Periodontal Scaling & Root Planing

Scaling and root planing remove plaque and tartar, preventing gum disease. These procedures help maintain healthy gums and teeth, ensuring a radiant smile.

The objective of scaling and root planing is to remove agents causing inflammation in the gums and surrounding bone, like plaque and tartar. These non-surgical procedures cleanse the periodontium and are effective for gingivitis (mild gum inflammation) and moderate/severe periodontal disease.

Reasons for scaling and root planing: Scaling and root planing can be preventative or a stand-alone treatment for periodontitis sufferers.

Here are reasons these procedures may be necessary:

  • Disease prevention: Oral bacteria causing periodontal infections can travel through the bloodstream to other parts of the body. Research links periodontal bacteria to lung infections and heart disease. Scaling and root planing remove bacteria, halting periodontal disease and preventing bacteria from spreading.
  • Tooth protection: Gum pockets deeper than 3mm house dangerous bacteria. Chronic inflammation can destroy gum and bone tissue, leading to tooth loss. Periodontal disease is the leading cause of tooth loss in the developed world.
  • Aesthetic effects: Scaling and root planing remove tartar, plaque, and superficial stains from teeth.
  • Better breath: Halitosis (bad breath) is a common sign of periodontal disease. Removing food particles and bacteria with scaling and root planing alleviates bad breath.

What do scaling and root planing treatments involve?

Scaling and root planing treatments follow a thorough examination of the mouth. The dentist will take X-rays, conduct visual exams, and make a diagnosis before recommending these procedures. Depending on the condition of the gums, amount of tartar, pocket depth and periodontitis progression, local anesthetic may be used.

Scaling: Special dental instruments, including an ultrasonic scaling tool, remove tartar and plaque from crown and root surfaces. The tool may deliver an antimicrobial agent to reduce oral bacteria.

Root Planing: This treatment removes cementum and surface dentin embedded with microorganisms, toxins, and tartar. Smoothing the root promotes healing and prevents future bacterial colonization.

After deep cleaning, gum pockets may be treated with antibiotics to soothe irritation and aid healing. The dentist will re-examine the gums at the next appointment to check healing. If pockets are still deeper than 3mm, more intensive treatments may be recommended.

If you have questions about scaling, root planing, or periodontal disease, please ask your dentist.