Sometimes a regular prophylaxis just isn’t enough. A number of factors – oral hygiene practices at home, systemic diseases, genetics and pregnancy included – can cause you to fall somewhere on the spectrum of periodontal disease. Periodontal disease is, simply, infection of the gums due to the continued presence of harmful bacteria in the mouth. It can range from mild gingivitis, where the gums are inflamed due to the bacteria but no permanent damage has been done, to severe periodontitis, where you’ve likely already had significant loss of gum attachment, bone loss and tooth loss from the present active infection. Usually this means periodontal maintenance visits every 3 to 4 months; since everyone is a little different, our hygienists and dentist will work with you to determine the best course of action.