Scaling and Root Planing

The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line which is known as Scaling & Root Planing.  When deep “pockets” between teeth and gums are present, it is almost impossible to thoroughly remove all plaque and tartar.  Patients can seldom, if ever, keep these pockets clean.

The tooth roots are planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.

Antibiotics or irrigation with anti-microbials (chemical agents or prescription mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis.

The scaling and root planing treatment is always followed-up with a periodontal re-evaluation exam to assess the healing response. Options for treatment are discussed at this time.

Periodontal maintenance follows at an interval appropriate for your condition; this is periodontal “cleaning” to maintain the improved results of our treatment.

Periodontal Maintenance

After completing periodontal therapy, your condition has been arrested, but not cured. Periodontal diseases are chronic diseases, much like diabetes and cardiovascular disease, which require constant monitoring to ensure that your disease remains inactive.

Most treated periodontal patients require more frequent cleanings, approximately every three months, rather than traditional six month cleanings, since they are more susceptible to periodontal disease.

During your periodontal maintenance visit, your periodontal status is closely monitored for changes. At times, interceptive periodontal procedures are initiated to treat any sites or pockets that demonstrate significant signs of disease activity. In this way, further bone loss can be prevented.

We firmly believe that preventive dentistry is the best dentistry.

Home Care Instructions for After Scaling and Root Planing