Scaling & Root Planing
Scaling and Root Planing Overview
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In most cases, the initial stage of treatment for periodontal disease is a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.
The tooth roots may also be planed to smooth the root surface 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. These medications and rinses, when utilized, are intended to aid in the treatment of periodontal disease; however, they are not an acceptable alternative to professional therapy.
When deep pockets and severe bone loss are present, it can be difficult for Dr. Bloch to completely remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgical treatment may be needed after scaling and root planing to restore periodontal health.