Periodontal Maintenance in Charlotte, NC
Prioritizing Gum Health
At Palmetto and Pine, periodontal maintenance is an essential part of our comprehensive and esthetic restorative dentistry approach. Dr. James Herron and Dr. Evan Smith provide a higher level of care for patients who require ongoing support to maintain gum health and prevent the progression of periodontal disease.
Our focus is on precision, prevention, and long-term stability, delivered in a refined, patient-centered environment that reflects the standards our patients expect.


Periodontal Disease Can Affect Anyone
Periodontal disease affects the gums and supporting structures of the teeth. Without proper care, it can lead to inflammation, tissue damage, and ultimately tooth loss. Early detection and consistent maintenance are critical to controlling the disease and preserving your natural smile.
Gingivitis
Gingivitis is the earliest stage of periodontal disease and affects only the soft tissues of the gums. It is typically caused by plaque buildup along the gumline, leading to irritation, redness, and bleeding.
The good news is that gingivitis is reversible. With professional cleanings and a consistent at-home routine, gum health can often be restored before permanent damage occurs.
Periodontitis
Periodontitis is a more advanced stage of gum disease that affects the bone and connective tissues supporting the teeth. This condition can lead to the breakdown of these structures and is a leading cause of tooth loss in adults.
While damage to bone cannot be reversed, proper treatment and ongoing periodontal maintenance can help stop the progression and protect your oral health long-term.
Diagnosis and Evaluation
At Palmetto and Pine, early detection is a priority. During your periodontal evaluation, Dr. Herron or Dr. Smith will carefully assess your gum health and identify any signs of disease.
Our diagnostic process may include:
- Evaluation of gum inflammation, redness, and bleeding
- Measurement of periodontal pocket depths using a specialized probe
- Detection of tartar buildup below the gumline
- Digital X-rays to assess bone levels and overall support
We also consider contributing factors such as oral hygiene habits, medical conditions like diabetes, and lifestyle factors to be sure your care plan is tailored specifically to you.


Periodontal Maintenance Treatment
Periodontal maintenance is not a standard cleaning. It is a specialized treatment designed to manage gum disease and maintain oral health after initial periodontal therapy.
For Gingivitis
In the early stages, treatment may involve a professional cleaning combined with improved home care. Removing plaque before it hardens into calculus is key to restoring and maintaining healthy gums.
For Periodontitis
More advanced cases require a deeper level of care. This often includes scaling and root planing, a procedure that removes plaque and tartar from beneath the gumline and smooths the root surfaces to promote healing.
For your comfort, treatment may be completed using local anesthesia and is typically divided into multiple visits. After deep cleaning, a final polishing appointment helps remove residual stains and confirms the gums are responding well to treatment.
In some cases, additional therapies may be recommended, including:
- Localized antibiotic treatments, placed in periodontal pockets
- Prescription antimicrobial rinses
- Customized maintenance schedules
Ongoing Care and Maintenance
Patients with a history of periodontal disease typically require more frequent visits, often every 3 to 4 months, to maintain gum health and prevent recurrence.
These visits allow us to:
- Monitor gum stability and pocket depths
- Remove new buildup before it progresses
- Reinforce home care techniques
- Adjust treatment plans as needed
With consistent maintenance and proper daily care, patients can successfully manage periodontal disease and protect their long-term oral health.

A Higher Standard of Care
At Palmetto and Pine, periodontal maintenance is approached with the same level of precision and attention to detail that defines every aspect of our practice. Our commitment to advanced technology, patient education, and compassionate care ensures that each visit supports both your health and your confidence.
This philosophy reflects our mission: to provide exemplary patient-focused care through dedication to the highest ethical, personal, and professional standards, delivered in a welcoming and refined environment.
Contact our office today to schedule your appointment with Dr. James Herron or Dr. Evan Smith.
