Root planing and scaling
is a common non-surgical treatment for periodontal disease.
In more advanced cases, it may become necessary to perform periodontal
surgery or gingivectomy.
Scaling involves a
deep cleaning of the tooth below the gum line in order to remove
any plaque and calculus that has accumulated on the tooth.
The root is then planed
until it is smooth. This eliminates any rough calculus deposits
on the root which can provide breeding grounds for bacteria.
A smooth and clean
root surface provides a much better surface for the periodontal
ligaments to reattach. This reattachment results in a reduced
pocket size thus eliminating the environment in which the bacteria
that causes periodontal disease can flourish.
After the treatment,
the dentist will often prescribe antibiotics or an antibacterial
mouthrinse shown to be effective for the treatment of periodontal
disease. This will help kill any remaining bacteria and chlorhexidine.
Your dentist will also schedule a follow-up appointment in the
next 4-6 weeks to check on your improvement.
Considerations:
A commitment to maintaining good dental health is essential to
the successful treatment of periodontal disease. The outcome
of this treatment is very much dependent on how well you maintain
a regular schedule of brushing and flossing.
If you smoke, you
should also consider reducing, or eliminating the amount of cigarettes
that you smoke each day at least until your gums have had an opportunity
to heal. Smoking can have a significant effect on your dental
health.