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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Choosing a dentist after delaying for over 6 years is tough !
Dr. Norman and his excellent staff, Jennifer, Coreena, and Kim, took care of me at every step.
Scheduling, consultations, the work that needed to be done on my teeth, and a follow-up appointment, have without a doubt resulted in me being a patient for life.
If you're in the same situation as I was, or are looking for a different opinion for your own dental needs, I highly recommend you go see them at their Roseburg or Glide clinics.

Teal T.

No one likes a visit to the dentist, but Jed Norman makes it as pain-free as possible. I've been to good dentists and bad ones, having gone through much more than my share of dental drama, so I was extremely relieved to find Dr Norman. He's very experienced and knowledgeable, but more to the point, he cares about his patients. He's thorough, compassionate, and patient. He's not afraid of a challenging dental situation, but knows his limits. I've supplied him with several opportunities (not on purpose) to recommend work that wasn't necessary, but he always suggests the conservative treatment first. He explains the science and logistics of his approach well, which helps me feel more confident. Also, both his office staff , dental assistants , and hygienist are equally competent and caring. When I need to get in for an appointment I'm able to. My husband and I have been Dr Norman's patient's for over three years now and I highly recommend him.

Shawna W.

Great dentist and awesome staff. Service is always thorough and they are very clear about treatment plans and costs. I got my wisdom teeth pulled here and they did a very good job. If you're looking for an honest, kind dentist with integrity, Jed Norman is your guy.

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