Scaling and Root Planing

Scaling and root planing are techniques used to clean the gum line from plaque and tartar, which helps the gum disease treatment.

Overview of Scaling and Root Planing

Dental plaque is a white substance that is created on the teeth surface after eating. Bacteria placed on the tooth plaque; these bacteria use particles of sweet beverages and foods and then produce acid. This acid causes damage to teeth and gum. As a result, the gums become inflamed and infectious. This bacteria products and plaques cannot be removed only by brushing, but the dentist can do it through scaling and root planing. This method is considered as a relatively invasive method, but it is a good option to prevent the need for gum surgery. According to reliable references, this practice is a gold standard for treating patients with chronic periodontitis.

Scaling and Root Planing Recommended For:

  •  People who experience significant issues with tartar and plaque on their teeth, putting them at risk for tooth decay and gum disease.

Before Scaling and Root Planing

The dentist will check the medical history and all the medications. Due to the risk of infection after the surgery, the dentist will prescribe prophylaxis antibiotics especially in patients with endocarditis (a kind of heart disease) or patients with artificial implants in their body like an artificial heart valve or whom with the weakened immune system. Antibiotics are also necessary if the patient had major surgery recently.

During Scaling and Root Planing

Local anesthesia is often used to minimize any discomfort. The dentist removes the plaque and tartar from above and under the gum, and the entire tartar is cleaned up to the bottom of the teeth envelope. Then, if needed, root planing will be begun. The dentist smooths the edges of the root of the tooth so that the gum adheres to the teeth. These smooth teeth surfaces prevent the bacteria or local sediment accumulation on the gums. Therefore the gums can recover and heal itself.

After Scaling and Root Planing

Patients may have pain, the teeth may become sensitive, and even the gums may be swollen or bleeding. All these complications are normal after this surgery for one to two days. The dentist may prescribe painkillers, antibiotics and mouthwash. In the next appointments, the dentist will check the gum recovery and measure the depth of the envelope. Other forms of treatment may be required if the packet depth is increased. Care for gums and teeth are very important after the procedure.