Scaling & Root Planing
The initial stage of treatment for periodontal disease is usually a non-surgical procedure called scaling or root planing. The objective of this non-surgical procedure 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 preventative measure. It is commonly performed on cases of gingivitis and moderate-to-severe periodontal disease.
What does scaling and root planing entail?
Scaling and root planing will only be performed 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, scaling and root planing may be recommended. Local anesthesia will be used during the procedure. Other forms of anesthesia are available for those patients who suffer from dental anxiety.
When scaling 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. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.
- Root Planing:
Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, special antibiotics might be placed in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult 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.
RE-EVALUATION FOLLOWING SCALING AND ROOT PLANING
Approximately 4-6 weeks following the initial phase of periodontal treatment (scaling and root planing), you will be examined and reevaluated to determine the response to therapy and the need for further treatment. A comparison will be made against your comprehensive periodontal evaluation and progress indicators will be noted. The results will allow our doctors to determine a maintenance interval or the next phase of treatment.
Benefits of Scaling & Root Planing Treatment
If treatment is successful, scaling and root planing may have many periodontal benefits. One is that it can help prevent 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. Scaling and root planing remove bacteria that cause these conditions.
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.