Scaling and Root Planing

Scaling and Root Planing

Scaling and root planing is a deep cleaning treatment used to manage gum disease. By removing plaque, tartar, and bacteria below the gum line, this procedure helps reduce inflammation and protect the teeth and supporting tissues. 

At Power Road Dental Care in Mesa, scaling and root planing is performed with a focus on comfort, thorough care, and long-term periodontal health.

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What Is Scaling and Root Planing?

Scaling and root planing is a non-surgical periodontal treatment used to treat gum disease. It goes deeper than a routine dental cleaning by targeting plaque, tartar, and bacteria that collect beneath the gum line, specifically in periodontal pockets where there is bone loss.

The procedure is completed in two parts:

  • Scaling: Removes plaque and tartar from the teeth and below the gums.
  • Root planing: Smooths the surfaces of the tooth roots to help the gums reattach to the teeth and reduce areas where bacteria can collect.

At Power Road Dental Care, we use ultrasonic scalers and specialized dental instruments to thoroughly clean the teeth and root surfaces.

How Scaling and Root Planing Differs From a Regular Cleaning

A routine dental cleaning focuses on removing plaque and tartar above the gum line mostly, slightly below the gum line,  and there is no bone loss. Scaling and root planing treats buildup and bacteria below the gums where there is periodontal disease (bone loss).

A regular cleaning is preventive care. Scaling and root planing is performed when gum disease/bone loss is already present and requires deeper treatment.

When Is Scaling and Root Planing Recommended?

Scaling and root planing is recommended when plaque, tartar, and bacteria extend below the gum line and begin affecting the supporting tissues around the teeth (bone loss present). 

During your dental exam, measurements around the teeth help determine whether periodontal pockets and gum inflammation require deeper cleaning below the gums.

What Causes Gum Disease?

Gum disease develops when plaque and bacteria remain on the teeth and gums for extended periods of time. As bacteria multiply, the gums become irritated and inflamed.

Several factors can increase the risk of periodontal disease, including:

  • Poor oral hygiene
  • Smoking or tobacco use
  • Diabetes
  • Dry mouth
  • Hormonal changes
  • Certain medications
  • Genetics
  • Skipping routine dental cleanings

Without treatment, gum disease can progress from mild gingivitis to more advanced periodontal disease that affects the bone supporting the teeth.

Signs of Gum Disease

Gum disease often develops gradually, and symptoms may not be obvious at first. As inflammation worsens, patients may begin noticing changes in their gums and oral health.

Common signs of gum disease include:

  • Red or swollen gums
  • Bleeding gums when brushing or flossing
  • Persistent bad breath
  • Tender gums
  • Gum recession
  • Loose teeth
  • Sensitivity near the gum line
  • Heavy tartar buildup

The Benefits of Scaling and Root Planing

Treating gum disease early helps protect both oral health and overall health. Scaling and root planing removes harmful bacteria and reduces inflammation before more serious damage develops.

Benefits of treatment include:

  • Reduced gum inflammation
  • Removal of harmful bacteria
  • Improved gum attachment
  • Fresher breath
  • Reduced bleeding
  • Prevention of bone loss
  • Lower risk of tooth loss
  • Easier home oral hygiene care
  • Support for long-term periodontal health

Studies have also linked periodontal disease to health conditions such as heart disease and diabetes, making gum health an important part of overall wellness.

What Happens During Scaling and Root Planing?

Scaling and root planing is typically completed over one or more appointments depending on the extent of gum disease.

Examination and Measurements

Your dentist or dental hygienist will examine the gums and measure the depth of the pockets around the teeth to determine the areas that need treatment.

Local Anesthetic

A local anesthetic is used to help keep you comfortable during the procedure. Sedation is available if necessary. 

Deep Cleaning Below the Gums

Plaque, tartar, and bacteria are carefully removed from below the gum line using ultrasonic scalers and specialized instruments.

Root Surface Smoothing

The root surfaces are smoothed to help the gums heal and reattach to the teeth more effectively.

Follow-Up Care

After treatment, periodontal maintenance visits will be recommended to help manage gum health and prevent the disease from returning.

Recovery After Scaling and Root Planing

Mild tenderness and sensitivity are common after treatment and usually improve within several days.

After your appointment, it is helpful to:

  • Brush gently with a soft-bristled toothbrush
  • Floss carefully around treated areas
  • Rinse as directed by your dentist
  • Avoid tobacco products
  • Drink plenty of water
  • Avoid very hard or spicy foods for a short period
  • Continue regular oral hygiene habits at home

Consistent home care plays an important role in the success of periodontal treatment. After your procedure, you will be given detailed aftercare instructions to help support proper healing and long-term gum health.

Preventing Gum Disease After Treatment

Scaling and root planing helps control gum disease, but maintaining healthy gums requires ongoing care.

To help prevent future buildup and inflammation:

Routine professional care combined with strong home habits helps keep periodontal disease under control.

Mesa Dentist Serving the East Valley

At Power Road Dental Care, we provide scaling and root planing treatment tailored to your oral health needs using modern dental technology and periodontal care techniques.

To book an appointment at our dental office in Mesa, AZ, call (480) 664-1438 or visit us at 2500 S Power Rd STE 102, Mesa, AZ 85209.

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FAQ

Does scaling and root planing hurt?

Scaling and root planing is typically well tolerated. Local anesthetic is used to help keep the area comfortable during treatment. Mild soreness or sensitivity afterward is common and usually temporary.

How long does scaling and root planing take?

Treatment time depends on how much buildup is present and how many areas require treatment. Some patients complete treatment in one visit, while others may need multiple appointments.

Do gums grow back after scaling and root planing?

The gums may tighten and heal after bacteria and inflammation are removed. While gum tissue lost from advanced recession does not fully grow back on its own, treatment helps prevent further damage.

Is scaling and root planing covered by insurance?

Many dental insurance plans provide coverage for periodontal treatment when medically necessary. Our team can help review your benefits and explain your coverage.

How much does scaling and root planing cost?

The cost of scaling and root planing depends on the extent of gum disease and how many areas of the mouth require treatment.

How often do I need periodontal maintenance after scaling and root planing?

Patients with a history of gum disease benefit from periodontal maintenance visits every three to four months. The recommended schedule depends on your oral health condition and risk factors.

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