WHAT is scaling and root planing
Scaling and root planing is a thorough dental cleaning of tooth root surfaces to remove plaque and tartar (calculus) from around teeth and periodontal pockets in the gums, and to smooth the teeth roots to remove bacterial toxins. Scaling and root planing is performed to prevent and/or treat the more serious form of gum disease called periodontitis.
Periodontal disease involves inflammation and infection of the gums and surrounding oral tissues. The main cause of gum disease, bacterial plaque (a sticky, colorless film that forms on teeth) hardens into a rough, porous substance that releases toxins. These toxins cause the gum fibers holding the teeth firmly in place to loosen and break down, creating periodontal pockets that can become filled with more bacteria and toxins. If left untreated, the pockets continue to deepen and the bone securing the teeth will be destroyed, eventually causing tooth loss.
How does scaling and root planing Procedure work?
Evaluation
During the initial examination, we will evaluate your plaque buildup and your gums for possible periodontal problems. Using a periodontal probe, the depth of the spaces between your teeth and gums will be measured. At the edge of the gumline, healthy gum tissue forms a shallow, v-shaped groove between the tooth and gums. Normal depth is 3 mm or less. With periodontal diseases, this space widens, creating a deeper pocket, resulting in harmful plaque buildup that cannot be cleaned without professional dental treatment.
Scaling
Scaling and root planing is performed when pockets are greater than 3 mm. Scaling removes plaque and tartar above and below the gumline. Scaling allows us to remove hardened debris and the bacteria that is causing the infection without damaging your teeth. Some patients find this treatment to be tolerable and some patients may request a local anesthetic, we can accommodate as needed. Following scaling, we then complete a process known as root planing.
Root Planing
Following scaling, we then complete a process known as root planing. Root planing is the smoothing of the tooth roots. Roots can become textured from the tartar that was in place; this textured surface allowed debris a place to rest easily. We smooth the root back into place, creating a surface that is more difficult for debris to settle, allowing the roots to stay healthier longer. Additionally, this process induces a healing response from your body which will assist in the reattaching of the teeth and gums.
Frequently asked questions
+ Why is scaling and root planing done?
Root planing and scaling is done when gums have either started to pull away from the teeth or the roots of the teeth have hard mineral deposits (tartar) on them.
+ When should you resume regular oral car?
You should resume normal oral care procedures after your teeth scaling and root planing. This includes brushing your teeth at least two times a day and flossing regularly. You should also eat a healthy, balanced diet and see your dentist for regular cleanings to prevent the condition from returning. Depending on the severity of your gum disease, you may be placed on a periodontal maintenance cleaning schedule, returning for regular cleanings every three to four months versus the standard cleanings every six months.
Schedule your cleaning and exam to start your way to great oral health
