Dental emergency? Seen today8175 Custer Rd, Suite A110 · Frisco, TX 75035Frisco, TXOpen today 9–6(469) 262-2111Book an appointmentBook now
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Periodontics & Oral Surgery

Periodontal Maintenance in Frisco, TX

The least glamorous appointment in dentistry, and the one that decides whether the treatment you already paid for holds. Twelve weeks follows the biology of how quickly pockets repopulate.

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Request an appointment

Or call (469) 262-2111
Every 3–4 monthsbecause pockets repopulate in about twelve weeks
A full hourthe same as every hygiene visit here
Re-measured every timesix readings per tooth, tracked
Often 2 of 4 coveredyou will know before your visit
The process

What happens in a periodontal maintenance visit

This is a different procedure with a different purpose from a routine cleaning, and the hour is spent differently.

  1. Re-measuring your gum pockets first

    Six readings per tooth before anything is cleaned, compared against last time. Maintenance always starts with measurement. The measuring is the point, because it catches a single site going backwards while it is still one site.

  2. Below the gumline, in every pocket

    Deposit and disrupted biofilm removed from within the pockets, going well beyond the visible tooth. Acteon piezo with warmed chlorhexidine and distilled water, the same as during the original treatment.

  3. The sites that are drifting

    Almost every mouth improves unevenly. Two or three sites usually lag, and those get extra attention and a specific, targeted plan.

  4. Polishing and fluoride varnish

    Always included in the hour. Exposed root surfaces after gum treatment are more vulnerable to decay than enamel is. That makes the varnish more useful here than in an ordinary cleaning.

  5. The wellness scan and the conversation

    An iTero scan and time for your hygienist to show you your own numbers on the screen. Sticking to a three-month interval takes understanding it, so the explaining is a core part of the treatment.

  6. The brush and floss you take home

    Every patient who has a cleaning, a deep cleaning or maintenance here leaves with a toothbrush, travel toothpaste and floss. Every single visit.

Good to know

Periodontal maintenance: what to know first

Why maintenance visits are every twelve weeks

This is the objection worth answering directly, because plenty of people assume a three-month recall is a revenue decision. Bacteria removed from a periodontal pocket recolonise it over roughly twelve weeks. That is the reason for the interval, and it is why the number is three to four months — not six. A six-month recall on a treated periodontal patient means the pocket spends three months repopulated before anyone looks at it again. If the interval sounds like an upsell, ask to see your own readings from visit to visit. The sites that slipped between appointments are the argument, and they are your data, not ours.

Three identical sealed sterilisation pouches standing in an evenly spaced row on a bench, the shapes of fine instruments just readable through the clear side of each.

The part that makes people keep coming

There is no point having a three-month interval that patients quietly abandon. The most common reason they abandon it is that the appointment is unpleasant. So: the irrigation is warmed, and it is chlorhexidine in distilled water — not mains water. The appointment is a full hour, not a rushed thirty minutes. And root sensitivity is treated as a problem to solve, not something to put up with. If maintenance visits have been miserable for you in the past, that is worth saying at the start of the appointment. That way, you do not have to endure another one.

An ultrasonic scaler unit on a counter, its clear reservoir filled with a warmed solution and beaded with condensation, the handpiece resting in its cradle.

Periodontal Maintenance near Frisco, Prosper and Plano

Periodontal maintenance is done in our office at 8175 Custer Rd, Suite A110, Frisco, TX 75035, with Dr. Holvin Louie, our board-certified periodontist, in the same building. We are open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM. Wednesday and Sunday we are closed, though the phone is still answered on Wednesday. Patients come from Frisco and from Prosper, Plano, Little Elm, Allen, Celina and McKinney.

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Choosing between options

Periodontal maintenance vs a regular cleaning

They are separate procedures with separate codes, which is exactly why insurance treats them differently.

Comparison of Routine cleaning, Periodontal maintenance
FeatureRoutine cleaningPeriodontal maintenance
Who it is forGums with no disease historyAnyone treated for periodontitis
Where the work happensAbove the gumlineAbove and below, in every pocket
MeasuringPeriodicallyEvery single visit
IntervalEvery six monthsEvery three to four months
Usually covered per yearTwoOften two, sometimes three or four
Reverting to the other—Rarely — periodontitis is controlled but not cured
In depth

Periodontal maintenance is the ongoing care that follows treatment for gum disease. It is a cleaning above and below the gumline, with your gums re-measured, every three to four months. At White Lotus Dental in Frisco it is a full 60-minute appointment, and Dr. Holvin Louie, our board-certified periodontist, is part of the practice.

Fallen behind on maintenance visits?

This happens constantly, and people are far more embarrassed about it than they need to be. Life gets busy, and the appointment feels less urgent than everything else. A plan year runs out, and eighteen months pass.

Two things are worth knowing.

First, the news is usually better than you expect. Periodontitis that was treated and then left alone does not automatically undo everything. Some sites hold, some drift. The only way to know which is to be measured, and the measuring appointment is not a lecture.

Second, coming back is not starting over. It sometimes means repeating scaling and root planing in specific areas alone. Often it means resuming maintenance at a tighter interval for a while. It very rarely means everything achieved has been lost.

