Because they have a chronic disease, the purpose of having more frequent cleanings is to stay ahead of the disease process, rather than chasing it. This can help keep the bone levels stable.
I show patients a chart that explains perio probing and explain bone loss so they understand the mechanics behind periodontal disease. Once they understand WHY perio maintenance is done, then it’s easier for them to grasp why a prophy is insufficient in bringing them to optimal oral health.
I explain that we need to remove the local irritant (plaque and calc) before it causes more damage and that if we wait six months the build up will be too much and will have caused damage and possibly further bone loss. Most people who have gone through SRP understand and do not want to have any more bone loss. Showing them x rays always helps too.
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