At-Home Oral Hygiene Routine for Periodontal Disease

Brush Thoroughly — Twice a Day

  • Use a soft-bristled manual toothbrush or an electric toothbrush, which has been shown to remove plaque more effectively in periodontal patients.

  • Hold the brush at a 45° angle to the gumline and use small circular motions.

  • Spend at least 2 minutes brushing, making sure to clean all tooth surfaces — inside, outside, and biting surfaces.

  • Consider a toothpaste with fluoride.

Clean Between Your Teeth — Every Day

Periodontal disease typically affects the areas between your teeth first, so interdental cleaning is essential.

Options:

  • Interdental brushes (like TePe, Curaprox or GUM Proxabrush): best for larger spaces and deeper pockets.

  • Floss (waxed or unwaxed): still important, especially for tight contacts.

  • Water Flosser (like Waterpik): highly effective for periodontal patients to flush out bacteria from pockets and hard-to-reach areas.

Use whichever method you’ll do consistently — combining them is even better.

Rinse with an Antimicrobial Mouthwash

Use an alcohol-free, antibacterial mouth rinse to reduce bacteria and control gum inflammation.

Examples:

  • Chlorhexidine (if prescribed by your periodontist) — short-term use for active disease.

  • Listerine Zero, Closys, or Peridex — for ongoing maintenance.

Rinse for 30–60 seconds, especially after brushing and flossing.

Address Tongue Cleaning

Bacteria accumulate on the tongue and can contribute to gum inflammation and bad breath.

  • Use a tongue scraper or gently brush your tongue with your toothbrush.

Quit Smoking

If applicable — smoking is one of the strongest risk factors for periodontal disease progression and treatment failure. Quitting improves gum healing and reduces future risk.

Follow a 3-4 Month Professional Maintenance Schedule

Periodontal bacteria repopulate quickly — typically within 90 days. Professional cleanings every 3-4 months are critical to remove buildup from areas you can’t reach at home.

Final Note:

Consistency is key.
It’s not just about technique — it’s about doing it every single day. Think of it as an essential part of preserving your overall health, not just your teeth.

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You’ve Been Told You Have Periodontal Disease… What’s Next?