Periodontal Scaling & Root Planing

The objective of scaling & root planning is to remove etiologic agents which cause inflammation to the gingival (gum) tissue and surrounding bone.  Common etiologic agents removed by this conventional periodontal therapy include dental plaque and tartar (calculus).

These non-surgical procedures which completely cleanse the periodontium, work very effectively for individuals suffering from gingivitis (mild gum inflammation) and moderate/severe periodontal disease.

Reasons for scaling and root planing

Scaling and root planning can be used both as a preventative measure and as a stand-alone treatment.  These procedures are performed as a preventative measure for a periodontitis sufferer.

Here are some reasons why these dental procedures may be necessary:

  • Disease prevention – The oral bacteria which cause periodontal infections can travel via the bloodstream to other parts of the body.  Research has shown that lung infections and heart disease have been linked to periodontal bacteria.  Scaling and root planing remove bacteria and halts periodontal disease from progressing, thus preventing the bacteria from traveling to other parts of the body.

  • Tooth protection – When gum pockets exceed 3mm in depth, there is a greater risk of periodontal disease.  As pockets deepen, they tend to house more colonies of dangerous bacteria.  Eventually, a chronic inflammatory response by the body begins to destroy gingival and bone tissue which may lead to tooth loss.  Periodontal disease is the number one cause of tooth loss in the developed world.

  • Aesthetic effects – Scaling and root planing help remove tartar and plaque from the teeth and below the gumline.  As an added bonus, if superficial stains are present on the teeth, they will be removed in the process of the scaling and root planning procedure.

  • Better breath – One of the most common signs of periodontal disease is halitosis (bad breath).  Food particles and bacteria can cause a persistent bad odor in the oral cavity which is alleviated with cleaning procedures such as scaling and root planing.

What do scaling and root planing treatments involve?

Scaling and root planing treatments are only performed after a thorough examination of the mouth.  The dentist will take X-rays, conduct visual examinations and make a diagnosis before recommending or beginning these procedures.

Depending on the current condition of the gums, the amount of calculus (tartar) present, the depth of the pockets and the progression of the periodontitis, local anesthetic may be used.

Scaling – This procedure is usually performed with special dental instruments and may include an ultrasonic scaling tool.  The scaling tool removes calculus and plaque from the surface of the crown and root surfaces.  In many cases, the scaling tool includes an irrigation process that can also be used to deliver an antimicrobial agent below the gums that can help reduce oral bacteria.

Root Planing – This procedure is a specific treatment which serves to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar.  The root of the tooth is literally smoothed in order to promote good healing. Having clean, smooth root surfaces helps bacteria from easily colonizing in future.

Following these deep cleaning procedures, the gum pockets may be treated with antibiotics.  This will soothe irritation and help the gum tissues to heal quickly.

During the next appointment, the dentist or hygienist will thoroughly examine the gums again to see how well the pockets have healed.  If the gum pockets still measure more than 3mm in depth, additional and more intensive treatments may be recommended.

If you have any concerns or questions about scaling and root planing, or periodontal disease, please ask your dentist.

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Testimonials

I recently decided I wanted a smaller practice for my kids and after really dragging my feet I finally dove into Google. I found Dr. Thomas and her team and they got my kids in quickly to start treatment plans.
To start, the staff is so friendly and they truly go above and beyond at the front desk! Scheduling appointments comes with ease as well. My kids do great with the dental assistant and she has the perfect demeanor for little ones. Dr. Thomas has such patience with my youngest who can be a bit dramatic and a little spacey too. My older boy is so calm for her and she does a great job working on him as well.
We meet the hygienist next month and I have no doubt the experience will be as satisfactory as all the others.

Morgan T.

Hands down the BEST dentist you will find - I dare someone to challenge me ❤️ They have the absolute friendliest staff we have ever come across and Dr. Thomas is amazing! Every time we are there, we feel like we are visiting with friends and family. All of the staff makes a point to see how we are doing and they truly listen to us and genuinely care. My husband and I have been coming here for almost 10 years now. They are very honest as well regarding dental concerns and needs. We were super nervous when it came time for our son to start coming but we soon found out we had NOTHING to worry about! He is 3 1/2 years old now and LOVES the dentist! They are so wonderful with him and are encouraging/teaching him so many wonderful dental habits. He actually is excited about brushing his teeth every day! We are so lucky to have found them. If you are looking for long term dentist - look no further! We actually travel 20+ minutes to come here. It’s worth it! Thank you all so much ❤️❤️

Meagan S.

Dr. Thomas and her staff make going to the dentist a fun experience…that has to be a first when it comes to talking about a dental visit!!! This was my first time and you have a patient for life…or for as long as you can make sure I keep my teeth. What a great office and Karen was amazing as well. Usually post dental visit I feel like I’ve been in a boxing fight, even though it was just for a cleaning. This time I felt nothing. I give Dr. Thomas and her team my highest recommendation.

Shaju T.

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