SCALING & ROOT PLANING
Why Do I Need It?
Gum disease is caused by a biofilm of bacteria called plaque. Plaque is always forming on your teeth, but if they aren’t cleaned well, the bacteria in plaque can cause your gums to become inflamed. Diabetes, smoking, stress and hereditary factors are all directly linked to periodontal disease. It is also now known that gum disease is linked to heart disease, pancreatic cancer and Alzheimers. Anaerobic bacteria then gets trapped in these pockets and cannot be removed with regular brushing. If untreated, gum disease could lead to bone and tooth loss.
If gum disease is caught early and hasn’t damaged the structures below the gum line, a professional cleaning should do. If the pockets between your gums and teeth are too deep, however, scaling and root planing may be needed.
Procedure
This deep cleaning normally requires more than one appointment in order to adequately treat the diseased pockets. Scaling is when your hygienist removes all the plaque and tartar (hardened plaque) above and below the gumline, making sure to clean all the way down to the bottom of the pocket. Your hygienist will then begin root planing, smoothing out your teeth roots to help your gums reattach to your teeth. Scaling and root planing may take more than one visit to complete and generally requires the use of a topical anesthetic or a local anesthetic to achieve the best results.
Continuing Care
After scaling and root planing, you may have discomfort for a day or two and teeth sensitivity. The addition of a toothpaste for sensitive teeth can help with this. Your gums also may be swollen, feel tender and bleed. It is important during this time to continue to be diligent with the home care instructions from your hygienist so that the gum tissue can heal.
To prevent infection, control pain or help you heal, your dentist may prescribe a pill or mouth rinse.
Your hygienist will schedule a follow up visit to evaluate your periodontal health and also your home care. If they have gotten deeper, more treatment may be needed.
Good dental care at home is essential to help keep gum disease from becoming more serious or recurring. Floss your teeth daily, brush your teeth twice a day with a soft brush, eat a balanced diet, avoid using tobacco and see your dentist regularly.