About Scaling and Root Planing
The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or 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 preventative measure. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease. Please contact Northeast Periodontal Specialists in Worcester, MA to learn more about scaling and root planing treatment.
"All are very friendly and helpful at this office!! I had many questions that were all answered and my worries lessened. My mom came with me and she said she’s never been to a more friendlier office as she was asked multiple times if she needed anything as a coffee or water. The doctor is wonderful and did an amazing job for my gum surgery. Thank you."- T.B. / Google / Oct 07, 2023
"Had an issue and they called me back and took me in the same day. Turned out not to be a tooth issue but they were thorough and pleasant. My primary healthcare couldn’t see me but Northeast Periodontal Specialist could."- S.R. / Google / Sep 16, 2023
"Dr Rafla and his staff are nothing but professional. He is a talented oral surgeon, did implants for my Front teeth. He uses the best anesthetics, I did not feel anything when he worked on me. lf you use him for anything you won't regret it. Follow up care is the best also. His staff is top notch."- D.M. / Google / Jun 17, 2023
"Perfect"- K.N. / Google / Jun 10, 2023
"I was there today,personel are very polite,professional,they really are great in what they all do."- A.E. / Google / Jun 10, 2023
What Does it Entail?
Our periodontal team will only perform 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, our periodontists may recommend scaling and root planing. In some cases, local anesthesia may be used during the procedure.
When scaling is performed, calculus and plaque that attaches to the tooth surfaces are removed. The process especially targets the area below the gum line, along with 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 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, our periodontal specialists may place antibiotic fibers 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 for our periodontal team 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.
The Benefits of Treatment
If treatment is successful, scaling and 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 bloodstream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing removes 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 appealing, and should reduce bad breath caused by 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. If you feel you may need scaling and root planing treatment, please schedule a consultation at Northeast Periodontal Specialists in Worcester, MA.
Why Are My Gums Receding?
Receding gums can make your teeth seem exposed or elongated. Learn how periodontal treatment in Worcester can stop gum disease and prevent recession.Read
How Many Scaling and Root Planing Treatments Do You Need?
Scaling and root planing can remove harmful plaque and bacteria from the gums. Learn how many SRP treatments are needed for excellent oral health.Read
Is A Deep Cleaning The Same As Scaling and Root Planing?
Bleeding gums and bad breath are known signs of gum disease. Learn why scaling and root planing are recommended for patients with periodontal disease.Read
Is Your Bad Breath a Sign of Gum Disease?
Chronic bad breath may be a symptom of periodontal disease. Learn how we address bad breath with periodontal treatments like scaling and root planing.Read