What Is Teeth Scaling?

Another term for a deep cleaning is called Deep Scaling and Root Planing. This procedure involved instrumentation of the crown/root surfaces of the teeth to remove plaque and calculus from these surfaces. This is a therapeutic procedure, not a prophylactic, in nature. Root planing is a procedure designed for the removal of cementum and dentin that is rough, or permeated by calculus or contaminated toxins. In additional some soft tissue may be removed. This procedure may be used as a treatment in some stages of periodontal disease, or as part of a pre-surgical for others.

 

Is this procedure needed?

Deep Scale and Root Planing (periodontal deep cleaning) is required to treat moderate to severe periodontal disease, remove hardened plaque (tartar) and bacteria from deep below the gum line. This non-surgical treatment eliminates infection, reduces pocket depths between the gum tissue and the tooth, and allows the gum tissue to re-attach and heal.

How does this procedure work?

  1. Preparation: The dentist of hygienist often numbs the gums with a local anesthetic to ensure comfort, as instruments go deep under the gumline.
  2. Scaling: The dental hygienist uses the ultrasonic scaler (a vibrating tooth with a water spray) or manual, hand-held instruments to remove hardened tarter and plaque from the tooth surfaces and below the gumline.
  3. Root Planing: The hygienist smooths the tooth roots, removing plaque and tartar from rough spots to prevent future bacterial buildup and allow gums to heal and re-attach.
  4. Polishing/Irrigation: Teeth are polished with a pumice paste, and the area may be rinsed with a specialized mouthwash or antibiotic gel to kill remaining germs.

 

Is this a painful procedure?

Deep Scale and Root Planing is typically not painful during the procedure because local anesthetic is used to numb the gum tissue, though you may fell pressure. Patients may experience minor soreness, sensitivity, or swollen gums for a few days afterwards, which can be managed with over-the-counter pain relievers.

 

Related Article: How Long Does a Dental Cleaning Take?