What Is The Role Of Dental Scaling & Root Planing In Deep Teeth Cleaning

Imagine having bleeding gums even after brushing twice a day and flossing daily. Maybe you've also noticed a bad taste that won't go away, or your dentist mentioned that your gum pockets are getting deeper. What do these signs suggest?

These symptoms typically indicate an infection developing beneath the gumline, in places your toothbrush simply can't reach. At this stage, deep teeth cleaning becomes necessary. Your daily brushing maintains what you can see, but gum disease works silently around your tooth roots.

At Bellissima Dental Boutique in Fayetteville, NC, we can stop this infection and restore your gum health with a personalized treatment plan.

Deep Teeth Cleaning 101

Deep teeth cleaning goes beneath your gum line to remove plaque and tartar buildup. Regular cleanings only address what's visible above your gums. Deep cleaning reaches into the pockets where bacteria cause inflammation and bone loss around your teeth.

We perform this treatment when gum disease moves beyond early-stage gingivitis. Using specialized tools, we clean your root surfaces, smooth rough spots, and remove harmful bacteria. You'll receive local anesthesia to stay comfortable, and we may schedule multiple visits based on how much treatment you need.

Benefits of Deep Teeth Cleaning

  • Stops gum diseases from worsening and prevents tooth loss
  • Eliminates bad breath caused by trapped bacteria
  • Reduces swollen, bleeding, and tender gums
  • Helps your gum tissue reattach to your teeth
  • Makes your gum pockets shallower and easier to clean
  • Lowers your risk of health problems linked to gum disease
  • Gives you healthier-looking gums and more confidence in your smile

Learn more about gum treatment options.

Important Processes In Deep Teeth Cleaning

Step 1: Initial Examination and Assessment

We start by measuring the pockets around each of your teeth using a small probe. X-rays show us any bone loss, and we look for swelling, tartar, and receding gums. This complete examination tells us exactly what treatment you need, allowing us to create a customized cleaning plan.

Step 2: Administration of Local Anesthesia

Before we begin cleaning, we numb the treatment areas. Sedation keeps you comfortable during the procedure. Depending on how much cleaning you need, we may numb one or several sections of your mouth during each consultation.

Step 3: Scaling to Remove Tartar and Plaque

We use two types of tools to remove hardened tartar from your teeth. An ultrasonic scaler uses high-frequency vibrations to break up the buildup while simultaneously rinsing the area with water. Then we use hand scalers to reach deep into your gum pockets and remove all the leftover bacterial deposits.

Step 4: Root Planing to Smooth Tooth Roots

Next, we smooth the surfaces of your tooth roots where bacteria like to grow. We carefully remove the rough, bacteria-harboring layers of root surface to create a clean, smooth foundation. A smooth finish makes it harder for bacteria to stick, helping your gums heal and reattach to your teeth more easily.

Step 5: Antimicrobial Treatment Application

After cleaning, we may place medication directly into your gum pockets to fight bacteria even after your cleaning is completed. The medicine helps your gums heal faster and prevents new infections. We may also give you a special mouth rinse to support your recovery.

Step 6: Post-Treatment Instructions and Follow-up Planning

Before you leave, we'll explain the at-home oral hygiene routine. We'll cover managing any sensitivity, the best ways to brush and floss, and foods to avoid. Additionally, we’ll schedule checkups to monitor the healing process.

Scaling and Root Planing Basics

Scaling and root planing is a two-part deep cleaning that treats gum disease by targeting bacteria hidden below your gum line. Scaling removes the hard deposits from your teeth and roots. Root planing smooths these surfaces, making it harder for bacteria to reattach while allowing your gums to heal.

What is Scaling?

Scaling removes plaque, tartar, and harmful bacteria from your tooth surfaces and below your gum line. We use both ultrasonic tools and hand instruments to eliminate the hardened buildup your toothbrush can't touch, addressing the cause of gum inflammation.

What is Root Planing?

Root planing smooths and shapes your tooth roots, removing rough spots where bacteria gather. We remove the infected outer layers, creating a clean base for your gums to reconnect. The smooth surface prevents bacteria from sticking and helps your gums stay healthy in the long term.

Role Of Dental Scaling In Deep Teeth Cleaning

The first step for deep teeth cleaning is scaling, which directly removes the bacterial buildup that causes gum disease. It clears away the hardened deposits that trap harmful germs, reduces swelling, and sets the stage for healing. Without thorough scaling, bacteria will continue to multiply in your gum pockets, progressively damaging your tissue and bone.

How We Perform Scaling & Its Benefits:

  • Removes Disease-Causing Agents: We clear away the plaque and tartar that fuel inflammation and break down your gum tissue.
  • Reduces Your Pocket Depth: Removing these deposits makes your gum pockets shallower, so you can keep them clean more easily at home
  • Prevents Disease Progression: We stop your gum disease from advancing and protect you from more bone loss and loose teeth.

