Prophylaxis
FIRST in PRACTICE, FIRST IN PROPHYLAXIS
Oral prophylaxis is the removal of plaque, calculus and stain from exposed and unexposed surfaces of the teeth by scaling, cleaning and polishing.
These procedures are intended to be preventive measures for the control of local irritational factors and to prevent the initiation of dental diseases such as gingivitis and periodontitis and to assist in the healing processes.
Recent studies indicate that a large majority of patients do not have disease-free mouths. Even though calculus is not the cause of periodontal diseases, conditions may worsen by its presence. The real cause of these diseases is bacterial plaque.
Like calculus, bacterial plaque is present above and below the gumline. However, the most aggressive plaque is found below the gumline. In order to obtain any therapeutic value, oral prophylaxis therefore is to consist of supragingival as well as subgingival removal of plaque, calculus and stain.
Periodontal disease has recently been linked to other serious conditions not affecting the mouth such as cardiovascular disease and premature births. Proper prophylactic care therefore not only prevents the initiation of dental conditions but may also be instrumental in detecting oral symptoms for other diseases such as diabetes, HIV/AIDS and oral cancer. In short, prophylaxis may contribute to a patient’s overall health.