The worst outcome here is staying away because the return appointment feels like an admission. It is not treated as one here.

Related: the deep cleaning that comes before maintenance, a routine teeth cleaning and exam, and the stages of gum disease.

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Planning your day

Time in the chair for periodontal maintenance.

In the chair
45 min to 1 hr
Appointments
One visit
Start to finish
Recurring every 3 to 4 months, ongoing
Who does it
Dr. Peravali or Dr. Yarlagadda

What moves it: A recurring visit and not a one-time treatment; frequency is set based on gum health.

This is a booked range. It isn't a stopwatch. It covers being seated, numbed where that is needed, and the treatment itself — and we would rather run to the top of the range than rush the end of it.

Cost & insurance

Periodontal maintenance cost in Frisco: what to expect.

Most plans cover two, you need fourThis is the single most common unpleasant surprise in periodontal care. Plans commonly pay for two hygiene visits a year; treated periodontal patients need three or four. Some plans do cover four — we always check yours specifically.
We tell you ahead of timeYou will know at the point maintenance is recommended how many visits your plan covers and what the other one or two will cost. Finding that out from a bill is not acceptable and it is how people end up abandoning treatment.
The membership plan optionFor patients whose plan covers two, the practice membership plan is often the more sensible route to four. We will do that arithmetic with you honestly, including when the answer is that your existing plan is better.
What skipping it costsLosing control of treated periodontitis means repeating scaling and root planing, or surgery, or eventually replacing teeth. Maintenance is the cheapest part of this entire category by a wide margin.

The whole schedule and its cost is set out in writing when maintenance starts.

You get the figure in writing before treatment starts. We accept all major PPO plans and file the claim for you, our membership plan takes a percentage off treatment, and CareCredit financing is available.

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Using your insurance

How plans usually cover periodontal maintenance.

Basic on some plans, major on others

What plans pay
Which means periodontal maintenance is paid at roughly 80% on one plan and roughly 50% on another, for identical treatment. It is one of the widest genuine variations in plan design, and it is worth knowing up front, before treatment.
Deductible
Usually applies either way.

What catches people out

  • Which side of the line your plan puts it on changes your share by about 30 percentage points. We check the classification specifically for your plan — guessing at the common case is how people get surprised.
  • Where it lands in the major category, a waiting period may come with it — six or twelve months of holding the policy before it is covered at all.
  • The downgrade most plans don't mention. Some plans return you to the ordinary cleaning allowance after a year of maintenance visits, even where the gums still need the more thorough appointment. We check before booking a year of them.

These are how dental plans usually classify this treatment — not a statement about your own plan. Yours is the one that governs, plans differ more than people expect, and the only reliable answer comes from reading your specific benefits, which we always do ahead of treatment and give you in writing.

And what changes out-of-network

A dentist who is in-network has signed a contract fixing what may be charged for each procedure and cannot bill you the difference. One who is out-of-network has signed nothing, so the full fee stands.

So the first difference is the price itself — the same treatment is simply allowed to cost more out-of-network, before anyone's plan is considered.

What you personally pay out of that depends on your own deductible and coinsurance, which is why there is no percentage here: it is not a property of the treatment, it is a property of your plan, and we verify yours before you commit. But two things follow for everybody. Your share is a share of a bigger number. And your annual maximum is spent by what the plan pays toward that bigger number, so the same treatment eats more of your benefit out-of-network.

An illustration, not a quote. These are the allowed fees for periodontal maintenance — taken from our own contracted schedules. An allowed fee is what the contract permits to be charged, in network and out. It is not what you pay: your deductible and your coinsurance decide that, and we work yours out in writing before you commit to anything.

Check the going rate yourself

FAIR Health's dental cost lookup is free, needs no account, and is not ours — it reports what a procedure typically costs in your area. It does not know your plan, so treat it as a ballpark figure — not a final answer.

Ask us for the number first

We verify your specific plan before your appointment and give you a written estimate: what the plan is expected to pay, and what you pay. If we get it wrong we tell you why.

Bring an Explanation of Benefits

Treated somewhere else? Your EOB shows exactly what the plan paid and what it counted against your maximum. Bring one in and we will read it with you — whether or not you become a patient here.

None of this says out-of-network dentists are worse dentists. Plenty are excellent, plenty are out-of-network for sound reasons, and people choose a dentist for who that person is. What we think you are owed is the information, so that whatever you choose, you chose it knowingly. The whole thing, explained properly, or call (469) 262-2111 and ask.

What happens next

Your first year of periodontal maintenance

  1. 6–8 weeks after treatmentFirst re-measurement of your gums

    The appointment that tells you whether scaling and root planing worked. Improvement should be visible in the numbers as well as in how the gums feel.

  2. The first maintenance visitSetting a new baseline for your gums

    The readings from here become the line everything is compared against. Slower or faster than three months is decided from your own response — not a default.

  3. Months 3–12Tracking individual problem spots

    Most mouths hold and a few sites drift. Catching one site at four millimeters is a conversation. Catching six sites at six millimeters is another course of treatment.

