Deep Teeth Cleaning

The initial stage of treatment for periodontal disease is usually a thorough cleaning, referred to as a debridement, that may include scaling or root treatment. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar (calculus) which cause gingival inflammation and disease. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease.

What Do the Procedures Entail?

Our hygienists will only perform scaling and debridement after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Drs. Lethin or Backs may recommend scaling and debridement. In some cases, a local anesthesia may be used during the procedure.

An animated illustration showing the process of scaling

Scaling & Debridement:

When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.

When deep pockets between teeth and gums are present, it is difficult for our hygienists to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.

Benefits of Treatment

If treatment is successful, scaling and planing may have many periodontal benefits. One is that it can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the blood stream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing remove bacteria that cause these conditions.

Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss.

Our experienced, thorough hygienists work their hardest to make these cleaning processes as comfortable, and effective, as possible.