Stable Periodontitis Definition:

Stable periodontitis is defined as having had active periodontal disease that has been treated clinically, and is now considered stable. The loss of bone remains, but no active infection is present. Indications that the condition is stable include:

  • Lack of tissue inflammation and redness
  • Lack of moderate to heavy bleeding upon probing
  • Lack of suppuration (pus)
  • Presence of light plaque and tartar

Potential Continuing Symptoms:

  • Irreversible but stable bone loss visible on x-rays
  • Visible gum recession and root exposure
  • Slight tooth mobility

Risk Factors:

  • There is a proven correlation between periodontitis and systemic diseases such as diabetes mellitus, heart disease & HIV – leaving this infection unchecked increases your risk of more serious infections.
  • Environmental factors such as smoking, emotional stress, age, lack of proper oral hygiene and genetics will all increase your risk of periodontal infection.

Treatment Options:

In office treatment:

  • Once any necessary active therapy is complete and your periodontitis is stable, your condition is kept in check through Phase IV therapy, which includes regular periodontal maintenance sessions with oral examinations. Your gingival condition, mobility, occlusion and any presence of caries will be thoroughly assessed at each 3-4 month visit. Since periodontitis is a condition that cannot be cured, it must be controlled by these visits for the remainder of the patient’s life.

At home treatment: 

  • Brushing at least two times a day, for a FULL two minutes. We recommend an electric Sonicare tooth brush for ideal plaque removal and to prevent the progression of bone loss.
  • Flossing daily and/or after every meal with proper technique.
  • Daily use of an antiseptic/anti-gingivitis mouth rinse (alcohol rinses are not recommend for patients with dry mouth symptoms) twice a day for 30-60 seconds.
  • Use of interdental aids such as: proxy brushes, rubber tip stimulators, floss threaders, tufted brushes, super floss, etc. 


Treatment Goals: 

  • Prevent new occurrence of active infection
  • Control bacterial plaque to prevent worsening of stable condition

Long-term outcomes depend on the patient’s compliance with home care and periodontal maintenance at the recommended 3 or 4 month interval.