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Root Planing and Scaling

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.