You are a Part of the Team
As a patient of our practice, you are a co-therapist. It is important that you understand your disease process, recommended treatment, and maintenance protocol to maximize your health benefits and the long-term success of your disease management. If you ever have any questions we encourage you to bring them to our attention.
Your First Appointment
Please phone for your first examination and consultation appointment at 207.772.7459 or 800.540.7459. Once you make an appointment, please go to forms and print out the Health Questionnaire , the Insurance Information form and the HIPPA form. Fill them out and either mail them to us or bring them with you to your appointment.
Your first appointment as a patient in our office will consist of review of your medical and dental history by the doctor. We will take your blood pressure; it may be a bit higher than usual as most people have some anxiety over going to the dentist. This screening helps identify those with one of the most common and dangerous medical problems, undetected high blood pressure. Left untreated, high blood pressure can lead to stroke and other problems with your heart and blood vessels.
The doctor will describe how he will conduct his examination of your mouth and give you a description of periodontal disease and how it presents itself. Your examination includes a cancer screening where we look for any abnormalities in and around your mouth.
After the oral examination, the doctor will explain his findings and begin to map out a treatment plan for you including options, when possible. Part of the diagnostic process is to review a full series of x-rays of all your teeth and the surrounding bone. If you do not have a recent full series of x-rays, we may take them at this appointment or at a subsequent appointment. Instructions for effective oral hygiene will begin at this appointment with the use of a disclosing agent to reveal where bacteria are hiding and the most effective way to remove it.
You will have a written treatment plan with cost estimates and insurance codes to take with you at the end of your appointment. Our administrative staff will assist you with your insurance paperwork and you will be offered an appointment to begin your treatment.
The daily performance of our recommended oral hygiene protocol is essential for the successful treatment and maintenance of periodontal disease. There are no easy cures or shortcuts, no “magical” mouthwashes, trays, vitamins or herbal remedies that cure periodontal disease. Beginning at your first appointment and continuing through initial therapy, you will be taught how to effectively and easily remove plaque and biofilm. The offending plaque, biofilm and their related toxic waste has to be physically removed to stop the infection and subsequent destruction of gum and bone. These techniques are specific and we take great care in making sure you are able to perform them to the best of your physical ability.
Conservative, pre-surgical therapy, performed either by the doctor and/or one of our hygienists, includes a deep scaling and cleaning of the root surfaces to remove hardened plaque, biofilm and their toxic wastes. This part of treatment is carried out over several appointments in the office. We can use local anesthesia, if necessary, to keep you comfortable during these procedures. There are no specific post treatment restrictions; however some patients find that using ibuprophen (Advil) or acetaminophen (Tylenol) will alleviate any post treatment discomfort. If after a few days you are still experiencing discomfort, especially if it’s accompanied by swelling, call the office. This problem is easily taken care of, but left untreated can cause serious damage to your jawbone.
You can expect all treatments to be preformed comfortably in the office under local anesthesia (generically know as Novocain). The health risks and expense of general anesthesia are not warranted for surgical periodontal procedures. Generally, you can expect to resume your normal daily routine within 24 to 48 hours after surgical treatment.
Frequently Asked Surgical Questions
Surgical Instructions - Day of Surgery and After Surgery
Resuming Home Care After Suture Removal
Supportive Periodontal Therapy
One our team of skilled hygienists will perform your ongoing supportive periodontal therapy or professional teeth cleaning. It is an important part of maintaining your oral health as is your routine of oral home care and both will be evaluated at this regularly scheduled appointment. You can expect this treatment to have no specific post therapy restrictions or issues.