Contribution of Root Planing

Root planing completes the deep cleaning process by refining the tooth surfaces we've scaled. While scaling removes deposits, root planing works on the tooth structure itself. We smooth out any rough areas that could trap bacteria. This step turns your rough, infected root surfaces into clean foundations where your healthy gum tissue can firmly reconnect.

How We Perform Root Planing & Its Benefits:

  • Promotes Tissue Reattachment: The smooth surfaces we create let your gums heal properly and grip your teeth again, naturally reducing pocket depth.
  • Prevents Bacterial Recolonization: Polished roots don't have the rough texture bacteria need to establish new colonies, making it easier to maintain clean gum pockets during future visits.
  • Enhances Your Long-Term Stability: We create ideal conditions for healing, helping your deep cleaning results last.

Role of Antimicrobial Treatment

Antimicrobial treatment continues to work after your cleaning appointment ends. We use targeted antibiotics that reach bacteria in hard-to-clean areas. This gives your immune system extra help to fully clear the infection and reduce inflammation in your gums.

Our Antimicrobial Treatment & Benefits

  • Eliminates Residual Bacteria: Antimicrobial treatment kills bacteria that might still be hiding in your gum pockets after we finish cleaning.
  • Reduces Your Inflammation: It ultimately decreases swelling and bleeding, helping your gums heal faster.
  • Prevents Your Reinfection: The medication stays active in your pockets, creating an environment where bacteria can't grow back during healing.

Potential Benefits Of Deep Teeth Cleaning

1. Halts Gum Disease Progression: This is the biggest advantage of this dental procedure. We help our patients stop periodontitis, preventing bone loss and loose teeth that come with advanced gum disease.

2. Eliminates Chronic Bad Breath: With the bacteria and debris removed, persistent bad odor easily goes away.

3. Reduces Bleeding and Inflammation: Scaling removes the bacterial causes of swelling, while planing creates a smooth surface that promotes healing. (Note: You may experience temporary tenderness immediately after treatment.)

4. Promotes Tissue Reattachment: Gum pockets become shallower, and your teeth gain stability after a thorough episode of scaling and root planing.

5. Protects Overall Health: Research links gum disease to systemic health conditions. Deep cleaning helps reduce inflammation and bacteria that may contribute to these risks.

6. Restores Aesthetic Confidence: You can have a photo-perfect and healthy smile when your gums are healthier and stronger. 

Dental Cleaning vs Scaling: Understanding the Difference

Regular dental cleaning (prophylaxis) removes plaque and tartar from above the gumline and prevents disease in patients with healthy gums. Dental scaling removes plaque and tartar buildup beneath the gumline to treat existing periodontal infection.

Feature Dental Cleaning Dental Scaling & Root Planing
Purpose Preventive maintenance Treats existing gum disease
Target Area Above the gumline Below the gumline, deep pockets
Frequency Every 6 months As recommended by severity
Best For Healthy gums Gingivitis, periodontitis, pockets >4mm
Treatment Type Routine maintenance Active disease intervention

How Much Does This Procedure Cost?

The cost of this periodontal treatment depends on many factors:

  1. How severe is the gum infection?
  2. To what extent is damage done to the jawbone?
  3. How many teeth are impacted?
  4. What is the depth of periodontal pockets?

We evaluate these factors for each patient requiring scaling and root planing, then determine the specific cost for their procedure. Every patient has unique requirements, so we recommend that you visit us for a more precise cost breakdown. If you have concerns about covering the cost, we offer flexible payment choices and membership plans.

Be Our Guest For Routine & Deep Cleanings

We know healthy gums are essential to your overall well-being and confidence. That's why we provide a comfortable environment with exceptional and luxurious smile care. Visit us, and we will create a personalized treatment plan that shows your oral health is our priority.

FAQs

1. Is dental scaling painful?

No. We use sedation to numb the treatment area, ensuring you remain comfortable throughout the procedure.

2. What's the difference between dental cleaning vs scaling?

Regular cleanings prevent disease by removing plaque above the gumline. Scaling treats existing gum disease by removing plaque and tartar from beneath the gumline and inside periodontal pockets.

3. How does ultrasonic scaling dental treatment work?

Ultrasonic dental scaling devices use rapid vibrations to break up hardened tartar while rinsing the area with water. This efficient method works alongside hand instruments to thoroughly remove bacterial deposits during your deep cleaning.

4. How long does dental scaling and root planing take?

Typically 2-4 appointments, with each visit lasting 45-60 minutes. We treat one or two sections of your mouth per visit, depending on the severity of your gum disease.

5. How often do I need dental planing and scaling?

Most patients need dental planing and scaling once to treat active gum disease. After that, maintenance cleanings every 3-4 months prevent it from coming back and protect your long-term oral health.

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