4.9 Rating on Google (160+ Reviews)

Periodontal Maintenance in West Bloomfield, MI

Ongoing cleanings on a schedule matched to your gum health, so the results of your deep cleaning hold instead of slipping back.

Ongoing Gum Care After a Deep Cleaning

Gum disease is managed rather than cured. Once deep cleaning has brought the infection under control, the bacteria begin rebuilding below the gum line within a few months, which is why a standard six month cleaning is often not enough to hold the result.

Periodontal maintenance is a cleaning designed for that. It works both above and below the gum line, usually every three to four months, and includes remeasuring so any area starting to slip is caught while it is still small.

At a Glance

Your Care at a Glance

How often
Most patients are seen every three to four months.
What it includes
Cleaning below the gum line as well as above it, with your pockets remeasured each time.
Long term
Gum disease is controlled rather than cured, so maintenance continues.
Insurance
Many plans cover it, though the number of visits allowed per year varies.

Who We Help

Is This Right for You?

This is the schedule that follows gum treatment. These are the reasons you would be on it.

  • You have completed a deep cleaning and want the result to last
  • You have been diagnosed with periodontitis at any stage
  • Your gum pockets have improved but have not fully closed
  • You have had gum surgery in the past
  • You have dental implants and want the tissue around them monitored

Your Visit

What Each Visit Covers

  1. Remeasuring

    Every visit starts by charting your gum measurements again, so improvement or early relapse is caught by numbers rather than by feel.

  2. Cleaning Above and Below

    We clean the tooth surfaces and the areas below the gum line where bacteria rebuild, using numbing in any spot that needs it.

  3. Reviewing Home Care

    We look at which specific areas are being missed at home and adjust your technique or tools for those spots rather than in general.

  4. Setting the Interval

    Your next visit is scheduled based on how your tissue is actually responding, commonly every three to four months.

Dr. Manal Ismail, DDS
Dr. Manal Ismail, DDS
Dr. Lakshmi Wakade, DDS
Dr. Lakshmi Wakade, DDS
Meet Our Doctors

Your Dentists

The Dentists Who Will Treat You

Your care here is provided by Dr. Manal Ismail, DDS and Dr. Lakshmi Wakade, DDS, both general dentists who trained at the University of Detroit Mercy. Whichever of them you see, nothing starts until you understand what we found, why we are recommending it, and what your alternatives are.

New patients are usually seen within the same week.

Patient Reviews

What Our Patients Tell Us

★★★★★ Google Review

Five years with our family

Manal is an amazing dentist, she has always taken great care of mine and my children's teeth! Always makes sure to address any problems right away. I have been going here for the past 5 yrs.

Lindsay S.
★★★★★ Google Review

State of the art equipment

Dr. Ismail is so gracious and professional and honestly amazing at her job. They have state of the art equipment that makes cleanings a breeze. Honestly everyone I have ever interacted with at their office has been so kind.

Laurie Y.
Read all reviews on Google

Insurance and Payment Options for Your Visit

Treatment should not wait on the money. Here is how patients cover it.

Preventive care is what dental plans cover most fully, and we check your benefits before your visit rather than after it.

Insurance and Financing
  • PPO insurance We accept most major plans
  • We offer it for larger treatment plans
  • We offer it for one course of treatment

Common Questions

Periodontal Maintenance Questions

How is periodontal maintenance different from a regular cleaning?

It cleans below the gum line as well as above it, includes remeasuring your pockets each time, and is usually done more often than every six months.

How often will I need to come in?

Most patients are seen every three to four months, because that is roughly how long it takes bacteria to rebuild below the gum line.

Will I need this forever?

Usually yes, in some form. Gum disease is controlled rather than cured, and consistent maintenance is what keeps it from progressing again.

What happens if I go back to cleanings every six months?

The pockets usually start to deepen again. Gum disease is driven by bacteria that recolonise below the gum line within a few months, which is the whole reason the interval is shorter: three to four months is roughly how long that population takes to rebuild to the level that started causing damage. Stretching back to six months does not undo the treatment overnight, but it gives the process the time it needs, and bone lost in the meantime does not come back.

What do you actually measure at each visit?

The depth of the pocket around every tooth, whether it bleeds when measured, and whether the gum has receded. Those three readings together are what tell us whether the disease is stable, and they are compared against your own previous numbers rather than a general standard. You are welcome to see the chart. A site that has crept a millimetre deeper is worth treating now, and it is invisible to you and to us without the measurement.

Does insurance cover periodontal maintenance?

Many plans cover it, though the number of visits allowed per year varies. Our team will check your specific benefits before you book. The quickest way to get a real answer for your own case is a short conversation. Call us at (248) 863-9109 or book online.

Other General Dentistry Services

See all General Dentistry at Royal Dental Center

Location and Hours

Visit Our West Bloomfield Office

4819 Haggerty Road, West Bloomfield, MI 48323

(248) 863-9109

myroyaldentalcenter@gmail.com

Office Hours

Monday to Friday 9:00 am to 5:00 pm
Saturday 9:00 am to 2:00 pm
Sunday Closed
Call (248) 863-9109 Book Online

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