Periodontal scaling and root planing
Periodontal scaling and root planing is a non-surgical periodontal treatment usually recommended when diagnosed with periodontal disease. Procedure involve removal of dental plaque and calculus (scaling or debridement) and then smoothing, or planing, of the (exposed) surfaces of the roots, removing cementum or dentine that is impregnated with calculus, toxins, or microorganisms, the etiologic agents that cause inflammation.
Why is it worth supplementing professional hygiene with periodontal scaling and root planing?
The condition of the periodontal tissues affects the health of the teeth. These tissues include the gum, periosteum, bone tissue of the jaw, and supporting periodontal ligaments. The appearance of periodontal diseases is often provoked by insufficiently effective hygiene and the associated inflammatory processes.
Periodontal scaling root planning reduces the risk of developing periodontal diseases and stops them if they have already appeared. Early treatment of periodontal disease can prevent irrevocable damage quickly and prevent the spread of bacteria!
What are Periodontal disease?
The dental plaque that accumulates in the mouth contains microbes. Poorly cleaned, it can solidify into stones (tartar) that are difficult to remove. These bacteria affect the gums by causing tissue to loosen from the teeth, resulting in the formation of periodontal pockets.
Gingivitis, the first stage of periodontal disease, affects only the gum tissue and is completely reversible if detected and treated early. If not, it could progress to deeper tissue.
Many patients with more advanced gingivitis or periodontal disease experience bleeding and pain in the gums when using the toothbrush and floss or when eating.
Periodontal disease, on the other hand, occurs when bacteria present under the gum tissue produce toxins that cause the body to destroy the bone that supports the teeth, in proportion to the depth of the periodontal pockets.
It is an oral disease that cannot be cured; however, if caught early enough and treated in time, it can stop its progression and prevent further bone and tooth loss.
Untreated periodontal disease can cause irreversible loss of bones and teeth. Therefore, periodontal scaling and root planing treatment is more effective in the early stages of periodontal disease and can help reduce the depth of periodontal pockets by two to three millimeters. Do not delay the procedure!
Treatment of periodontitis by periodontal scaling and root planing
The periodontal scaling and root planing treatment begins with local anesthesia of the region to be treated. The procedure often requires the use of manual instruments and an ultrasound machine to clean up plaque and stone buildup.
Your dentist will use them under the gum line to purge the roots of the teeth and smooth out rough surfaces. The purpose of this deep cleaning process(root planing) is to remove plaque and tartar as well as smooth the surface of the teeth so as to facilitate the reattachment of the gum tissue to them.
Cleaning periodontal pockets provides:
Complete removal of plaque and calculus from tooth enamel (including the surface of the crown in the subgingival part).
Protection against the appearance of cervical caries, carious lesions of the root part of the teeth.
Cessation of already begun inflammatory processes.
Slowing down the development of chronic periodontal diseases, prolonged relapse;
Elimination of foci of infection.
Strengthening of gingival tissue, under favorable conditions - regeneration of bone tissue, strengthening of teeth.
Without regular professional hygiene, microorganisms accumulate on the enamel surface, on the subgingival part of the crown, which form plaque, which later turns into hard deposits ( tartar ).
A layer of calculus separates the gingival margin from the crown. The gingival tissue is constantly injured, its nutrition is disrupted, the gradual destruction of the ligaments supporting the tooth is possible, which makes the teeth mobile, gradually loosened.
The risk of such disorders is especially high for smokers, with poor-quality oral hygiene, with a predisposition to the appearance of periodontal disease. Professional hygiene with cleaning periodontal pockets reduces it.
How is the procedure carried out?
Periodontal scaling and root planing is performed with an increased depth of periodontal pockets, if deposits accumulate between the gum tissue and the surface of the tooth enamel, plaque forms. The procedure is similar to closed curettage
At the first stage, anesthesia is performed to exclude pain, discomfort for the patient.
The space between the edge of the gums and the enamel is cleaned to the full depth. For this, curettes (mechanical cleaning) or an ultrasonic scaler can be used. Cleaning is carried out so as to completely remove solid deposits;
The surface of the roots opened during the procedure is polished.
Periodontal pockets are treated with antiseptics to the full depth. It is possible to use additional, anti-inflammatory and other local remedies.
After the completion of the curettage , professional teeth cleaning is carried out: removal of plaque from their surface, grinding and polishing, fluoridation or coating with a protective varnish.
The simultaneous performance of professional hygiene and periodontal scaling and root planing allows you to clean the entire enamel surface, improve the quality of the result, and completely remove soft and hard deposits.
Doctors of dentistry recommend combining professional hygiene and periodontal scaling and root planing in the prevention and treatment of periodontitis, periodontal disease , gingivitis. The procedure is worth going through if you have symptoms:
The gums are deformed, their color changes (turn red, turn pale), the edge of the gums drops.
With bleeding gums (constant or after cleaning, eating).
With bad breath;
If the dental roots are gradually exposed, and the depth of the periodontal pockets increases.
With an unpleasant reaction to sour, cold foods, drinks;
With the appearance of tooth mobility.
After the periodontal scaling and root planing treatment
Patients undergoing periodontal scaling and root planing treatment should take care of their oral health after the procedure. Home maintenance is an important part of the healing process: the mouth should not contain any food, residue or plaque in order to prevent bacteria from causing further damage.
It will be necessary to use the toothbrush and dental floss effectively to ensure that the mouth is clean at all times, and it will be important to stop using tobacco products; healing will only be facilitated and the risk of infection reduced.
- Scaling and root planing vs. conservative surgery in the treatment of chronic periodontitis
- Clinical significance of non-surgical periodontal therapy: an evidence-based perspective of scaling and root planing
- Systematic review and meta-analysis on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts
- Dental Scaling and Root Planing for Periodontal Health: A Review of the Clinical Effectiveness, Cost-effectiveness, and Guidelines
- Effect of scaling and root planing as monotherapy on glycemic control in patients of Type 2 diabetes with chronic periodontitis: A systematic review and meta-analysis
- Gingival recession after scaling and root planing with or without systemic metronidazole and amoxicillin: a re-review