Find Out What Deep Scaling And Root Planing Teeth Treatment Is
When you visit the dentist, he or she may suggest that you undergo deep scaling and root planing. This will be carried out in order to clean the teeth of plaque and calculus that may be building up deep in the gums causing bone loss or periodontitis. The normal examination will take place and then the dentist will start with the scaling. If you have not had your typical cleaning in some time the build up can grow and grow causing issues deep in the gum and bone area leading to dental pain, bleeding, swelling, and bone loss. A toothbrush or regular superficial cleaning will not fully resolve this issue and the need for a deep cleaning is needed to slow the progression of periodontitis.
Sonic vibrations with a Piezo machine will be used to safely and effectively remove plaque, calculus, and bacteria and then goes on to take away calculus – this is what is known to most people as tartar. It will be taken away from both the teeth and below gums level. In some cases a pain free dental laser will be used to help neutralize the negative bacteria build up, help the healing of the gum and bone area, and reduce post op pain. Root planing deals more with protecting the integrity of the gums. The surface of the roots is scaled, and plaque is removed from there as well. This form of treatment will prevent the gums and bone areas from becoming inflamed as they did before.
Why do you need a Deep Scaling and Root Planing treatment?
The main reason is to allow you to have clean and healthy teeth, gums, and bone areas. A lot of people will think that if they clean their teeth twice a day, they are going to prevent themselves from needing any other treatment. The reality is that there can be bits of food missed, and before long bacteria and calculus (tartar) build up will build below the gums causing recession and bone loss around the teeth. The gaps that appear around the tooth will be a magnet for food debris and bacteria and normal cleaning will not be able to remove this. Without the deep cleaning treatment, the problem will just get worse and eventually the tooth will have to be taken out. In worse cases, the jawbone can become infected as well.
The good news is that if you are on top of things and catch the problem early, the dentist should be able to clear up any infection and save the gum and bone areas. The concern will be if there is extensive damage formed below the gum line and in the bone area. When this happens and the pocket has become too deep to clean out even with a deep cleaning and a periodontist or dental specialist may be needed to treat the areas further. Your dentist should explain exactly what they are going to do before any of the treatment starts. Feel free to ask us at URBN Dental about further information.
Who is more susceptible to needing a scaling and root planing?
It is hard to determine who is most likely to need scaling and root planing treatment. It is almost impossible not to have a small amount of plaque on the teeth even though there are ways to combat it. Even if you clean your teeth well in the morning and before going to bed, there will still be something working against you. Proteins, saliva and bacteria will remain in your mouth and this cannot be stopped. A film will settle across the teeth and will attract sugar and acid that are in the food you eat. As the plaque increases, the teeth can start to decay and even with your best efforts, it may not be possible to get rid of it all.
It is at this stage that the pockets can appear around the tooth. A gingival depth gap of up to 3mm in fine around the tooth, but by the time it measures 4mm or more, you are going to need professional deep cleaning help. Even if you are not aware of the seriousness right away, you soon will be as bad breath is one of the side effects. Scaling should be enough to solve the problem, but if it has happened once, you need to be aware that it can happen again and there may have to be a regular session dedicated to getting the teeth back to the condition they should be in. If your dentist tells you that the pockets are now at 4mm or more with signs of bone loss and attachment loss, then you can be sure that the next thing they tell you is that you need dental scaling.
How do you treat a patient using a scaling and root planing technique?
A deep cleaning will take place in two sections. The scaling requires the dentist to take away all of the plaque – and it is vital that all of it is removed. The tartar – which is plaque that has gone hard – can be above or below the gum line, so the dentist has to check both areas and ensure that they have got the bits that are at the bottom of the pocket.
Next will be the root planing. This is where the tooth root will be smoothed out and it is as a result of this that the gums will lose the pocket that had been created and begin to adhere to the teeth again. Unfortunately, you may have to have a number of visits as it can be uncomfortable to have it all in one session and the dentist does not want you to be distressed or to have to rush the job. To try and make it as easy as possible, they may give you an anesthetic.
What are the symptoms of someone who needs a scaling and root planing?
Your dentist will not carry this out if it is not absolutely necessary. It will be if you are at risk of gum and bone disease or losing any of your teeth. In fact, it tends to be when gum disease has already begun to show signs of taking over your mouth. To test if this is needed, a few tests will take place. A periodontal probe will be used to check how deep the pockets are. If your periodontal pockets are over the acceptable 3mm, then you will be a candidate for the procedure. There will not be any pain felt while this examination is being carried out and it is a test that most patients should undergo. The probe is not going to hurt, but it will let the dentist see everything they need to see in regards to your bone and gum health.