Scaling and Root Planing

Deep teeth cleaning in Columbia

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 mild-to-moderate periodontal disease.

What happens when you get scaling or root planing?

Dr. Peltzman, Dr. Jose or Dr. Torres 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, Drs. Peltzman, Jose or Torres may recommend scaling and root planing. In some cases, local anesthesia may be used during the procedure for added comfort.

  • Scaling:
    When scaling is performed, calculus and plaque that attach to the tooth surfaces are 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 scaler. This scaling instrument 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.

An animated illustrion showing the process of scaling An animated depiction of a root planning procedure

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, Drs. Peltzman, Jose or Torres 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 Drs. Peltzman, Jose or Torres 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.

For more information about Columbia Center for Implants & Periodontics or to schedule a consultation with Drs. Peltzman, Jose or Torres, call our office in Columbia, MD at Columbia Office Phone Number 410-997-1189.

Benefits of Scaling & Root Planing Treatment

If treatment is successful, scaling and planing will have many periodontal benefits. One is that it can help prevent or improve systemic conditions such as diabetes and heart 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 the oral cavity against tooth loss. When gum pockets exceed 3mm in depth, the risk for progression  of 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 process leads to eventual 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.