Your dentist may or may not need to use a local anesthetic to lessen the discomfort of the procedure. If you are concerned about pain, discuss this with your dentist.
Your dentist will first conduct teeth scaling. This involves scraping the plaque from your teeth and in any large pockets that have developed between your teeth and gums. Next, your dentist will do the root planing. Your dentist will smooth the tooth roots using a scaling tool. This smoothing helps your gums to reattach to your teeth. Your dentist may also recommend additional treatment depending on the health of your teeth and gums.
Your dentist may use antimicrobial agents in your mouth or prescribe oral antibiotics for you to take for several days to help you heal faster. Your dentist may also perform a process called host modulation in which additional medication is administered directly into your gums to help correct the negative effects of long-term periodontitis or reduce the chances of infection following your procedure.
Traditional tools are typically used to perform the procedure, including a scaler and a curette. But there are other instruments available for teeth scaling, such as lasers and ultrasonic devices. Your dentist may also recommend a full mouth disinfection. A study concluded that new tools and procedures for teeth scaling and root planing are no more effective than traditional methods.
A review of 72 journal articles on these procedures found that they improved the pocket gap between teeth and gums by. View More Payment Options. Scaling and Root Planing — Deep Cleaning to Treat Periodontitis To stop the infection caused by plaque that has gathered at the gum line, scaling and root planning is a procedure that thoroughly cleans the tooth down to its root. Stage 1 — Gingivitis As the first stage of gum disease, gingivitis causes the gums to become red and irritated, especially when eating or brushing your teeth.
Stage 2 — Periodontitis When gingivitis gets worse, it will soon become periodontitis, the second stage of gum disease. Stage 3 — Advanced Periodontitis Advanced periodontitis is identified by the fact that permanent damage has been done to gum tissues. Follow Us. If periodontitis has set in, that pocket begins to grow deeper and can even put teeth at risk of loosening and falling out altogether.
Unfortunately, once gum disease has progressed beyond gingivitis and into periodontitis, it cannot be entirely reversed. But if caught and treated early, it can be mitigated. Scaling and root planing is one treatment option for those with periodontitis. The aim of this deep cleaning is to remove harmful bacterial build-up and create an environment where the gums can heal.
Scaling is the process of removing all plaque, bacterial toxins and tartar deposits from your teeth and root surfaces. Root planing involves smoothing down the surfaces of affected teeth under the gumline. Smooth root surfaces make it harder for plaque, bacterial toxins and tartar to re-adhere to the teeth. Your dentist may also insert medication subantimicrobial-dose doxycycline directly into the pocket that was cleaned.
Your dentist will schedule another visit to see how your gums have healed and measure the depth of your pockets. If they have gotten deeper, more treatment may be needed. Good dental care at home is essential to help keep gum disease from becoming more serious or recurring.
Brush your teeth twice a day with a soft brush, clean between your teeth daily , eat a balanced diet , avoid using tobacco and see your dentist regularly.
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