Deep Teeth Cleaning (Scaling and Root Planing)

This non-surgical treatment is the crucial initial step for managing periodontal disease , aiming to remove the bacteria and hardened deposits that cause gum inflammation.

Why Deep Cleaning is Necessary

[Image of Gingivitis to Periodontitis progression]

Scaling and Root Planing (SRP) is commonly recommended for cases ranging from Gingivitis to Moderate/Severe Periodontal Disease . This intensive cleaning targets the *etiologic agents* (dental plaque and hard calculus) that have accumulated below the gum line where normal brushing cannot reach, causing gum inflammation and pocket formation.

The Two-Part Procedure

Scaling

What it is: The process of meticulously removing calculus (tartar) and plaque attached to the tooth surfaces, especially below the gum line along the root.

Performed using a special ultrasonic scaling tool , often including an irrigation process to deliver antimicrobial agents deep below the gums to reduce bacteria.

Root Planing

What it is: The removal of rough, infected cementum and surface dentin embedded with toxins and tartar.

The goal is to smooth the root surface , promoting healing and preventing bacteria from easily recolonizing in the future.

Additional Treatment

Depending on the severity, local anesthesia may be used during the procedure. Additionally, antibiotic fibers may be placed directly into deep periodontal pockets after scaling and planing to control infection and encourage normal healing.

Note: When deep pockets persist (over 3mm) and cannot be kept clean by the patient or through SRP, surgical intervention may be necessary to restore long-term periodontal health.

Key Benefits of Deep Cleaning

Protection Against Systemic Disease: Research shows bacteria from periodontal infections can travel through the bloodstream, potentially affecting other areas of the body and contributing to heart and respiratory diseases . Scaling and root planing removes this risk factor.
Preventing Tooth Loss: Deep pockets (exceeding 3mm) accelerate periodontal disease. Removing bacteria and smoothing the root halts the chronic inflammatory response that destroys gingival and bone tissue, thereby preserving the tooth structure.
Aesthetically Pleasing Results: The procedure reduces bad breath (caused by lingering bacteria) and removes superficial stains on the teeth, leading to a healthier, brighter smile.