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Periodontal Scaling & Root Planing

The objective of scaling and root planing is to remove etiologic agents which cause inflammation to the gingival (gum) tissue and surrounding bone.  Common etiologic agents removed by this conventional periodontal therapy include dental plaque and tartar (calculus).

These non-surgical procedures which completely cleanse the periodontium, work very effectively for individuals suffering from gingivitis (mild gum inflammation) and moderate/severe periodontal disease.

Reasons for scaling and root planing

Scaling and root planing can be used both as a preventative measure and as a stand-alone treatment.   These procedures are performed as a preventative measure for a periodontitis sufferer.

Here are some reasons why these dental procedures may be necessary:

  • Disease prevention – The oral bacteria which cause periodontal infections can travel via the bloodstream to other parts of the body.  Research has shown that lung infections and heart disease have been linked to periodontal bacteria.  Scaling and root planing remove bacteria and halts periodontal disease from progressing, thus preventing the bacteria from traveling to other parts of the body.

  • Tooth protection – When gum pockets exceed 3mm in depth, there is a greater risk of periodontal disease.  As pockets deepen, they tend to house more colonies of dangerous bacteria.  Eventually, a chronic inflammatory response by the body begins to destroy gingival and bone tissue which may lead to tooth loss.  Periodontal disease is the number one cause of tooth loss in the developed world.

  • Aesthetic effects – Scaling and root planing help remove tartar and plaque from the teeth and below the gumline.  As an added bonus, if superficial stains are present on the teeth, they will be removed in the process of the scaling and root planing procedure.  

  • Better breath – One of the most common signs of periodontal disease is halitosis (bad breath).  Food particles and bacteria can cause a persistent bad odor in the oral cavity which is alleviated with cleaning procedures such as scaling and root planing.

What do scaling and root planing treatments involve?

Scaling and root planing treatments are only performed after a thorough examination of the mouth.  The dentist will take X-rays, conduct visual examinations and make a diagnosis before recommending or beginning these procedures.

Depending on the current condition of the gums, the amount of calculus (tartar) present, the depth of the pockets and the progression of the periodontitis, local anesthetic may be used.

Scaling – This procedure is usually performed with special dental instruments and may include an ultrasonic scaling tool.  The scaling tool removes calculus and plaque from the surface of the crown and root surfaces.  In many cases, the scaling tool includes an irrigation process that can also be used to deliver an antimicrobial agent below the gums that can help reduce oral bacteria.

Root Planing – This procedure is a specific treatment which serves to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar.  The root of the tooth is literally smoothed in order to promote good healing. Having clean, smooth root surfaces helps bacteria from easily colonizing in future.

Following these deep cleaning procedures, the gum pockets may be treated with antibiotics.  This will soothe irritation and help the gum tissues to heal quickly.

During the next appointment, the dentist or hygienist will thoroughly examine the gums again to see how well the pockets have healed.  If the gum pockets still measure more than 3mm in depth, additional and more intensive treatments may be recommended.

If you have any concerns or questions about scaling and root planing, or periodontal disease, please ask your dentist.

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Testimonials

Dr. Beaty is an awesome Dentist! She also has a terrific Team of assistants who go above and beyond to make all patients feel comfortable. I would probably be the youngest person in history to have dentures if it wasn’t for Dr. Beaty. My family and I have been going to Dr. Beaty for over 20 years. I was looking for a pediatric dentist and when I called the office to make an appointment for another dentist, I was informed that Dr. Beaty had taken over the practice. I was assured she was great with children and she definitely did not disappoint! Dr. Beaty and her staff are excellent with children. My son was 3 and my daughter was 8 when we became patients of Dr. Beaty’s and since that union, my children have always looked forward to going to the dentist. Dr. Beaty – as well as her entire staff – have awesome personalities, terrific bedside manner and just overall kindness and concern for their patients. I have never been to a more dedicated, compassionate dentist who deeply cares about preserving your teeth. Dr. Beaty has always explained all treatment options, procedures, and the costs involved for those procedures. DB Dentistry follows-up with their patients to make sure there are no complications from procedures and that the patient is doing well. Even when she referred my children to the Orthodontist for braces, she made sure to check on their progress and to make sure we (especially the children) were comfortable with her referral. Dr. Beaty made sure that the excellent care her office provided was also being provided by her referral. To add to the excellent patient care, the amenities offered are above and beyond – from the chair massage, to the paraffin hand wax, to the warm neck wrap, to the mellow music. Feels more like going to a spa instead of seeing the dentist. Over the years, I have referred many family members and co-workers to Dr. Beaty and they remain patients. While Dr. Beaty is not an in-network dentist through my insurance, it is WELL worth the few dollars more to have peace of mind, comfort, and awesome care. I often think, I called looking for a dentist and gained a well-trusted and most respected friend. My family loves Dr. Beaty and DB Dentistry. They are THE BEST!!

Sandra

Naturally I spent the weekend on FACEBOOK sharing your artistry! The results are still unbelievable! The transformation is literally life-changing and I can't begin to thank you and your team of professionals enough for making it happen.

Michael

Dear Dr. Beaty,

What I appreciate most about your dental practice is your focus on the future. Rather than scold a patient for poor past dental care, you work with the patient to build better habits going forward.

I also appreciate your efforts to relieve patients’ anxiety about visiting the dentist. Some days the hot neck wrap, paraffin hand dip, or just the pleasant view turn a stressful experience into a relaxing one.

Matthew

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