above the gumline on the crown of the tooth. Scaling and root planing is done to remove soft sticky plaque and hard crusty calculus that is loaded with bacteria, around and below the gumline on root surfaces. It is a method of treating gum disease when pockets formed around the teeth have a measurement of greater than 3mm and there is evidence of bleeding and tissue attachment loss.

Scaling

Scaling is a procedure that meticulously removes contaminated biofilm, plaque, calculus, microorganisms, and toxins from around the gumline down to the bottom of each periodontal pocket, in order to obtain a healing response.

Root Planing

Root planing involves smoothing the root surfaces of your teeth with thin instruments so gum tissue can more firmly reattach to roots that are clean and smooth, to prevent tooth loss and sensitivity problems. This procedure makes it more difficult for plaque, calculus, and bacteria to accumulate along these root surfaces.

Because this procedure goes deeper than a regular cleaning, your mouth may be numbed. The cleaning may take one to six visits to complete. Depending on the extent of the disease, you may need one or more quadrants of the mouth to be treated with scaling and root planing.

Why might root planing be necessary?

•	To control the growth of harmful bacteria
•	Help the pocket wall reattach firmly to the clean root surface
•	Prevent further bleeding of the gums from disease
•	Reduce inflammation
•	Reduce discomfort
•	Prevent bone loss
•	Prevent gum disease related tooth loss
•	Reduce systemic disease

Home Care After Scaling and Root Planing

Rinse with warm salt water every few hours (1/2 tsp. salt in 8 oz. water) for the remainder of the day to encourage healing and soothe discomfort. Be careful not to bite or chew your lip, cheek or tongue while they are numb. Avoid chewing for 2 hours after this procedure or until the numbness has worn off. Keep your fingers and tongue away from the areas that have been treated. Take Tylenol or ibuprofen according to directions on the manufacturer’s label for a couple of days to help with the discomfort; do NOT take aspirin because it may prolong bleeding.

Rinse your mouth with Closys or Chlorohexidine, if prescribed by your dentist, to reduce oral bacteria. Do not smoke or chew tobacco for 72 hours after the procedure to allow for healing. Gently brush and floss your teeth after each meal. How you care for your teeth and gums at home after treatment is critical to reducing the risk of recurring periodontal disease.

Office hours

Mon–Thurs 8:00 a.m.–4:00 p.m.

Location

5440 SW Westgate Dr. #390
Portland, OR 97221-2449

Contact

Office: (503) 223-7682

Connect

frontoffice@
nwpollard.com

Pollard Family Dentistry, 5440 SW Westgate Dr. #390, Portland, OR 97221 - (503) 223-7682 - nwpollard.com - 9/19/2024 - Key Phrases: dentist Portland OR -