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.
"Professional, caring, fast response. Dr Rafla and his staff give exceptional service. Highly recommended. I had a tooth emergency and they delivered their usual high standard of care."- J.P. / Facebook / Apr 18, 2020
"Dr. Akram Rafla has a superb office. His office is beautiful and SOO clean. He is super professional and he took care of me and my friend. I would recommend him to all of my friends and family."- D.A. / Facebook / Jan 10, 2020
"I have been going to doctor rafha 10 years now had some implants and I go there for my cleanings if you going to have your teeth worked on don't screw around go to the best that's what I do trust me save yourself a lot of headache and pain was dr. I never felt any pain can't ask for better"- A.C. / Facebook / Dec 04, 2019
"Dr Rafla put in my implant over 20 years ago. After all that time it has been fantastic but recently loosened. He repaired it no problem. What I want to mention is his level of compassion he gives. He knew how nervous I was and went above and beyond to ensure my emotional comfort as well as physical. I don't mind waiting 20 years to be in his care again, lol, but will not hesitate to call him when needed! Phenomenal dentist!"- L.P. / Facebook / Sep 18, 2019
"Dr. Rafla and his team present as being caring, nice and knowledgable professionals with positive can do attitudes, reducing stress levels considerably. Surgery is already scheduled and I am confident I will be in good hands!"- D.M. / Facebook / Sep 14, 2019
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.