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Scaling and Root Planing - Ehsan Rezvan DDS, MS

Scaling and Root Planing

Scaling and root planing are non-surgical cleaning procedures designed to remove etiologic agents (plaque and tartar) that cause gingival inflammation and disease. Commonly performed as treatment for gingivitis and moderate to severe periodontal disease, the procedures can also be used on a preventative basis.

What Do The Procedures Entail?

Our team will take x-rays and thoroughly examine a patient’s mouth and gums before determining if scaling and root planing are the best options. The condition of the gums, amount of tartar, depth of the pockets, and the severity of periodontitis will contribute to his recommendation. If the procedure is carried out, a local anesthesia may be used.

Scaling

Scaling is performed with an ultrasonic scaling tool, targeting the area below the gum line along the root to remove calculus and plaque. The tool uses an irrigation process that delivers an antimicrobial agent below the gums to help reduce oral bacteria.

Root Planing

Root planing removes cementum and surface dentin embedded with unwanted microorganisms, toxins, and tartar. The root of the tooth is smoothed to promote healing and prevent bacteria from colonizing in the future.

After scaling and planing, Dr. Rezvan and the hygienists may place antibiotic fibers in the periodontal pockets to control infection and encourage normal healing. Irrigation with antimicrobials (chemical agents or mouth rinses) or antibiotics can also be used to control the growth of toxin-rich bacteria that cause periodontitis.

If deep pockets between teeth and gums have formed, patients can seldom, if ever, keep them free of plaque regardless of preventative measures they are taking. It’s difficult for even the most experienced team to thoroughly remove plaque and tartar from these pockets, making surgery a possible route to restore periodontal health.

Benefits of Treatment

If the treatment is successful, scaling and planing can prevent serious disease (like heart disease and respiratory disease) by removing bacteria that could otherwise travel through the bloodstream and affect other parts of the body.

The treatment will also protect teeth against tooth loss. If gum pockets exceed 3mm in depth, more bacteria are able to colonize, eventually causing the body to respond by destroying gingival and bone tissue resulting in tooth loss.

Scaling and root planing may also make your mouth more aesthetically pleasing by improving your smile and lessening bad breath. Superficial stains on the teeth and food particles in the oral cavity will be removed during scaling and planing, making the procedures especially beneficial.

What Do The Procedures Entail?

Scaling

Root Planing

Benefits of Treatment

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