Dental Scaling and Root planing


The objective of scaling and root planing, otherwise known as conventional periodontal therapy or non-surgical periodontal therapy, is to remove or eliminate the etiologic agents which cause inflammation: dental plaque, its products and calculus, thus helping to establish a periodontium that is free of disease.

Benefits:

  • Scaling and root planing remove rough calculus deposits on the root that can attract and collect bacteria
  • They help gums or pocket wall reattach firmly to the spotlessly clean root surface to help prevent tooth loss
  • They decrease tooth sensitivity due to gum recession
  • They prevent bone loss
  • They make it difficult for plaque to accumulate along the root surfaces
  • They prevent tooth loss due to gum disease
  • It stops gum disease from getting worse

Who is this procedure for?

  • Patients with gums that bleed during brushing
  • Patients with tender or swollen gums
  • Patients who have developed deep pockets between teeth and gums
  • People with persistent bad taste and breath in their mouth
  • People who have pus between the gums and the teeth when the gums are pressed

Who should not consider this procedure?

Patients who have pacemakers should avoid scaling as the vibrations caused by the instruments that are used can interfere with the pacemakers.

What happens before the procedure?

Root planing is a form of deep cleaning, so the dentist needs to numb the mouth. The numbing of the mouth is the reason why not all 4 mouth quadrants are done during one visit - the numbness of the whole mouth can be very unnerving. Before the actual procedure, the dentist may remove bigger chunks of tartar. This way he or she can remove up to 50 % of the existing tartar, leaving the rest to scaling. Some dentists may choose to numb the mouth due to the depth of the cleaning.

What happens during the procedure?

Depending on the extent of the disease patients may need to have one or more mouth sections treated with scaling and root planing. Scaling means that the dentist deep-cleans the teeth using instruments that are called "scalers" to remove the rest of the tartar and plaque. When the scaling is done, he or she uses curettes to plane the roots until they are smooth. This is root planing.

The dentist uses an ultrasonic instrument (hand scaler) to scrape the plaque and tartar off. Using special instruments he or she needs to reach all parts of the tooth and clean them completely. Next, he or she uses an electric scaler which vibrates with water and cleans out the mouth. The debris that is left in the mouth is suctioned along with the water.

What happens after the procedure?

Patients are likely to experience sensitivity to cold and hot and it is recommended to use toothpaste designed for sensitive teeth. Besides advising patients to brush and floss thoroughly daily, an antibacterial mouthwash may be prescribed.

A follow-up treatment is required in about a month.