Patient Education Series | Tooth Scaling and Root Planing | Virgil John Barbu, DDS
Dr. Vigil John Barbu is a Dentist practicing in Shelby Township, MI. Dr. Barbu specializes in preventing, diagnosing, and treating diseases and conditions associated with the mouth and overall dental health. Dentists are trained to carry out such treatment as professional cleaning, restorative, prosthodontic, and endodontic... more
Understanding Tooth Scaling and Root Planing
Tooth scaling and root planing are vital procedures in dentistry, particularly for those with advanced gum disease known as periodontitis. These treatments, often referred to as deep cleaning, target tartar buildup and inflamed gums, safeguarding dental health and preventing tooth, gum, and bone loss.
Overview of Tooth Scaling and Root Planing: Tooth scaling and root planing involve the removal of hardened tartar, or calculus, that adheres to teeth surfaces. Periodontitis, characterized by gum inflammation and bone loss, necessitates these treatments to restore oral health and prevent further deterioration.
Who Performs Tooth Scaling and Root Planing: Dentists and periodontists specialize in providing tooth scaling and root planing procedures. Typically, dental hygienists perform the treatment during dental visits, which may span multiple appointments to address all affected teeth comprehensively.
Indications for Treatment: With nearly half of Americans over 30 experiencing some form of periodontal disease, the need for tooth scaling and root planing is prevalent. Risk factors include diabetes, genetic predisposition, certain health conditions, hormonal changes, oral anatomy irregularities, poor oral hygiene, smoking, and stress.
Procedure Details: Before treatment, a dental evaluation and possibly X-rays are conducted to diagnose periodontitis. During scaling, a vibrating ultrasonic scaler dislodges tartar above the gum line, followed by manual removal of remaining deposits. Root planing smoothens tooth roots below the gums, aiding in gum reattachment and reducing bacterial adhesion.
Aftercare and Recovery: Following tooth scaling and root planing, patients may experience temporary gum tenderness, swelling, and tooth sensitivity. Post-treatment care involves consuming soft foods, avoiding extreme temperatures, taking prescribed medications, and using antimicrobial mouth rinses as instructed.
Follow-Up Appointments: Regular follow-up appointments enable dentists to monitor gum health and assess treatment efficacy. If gum pockets persist, further interventions like periodontal surgery, bone grafting, or soft tissue grafting may be necessary.
Benefits and Risks: Studies affirm the effectiveness of tooth scaling and root planing in halting periodontal disease progression, thereby preserving gum tissue, teeth, and bone. While risks are minimal, temporary discomfort and sensitivity may occur, and certain patients may require antibiotics to mitigate infection risks, particularly those with heart conditions.
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