What is Scale & Root Planing?

Dental scaling and root planing is a non-surgical procedure performed by your dental hygienist. Patients with a buildup of plaque that cannot be removed during a routine cleaning appointment may be advised to receive this treatment to restore the health of their teeth and gums by reaching below the gumline to eradicate infection that can lead to further issues.

When is Scaling Necessary?

When you visit your dentist for your routine cleanings, your hygienist will measure the pockets between your teeth and gums. A buildup of plaque can cause these pockets to become deeper over time. If they are over a depth of 3 to 4 millimeters, you may be advised to have scaling and root planning. Making sure your pockets are clean and free of buildup ensures the health of your gums and teeth.

Allowing excessive pocket depth to go untreated could lead to deeper pocket, loss of bone structure and even tooth loss.

Scaling and Root Planing Procedures

This procedure involves removing plaque below the gumline. To alleviate discomfort, your dentist can administer a local anesthetic to numb the area being worked on. Your dentist or hygienist will use a metal scaler and an ultrasonic instrument to scrape off the buildup.

Scaling and root planing may be done over the course of two or more visits. Offices may take at least two visits, completing one side of your mouth at each, depending on if anesthetic is used. Removing the plaque is important to allow your gums to be healthy and to allow the pockets to heal closer to your teeth than they previously were.

You may only require scaling in one area of your mouth. If this is the case for you, it can likely be done in one visit. Arestin, an antibiotic chip, may be utilized in particularly deep pockets to further the healing process. After scaling and root planing is completed, your dentist may have you come back for a follow up cleaning in four to six weeks to check the progress and remeasure your gum pockets.

What to Expect After Scaling and Root Planing

It is common for patients to experience slight swelling or bleeding in the area that received treatment. Some soreness and sensitivity is normal and will subside after a few days. Your dentist may prescribe an antibiotic mouthwash for you to use after your procedure as well as recommend a toothpaste for sensitive teeth.

Keeping your teeth and gums clean and clear of tartar and plaque build-up following your scaling and root planing is very important. Failing to improve the care you take during your oral hygiene habits will only put you back at square one and could lead to reinfection of the gum pockets. Maintaining your oral health will improve your overall health and ensure that you keep your teeth fresh and healthy for years to come!

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