Deep Cleaning Treatment

Scaling and Root Planing

A deep cleaning procedure that treats gum disease by removing plaque and tartar from below the gum line and smoothing tooth roots to promote healing.

Overview of dental caries prevention. Girl at the dentist chair during a dental scaling procedure. Healthy Smile.

What is Scaling and Root Planing?

Also known as deep cleaning, this non-surgical procedure is the gold standard treatment for periodontal disease

the dentist examines the depth of the patient's gums

A Two-Part Deep Cleaning Process

Scaling

Removes plaque and tartar (calculus) from above and below the gum line, reaching deep into periodontal pockets where harmful bacteria accumulate.

Root Planing

Smooths the tooth root surfaces, removing bacterial toxins and making it harder for bacteria to reattach. This helps gums reattach to teeth naturally.

Did You Know?

Without treatment, gum disease can lead to tooth loss and has been linked to serious health conditions including heart disease, diabetes complications, and respiratory infections.

Signs You May Need This Treatment

Recognizing the early warning signs can help prevent serious complications

Bleeding Gums

Gums that bleed when brushing, flossing, or eating hard foods

Receding Gums

Gums pulling away from teeth, making teeth appear longer

Persistent Bad Breath

Chronic bad breath (halitosis) that doesn't improve with brushing

Swollen or Tender Gums

Red, puffy, or tender gums that are inflamed and sensitive

Loose Teeth

Teeth that feel loose or shift position when you bite down

Pus or Infection

Discharge between teeth and gums indicating active infection

Early Detection is Key

If you're experiencing any of these symptoms, don't wait. Schedule a consultation to assess your gum health and explore treatment options.

Schedule Consultation

The Treatment Process

Understanding what to expect during your scaling and root planing procedure

1

Initial Assessment

Your dentist examines your gums, measures pocket depths around each tooth, and takes X-rays to assess bone loss. This determines the extent of treatment needed.

2

Local Anesthesia

The treatment area is numbed with local anesthetic to ensure your comfort throughout the procedure. Some patients may receive additional sedation options if needed.

3

Scaling Phase

Using ultrasonic scalers and hand instruments, the dentist carefully removes plaque and tartar from above and below the gum line, reaching deep into periodontal pockets.

4

Root Planing Phase

The root surfaces are smoothed to remove bacterial toxins and rough spots where bacteria can accumulate. This creates a clean surface for gums to reattach.

5

Antimicrobial Treatment

An antimicrobial medication may be applied to the treated areas to help eliminate remaining bacteria and promote healing. Some dentists use antibiotic chips or gels.

Treatment Duration

Depending on the severity of gum disease and the number of affected areas, the procedure may be completed in:

  • Single visit: 1-2 hours for mild cases
  • Multiple visits: 2-4 sessions for extensive treatment (treating one quadrant at a time)

Benefits of Treatment

Stops Gum Disease Progression

Halts the advancement of periodontal disease and prevents further damage to gums and bone

Reduces Pocket Depth

Allows gums to reattach to teeth, reducing the depth of periodontal pockets

Prevents Tooth Loss

Preserves your natural teeth by treating the underlying cause of loosening

Improves Overall Health

Reduces bacteria that can enter bloodstream and affect heart, lungs, and blood sugar

Fresher Breath

Eliminates odor-causing bacteria for long-lasting fresh breath

After Care Instructions

First 24 Hours

  • Avoid hot, spicy, or crunchy foods
  • Don't brush or floss treated areas for 12 hours
  • Use prescribed pain medication as directed

Managing Sensitivity

  • Use desensitizing toothpaste
  • Avoid very hot or cold foods/drinks
  • Sensitivity typically resolves within 1-2 weeks

Oral Hygiene

  • Rinse with warm salt water 2-3 times daily
  • Use soft-bristled toothbrush after 12 hours
  • Resume gentle flossing after 24 hours

Follow-Up Care

  • Schedule follow-up appointment in 4-6 weeks
  • Maintain 3-4 month periodontal cleanings
  • Contact office if bleeding persists beyond 2-3 days

Frequently Asked Questions

Get answers to common questions about scaling and root planing

Ready to Restore Your Gum Health?

Don't let gum disease progress. Schedule a consultation today to learn if scaling and root planing is right for you. Our experienced team will assess your oral health and create a personalized treatment plan.

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