Scaling and root planing9/1/2023 ![]() Root planing helps the gums heal and reattach themselves to a cleaner and smoother root surface. Planing is the procedure used to smooth the tooth’s root after the scaling process. Because scaling and root-planing can result in some decreased pocket depth, this procedure can often limit the number of areas that require surgical pocket elimination.ĭuring the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums. Also during Initial Periodontal Therapy we work to establish an effective oral hygiene regimen for each patient in an effort to prevent relapse after treatment is completed. In this manner we can predict how the tissue will respond with additional surgical treatment. This ‘Initial Periodontal Therapy’ improves the overall quality of the gum tissue prior to surgery and helps us to evaluate the patient’s ability to heal. In this manner, we can prevent further periodontal breakdown and address early relapse when it occurs.Įven in more advanced cases of periodontitis, periodontal scaling and root-planing is necessary to prepare the teeth and gum tissue prior to surgical treatments. The goal then is to maintain a healthy periodontal status by combining good oral hygiene practices, such as brushing and flossing, with regular professional dental cleanings (periodontal maintenance) at three-month intervals, often alternating between our office and the office of your primary general dentist. Many shallower periodontal pockets can be eliminated using scaling and root planing. These procedures are performed as a preventative measure. The teeth are reevaluated in four to six weeks. Scaling and root planing can be used both as a preventative measure and as a stand-alone treatment. Using these instruments, bacterial plaque and dental calculus (tartar) are removed from the surfaces of the teeth, including the root surfaces above and below the gum line. Scaling and root-planing is usually performed using a combination of ultrasonic and hand instrumentation, such dental curettes or scalers. ![]() Scaling and root planing can be performed with or without an antibiotic that may be delivered either locally or systemically. This includes periodontal scaling and root planning, or deep cleaning, in the presence of local anesthesia. This is a substantial effect however, moderate, small, and even zero treatment effects are also compatible with the data. ![]() Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. Benefit: The best estimate for the treatment effect for scaling and root planing plus doxycycline hyclate gel is a 0.64-millimeter (95 confidence interval, 0.00-1.28) clinical attachment level gain.
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