Scaling and root planing is a deep cleaning dental procedure primarily used to treat gum disease (also known as periodontal disease), especially in its early stages (gingivitis) or more advanced stages (periodontitis). It’s a non-surgical treatment that aims to remove plaque, tartar (also called calculus), and harmful bacteria from below the gum line. Additionally, the procedure smooths the root surfaces, helping to promote healthy gum reattachment and reduce inflammation.

What is Scaling and Root Planing?

Scaling:

Scaling is the process of removing plaque and tartar (hardened plaque) that accumulates on the surfaces of your teeth, both above and below the gum line. Plaque and tartar are major contributors to gum disease and can cause gum inflammation, infection, and even tooth loss if left untreated. Scaling ensures a thorough cleaning, preventing further damage to your gums and tooth structures.

Root Planing:

After scaling, root planing involves smoothing the rough surfaces of the tooth roots. Bacteria can linger in these rough areas, which contributes to ongoing gum infection. By smoothing the root surfaces, root planing reduces bacterial accumulation, making it easier for the gums to reattach to the teeth and heal.

Why is Scaling and Root Planing Important?

Scaling and root planing are essential for managing gum disease, as they help to:

1. Remove Plaque and Tartar:

Tartar buildup can lead to infection and inflammation in the gums, eventually causing gum recession and tooth loss.

2. Reduce Gum Disease Symptoms:

The procedure helps reduce gum pockets, which are spaces between the gums and teeth where bacteria thrive.

3. Prevent Tooth Loss:

If left untreated, gum disease can lead to bone loss and tooth loss. Scaling and root planing help prevent this.

4. Promote Gum Healing:

By smoothing root surfaces, the gums can more easily reattach to the teeth, encouraging healing and healthy gum tissue.

When is Scaling and Root Planing Needed?

Scaling and root planing may be recommended when you have:

1. Gum Disease (Periodontitis):

Symptoms include swollen, bleeding gums, bad breath, receding gums, or loose teeth.

2. Deep Gum Pockets:

If your gum pockets are deeper than 3 millimeters, scaling and root planing can help remove bacteria from these areas and restore gum health.

3. Increased Tooth Mobility:

If your teeth are loosening due to gum disease or bone loss, this procedure can help stabilize them.

4. Persistent Bad Breath or Bad Taste:

If you're experiencing chronic bad breath, it may be due to bacteria buildup, which scaling and root planing can address.

The Scaling and Root Planing Procedure

1. Initial Assessment:

Your dentist or hygienist will examine your gums, take X-rays, and measure the depth of the gum pockets using a probe to determine the severity of your gum disease.

2. Local Anesthesia:

Scaling and root planing may require local anesthesia to ensure comfort, especially if the procedure is done on deep gum pockets or multiple areas. In some cases, multiple appointments may be needed.

3. Scaling:

Your dentist or hygienist will use manual scalers or ultrasonic instruments to remove plaque and tartar from above and below the gum line. Ultrasonic instruments vibrate to break up tartar, while a stream of water flushes away the debris.

4. Root Planing:

After scaling, your dentist will smooth out the rough tooth root surfaces to remove any remaining bacteria and to prevent future plaque buildup.

Post-Treatment Care

After scaling and root planing, you may experience:

• Sensitivity: Some tooth sensitivity is normal, especially to hot or cold foods and drinks. This should subside in a few days.

• Gum Bleeding: Mild bleeding may occur but should stop within a few days.

• Discomfort: Over-the-counter pain relievers like ibuprofen can help manage any pain or swelling.

Your dentist may recommend antimicrobial mouthwash or a saltwater rinse to help with healing and to reduce the risk of infection.

Benefits of Scaling and Root Planing

1. Prevents Tooth Loss:

By removing harmful plaque, tartar, and bacteria, scaling and root planing help stop gum disease in its tracks and protect your teeth from damage.

2. Reduces Gum Inflammation:

The procedure eliminates the bacteria causing red, swollen, and bleeding gums, reducing inflammation and promoting healthier gum tissue.

3. Improves Oral Health:

Scaling and root planing restore the health of your gums and teeth, improving your ability to maintain good oral hygiene and preventing further damage.

4. Prevents Bone Loss:

This procedure helps prevent bone loss, preserving the bone structure that supports your teeth.

5. Enhances Fresh Breath:

By removing bacteria and infection, scaling and root planing can improve bad breath, leading to a fresher mouth and better overall oral hygiene.

Aftercare and Recovery

1. Sensitivity:

Mild sensitivity is common, but it should improve within a few days.

2. Gum Bleeding:

Some bleeding is normal after the procedure but will stop after a few days.

3. Pain Relief:

You can take over-the-counter pain medications to manage any discomfort. Follow your dentist’s aftercare instructions carefully to promote healing.

4. Follow-Up Visits:

A follow-up appointment will typically be scheduled 4-6 weeks after treatment to monitor healing and ensure proper gum reattachment.

Risks or Possible Complications

While scaling and root planing are generally safe, some potential risks include:

• Infection: Though rare, there is a slight risk of infection, particularly if deep gum pockets were treated.

• Tooth Sensitivity: Some patients experience increased tooth sensitivity after treatment.

• Gum Recession: In severe cases of gum disease, gum recession may prevent full restoration of the gumline.

Conclusion

Scaling and root planing is a highly effective procedure for treating gum disease and restoring gum health. By removing harmful bacteria, tartar, and plaque, it helps prevent tooth and bone loss, reduces inflammation, and improves oral hygiene. Following your dentist's aftercare instructions is crucial for successful healing and maintaining optimal gum health.

If you have symptoms of gum disease, such as bleeding gums, bad breath, or loose teeth, consult with our dentist about the possibility of scaling and root planning as part of your treatment plan.

Please, call for the consultation. (425) 430 - 2029