
How Do I Know If I Need Scaling and Root Planing?
To confirm that scaling and root planing are required, our periodontist will use X-rays and other forms of digital imaging to determine whether scaling and root planing are required. If gum disease has already reached the periodontitis stage, scaling and root planing may be necessary. Common symptoms that could potentially indicate a need for scaling and root planing include:
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Gum Recession:
The gums pull back from the teeth, causing them to look larger than normal.
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Bad Breath:
The oral bacteria that cause gum disease can emit a foul-smelling compound, leading to chronic bad breath.
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Inflammation and Bleeding:
Gum disease can lead to swollen gum tissue, and bleeding may occur while brushing or flossing.

How Does the Procedure Work?
The deep cleaning process begins with scaling, which involves the removal of plaque and tartar that has accumulated around the teeth and in the pockets of the gums. Once harmful bacteria have been removed, root planing can be performed. This involves smoothing out the roots of the teeth, which creates a surface that bacteria cannot adhere to as easily. Root planing also has the benefit of helping the gum tissue heal properly so that it can be reattached to the teeth.
Scaling and root planing can be completed in as little as one or two appointments, but more severe cases of gum disease may require multiple treatments. The mouth may be numbed with local anesthesia, and sedation can be administered to patients who are nervous or unable to sit still for long periods of time.