Scaling and Root Planing

Scaling and root planing is a deep cleaning procedure designed to treat gum disease by removing plaque, tartar, and bacteria from the surfaces of the teeth and the roots below the gum line. It is primarily used to address periodontal disease, a condition where bacteria invade the gums, causing inflammation and infection. If left untreated, gum disease can lead to tooth loss and other serious oral health complications.

Scaling

Scaling refers to the process of thoroughly cleaning the surfaces of the teeth, both above and below the gumline, to remove plaque and tartar buildup. Plaque is a sticky film of bacteria that accumulates on teeth, while tartar is hardened plaque that cannot be removed with regular brushing. Scaling ensures the removal of these harmful substances, which are major contributors to gum disease.

Root Planing

Root planing is the process of smoothing the roots of the teeth, which helps remove any remaining bacteria and toxins, and promotes the reattachment of healthy gum tissue to the tooth roots. By smoothing the root surfaces, root planing also reduces the likelihood of future plaque buildup, which can help maintain long-term gum health.

Why Scaling and Root Planing is Important

Scaling and root planing are essential treatments for patients with gingivitis (the earliest stage of gum disease) or periodontitis (advanced gum disease). Without intervention, gum disease can worsen, leading to significant tooth loss, bone damage, and systemic health issues. The procedure provides several key benefits:

Prevents Tooth Loss

By addressing gum disease early, scaling and root planing help to reverse damage caused by bacteria. By cleaning the roots and smoothing them, the gums can heal and reattach to the teeth, stabilizing the teeth and preventing them from becoming loose.

Reduces Gum Inflammation

When plaque and tartar accumulate, the gums become inflamed and bleed easily. By removing these irritants, scaling and root planing help reduce inflammation, allowing the gums to recover and return to a healthy state.

Prevents Further Disease Progression

Scaling and root planing halt the progression of gum disease, preventing it from advancing to more severe stages that could lead to bone loss, tooth mobility, and systemic health issues.

Enhances Overall Health

Recent studies have shown that gum disease is linked to other health conditions, such as heart disease, diabetes, and respiratory problems. Treating gum disease with scaling and root planing can help lower the risk of these conditions, promoting better overall health.

Who Needs Scaling and Root Planing in San Antonio, TX?

Scaling and root planing are typically recommended for individuals who show signs of gum disease. The procedure is often needed when the following symptoms are present:

Bleeding Gums

One of the earliest signs of gum disease is gums that bleed when brushing or flossing. If this occurs frequently, scaling and root planing may be required to address the underlying infection.

Swollen or Red Gums

Healthy gums should appear pink and firm. If your gums are swollen, tender, or red, it’s a sign that bacteria have caused irritation and infection. Scaling and root planing can help restore healthy gum tissue.

Persistent Bad Breath

Chronic bad breath, or halitosis, can be a sign of gum disease, as bacteria in the mouth can produce unpleasant odors. Removing plaque and bacteria with scaling and root planing can alleviate this symptom.

Gum Recession

As gum disease progresses, it can cause gums to pull away from the teeth, resulting in exposed tooth roots. Scaling and root planing can help clean these exposed areas and encourage the gums to reattach to the teeth.

Pocket Depths Over 3mm

Healthy gums typically fit tightly around the teeth. If your periodontist in San Antonio, TX detects that the pockets between your teeth and gums are deeper than 3 millimeters, it may be a sign of gum disease, and scaling and root planing may be necessary.

The Scaling and Root Planing Procedure in San Antonio, TX

Consultation and Diagnosis

Before performing scaling and root planing, Dr. Maller will conduct a comprehensive evaluation of your oral health. This may include a visual examination, X-rays, and measuring the depth of your gum pockets. The results will help determine whether scaling and root planing is the most appropriate treatment for you.

Local Anesthesia

To ensure comfort throughout the procedure, scaling and root planing is typically performed under local anesthesia. This numbs the treatment area so that you won’t feel discomfort during the procedure. For more anxious patients, sedation options may also be available to ensure a relaxed experience.

Scaling

During the first phase of the procedure, Dr. Maller uses specialized tools to carefully remove plaque and tartar from both above and below the gumline. This step may take some time, especially for patients with more advanced gum disease. Advanced ultrasonic instruments or hand scalers may be used to effectively clean the teeth and roots.

Root Planing

After the scaling phase, Dr. Maller will use specialized tools to smooth the surfaces of the tooth roots, eliminating any remaining bacteria and toxins. This process helps the gums reattach to the teeth, encouraging healing and reducing the likelihood of future plaque buildup.

Post-Treatment Care

After the procedure, you may experience some mild discomfort, swelling, or bleeding. Dr. Maller will provide you with instructions on how to care for your gums during recovery. This may include using a soft toothbrush, avoiding certain foods, and taking prescribed medications to manage any discomfort or prevent infection. Contact us to learn more.

Benefits of Scaling and Root Planing

Scaling and root planing offers a wide range of benefits for patients dealing with gum disease:

Prevents Further Gum Damage

By cleaning out bacteria and plaque, scaling and root planing halts the progression of gum disease, preventing further damage to the gums, teeth, and surrounding structures.

Saves Teeth

Without treatment, gum disease can lead to tooth loss. Scaling and root planing can help stabilize loose teeth and promote healing, often avoiding the need for tooth extraction.

Restores Gum Health

Scaling and root planing restores gum tissue, reducing inflammation, redness, and bleeding, helping you achieve healthier gums and a brighter, more confident smile.

Improves Overall Health

Treating gum disease with scaling and root planing can improve your overall health by reducing the risk of systemic conditions linked to periodontal disease, such as heart disease, diabetes, and stroke.

Conclusion

Scaling and root planing is a highly effective treatment for gum disease that addresses the root causes of periodontal issues and promotes long-term oral health. By removing harmful plaque and tartar and smoothing the roots of the teeth, this procedure helps restore gum health, prevent tooth loss, and improve overall well-being. If you're experiencing symptoms of gum disease, Dr. Steven C. Maller, DDS, MS, and the team at San Antonio Periodontics & Implants are here to provide compassionate care and advanced treatment options to help you achieve a healthier smile.

Take the first step toward optimal oral health and a confident smile. Contact Dr. Steven C. Maller, DDS, MS, at San Antonio Periodontics & Implants for expert care tailored to your needs. Call us at (210) 824-0111 or visit us at 4501 McCullough Suite 104, San Antonio, TX 78212. Your healthiest smile starts here!