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Scaling and Root Planing at Triad Cosmetic Dentistry

This video shows you how excessive calculus and bacterial deposits are removed from beneath the gumline to stop the spread of periodontitis.

What is Scaling and Root Planing?

Periodontal disease often leads to invasive procedures like root canals. Scaling and root planing is a treatment that helps prevent any need for a root canal procedure. The idea behind these preventative measures is to remove the dental plaque and tartar that leads to gingival inflammation and disease.

Scaling and root planing are often stand alone procedures and preventative measures used when Dr. MacDonald notices that your teeth are at risk of becoming seriously infected.

How Does the Procedure Work?

The first and most important step in the process is a thorough examination of your teeth and gums. After an in-person examination, x-rays may need to be taken to further examine your mouth.

If there is enough tartar present, your gums are unhealthy, or the progression of periodontitis hasn’t gone too far, Dr. MacDonald may suggest scaling and root planing. If you’re concerned about the treatment being painful, don’t be. Local anesthesia may be used to reduce or eliminate any discomfort. 

Scaling

Scaling is the removal of calculus and plaque attached to the tooth’s surface. The focus area of this process is below the gum line where the tooth is most at risk. An ultrasonic scaling tool cleans close to the root.

During the process, an irrigation device is typically utilized to remove infection or plaque while injecting an antimicrobial agent at the same time. This is to prevent further infection and assist with the natural healing process.

Root Planing

Root planing is a process designed to remove cementum and surface dentine embedded in tartar. Unwanted microorganisms and toxins may also be found in tartar that require removal. After this removal, the roof of the tooth is smoothed out to promote healing and prevent bacteria colonization.

Antibiotic fibers may be placed in the periodontal pockets after scaling and planing to further protect from infection and support healing. 

If pockets between teeth and gums are too deep. It may be difficult to completely remove all plaque and tartar. In this instance, it could be too late for preventative measures and Dr. MacDonald may suggest a root canal procedure. 

The Benefits of Treatment

Scaling and root planing offer extremely effective protection against periodontal diseases. If you want to avoid a root canal procedure, scaling and root planing are likely your best line of defense. Avoiding treatment for periodontal disease can be extremely dangerous. 

Infection may eventually spread from the gums into the bloodstream. allowing it to affect other areas of the body. This spread may lead to heart and respiratory diseases if left untreated. 

Tooth loss is another major risk that may result from periodontal infection. If a gum pocket exceeds 3mm in depth, the risk of periodontal infection significantly increase. The more these pockets deepen, the more risky and dangerous these infections become. 

Chronic inflammatory response often occurs if bacterial infection becomes severe enough. This may cause your body to react defensively and destroy gingival and bone tissue. Once this occurs, tooth loss is almost sure to follow.

Scaling and root planing don’t just protect the health of your teeth. Removing tartar and plaque will also improve their appearance. Superficial stains from things like coffee will be removed in the process. What’s more is that by removing infection and bacteria, bad breath is alleviated or eliminated. 

Save Your Smile

Don’t wait until a root canal is needed or your tooth is falling out! Contact Dr. MacDonald and find out how you can save your smile from serious infection. Give us a call at (336)-434-3163 and we will gladly answer any questions you have about the health of your smile.