Scaling and Root Planing in Plainville, MA

Periodontal Services

A deep cleaning below the gumline to remove tartar and bacteria and help gums heal from gum disease.

Scaling and root planing is a deep cleaning that reaches beneath the gums, where gum disease does its damage. It is often the first and most important step in treating periodontal disease.

Dental professional using an ultrasonic scaler on a patient's teeth

What’s included

  • Removes tartar and bacteria from below the gumline
  • Smooths root surfaces so gums can reattach
  • Done with local anesthesia for comfort
  • Often completed over one or two visits
  • Followed by maintenance cleanings to protect results

About Scaling and Root Planing

Scaling and root planing are a more in-depth, thorough cleaning treatment recommended for patients who may be suffering from periodontal disease. Also known as gum disease, this type of gum infection is caused by bacteria and plaque forming on your teeth over time and causing inflammation. While serious, periodontal disease is treatable. However, it can lead to bone or tooth loss if not treated quickly. When your gums become inflamed, bacteria hides in pockets that trigger the gums to push away from the teeth. Once these layers or pockets have been formed, it is nearly impossible to clean them with just brushing alone. This is where scaling and root planing becomes necessary. During the scaling portion of this conventional periodontal therapy, our team will use a scaling tool to remove any plaque, bacteria, and tartar around the affected tooth and below the gumline all the way to the bottom of the infected pocket. After the scaling is complete, we will move onto root planing. The root planing technique is used to smooth out the tooth's root and ultimately remove the pocket caused by bacteria. When the root has been effectively smoothed, the gums can be reattached and have a greater chance of fully healing. Some patients report mild discomfort during the procedure and increased sensitivity after the treatment is complete, but with a personalized treatment plan, we can help manage any discomfort and pain. Moving forward, practicing good oral hygiene is paramount for making sure that periodontal disease doesn't become worse after seeking initial treatment at our office.

Why a Deep Cleaning Is Needed

A regular cleaning focuses on the teeth at and just below the gumline. When gum disease has created deeper pockets, bacteria and tartar collect where a regular cleaning, and your toothbrush, cannot reach. Left in place, that buildup keeps the gums inflamed and can continue to break down the bone around the teeth. Removing it gives the gums a chance to heal and the pockets a chance to shrink. For patients planning implants or other restorative work, controlling gum disease first helps create a healthier foundation.

After Treatment

Expect some tenderness and sensitivity for a few days. Rinsing with warm salt water and using a sensitivity toothpaste can help. A follow-up visit is usually scheduled to re-measure the gums and see how they have responded. Many patients then switch to maintenance cleanings every few months. The long-term success of this treatment depends heavily on daily care at home, so we will make sure you have a routine that works for you.

Common Questions

How is this different from a regular cleaning?
A regular cleaning treats the teeth at and slightly below the gumline in healthy mouths. Scaling and root planing goes deeper beneath the gums to treat active gum disease and is usually done with numbing.
Does scaling and root planing hurt?
Local anesthesia is used, so most patients are comfortable during the procedure. Some soreness and sensitivity afterward is common and typically fades within a few days.
How many visits does it take?
It is often done in one or two visits, sometimes treating one side of the mouth at a time. The plan depends on how much of the mouth needs treatment.
Will my gums go back to normal?
Inflammation and bleeding often improve noticeably, and pockets may shrink. Bone that has already been lost usually does not regrow, but further damage can often be slowed or stopped with good maintenance.
Do I need to do anything differently at home afterward?
Yes. Thorough brushing and daily cleaning between teeth are essential. We may recommend specific tools, such as interdental brushes or a water flosser, for areas that are hard to reach.

Terms You May Hear

Scaling
Removing plaque and tartar from tooth surfaces, including below the gumline.
Root Planing
Smoothing rough areas on tooth roots so bacteria have less to cling to and gums can reattach.
Periodontal Maintenance
Ongoing professional cleanings, often every three to four months, for patients treated for gum disease.

Ready to Schedule Your Appointment?

Told you need a deep cleaning? Call (508) 695-7674 with any questions or to schedule.