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Scaling and Root Planing
Scaling and Root planing is a common non-surgical treatment for periodontal disease. Advanced cases, often require a more extensive procedure called flap surgery or
gingivectomy. Scaling involves a deep cleaning of the tooth both above and below the gum line; the objective of the procedure is to remove plaque and calculus accumulations on the tooth. The root is then cleaned/planed until it is smooth. This eliminates any rough calculus deposits on the root which can provide breeding grounds for bacteria. Clean root surfaces allow periodontal ligaments, damaged by the presence of bacteria and plaque, to reattach. Reattachment results in a reduced pocket depth; smaller periodontal pockets equal less hiding spots for bacteria and plaque. Following treatment, your dentist may prescribe antibiotics to help kill any remaining bacteria and/or chlorhexidine, an antibacterial mouthrinse shown to be effective for the treatment of periodontal disease.
A follow-up appointment may be scheduled in the next 4-6 weeks to evaluate your improvement.
Note - A successful outcome is highly dependent on how well you maintain your mouth; it's critical that you follow a regular schedule of brushing and flossing.
If you smoke, this might be a good time to quit. At least consider reducing the number of cigarettes you smoke each day (especially while your gums are healing). Smoking has a significant effect on your oral health. See our section on
smoking.
Ultrasonic Scaling
Ultrasonic scalers, or cavitrons, efficiently break up and reduce heavy tartar. However, hand scaling should complete the procedure. Research has shown that ultrasonic scalers usually only remove about 50% of subgingival calculus (tartar).
Polishing
Rubber cup polishing employs a low-speed hand piece with rubber cup containing polishing paste. The polishing paste contains mildly abrasive ingredients which aid in stain removal; it also contains fluoride for strengthening tooth enamel. The amount of time needed to perform a cleaning varies depending on the condition of your mouth. Of course, patients with more tartar and plaque buildup need longer appointments than those who have relatively clean teeth. In moderate cases, the procedure can be performed in 45 minutes to an hour.
Recalls
For the vast majority, twice a year. The frequency of cleaning recalls
depends on your case. Some people tend to accumulate tartar much quicker
than others
Note: It is important to note that
before beginning any course of treatment you should see your
dentist. Please note that without the benefit of a full dental
examination, including a review of medical history, dental x-rays,
and diagnostic aids, no attempt can be made to provide specific
diagnosis or recommended courses of treatment. However, we will be
happy to update our site to include topics you feel deserve
mention. contact us
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