Scaling is a routine procedure done to remove stubborn tartar and plaque build-up from the tooth above the gum line. After scaling, we will polish your teeth with a polishing paste and a rotating rubber cup (similar to an electric toothbrush), to improve the appearance of your teeth and remove bacteria. Polishing is usually carried out after scaling to make your teeth feel smooth and shiny. The American Dental Association recommends that you visit your dentist at least once a year to get a routine examination and teeth cleaning. If you have a history of periodontal disease, you should get your teeth cleaned more often, probably twice a year, to prevent the recurrence of infections or disease.
Root Planing & Local Drug Delivery
Root planing is used to remove toxins and bacterial buildup from the tooth root, which are below the gum-line and cannot be reached with a toothbrush. It is mainly done in patients with infective gum disease having moderately deep pockets. It helps to smoothen the tooth root and allows the gum tissue to reattach more firmly. It's the most important step in periodontal therapy for gum disease which may help us to even avoid flap surgery. But, failure to do so can result in bone loss and gum pockets can start to deepen around the teeth. Ultimately the tooth becomes loose and may fall off.
What does this treatment involve?
- This treatment is often performed under a local anesthetic and may require you to make more than one visit.
- Root planing is done with the piezoelectric scaler and specially designed Hand scalers (also known as curretes) to ensure that the tooth and its root are completely clean.
- Sometimes your periodontist might prefer to perform local drug delivery with tetracycline fibers. It is a controlled release of locally delivered antibiotics in the periodontal pocket to achieve maximum benefits.
- After this treatment you will need to be careful when cleaning the teeth above the gum-line, as the Root planing should cause the gum pocket to shrink, resulting in the gum sitting closer to the tooth.
- This treatment is generally repeated regularly.
What are the benefits?
- Root planing is beneficial when it is done at an early stage, as it stops gum disease from getting worse and can prevent tooth loss. It helps your gums to reattach to your teeth.
- Sometimes it helps us to avoid flap surgery.
- Doing it before flap surgery helps us to restrict to the localized areas.
- It is also done as the supportive periodontal therapy in patients to maintain the gum health after flap surgery.
- Although this treatment can help you to keep your mouth clean and healthy at home, you should still visit your dentist at least once a year.
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