Planing is the procedure used to smooth the tooth’s root after the scaling process. Because scaling and root-planing can result in some decreased pocket depth, this procedure can often limit the number of areas that require surgical pocket elimination.ĭuring the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums. Also during Initial Periodontal Therapy we work to establish an effective oral hygiene regimen for each patient in an effort to prevent relapse after treatment is completed. In this manner we can predict how the tissue will respond with additional surgical treatment. This ‘Initial Periodontal Therapy’ improves the overall quality of the gum tissue prior to surgery and helps us to evaluate the patient’s ability to heal. In this manner, we can prevent further periodontal breakdown and address early relapse when it occurs.Įven in more advanced cases of periodontitis, periodontal scaling and root-planing is necessary to prepare the teeth and gum tissue prior to surgical treatments. The goal then is to maintain a healthy periodontal status by combining good oral hygiene practices, such as brushing and flossing, with regular professional dental cleanings (periodontal maintenance) at three-month intervals, often alternating between our office and the office of your primary general dentist. Many shallower periodontal pockets can be eliminated using scaling and root planing. The teeth are reevaluated in four to six weeks. Using these instruments, bacterial plaque and dental calculus (tartar) are removed from the surfaces of the teeth, including the root surfaces above and below the gum line. Scaling and root-planing is usually performed using a combination of ultrasonic and hand instrumentation, such dental curettes or scalers. Scaling and root planing can be performed with or without an antibiotic that may be delivered either locally or systemically. This includes periodontal scaling and root planning, or deep cleaning, in the presence of local anesthesia. Use a soft bristle toothbrush at least twice per day, and floss at least once per day.Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. Taking over-the-counter pain medications like acetaminophen and ibuprofen can reduce inflammation, as well as rinsing with warm salt water.īrushing and flossing on a regular basis promote healing and reduce further gum inflammation. You should also avoid extremely hot or cold foods and drinks. How to reduce sensitivity after the procedureĮating soft foods ( yogurt, applesauce, or mashed potatoes) for a few days after your procedure can help reduce sensitivity. Your gums might swell, and you might have minor bleeding, too. You can expect some sensitivity after your treatment. Teeth scaling and root planing can cause some discomfort, so you’ll receive a topical or local anesthetic to numb your gums. In addition, deep dental cleanings can sometimes release bacteria into the bloodstream. That’s because there’s a risk of infection after the procedure. If your immune system is compromised, you might have to take an antibiotic for a few days. This helps reduce the size of the space between your teeth and gums, helping your gums reattach to the teeth. During the root planing visit, your dentist removes plaque and tarter that forms on the roots of your teeth. The tooth scaling appointment is when your dentist removes plaque and tartar from below the gumline. Deep cleaning involves gum scaling and root planingĭeep cleanings usually take place over two or more visits and involve gum scaling and root planing. Cleaning below the gumline removes this buildup. Gum disease causes a space or gap between your teeth and gums, where tartar and plaque can become trapped. A deep cleaning, on the other hand, removes plaque and tartar from below the gumline. Regular cleaning removes plaque and tartar from above the gumline. Deep teeth cleanings differ from routine teeth cleanings.
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