Scaling and root planing are non-surgical techniques utilized to treat and prevent the progression of periodontal disease. These non-invasive periodontal procedures, also collectively known as deep cleaning, involve the thorough cleaning of the root surfaces to eliminate plaque and tartar (calculus) situated in deep periodontal pockets. Deep cleaning also eliminates bacterial toxins.It is important to note that, while both are geared towards the elimination of plaque, standard cleaning is different from deep cleaning. Standard or routine cleanings are only able to remove plaque found above the gum line. In patients with periodontal disease, cleaning only above the gum line gives rise to problems such as the development of periodontal abscess and the progression of the disease.
Deep cleaning begins with the measurement of the depth of the pockets. Following this, scaling or the scraping off of calculus on the surfaces of the teeth (above and below the gum line) is done. This step is primarily meant to clear the path and allow for deeper cleaning to happen. Meanwhile, root planing’s focus is on removing bacterial deposits on the root surface and smoothing rough surface on the roots of teeth. Elimination of these rough spots, known to trap bacteria, is essential in the prevention of gum disease.Generally, these procedures cause minimal discomfort or pain, especially if the pockets aren’t too deep. Still, topical anesthetics may be applied to numb the area and make the procedure more comfortable for you. Also, while the entire procedure can be done in a single visit, the usual practice is to treat a quadrant or half of the mouth per appointment.After the scaling and planing procedures, irrigation of the pockets using antiseptic solution of chlorhexadine takes place. Typically, for the periodontist to ascertain your response to the treatment, a follow up visit to the clinic is required. In most cases, further treatment isn’t necessary after patients undergo scaling and planing procedures. Still, periodic maintenance therapy every three to four months is necessary to keep the gums healthy.
You may experience soreness and sensitivity to hot and cold food after undergoing deep cleaning. There may also be episodes of slight bleeding. These are all temporary, though; you can expect them to go away in a few days. It is best to avoid hot, hard, sticky and crunchy food for several days. Refrain from brushing or flossing the treated area until it’s fully healed. To manage the pain, you may take pain medications as prescribed by your periodontist.