Deep Teeth Cleaning
The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar, or calculus, which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment, or a preventative measure. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease.
What Do the Procedures Entail?
Our hygienists will recommend scaling and root planing after a thorough examination of the mouth, which include taking x-rays, measuring bone level, and Dr. Marche’ Schulte visually examining the mouth. The condition of the gums, the amount of tartar present, and the depth of the pockets shows us the progression of the disease. In some cases, local anesthesia may be used during scaling and root planing.
When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, the root surface. Scaling is performed with hand instruments as well as a dental tool called an ultrasonic scaling tool.
Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, local antibiotics may be placed in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deeper pockets between teeth and gums are present, it is even difficult for a hygienist to reach to the base of the pocket to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
Benefits of Treatment
If treatment is successful, scaling and planing may have many periodontal benefits. One is that it can halt the progression of the periodontal disease. Research has proven that bacteria from periodontal infections can travel through the blood stream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing remove bacteria that cause these conditions.
Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss.
Finally, scaling and root planing may make the mouth more aesthetically pleasing, and should reduce bad breath caused from food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures.