Deep Teeth Cleaning
The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling and root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and calculus (tartar) which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment or a preventative measure. It is commonly performed on cases of gingivitis and moderate to severe periodontal disease.
What Does the Procedure Entail?
Dr. Kruth, Dr. Hertz or Dr. Miller, along with their dental hygienists, will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Drs. Kruth, Hertz or Miller may recommend scaling and root planing. In some cases, a local anesthetic may be used during the procedure.
When scaling is performed, calculus and plaque that attaches to the tooth surface is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental instrument called an ultrasonic scaler. The scaling instrument usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.
Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.
Antibiotics or irrigation with antimicrobials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Drs. Kruth, Hertz or Miller may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for Drs. Kruth, Hertz or Miller to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, gum surgery may be needed to restore periodontal health.
Benefits of Treatment
If treatment is successful, scaling and root planing may have many periodontal benefits. One benefit is that treatment, along with diligent home care, can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the blood stream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing remove bacteria that cause these conditions.
Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria is able to colonize the site. Eventually, this causes a chronic inflammatory response by the body which destroys gum and bone tissue. This leads to tooth loss.
Finally, scaling and root planing may make the mouth more aesthetically pleasing and should reduce bad breath caused from food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures.