In periodontal disease, the gums become swollen and unhealthy, creating pockets where plaque and tartar-containing infection-causing bacteria accumulate. Scaling and root planing are vital parts of the treatment, during which the dentist or hygienist removes plaque, tartar, and bacteria from the surfaces of the teeth and tooth roots. This procedure involves using hand tools, electronic instruments, or a combination of both.
For patients with gum disease, scaling, and root planing, along with regular periodontal maintenance checkups, may become a routine part of dental visits, similar to cleanings and exams. While scaling and root planing cannot cure periodontal disease, it can slow or halt its progression. The main objective is to eliminate bacteria-filled plaque and tartar that inflame the gums and surrounding bone. This treatment can reduce the need for surgical intervention in the future and often helps swollen, bleeding gums become healthy and pink again.
Scaling and root planing is considered the gold standard of treatment for patients diagnosed with gum disease (periodontitis). It is sometimes referred to as "deep cleaning" or "periodontal therapy." If you have periodontitis at risk of worsening, the dentist may recommend scaling and root planing to prevent the advancement of gum disease. However, it's essential to understand that this is not a one-time procedure. The dentist may recommend ongoing scaling and root planing as necessary to maintain the health of your mouth despite the condition.
The procedure involves using handheld instruments, such as a scaler and a curette. Both tools have sharp, curved tips and resemble metal chopsticks. The dentist gently scrapes the tool along the tooth below the gumline to identify areas of tartar and plaque buildup.
Electronic scalers use ultrasonic vibration to remove plaque and tartar. The vibrating metal tip chips away tartar, and a water spray washes away the debris as it's removed. This water spray also keeps the tip of the tool cool.
During the root planing part of the treatment, the dentist or hygienist smoothes the surface of the tooth root, making it harder for bacteria to adhere in the future and easier for the gums to reattach. The same tools mentioned above are used but with a focus on making rough spots smooth again. After root planing, the dentist may apply a disinfectant or antibiotics to further discourage the return of bacteria.
To ensure your comfort during the procedure, the dentist will numb your gums, especially if they are already sensitive and swollen from periodontitis. Typically, only one or two quadrants of your mouth are treated at a time, allowing you to eat and drink fairly normally as the anesthesia wears off.
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At Wellness Dental Group, we take pride in setting ourselves apart from other dental practices in La Jolla and Poway.
Our commitment to the community extends beyond dental care, as we consider ourselves part of a network of caretakers who prioritize the health and well-being of our friends and neighbors in La Jolla, Poway, and the surrounding areas. As a locally-owned practice, we are part of a legacy of providing top-quality general dentistry.