Published on August 28, 2021, Updated on November 18, 2021

A thorough cleaning, which may involve scaling or root planing, is usually the first step in treating periodontal disease. The goal of these non-surgical techniques is to remove etiologic agents that promote gingival inflammation and disease, such as tooth plaque and tartar, or calculus. Scaling and root planing can be used as a treatment or as a prophylactic strategy. They’re frequently used to treat gingivitis and moderate-to-severe periodontitis.

What Happens During the Procedures?

After a comprehensive examination of the mouth, which may involve taking x-rays and physically inspecting the mouth, Dr. Banga will undertake scaling and root planing. Dr. Banga may propose scaling and root planing depending on the state of the gums, the quantity of tartar present, the depth of the pockets, and the advancement of periodontitis. During the procedure, a local anesthetic may be utilized in some circumstances.

Scaling:

Scaling is a procedure that removes calculus and plaque from the tooth surfaces. The procedure focuses on the area beneath the gum line and along the root. Scaling is done with an ultrasonic scaling tool, which is a type of dental tool. The scaling tool usually comes with an irrigation system that can inject an antibacterial substance below the gum line to help reduce oral bacteria.

Planting the roots:

Cementum and surface dentin that are encrusted with undesirable germs, poisons, and tartar are removed during root planing. The tooth’s root is literally smoothed, promoting healing and preventing bacteria from invading the tooth in the future.

To assist reduce the growth of bacteria that produce toxins and cause periodontitis, antibiotics or irrigation with antimicrobials (chemical agents or mouth rinses) may be prescribed. After scaling and planing, Dr. Banga may put antibiotic fibers in the periodontal pockets in some patients. This could be done to keep an infection at bay and promote regular recovery.

Deep pockets between teeth and gums make it difficult for Dr. Banga to remove plaque and tartar completely. Patients are rarely, if ever, able to keep these pockets clean and plaque-free. As a result, periodontal surgery may be required to restore periodontal health.

Treatment Advantages

Scaling and planing may offer numerous periodontal benefits if treatment is successful. One benefit is that it can aid in illness prevention. Bacteria from periodontal infections have been shown in studies to move into the bloodstream and impact other parts of the body, including heart and respiratory illnesses. Scaling and root planing are used to get rid of the microorganisms that cause these problems.

Another advantage of therapy is that it protects teeth against tooth loss. Periodontal disease is more likely when gum pockets are deeper than 3mm. More bacteria can colonize as pockets deepen, eventually triggering a chronic inflammatory response in the body that destroys gingival and bone tissue. Tooth loss results as a result of this.

Finally, scaling and root planing can improve the appearance of the mouth while also reducing foul breath produced by food particles and bacteria in the mouth. Scaling and planing will remove surface stains on the teeth, which is an added benefit to the process.