Practice 32 Dental Hygiene Scaling and Root Planing

What is Scaling and root planing and when is it needed?

Non-surgical periodontal treatment or deep cleaning, sometimes called conventional periodontal therapy, is the elimination of dental plaque and calculus (scaling / debridement) and the subsequent smoothing, or planning, of the (exposed) surfaces of the roots. This involves removing cementum or enamel and dentin that is impregnated with calculus, toxins or microorganisms the causative agents that induce inflammation.

Non-surgical periodontal treatment includes this procedure. This aids in the development of a periodontium free of periodontal disease. Periodontal curettes and scalers are a few of the instruments needed. Teeth scaling, polishing, and debridement are all part of a non-deep teeth cleaning that does not involve root planing.

As an outpatient operation, teeth scaling & root planing may be performed in your dentist’s office. As a result of the severity of your ailment, you may need to make one or maybe more appointments for the operation.A local anaesthetic or may not be used by your dentist to reduce pain during the treatment. If you’re worried about pain, talk to your dentist about your concerns.

Your dentist will begin by scaling your teeth. Plaque is scraped off your teeth and out of any deep pockets between your tooth during this procedure.

When is Scaling and Root Planing Necessary


Gum disease may be halted in its tracks by scaling and root planing, a more comprehensive technique of dental cleaning. As a result of this operation, the dentist is able to remove any plaque that has built up below the gum line. If you know the signs and symptoms of gum disease, you may prevent the condition from progressing to the point where scaling & root planing may be necessary.

The need for scaling and root planing

Scaling & root planing may be required if one or more of the following symptoms are present.

Gums bleeding

Bleeding during brushing or flossing is one of the earliest signs of plaque beneath the gum line. There is already bacteria populating the plaque deposit beneath the gum line, even if there is just a little bleeding. Scaling & root planing might help eliminate the plaque from the teeth. The operation will not be necessary as long as the patient maintains appropriate dental hygiene.

Deep pockets

A probe is used by the dentist to determine the depth of a gum tissue around the patient’s teeth during regular exams and cleanings. The tooth roots need to be held in place by tight pockets. Drastically deep pockets need scaling and root planing, according to most dentists. Whenever the gums pocket is just a few millimetres wide, the surgery may help prevent the loss of bone tissue and teeth.

Gum tissue inflammation

In the initial stages of gingivitis, patients may notice redness and inflammation on their gums. Even while this isn’t as bad as an abscess, the gum tissue is still being invaded by germs and irritated. The deposits may be removed and the tooth roots smoothed down by a scaling & root planing technique, which will keep plaque and germs away from that region in the future.

Visible gum recession

A patient may notice that their gums line is receding or separating from the tooth that once gum pockets begin to develop and deepen. As a consequence of gum recession, there are a number of serious oral health issues that need to be addressed by a dentist. A little amount of healthy gum recession may occur with advancing years, however it is typically not noticeable. As a consequence, any apparent receding gums might indicate the development of pockets around the teeth, necessitating scaling & root planing.

Bone loss

An x-ray is often the only way to see this. Annual dental x-rays are recommended by dentists to keep tabs on the health of the jawbone and the roots of the teeth. Scaling & root planing may be recommended for a patient whose x-rays reveal bone loss with separation of the teeth from the jawbone.

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