Scaling and Root Planing

What is it?

 Scaling and root planing is the most common procedure in the treatment of periodontal disease.  Scaling is the removal of calculus (tartar) and plaque on tooth surfaces.  Root Planing removes calculus and smoothes irregular areas on root surfaces.

Why do I need this procedure?

 Scaling removes calculus from the tooth surfaces mainly below the gum line where periodontal disease starts. By removing calculus from the tooth surfaces, plaque and bacteria are being eliminated, therefore allowing periodontal tissues to heal.  Root planning removes any remaining calculus from root surfaces and also smoothes irregular and rough surfaces.  By smoothing the root surfaces, plaque and bacteria do not have the rough surfaces to adhere to and any diseased root surfaces are removed allowing the periodontal tissues to return to a healthy, disease-free state.

Preparation

 For some people this procedure can cause some discomfort.  Local anesthetics are often used to numb the area of your mouth being treated.  Typically the mouth is divided into four quadrants and one quadrant is completed in a single appointment.  An ultrasonic instrument is often used to first remove large deposits through ultrasonic sound which feels like vibrations and a water spray flushes which cleanses the periodontal pockets of bacteria and debris.

Follow Up

 Some people have sensitivity after treatment.  Over-the-counter pain medication can help.  Also, rinsing with a solution of warm salt water a few times per day can sooth irritated gingival tissues. It is very important to be diligent about home-care after the scaling and root planning, this includes brushing and flossing and sometimes using antibacterial rinses or fluoride gels prescribed or recommended by your dentist.  It is also important to stop using tobacco products as tobacco decreases the ability to fight infections in your gums and delays the healing process.  Your dentist may also ask you to return to the office 4-6 weeks following treatment.  This appointment allows the dentist or dental hygienist to evaluate treatment and determine if any further treatment is necessary.  After scaling and root planing it is often necessary to have more frequent professional cleanings.  The frequency for cleanings increases to every 3 or 4 months to maintain a healthy mouth.