Scaling and Root Planing

Scaling and root planing is one of the most conservative treatment’s for periodontal (gum) disease. Scaling removes calculus (tartar) and plaque that attach to the tooth surfaces and below the gum line along the “root”.

The primary cause of periodontal disease is bacteria in oral cavity. This bacteria also comes in the form of plaque and calculus (tartar) which provides an irregular surface that allows these disease-causing bacteria to attach and colonize easily. Scaling and root planing are designed to remove the plaque and calculus on the tooth and root surfaces. Scaling and root planing is especially effective for a patient who have gingivitis and early stages of the periodontal disease. It is often the only treatment that is necessary to get the periodontal disease under control when diagnosed early. For patient’s who have more advanced periodontal disease, scaling and root planing is recommended as the first step of treatment.

The procedure of scaling and root planing is most effective when performed with a combination of ultrasonic scalers and hand instruments. Ultrasonic instruments use water and a very high frequency vibration, which remove plaque and calculus (tartar) and irrigate the area at the same time. If you are concerned about sensitivity or pain of the procedure, we offer local anesthesia and even sedation for your comfort. Dr. Cook may prescribe an antibacterial mouth rinse to be used twice a day for a two-week after scaling and root planning to get the optimal result.

It is very important to maintain good oral hygiene at home by brushing at least twice a day for two minitues each time along with flossing at least daily to prevent periodontal disease from recurring after scaling and root planning. Bacteria can build up in your oral cavity at anytime if you don’t maintain good oral home care.

We can provide optimal health for your gums and teeth and assure your periodontal disease is under control while striving for an esthetic result.