Scaling is a procedure involving removal of dental plaque and calculus and then smoothing, or planing, of the surfaces of the roots, removing cementum or dentine that is impregnated with calculus, toxins, or microorganisms, the agents that cause inflammation.

Scaling is a common dental procedure for patients with gum disease. This is a type of dental cleaning that reaches below the gumline to remove plaque buildup. The process of scaling and root planing the teeth is often referred to as a deep cleaning.

When do you need teeth scaling?

Your dentist will recommend teeth scaling and root planing if your mouth has signs of chronic periodontal disease. These procedures can help stop the harmful effects of this condition and keep your mouth healthy.

Chronic periodontal disease occurs when the bacteria in plaque cause your gums to pull away from your teeth. This causes large pockets to grow between your teeth and gums, and more bacteria can grow there that you cannot reach with teeth brushing at home. That’s why it’s key to floss regularly to reach spots that toothbrushes can’t.

What happens during teeth scaling?

Teeth scaling and root planing can be done at your dentist’s office as an outpatient procedure. You may need to schedule one or more appointments for the procedure depending on the severity of your condition. Your dentist may or may not need to use a local anesthetic to lessen the discomfort of the procedure. If you are concerned about pain, discuss this with your dentist.

Your dentist will first conduct teeth scaling. This involves scraping the plaque from your teeth and in any large pockets that have developed between your teeth and gums. Next, your dentist will do the root planing. Your dentist will smooth the tooth roots using a scaling tool. This smoothing helps your gums to reattach to your teeth.

Traditional tools are typically used to perform the procedure, including a scaler and a curette. But there are other instruments available for teeth scaling, such as lasers and ultrasonic devices.

What to expect after a teeth scaling

Teeth scaling and root planing may take more than one trip to your dentist’s office. Your dentist will likely recommend that you return for a follow-up appointment to make sure the procedure worked and that you haven’t developed any complications like infection.

Your dentist may recommend coming back for another procedure if the pockets didn’t shrink.

You should resume normal oral care procedures after your teeth scaling and root planing. This includes brushing your teeth at least two times a day and flossing regularly. You should also eat a healthy, balanced diet and see your dentist for regular cleanings to prevent the condition from returning.