Root planing and
scaling is one of the most effective ways to treat
gum disease
before it becomes severe. Root planing and scaling cleans between
the gums and the teeth down to the roots. Your dentist may need to
use a local anesthetic to numb your gums and the roots of your
teeth.
Some dentists and dental
hygienists will use an ultrasonic tool for the planing and scaling.
It is less uncomfortable than a standard scraping tool, but not all
cleanings require this type of tool.
Your dentist may
place antibiotic fibers into the pockets between your teeth and
gums. The antibiotic will help speed healing and prevent infection.
The dentist will remove the fibers about 1 week after the procedure.
What To Expect After
Treatment
If anesthesia is
used, your lips and gums may remain numb for a few hours. Planing
and scaling causes little or no discomfort.
Why It Is Done
Root planing and
scaling is done when gums have either started to pull away from the
teeth or the roots of the teeth have hard mineral deposits (tartar)
on them.
How Well It Works
If you maintain good
dental care after the procedure, the progression of gum disease
should stop, and your gums will heal and become firm and pink again.
Risks
Root planing and
scaling can introduce harmful bacteria into the bloodstream. Gum
tissue is also at risk of infection. You may need to take
antibiotics before and after surgery if you have a condition that
puts you at high risk for developing a severe infection, such as:
- Damaged or
artificial heart valves.
- A congenital
heart defect.
- An impaired
immune system.
- Liver disease
(cirrhosis).
- An artificial
joint, such as a hip replacement.
- A history
of bacterial
endocarditis.
What To Think About
- Root planing and
scaling is a simple procedure that can be very effective in
stopping gum disease.
- Brush and floss
regularly afterward. Without proper dental care, your gum
disease may progress.
- To promote
healing, stop all use of tobacco. It decreases your ability to
fight infection of your gums and delays healing.
