Scaling and Root Planing
Dental scaling and root planing, also known as deep cleaning, is a non-surgical procedure performed by dental professionals to treat gum disease, specifically periodontitis. It involves removing plaque, tartar (calculus), and bacteria from the teeth and roots to promote gum health and prevent further progression of gum disease.
Scaling is the process of removing plaque and tartar from the surfaces of the teeth, both above and below the gum line. Plaque forms due to the accumulation of bacteria, food particles, and saliva. If not properly removed, plaque hardens and becomes tartar or calculus, which cannot be eliminated with regular brushing and flossing. Scaling is typically performed using special dental instruments, such as ultrasonic scalers or handheld scalers, which carefully remove these deposits from the tooth surfaces.
When periodontal disease progresses, the gums pull away from the teeth, creating pockets that trap bacteria and plaque. Root planing involves smoothing out the rough surfaces of the tooth roots below the gum line, which helps remove bacteria and provides a clean surface for the gums to reattach to the teeth. The procedure may require local anesthesia to ensure patient comfort, as it involves cleaning the sensitive root surfaces.
The combination of dental scaling and root planing aims to remove the accumulated plaque, tartar, and bacteria from the teeth and roots, helping to eliminate the sources of infection in the gums. It also reduces inflammation, preventing further gum disease progression, and promoting gum tissue healing.
Local and Systemic Antibiotics
In some cases, antibiotics or antimicrobial agents may be prescribed to complement the treatment and aid in controlling the infection. These antibiotics may be placed directly into the periodontal pocket or may be taken as a pill. Your periodontist will determine which antibiotic is appropriate, based on the severity of your case.
How many visits will it take?
Dental scaling and root planing treatments are performed by trained dental professionals, such as dentists and dental hygienists, and may require multiple visits depending on the severity of gum disease. After the procedure, regular maintenance and good oral hygiene practices, including brushing, flossing, and regular dental check-ups, are essential to maintain gum health and prevent the recurrence of gum disease.