CLEANING (Deep Dleaning): PERIODONTAL SCALING AND ROOT PLANING

Periodontal scaling and root planing—collectively referred to as “deep cleaning”—are priced according to the dental quadrant treated. Gum disease involves inflammation of the gingival tissue, potentially affecting teeth and supporting bone. Contributing factors include bacterial plaque, acids, and certain foods. Dental scaling and root planing are evidence-based methods to address and reverse gum disease.

Dental Scaling

Dental scaling employs either manual hand instruments, ultrasonic devices, or a combination of both. The dentist will begin with a thorough oral examination, followed by ultrasonic scaling to eliminate plaque and tartar above and below the gumline. Manual instruments may then be used for further debridement as necessary.

Root Planing

Root planing involves meticulous smoothing of the root surfaces to reduce gum inflammation and deter further plaque and biofilm accumulation.

Surgical Periodontal Procedures

In cases of advanced gum disease, surgical intervention may be warranted, such as for gingivitis or periodontitis. Commonly referred to as gum surgery, these procedures aim to:

• Regenerate damaged bone and soft tissue
• Prevent tooth loss
• Minimize gum gaps (“black triangles”)
• Reshape the jawbone to reduce bacterial risk
• Eliminate infection

Gingivitis, a mild gum disease, causes redness, swelling, and bleeding, often due to suboptimal oral hygiene and plaque buildup. This condition is reversible with professional care. In contrast, periodontitis is a more severe progression leading to bone and tissue destruction, pocket formation, and potential tooth loss.

Prior to surgical procedures, deep cleaning of the gums—including scaling and root planing—is generally performed to remove tartar and bacteria.

Flap Surgery

Flap surgery is specifically beneficial for patients with deep tartar deposits. The procedure entails gently lifting the gums to access and remove underlying tartar. Following debridement, the gums are repositioned and sutured to fit securely around the teeth; bone reshaping may occur as needed during this process.