Periodontal Services

Periodontal Services

Periodontal Services

Periodontal Scaling and Root Planing (often referred to as deep cleaning/ gum therapy) is a non-surgical procedure used to treat gum disease (periodontitis). It helps remove plaque, tartar (calculus), and bacteria from below the gumline to promote healing of the gums and prevent further damage to the teeth and supporting structures and is done when a patient has signs of gum disease, such as gingivitis or periodontitis.

The procedure is done in two steps:

  1. Scaling
    Scaling is the process of removing plaque (a sticky film of bacteria) and tartar (hardened plaque) from the surface of the teeth and below the gumline. Plaque can form on teeth above and below the gumline, while tartar, which is harder, forms when plaque isn't removed and hardens over time. Scaling helps clean the areas that regular brushing and flossing may not reach, especially in deeper pockets between the teeth and gums.
  2. Root Planing
    Root planing is the process of smoothing the surface of the tooth roots to remove any remaining tartar and bacteria. Smoothing the roots helps the gums reattach to the teeth, allowing the gums to heal and tighten around the tooth. This step also reduces the risk of bacteria buildup in the future.
  • Why is Scaling and Root Planing Done?

    The main goal of scaling and root planing is to treat gum disease by:

    • Removing plaque and tartar that have built up under the gums.
    • Reducing gum inflammation and promoting gum reattachment to the teeth.
    • Preventing the progression of gum disease to more severe stages, which can lead to tooth loss, gum recession, and bone damage.
  • When is Scaling and Root Planing Recommended?

    Your dentist or hygienist may recommend scaling and root planing if you have:

    • Gum Disease: Typically, in cases of periodontitis, where the gums have pulled away from the teeth, forming pockets deeper than 4 mm that trap bacteria.
    • Bleeding Gums: Gums that bleed when brushing or flossing may indicate gum disease.
    • Persistent Bad Breath: Often associated with bacteria in the mouth and deeper gum pockets.
    • Loosening Teeth: Gum disease can cause the loss of bone that holds teeth in place, leading to mobility of teeth.
  • Procedure Overview

    Scaling and root planing is typically done under local anesthesia to ensure the patient is comfortable during the procedure. If the procedure is extensive (e.g., if many teeth are affected), it may be done in multiple sessions. Here’s a breakdown of what to expect during the procedure:

    • Pre-procedure: A thorough cleaning is done above the gumline first, and local anesthesia may be applied to numb the areas that will be treated.
    • Scaling: Using specialized tools (such as an ultrasonic scaler or hand instruments), the dental professional removes the plaque and tartar from the teeth and below the gumline.
    • Root Planing: The roots of the teeth are smoothed to help the gums reattach to the tooth surface and to remove bacteria that could lead to infection.
    • Post-procedure: After the procedure, there may be some soreness or discomfort, but this typically resolves after a few days. Dr. Jasani may recommend using an antimicrobial mouth rinse or a special toothpaste to aid healing.

    After the procedure, you may experience:

    • Slight discomfort or sensitivity around the treated areas.
    • Slight bleeding when brushing or flossing for the first few days.
    • Swelling of the gums, which should improve within a few days.
  • Post-Treatment Care
    • Follow good oral hygiene: Continue brushing and flossing as usual but be gentle around the treated areas.
    • Avoid smoking: Smoking can slow healing and negatively affect gum health.
    • Antimicrobial rinse: Your dentist may recommend using a special mouthwash to reduce the risk of infection.
    • Regular follow-up appointments / periodontal maintenance: You will likely be scheduled for follow-up visits to monitor the progress of your gum health and ensure that the treatment was effective.
  • Benefits of Periodontal Scaling and Root Planing
    • Stops gum disease progression: By removing plaque and tartar from below the gumline, the procedure helps stop the spread of gum disease and prevents further damage to the teeth and bone.
    • Improved gum health: The gums begin to heal and reattach to the teeth, reducing pocket depths and inflammation.
    • Reduced risk of tooth loss: By treating gum disease, you can reduce the risk of losing teeth or experiencing tooth mobility.
    • Fresher breath: Removing bacteria and plaque can eliminate the sources of persistent bad breath.
  • Potential Risks and Considerations
    • Discomfort: Some people experience soreness, bleeding, or swelling during or after the procedure.
    • Infection: Although rare, there is a slight risk of infection after the procedure if bacteria is introduced.
    • Tooth sensitivity: Some people may experience increased sensitivity to hot or cold foods and beverages after root planing.
  • Is Scaling and Root Planing Always Necessary?

    Not everyone with gum disease will need scaling and root planing. The decision to proceed with this procedure depends on the severity of the gum disease, how deep the pockets are, and other individual factors.

    In cases of mild gum disease (gingivitis), regular brushing, flossing, and professional cleanings may be sufficient. However, when gum disease has advanced to periodontitis with deep pockets and significant plaque/tartar buildup, scaling and root planing may be necessary to avoid further complications.

  • Alternative Treatments

    In more severe cases of gum disease, where scaling and root planing alone may not be sufficient, additional treatments may include:

    • Surgical Treatments: If deep pockets persist or if there is significant bone loss, procedures like flap surgery or bone grafting may be recommended.
    • Laser Treatments: Some dentists use laser technology to remove infected tissue and help promote healing.
Gum Disease
Conclusion

Periodontal scaling and root planing is an effective, non-surgical treatment to manage gum disease, reduce gum inflammation, and prevent tooth and bone loss. It is an essential procedure for maintaining optimal gum health, especially for individuals who have advanced stages of gum disease. Periodontal disease is linked to a lot of other health conditions like Diabetes, Alzheimers, heart disease.

If you are experiencing signs of gum disease, please do call us to schedule a consult and learn more about your current gum health.

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