A patient talking with a team member in the chair during a dental exam visit at Broadway Dentistry in Fort Wayne

Prophylaxis (Teeth Cleaning) in Fort Wayne

Prophylaxis (Teeth Cleaning)

A dental prophylaxis is a thorough cleaning of the teeth that helps keep the mouth healthy and halts the progression of periodontal disease and gingivitis. These develop when plaque bacteria colonize the gum tissue above or below the gum line, triggering chronic inflammation that destroys gum and bone, so teeth shift, loosen or fall out. Deepening pockets hold more bacteria, which may travel through the bloodstream to other parts of the body.

Benefits of prophylaxis

Tartar removalTartar (calculus) and plaque above and below the gum line cause serious periodontal problems. Even the best brushing and flossing cannot clear gum pockets; that takes a dentist’s eye and specialized equipment.
AestheticsRemoves yellowing and stains so you can feel confident in your smile.
Fresher breathPersistent bad breath (halitosis) often signals gum disease, caused by rotting food below the gum line and periodontal problems. Removing plaque, calculus and bacteria noticeably improves breath and eases irritation.
Identification of health issuesThe exam lets the dentist screen for oral cancer, assess periodontitis risk, spot signs of conditions like diabetes and kidney problems, and suggest changes to your home care.

Dr. Acosta reviewing a patient chart with her team at Broadway Dentistry, a general dentistry office in Fort Wayne, Indiana

What prophylaxis involves

Prophylaxis is usually done at a regular dental visit. It generally has several stages:

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Supragingival cleaningScaling plaque and calculus from above the gum line.
Subgingival cleaningRemoving calculus from the gum pockets and below the gum line, the most important step for periodontal disease.
Root planingSmoothing the tooth root to remove remaining bacteria, which are especially dangerous for people with periodontitis.
MedicationAfter scaling and root planing, an antibiotic or antimicrobial cream is often placed in the pockets to speed healing and ease discomfort.
X-ray and examinationRoutine X-rays show the extent of bone and gum recession and areas that may need future attention.

Dr. Denise Acosta and a team member laughing with a young patient in a treatment room at Broadway Dentistry in Fort Wayne, where fillings and crowns are done

How often

Prophylaxis is recommended twice a year for prevention, and every 3–4 months for people with periodontitis. Gum disease cannot be completely reversed, but prophylaxis is an effective way to halt it. If you have questions about prophylaxis or periodontal disease, please contact our office.