If you have recently been diagnosed with active periodontal disease then one of the most effective nonsurgical treatments is scaling and root planing.

This non-invasive treatment can be extremely good at helping to manage periodontal disease and is often used as part of an ongoing treatment plan to control chronic periodontitis.

When Is Scaling and Root Planing Recommended?

We are likely to recommend this treatment if your gums have begun to pull away from your teeth or where the tooth roots are already exposed and have large amounts of tartar or hardened calculus on them.

Active periodontal disease is partially diagnosed through our periodontist measuring or gently probing the gums which helps them determine the depth of the gum pockets around the teeth. Healthy gums have a pocket depth of between one and 3 mm whereas gums with signs of active disease have pocket depths in excess of 5 mm.

What Happens during Scaling and Root Planing?

If the infection in your gums is relatively severe then we may use a local anaesthetic just to keep you comfortable during treatment. The next step is to scale or gently scrape away all the hardened tartar from your teeth and any exposed tooth roots. Once all the tartar has been removed we will use the special instruments to smooth all the exposed root surfaces.

This process is called root planing and makes it more difficult for bacteria to stick to the newly smoothed surface. In addition, smoothing the root surfaces helps remove even more bacteria. Once your teeth have been scaled and root planed, we might choose to place antibiotics into the pockets in between your teeth and gums. The use of topical antibiotics helps to eliminate even more bacteria, reducing the infection and helping to speed up healing.

What to Expect after Scaling and Root Planing

Scaling and root planing should be quite comfortable but afterwards it is important to take good care of your gums to help halt the progression of periodontal disease. We will give you full instructions on how to brush and floss thoroughly as this will help your gums to heal. After a short while you should notice your gums feel firmer and are a nice healthy pink.

This treatment also aims to help shrink the periodontal pockets so your gums should begin to fit more tightly up against your teeth. The effectiveness of treatment will be reviewed at a later appointment and we may recommend you continue with regular scaling and root planing procedures to help maintain these results.

For more information about Ridge Augmentation Procedure talk to our top periodontists, best specialists Dr. Daniel Royzman and Dr. Daria Royzman or contact our Midtown Manhattan, NYC center:

D & D Periodontal Associates, P.C.
57 W 57th St #605
New York, NY 10019
Phone: (212) 759-7763