Scaling & Root Planing
The initial stage of treatment is usually a thorough deep cleaning that may include scaling to remove plaque and tartar deposits above the gum line and root planning to address the same deposits that have built up beneath the gum line.
The tooth roots are treated, removing bacteria, plaque and calculus thus allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, we may place anti-microbials in the periodontal pockets after scaling and root planing. This may be done to control infection and to encourage normal healing.
Because of the depth of the diseased pockets being treated, complete removal of the plaque and tarter is not always completely possible. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, some type of additional gum procedure or minor surgery may be needed to restore or improve periodontal health.
The best way to prevent periodontal infections is to begin with healthy gums and continue to maintain your oral health with proper home care and careful periodontal monitoring.