The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling and 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 preventive measure. 

WHAT DO THE PROCEDURES ENTAIL?

Dr. Seals will only recommend scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Dr. Seals may recommend scaling and root planing. Local anesthesia will likely be used during the procedure.

SCALING AND ROOT PLANING:

When scaling and root planing is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool as well as manual instruments called scalers or curettes.

When very deep pockets between teeth and gums are present, it is difficult for Dr. Seals 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 help prevent or reduce systemic 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. There is also an association with gum disease and diabetes, prostate cancer, and pregnancy complications. Scaling and root planing removes bacteria that are linked to these conditions and others. Click here for more information on how periodontal disease can affect your health.

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.