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Periodontal disease is caused by the buildup of plaque and calculus around the gum line and between the teeth. Scaling and root planing is a non-surgical procedure which is particularly effective in dealing with gingivitis and early stages of periodontitis. It is essentially a very good deep cleaning done over several visits, usually with Novocaine to make the patient more comfortable. After a scaling & root planing procedure has been completed on any/all necessary quadrants, the patient will likely be put on a periodontal maintenance routine where they will be asked to come back for cleanings on a more frequent basis to prevent the buildup of plaque, calculus, and tartar from exacerbating the periodontal condition. In combination with good home care habits, patients are usually able to maintain good oral health.

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Frequently Asked Question

Q. Why Is Scaling And Root Planing Needed?

A. This treatment is needed when plaque and tartar buildup cause gum inflammation, gingivitis, or early-stage periodontitis. It helps prevent the condition from progressing into advanced periodontal disease.

Q. Does Scaling And Root Planing Hurt?

A. The procedure is typically performed with local anesthesia, such as Novocaine, to ensure patient comfort. Most patients experience minimal discomfort during treatment.

Q. How Many Visits Are Required For Scaling And Root Planing?

A. Scaling and root planing is usually completed over several visits. The mouth is often divided into quadrants, and each quadrant may be treated separately for thorough cleaning.

Q. What Conditions Does Scaling And Root Planing Treat?

A. It is most effective in treating gingivitis and early stages of periodontitis by removing harmful bacteria and reducing gum inflammation.

Q. What Happens After Scaling And Root Planing?

A. After treatment, patients are often placed on a periodontal maintenance schedule, requiring more frequent professional cleanings to prevent recurrence of gum disease.

Q. What Is Periodontal Maintenance?

A. Periodontal maintenance is a specialized cleaning routine recommended after deep cleaning. It helps control plaque and tartar buildup to keep gum disease from returning.

Q. How Does Plaque Cause Periodontal Disease?

A. Plaque is a sticky film of bacteria that accumulates around the gum line. If not removed, it hardens into calculus (tartar), leading to gum inflammation and infection.

Q. Can Scaling And Root Planing Cure Gum Disease?

A. While it may not “cure” advanced periodontal disease, it effectively manages gingivitis and early periodontitis and prevents further progression when combined with proper oral hygiene.

Q. Can Good Home Care Prevent The Need For Scaling And Root Planing?

A. Consistent brushing, flossing, and regular dental checkups can help prevent severe plaque buildup and reduce the likelihood of needing deep cleaning.

Q. Is Scaling And Root Planing Effective For Advanced Periodontitis?

A. It is most effective in early stages. Advanced cases may require additional periodontal treatments beyond non-surgical therapy.

Q. How Often Should I Return After Scaling And Root Planing?

A. Patients are typically advised to return more frequently than standard six-month cleanings, often every 3–4 months, depending on their periodontal condition.