Question 1

What is a deep cleaning (scaling and root planing)?

Accepted Answer

A deep cleaning involves removing plaque and tartar from below the gumline and smoothing the roots to help gums reattach to the teeth. It's typically recommended for treating periodontitis.

Question 2

How does a deep cleaning differ from a regular dental cleaning?

Accepted Answer

A regular dental cleaning (prophylaxis) removes plaque and tartar above the gumline and is preventive. A deep cleaning focuses on cleaning below the gumline and is therapeutic, addressing active gum disease.

Question 3

What is periodontal maintenance?

Accepted Answer

Periodontal maintenance is ongoing treatment following periodontal therapy. It involves regular cleanings every 3-4 months to prevent the recurrence of periodontitis and manage any ongoing gum issues.

Question 4

What is the difference between a preventative cleaning and periodontal maintenance?

Accepted Answer

A preventative cleaning is for patients without gum disease and focuses on maintaining oral health. Periodontal maintenance is for patients who have undergone periodontal treatment and need more frequent, in-depth cleanings to manage their condition.

Question 5

Why do I need scaling and root planing?

Accepted Answer

If you have gum disease, scaling and root planing is necessary to remove bacteria, tartar, and plaque buildup that cannot be reached with regular brushing and flossing. This treatment helps to prevent further damage to the gums and bones supporting your teeth.

Question 6

Is scaling and root planing painful?

Accepted Answer

Local anesthesia is typically used to numb the area during the procedure, so you should not feel pain. Some discomfort or sensitivity afterward is normal, but it can be managed with over-the-counter pain relievers and proper care.

Question 7

How long does the procedure take?

Accepted Answer

The procedure is often done in two or more appointments, depending on the extent of the gum disease and how many teeth need treatment. Each session may take an hour to two hours to complete.

Question 8

What can I expect after scaling and root planing?

Accepted Answer

You may experience some gum tenderness, slight bleeding, and sensitivity to hot or cold for a few days. It’s essential to follow our office's aftercare instructions, which may include using an antimicrobial mouth rinse and avoiding certain foods.

Question 9

How long will it take to heal after scaling and root planing?

Accepted Answer

Healing typically occurs within a few days to a week. However, your gums will need time to reattach to the teeth, which can take a few weeks. Proper oral hygiene and follow-up appointments are crucial for recovery.

Question 10

How effective is scaling and root planing?

Accepted Answer

Scaling and root planing is highly effective in treating gum disease, especially in its early stages. Studies show it reduces inflammation, decreases pocket depth, and improves gum health. It may not completely reverse advanced periodontitis but can significantly improve the condition. Improvement in at home care also plays a significant role is the efficacy of scaling and root planing (gum therapy).

Question 11

Will I need any follow-up treatments after scaling and root planing?

Accepted Answer

Yes, follow-up appointments are essential to monitor healing and ensure the gum disease is under control. In some cases, additional scaling or other treatments, such as periodontal surgery, may be needed if the disease persists.

Question 12

What are the risks if I don’t get scaling and root planing?

Accepted Answer

Without treatment, gum disease can progress, leading to deeper pockets, gum recession, bone loss, and ultimately tooth loss. Untreated gum disease is also linked to systemic health issues, including heart disease and diabetes.

Question 13

How do I care for my gums after the procedure?

Accepted Answer

After the procedure, maintain good oral hygiene by brushing twice a day with a soft-bristled toothbrush, flossing daily, and using any mouthwash or products recommended by your dentist. Avoid smoking and follow a healthy diet to support gum healing.

Question 14

Will my gums grow back after scaling and root planing?

Accepted Answer

The goal of scaling and root planing is to help the gums reattach to the teeth and reduce pocket depth. However, gums that have receded due to periodontitis may not fully grow back. The procedure helps stop further progression of the disease.

Question 15

Is scaling and root planing covered by insurance?

Accepted Answer

Many dental insurance plans cover part or all of the cost of scaling and root planing, especially if it is deemed medically necessary for treating gum disease. Check with your insurance provider for specific coverage details.

Question 16

How often will I need scaling and root planing?

Accepted Answer

Depending on your oral health and at home care routing, you may need scaling and root planing once, or it could be part of ongoing periodontal maintenance. Some patients with chronic gum disease may need scaling and root planing every 3 to 4 months.

Question 17

Can I eat after the procedure?

Accepted Answer

Yes, but it’s advisable to avoid hot, spicy, or hard foods for a few days after the procedure to reduce irritation. Stick to soft, cool foods and gradually reintroduce regular foods as your gums heal.

Question 18

Are there any risks or complications associated with scaling and root planing?

Accepted Answer

Complications are rare, but some patients may experience increased tooth sensitivity, temporary gum recession, or slight bleeding. Infections are uncommon but can occur if aftercare instructions are not followed.

Question 19

Can scaling and root planing prevent future gum disease?

Accepted Answer

Scaling and root planing can help manage gum disease and prevent it from worsening. However, maintaining proper oral hygiene and attending regular dental check-ups are essential for long-term prevention.

Question 20

Is it safe to undergo scaling and root planing if I’m pregnant?

Accepted Answer

Yes, treating gum disease during pregnancy is generally considered safe and is recommended, as gum disease has been linked to complications like preterm birth. We will take precautions to ensure your comfort and safety.

Question 21

Will scaling and root planing improve my breath?

Accepted Answer

Yes, it can help improve bad breath (halitosis), as gum disease and plaque buildup are common causes of persistent bad breath. Removing bacteria and tartar should lead to fresher breath.

Question 22

How can I prevent gum disease after scaling and root planing?

Accepted Answer

To prevent gum disease from returning, practice good oral hygiene, including brushing with fluoride toothpaste, flossing, and using mouthwash. Regular dental visits and professional cleanings are essential to maintaining healthy gums.

Question 23

Why might insurance dictate a copay for periodontal maintenance but not for a regular cleaning?

Accepted Answer

Insurance companies often categorize periodontal maintenance as a more intensive procedure than a regular cleaning, justifying a copay. Additionally, it’s considered ongoing treatment for a diagnosed condition rather than preventive care.

FAQ

Gum Therapy