Scaling and Root Planing

To treat periodontal disease, the first step is to thoroughly clean the patient's teeth. During the cleaning, we may also perform a scaling and root planing treatment. Scaling and planing are non-surgical methods of removing the tartar and plaque that leads to gingivitis. We may also recommend Scaling and root planing to patients who suffer from severe cases of periodontal disease.

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The Scaling and Root Planing Procedures

Once we examine the patient's mouth and takes X-rays, he can perform a dental scaling and root planing. The state of the patient's oral health will determine whether the patient needs a scaling and root planing. We will consider the patient's gum health, tartar buildup, pocket depth and periodontitis progression before making a treatment recommendation. We may give the patient local anesthesia before starting these cleaning procedures.

Dental Scaling

A dental scaling removes the plaque and calculus from the tooth's surface, particularly deposits below the patient's gum line. To effectively rid the teeth of hardened plaque, We use an ultrasonic scaling tool. Afterward, we may perform an oral irrigation below the gum line to decrease the bacteria in the patient's mouth.

Root Planing

Root planing is a procedure that smooths the surface of the roots. By smoothing the roots, We can remove surface dentin and cementum that is compromised by tartar and toxins. Root planing also facilitates healthy tissue growth and prevents bacterial colonization.

Antibiotic Therapy

We may recommend antimicrobial mouth rinses or antibiotics to reduce oral bacteria growth. Some patients may also be candidates for antibiotic fiber therapy. This treatment is designed to deliver antibiotics directly into a periodontal pocket to promote healing and control infections.

Treating Deep Periodontal Pockets

Challenges may arise during scaling and root planing if the patient has deep periodontal pockets. If the pockets are too deep, we may have difficulty removing tartar and plaque. Patients who have this problem are usually unable to prevent plaque buildup on their own. Therefore, the patient may need surgery.

Treatment Benefits

Patients benefit in several ways from a successful scaling and root planing treatment. Bacteria from a periodontal infection can move through a person's bloodstream, causing severe respiratory and cardiovascular diseases. However, scaling and planing can prevent these serious health conditions by removing the bacteria that is responsible for causing a periodontal infection.

Also, scaling and planing treatments prevent future tooth loss. Those who have gum pockets that are deeper than 3 millimeters have a greater risk for getting periodontal disease. Without treatment, periodontal pockets become deeper, making it easier for bacteria to colonize. Over time, the body's natural inflammatory response destroys bone and gingival tissue, leading to tooth loss.

Lastly, scaling and root planing decreases the bacteria and food particles that cause bad breath. This treatment also removes superficial tooth stains. Therefore, patients can enjoy the benefits of fresher breath and a more aesthetically pleasing smile.