  4. Year one reviewChecking if your visit interval is right

    Some patients stabilise well enough to stretch to four months. Some need to stay at three. This is reviewed on evidence — not left on whatever was set at the start.

  5. OngoingWhy maintenance continues long term

    Periodontitis stays controlled and not cured, and the maintenance interval is permanent. We would rather say that once, clearly, than let you discover it by relapsing.

Getting here

Booking periodontal maintenance in Frisco

If you were treated for gum disease somewhere else and drifted out of maintenance, that is extremely common and not worth being embarrassed about. Come in, get measured, and find out where things actually stand — it is very often better news than people expect.

Book an appointmentCall (469) 262-2111
Hours
Weekdays 9–6
Saturdays 9–3
Languages
English, Telugu, Hindi, Urdu
Arabic with Saba, our hygienist, Tuesdays, Thursdays and Fridays
Vietnamese with Anh, our hygienist, Saturdays
Cantonese and Mandarin with Dr. Louie, our periodontist, on his scheduled days, by internal referral
Also serving
McKinneyPlanoProsperLittle ElmAllenCelina
Before you call

Periodontal Maintenance FAQs in Frisco, TX

Grouped so you can go straight to the one you came for.

Periodontal Maintenance — common questions

What is periodontal maintenance?
The ongoing treatment that follows scaling and root planing. It cleans above and below the gumline in every pocket, and re-measures six sites per tooth each time. It runs every three to four months, and not every six. It is a separate procedure from a routine cleaning, with a separate code, which is why insurance handles it differently.
Why every three months and not six?
Because bacteria recolonise a treated periodontal pocket over roughly twelve weeks. A six-month interval leaves the pocket repopulated for about half the year, unchecked. The interval is set by that biology. If it sounds like an upsell, ask to see your readings across visits. The sites that slip between appointments make the argument better than we can.
Will my insurance cover four maintenance visits a year?
Often not. Most plans pay for two hygiene visits a year, though some allow three or four for patients with a documented periodontal history. This is the most common unpleasant surprise in gum care, and you should not have to discover it on a bill. We check your plan when maintenance is recommended and tell you exactly what is covered.
Can I ever go back to normal cleanings?
Rarely, and that is not a promise we can make. Periodontitis is controlled, not cured, and the lost tissue attachment does not regrow. Some patients whose disease has been stable for a long time can stretch the interval, which is reviewed on their own readings. Returning to six-monthly routine cleanings is usually how a controlled case becomes active again.
What happens if I skip maintenance?
Pockets repopulate, inflammation returns, and bone loss resumes, usually silently, because gum disease does not hurt until late. That can mean repeating treatment you have already paid for, surgery, or eventually losing teeth that were saveable. If cost or scheduling is the obstacle, say so. There is almost always a workable plan.
Is periodontal maintenance painful?
It should not be. Working below the gumline can be uncomfortable in a few sensitive sites, and we can numb those. The irrigation is warmed, which patients say makes the most difference. If maintenance has been an appointment you dread, say so at the start. That is a solvable problem, and the interval only works if you keep it.
How long is the appointment?
A full hour, which is the standard for every hygiene appointment in this practice regardless of what it is. The hour holds the re-measuring and the cleaning above and below the gumline. It also includes polishing, fluoride varnish, the wellness scan, and time to actually look at your own numbers with your hygienist.
How often do I need periodontal maintenance?
Most patients need periodontal maintenance every three to four months, because bacteria return to a treated pocket over roughly twelve weeks. Your hygienist measures your gums at each visit, and your own readings decide whether three or four months is right for you. After a year of stable readings, some patients can stretch the interval, which we review with you.
Will I ever go back to regular cleanings?
Probably not, and we would rather say so honestly. Periodontitis is controlled, not cured, so most patients stay on periodontal maintenance long term, because the gum attachment that was lost does not regrow. If your readings stay stable for a long time we can review your interval, and your doctor confirms that at an exam.
Is periodontal maintenance worth it?
Treated gum disease is controlled, not cured. Bacteria return to a treated pocket over roughly twelve weeks, so missed visits let pockets repopulate, inflammation return and bone loss resume, usually without pain. That can mean repeating treatment, surgery or eventually losing teeth. Maintenance is the least expensive part of gum care by a wide margin.
What qualifies for periodontal maintenance?
Periodontal maintenance is for patients who have been treated for periodontitis, usually with scaling and root planing. After treatment, visits move from routine cleanings to maintenance every three to four months, because the gum attachment that was lost does not regrow. It is a separate procedure from a routine cleaning, with its own code.
Where can I get periodontal maintenance near me in Frisco?
Periodontal maintenance is done at 8175 Custer Rd, Suite A110, Frisco, TX 75035, as a full hour, in the same building as our periodontist. The office is open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM, and the phone is answered on Wednesday.
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Same-day and Saturday appointments for toothaches, broken teeth, knocked-out teeth and lost crowns. Call us and we'll tell you what to do first, while you're still at home.

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Everything else under this roof.

White Lotus Dental offers nine dental specialties inside one calm office on Custer Road. Having general dentists and an in-house periodontist on staff means your entire family can receive preventive, restorative, and surgical treatments in one familiar place.

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