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We recommend root scaling and root planing to combat chronic periodontal disease, also known as gum disease. Patients with receding gums can also benefit from this treatment. During a routine dental examination, we will assess the patient’s gum line and periodontal pockets. Deep pockets may indicate signs of periodontal disease and necessitate root scaling or planing.
Without root scaling or root planing treatment, people with periodontal disease can suffer additional oral and overall health problems. Eventually, the bacteria from diseased gums can lead to receding gums, tooth loss, bone loss, or loose teeth. Root scaling and planing can help repair some of the damage and prevent further gum damage. Additional treatments may be necessary in cases where the periodontal pockets have become deeper.
Depending on the severity of the situation, root scaling and planing treatments may be broken up into multiple appointments. These procedures are done on an outpatient basis. Patients may or may not need a local anesthetic to numb the treatment site. We may focus on certain parts of the mouth during each appointment instead of treating the entire area in one visit.
Root scaling occurs before root planing. We will scrape plaque deposits from the teeth and in the large pockets between the gums during root scaling. During root planing, we will go deeper into the gum line to remove bacteria and plaque. We will smooth out the roots deep within the gum line, clearing off tartar build-up and bacteria. At the end of the procedure, the gums and mouth are flushed with water to remove any remaining loose residue or bacteria.
Gum sensitivity is normal during the first few days after this deep cleaning treatment. The gums may be tender, swollen, and even bleed. We recommend that patients gently brush their teeth and use wax-coated floss. They should also periodically rinse their mouth with warm salt water or an oral rinse to prevent infection.
A follow-up appointment is necessary so that we can check for gum improvement. If the gums are firm and pink again and the pockets are smaller, patients may not need further treatment. People can then schedule regular dental check-ups to maintain gum and oral health.
Patients should wait about two hours to eat after the procedure. We recommend sticking with soft, mild foods for a few days after treatment. Patients should avoid crunchy or hard foods and anything spicy. This can help prevent further irritation or discomfort in the gums and teeth.
Some providers use a mirror and a scaler to scrape off the tartar by hand. In other cases, the providers may opt for a more convenient ultrasonic tool to remove the tartar. The ultrasonic instrument also uses water to help make tartar removal easier.
Root scaling and planing are typically spread out over multiple appointments. The provider may determine which parts of the mouth will be treated during each appointment. Often, root scaling and planing can occur in a single one or two-hour appointment.
Dental plaque is the film that coats the teeth and gums that consists of saliva and bacteria. Brushing and flossing may remove some of the plaque, but plaque can also harden and turn into tartar. Routine cleanings are necessary to remove tartar buildup.
While the treatment tool will clean under the gum line, the procedure will not impact the teeth’s position. The teeth will not loosen after treatment. However, ignoring gum health and not removing plaque can adversely impact gum health and lead to issues, such as gingivitis and loose teeth.
