Scaling and Root Planing is usually the first dental treatment a patient
receives for periodontal disease. Scaling and root planing attempts to remove all of the unwanted irritants under a patient's
gums in an attempt to eliminate inflammation and infection.
PROCEDURE
Half of the patient's mouth is numbed so that the dentist can comfortably
remove any hardened food ( calculus ) from below the patient's gums. This is called scaling and it's like removing the scales
from a fish. In addition to hand scaling, we use ultrasonic vibrating tools to blast unwanted hardened deposits off of the
patient's teeth during this phase of scaling and root planing. Scaling leaves a rough tooth surface so planing is needed next.
A carpenter planes wood so that it's smooth. Essentially we perform the same
procedure on a surgical level on the surface of the teeth. This allows the gums to regenerate without irritation. The gum
tissue normally shrinks and becomes tight around the teeth after this scaling and root planing because there is no longer
anything there to irritate the gums. Scaling and root planing can also reduce or eliminate the bleeding gums.
After scaling and root planing is completed the gum tissue is allowed to heal and the results are later documented
by charting the patient's pocket depth. Our aim is to achieve a 1 to 3 millimeter thickness of gum tissue after scaling and
root planing.
After scaling and root planing
In some patients, scaling and root planing is the most aggressive treatment
needed to control their periodontal disease. This is because scaling and root planing can often eliminate the inflamation
and infection that promotes the tissue destruction around teeth with periodontal disease. Because scaling and root planing
is a non-surgical treatment, patients often feel comfortable with it, however, scaling and root planing is most effective
is treating early periodontal disease.
Unfortunately, scaling and root planing is not a cure. Many patients have
scaling and root planing done every two years to continually remove irritants that accumulate over this period.
Non surgical periodontal treatment is appropriate in the early and moderate stages of periodontal disease, otherwise
known as periodontitis.
If there is a great deal of bone loss, a situation known as moderate to advanced periodontitis, then surgical
periodontal treatment is required.
All patients that undergo periodontal treatment-whether it be non-surgical or surgical periodontal treatment
need to have their teeth cleaned and their gums checked on a regular basis. This will be as often as every three to four months.
It is vitally important to do this to prevent further periodontal problems.
Periodontal disease is a chronic problem, without ongoing treatment the infection and disease will recur, and
each time it does, more bone can be lost, until eventually the teeth become loose and need to be removed.
The goal of non-surgical periodontal treatment is to bring the gums back to good health by shrinking or eliminating
the pockets around the teeth that are the site of infection, without having to have gum surgery. |