What is Scale and Root Planing?

Scaling and root planing is a non-surgical dental procedure, usually completed by your dental hygienist, though your dentist may provide this service as well. Scaling is a common first step in the treatment of periodontal disease. By reaching well below the gumline, bacteria and plaque build-up are removed and the healing process can begin. This is a great way to start your journey to a healthy, happy smile!

When is it Necessary?

Sometimes a build-up of plaque and bacteria in the pockets between your gums and teeth can lead to gum recession and eventually tooth loss. Removing the plaque from those pockets allows the gum tissue to heal closer to the tooth, protecting the roots and bone structure.

Your hygienist will measure the depth of your gum pockets during a routine cleaning. The ideal depth for these pockets is between 1 and 2 millimeters. Any pockets with a depth of 3 to 4 millimeters or more would benefit from scaling and root planing. It is important to have this treatment done to ensure the health of your teeth for years to come. Periodontal disease does not go away on its own so completing this advised treatment is very important, as is continuing routine hygiene appointments on a more frequent basis.

Scaling and Root Planing Treatment

This process does require a local anesthetic to be administered in the area to be treated which will help minimize any discomfort you may feel. Scaling is often done over the course of multiple visits. Typically one half of the mouth is treated at a time and you may be asked to come back six weeks later for a follow-up cleaning and measuring of your healed gum pockets.

Scaling does not necessarily have to be done throughout your entire mouth, you may only need one quadrant or just a few teeth scaled. Your dentist will discuss this with you before you schedule your appointment.

Once you are sufficiently numb, your hygienist will use metal manual scalers and an ultrasonic instrument to scrape and clean below the gumline where plaque and bacteria like to collect. If needed, a particularly deep pocket may have an antibiotic chip placed to help rid the infection.

What to Expect After Scaling and Root Planing

For a few days following treatment, it is normal to experience a little swelling and light bleeding in the treated area. This, along with possible soreness and sensitivity will subside over three to four days. If your dentist prescribes an antibiotic mouthwash, make sure to use it as directed. A toothpaste for sensitive teeth may also be used.

After you are completely done with your scaling and root planing treatment, it is vital that you improve on your home care and keep up with cleanings at your dental office every three to four months. This increased cleaning frequency is a common practice to help patients at risk for periodontal disease maintain a healthy mouth. Failing to follow instructions could quickly bring you back to a compromised state and all of your hard work and money spent on treatment will have been for nothing. Be your own best advocate and keep up the good work!

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