About Scaling and Root Planing
The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar, or calculus, which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment, or a preventative measure. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease.
"Amazing doctor and an amazing staff very pleased with the service I received"- A.R. / Google / Aug 19, 2021
"I have received wonderful service at Dr. Rafla's office from the moment I enter the office. The front desk staff are welcoming and attentive.. Every hygienist that have cleaned my teeth over the years have been outstanding. I couldn't be more pleased. Absolutely 5 stars."- B.M. / Google / Aug 05, 2021
"Would I recommend Dr Rafla? Of course! I have already recommended him many times. His offices, Marlborough and Worcester, are clean and up-to-date; but it's his skill, his personality and his staff that really set him apart from others. If implants sound prohibitively expensive, consider my experience. I've spent far more on other dental 'solutions' that ended in failure - money wasted. Implants, though, have provided permanent, trouble-free teeth. Other dentists have commented on his skill and his use of the best materials."- B.W. / Google / Jul 02, 2021
"Very organized and efficient Office. I had a gum graft and subsequent cleanings. I would highly recommend Dr Rafla and his dental associates."- J.Z. / Google / Jun 16, 2021
"Dr Rafla and his team,did an outstanding job I can not even believe how well my procedure went after years of pain and fear of surgery I put off having many teeth extracted and bone graphs and implants Dr Rafla was referred to me by Dr Stanley Levenson who I trust and respect he promised me I would be in the best of hands and Dr Rafla did exceptional work. I can honestly say it could not have gone better I had little to no swelling or bleeding and minimal to no pain. I am so pleased with how it went and how I feel one day later with no pain medication other than a little ice and Motrin. Thank you Dr Levenson for your referal and thank you Dr Rafla I could not be more satisfied and grateful. Tricia White"- P.W. / Google / Jun 08, 2021
What Does it Entail?
Dr. Rafla will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Dr. Rafla may recommend scaling and root planing. In some cases, local anesthesia may be used during the procedure.
When scaling is performed, calculus and plaque that attaches to the tooth surfaces are removed. The process especially targets the area below the gum line, along with the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.
Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins, and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.
An animated illustration showing the process of scaling An animated depiction of a root planning procedure
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. Rafla may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for Dr. Rafla to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
The Benefits of Treatment
If treatment is successful, scaling and planing may have many periodontal benefits. One is that it can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the bloodstream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing removes bacteria that cause these conditions.
Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss.
Finally, scaling and root planing may make the mouth more aesthetically appealing, and should reduce bad breath caused by food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures.
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