★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Gum & Periodontal Services

Hygiene / Periodontal Maintenance

Hygiene / Periodontal Maintenance
Board-Certified Periodontal Care Narberth, PA

Periodontal Maintenance & Supportive Therapy in Narberth, PA

Targeted 3-to-4 Month Professional Recare to Prevent Periodontal Disease Recurrence

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

Once a patient has been treated for periodontitis (through scaling and root planing or surgical therapy), standard routine 6-month preventative dental cleanings are no longer sufficient. Periodontal disease is a chronic condition—much like diabetes or hypertension—that requires ongoing, specialized Periodontal Maintenance to remain in remission.

Scientific research shows that pathogenic subgingival bacteria repopulate and form destructive colonies within 90 to 120 days after a deep cleaning. By scheduling specialized periodontal maintenance visits every 3 to 4 months, we disrupt these bacterial biofilms before they can reinfect the root surfaces and trigger renewed bone destruction.

At Main Line Dental Arts, our dedicated clinical dental hygienists monitor pocket depths, assess dental implants, and apply gentle therapeutic debridement tailored to your specific periodontal profile.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Patients who have completed scaling and root planing or periodontal gum surgery
Individuals with dental implants who require specialized non-abrasive plaque removal
Patients with a history of recurrent bleeding gums or deep periodontal pockets
Patients with systemic risk factors (diabetes, cardiovascular disease, genetics) requiring strict bacterial control

What to Expect: Step-by-Step

1

1. Complete Pocket & Bleeding Mapping

We assess pocket measurements around every tooth and implant, comparing them against previous visits to identify any early warning signs of disease reactivation.

2

2. Subgingival Biofilm & Calculus Debridement

Ultrasonic and hand instruments remove soft and hardened deposits above and below the gumline, paying careful attention to root furcations and implant collars.

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3. Antimicrobial Irrigation & Laser Disinfection

Deep sulci are irrigated with therapeutic antimicrobial solutions or treated with gentle diode laser energy to sterilize bacterial breeding grounds.

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4. Home Regimen Calibration & Next Interval Scheduling

We review your daily brushing, flossing, and interdental tools, making personalized adjustments to ensure effortless home maintenance.

Key Clinical Advantages

Prevents Disease Relapse

Disrupts aggressive anaerobic bacterial colonies every 90 days before they re-establish.

Protects Bone & Tooth Stability

Maintains current bone levels, ensuring natural teeth and implants remain firm.

Early Detection of Issues

Catches recurring pocket deepening, cracked fillings, or decay before symptoms arise.

Personalized Collaboration

We coordinate recare schedules with your family general dentist for complete oral health.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
Diagnostic Probing

Comprehensive 6-point periodontal charting per tooth to assess pocket depths and bone loss stages.

Phase 2
Active Therapy

Deep ultrasonic debridement, scaling, root planing, and therapeutic antimicrobial decontamination.

Phase 3
Tissue Re-Evaluation

Follow-up check 4 to 6 weeks later to measure pocket depth reduction and gum reattachment.

Phase 4
Periodontal Recall

Personalized 3-month periodontal maintenance cleanings to keep infection in permanent remission.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

In patients with a history of periodontitis, destructive bacteria rebuild beneath the gumline within 90 days. Waiting 6 months allows enough time for the infection to reactivate and destroy additional bone.

Yes. Most periodontal patients alternate visits: seeing our Narberth periodontal team every 6 months and their general family dentist every 6 months, ensuring they receive care every 3 months.

Most dental insurance plans cover periodontal maintenance (dental code D4910) 2 to 4 times per year, though specific plan allowances vary. Our team helps you maximize your benefits.

Not at all. Because deposits are removed regularly before they become massive, maintenance cleanings are fast, gentle, and comfortable. Numbing gels are always available upon request.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.