
Scaling and root planing is the clinical name of deep teeth cleaning. In the procedure, the hygienist or dentist cleans the tooth surfaces, then goes beneath the gum line to remove plaque and tartar. This is important because plaque and tartar in this area create pockets of bacteria that separate gums from teeth. Cleaning out the pockets allows the gums to reattach to the teeth, preventing gum disease from progressing.

Not everyone needs scaling and root planing. A routine cleaning removes plaque and tartar from the tooth surfaces and around the gumline, which is enough for most patients. Scaling and root planing goes further, clearing bacteria from the tooth surfaces and from beneath the gumline where a regular cleaning cannot reach.

Left alone, bacteria settle into the pockets that form under the gumline and gradually separate the gums from the teeth. Clearing those pockets lets the gums reattach and heal, which is why scaling and root planing is the standard first treatment for gum disease, or periodontitis.

The primary concern after a scaling and root planing procedure is pain. Pain is minimal, but it is best to have over-the-counter pain medications on hand for when the anaesthetic wears off. Your dentist may prescribe an antibiotic to prevent an infection and may instruct you on any diet restrictions for the first couple of days.