Scaling and root planing, often called deep cleaning, is an essential periodontal treatment that goes beyond routine dental cleaning. This specialized procedure effectively treats gum disease and helps maintain long-term oral health by addressing bacteria and tartar buildup both above and below the gum line [1].
But what exactly does this procedure involve? Here are the details on a scaling and root planing procedure and what you can expect if your dentist has recommended this treatment to improve your gum health.
Understanding the Procedure
Scaling and root planing consist of two main components, as the name suggests.Â
Scaling removes plaque, tartar, and bacteria from both above and below the gum line down to the roots of the affected teeth. Root planing smooths out rough spots on tooth roots where tartar has accumulated.
The process reaches deep into periodontal pockets, which are spaces between the teeth and gums that get deeper with gum disease. Dentists typically use a combination of manual and ultrasonic instruments to complete the procedure with local anesthesia for comfort.
When Scaling and Root Planing Are Necessary
Scaling and root planing are meant to treat gum disease [2]. If you have periodontal pockets measuring 4mm or deeper, visible tartar buildup, bleeding or tender gums, or evidence of bone loss in the jaw, your dentist may recommend a scaling and root planing procedure to restore your gum health.
What to Expect During a Scaling and Root Planing Procedure
After your initial consultation, you may need to schedule a separate appointment for your scaling and root planing.
Your mouth will be numbed with local anesthesia before your dentist or hygienist begins the procedure. They’ll use specialized tools, including ultrasonic scalers and hand instruments, to meticulously remove plaque, tartar, and bacteria above and below the gum line (scaling).
They then smooth out rough spots on the tooth roots (planing). This process is typically done one section of the mouth at a time. The cleaning extends into the periodontal pockets, reaching areas that regular brushing and flossing can’t.
After the procedure, your mouth may take up to a month to fully heal, although initial healing only takes two to three days. Your dentist will want to see you back for regular checkups to ensure your smile is healing properly and that the procedure has the intended effect.
Ensuring Long-Term Success After the Procedure
Scaling and root planing isn’t a standalone treatment for gum inflammation and disease. It’s crucial to continue proper oral hygiene at home to ensure success after your initial treatment [3].
Depending on the severity of your periodontal disease, you may need subsequent scaling and root planing procedures to heal your smile. Your dentist may also prescribe antibiotics to clear up any infection in your oral cavity due to gum disease.Â
Your dental team will work closely with you to ensure you have the best chance of success with this procedure and recovering from gum disease.
Schedule Your Scaling and Root Planing Procedure Today
If you have bleeding, tender, or inflamed gum tissue, you could benefit from scaling and root planing. Schedule an appointment with your dental professional today for a comprehensive periodontal evaluation and to discuss whether scaling and root planing might benefit your smile and protect your oral health!
Sources:
- https://pubmed.ncbi.nlm.nih.gov/27929624/
- https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/scaling-and-root-planing
- https://www.sciencedirect.com/topics/medicine-and-dentistry/scaling-and-root-planing
