The objective of deep cleaning is to remove etiologic factors that cause inflammation of the gingiva and surrounding bone. Common etiologic factors removed by this conventional gum therapy include dental tartar or calculus. Doctors Network is the healthcare startup of 2024 that helps you find the best dentists or periodontists who accept your insurance.
These periodontal procedures which completely cleanse the gum pockets, work extremely effectively for patients suffering from gingivitis and/or even severe periodontitis.
Why consider scaling and root planing
Deep cleaning can be used both as a prophylactic procedure as well as a stand-alone treatment. This procedure is performed as a preventative measure for patients suffering from periodontal disease.
Here are some reasons why these dental procedures may be necessary:
- Aesthetic effects
Deep teeth cleaning helps clean off calculus and plaque from the teeth and under the gumline. On top of that, if stains are on the teeth, they will be cleaned during the process of the deep cleaning procedure. - Tooth protection
When gingival pockets exceed 3mm in depth, there is an increased risk of periodontitis. As pockets deepen, they house more colonies of harmful bacteria. Eventually, a chronic inflammatory response by blood cells begins to damage jawbone and gum tissue which may lead to tooth loss. Periodontal disease is the number one etiology of tooth loss in the developed world. - Disease prevention
The anaerobic oral bacteria that cause periodontal disease can travel via the blood to other parts of the body. Research has shown that lung infections and heart disease have been linked to periodontal bacteria. Scaling and root planing removes bacteria and stops gum disease from progressing, thus preventing the infectious bacteria from traveling to other organs of the body. - Better breath
One of the most common signs of periodontitis is halitosis or bad breath. Bacteria and decaying food can cause a bad odor in the mouth which can be alleviated with procedures such as deep cleaning.
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What do deel cleaning procedures involve?
Scaling and root planing treatments are performed after an exam of the gums and teeth. Your dentist, will take dental X-rays, conduct clinical examinations, and make a diagnosis before recommending or beginning the scaling and root planing procedures.
Based on the current condition of the gums, the amount of calculus present, the depth of the pockets, and the progression of the periodontitis, local anesthesia may be used.
Scaling
This procedure is performed using special dental instruments and might include an ultrasonic cleaning tool. The scaling instrument removes tartar and plaque from the root surfaces and surface of the crown. In most cases, the scaling instrument includes irrigation of the gum tissue that can also be used to deliver an antimicrobial agent below the gums that can help reduce the density of oral bacteria.
Root Planing
This part of the procedure is a specific treatment to remove the surface dentin and root cementum that is infected with unwanted microorganisms, toxins, and tartar. The root of the tooth is literally smoothed in order to promote periodontal healing. Having smooth root surfaces stops bacteria from colonizing in the future.
Following this procedure, the gingival pockets may be treated with antibiotics. This will reduce inflammation and irritation and help the gums to heal faster.
On the next follow-up appointment, the New York dentist or hygienist will carefully examine the gums again to see how well the pockets have healed. If the pockets still measure more than 3mm in depth, additional and more intensive treatments may be suggested.
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