At your initial visit, a chart of your gum health is recorded. This is done quantitatively by using a ruler to measure in millimeters where your gum attaches to the tooth. The smaller this measurement is, the healthier your mouth is. Any measurements above 4 millimeters require attention, and may mean that you have the beginning stages of periodontal disease.This is a procedure that is highly recommended for patients that have active periodontal disease that needs immediate therapy. As of now, periodontal disease is not curable, but it is definitely controllable in most cases by perfoming a Scaling and Root Planning procedure. This skill involves using hand instruments and exquisite precision and care to deeply clean beneath the level of the gum and remove all debris and bacteria that causes gum irritation, inflammation, and infection. The purpose of this procedure is to prevent any further bone loss and gum scars which could result in tooth mobility and loss. After active therapy is applied, periodontal maintenance is required until the periodontal measurements remain consistantly below the 3 millimeter or less measurement.