Why Scaling and Root Planing is Performed
When plaque and tartar is not removed from the teeth, it provides the ideal environment in which bacteria can thrive. This bacteria often irritates the gum, causing them to bleed easily. If you are noticing blood when you brush your teeth, it is an early sign of the gum disease gingivitis. When left untreated, gingivitis can lead to inflammation that, eventually, works its way into the root of the tooth, causing what is known as a periodontal pocket. Bacteria grows in this pocket and can lead to severe gum and tooth damage. Sometimes, the gums start to pull away from the teeth.
Scaling and root planing is performed to remove the buildup of plaque and tartar and clean out any pockets that may have formed. This stops the progression of gum disease and allows the gums to heal.
What to Expect During Scaling and Root Planing
In many cases, local anesthesia is used to numb the gums prior to treatment. Another option is topical anesthetic gel that is delivered directly into the pockets in the gums to minimize discomfort without causing numbness in the lips or tongue.
When the pockets are not deep, there may be no need for anesthesia, and there is little to no discomfort during the treatment. Typically, patients only experience a scraping sensation on the teeth, similar to the sensation of a normal dental cleaning.
Minor cases with relatively shallow pockets can generally be treated in one session, but when deeper pockets are present, and the root surfaces require extensive cleaning, it may be necessary to break treatment up into two to four appointments.
After Your Appointment
You may experience a bit of discomfort following a scaling and root planing procedure. It is also common for the teeth to develop sensitivity to temperature, and the gums often bleed for a few days. Most often, over-the-counter painkillers like ibuprofen work well to manage discomfort, but sometimes stronger painkillers are necessary. Sometimes patients are required to take antibiotics following scaling and root planing to prevent the gums from becoming infected. This is most often necessary for individuals who are at high risk for developing infection, including people who have impaired immune systems, certain problems or have had major surgery recently.
For the first few days, you may have to avoid brushing or flossing or do so very gently to avoid causing additional pain in tender gum areas. You may also be instructed to rinse your mouth using salt water. With proper dental care following your procedure, your gums will heal and become healthy again.
If you are experiencing bleeding gums when you brush your teeth, you may be in need of scaling and root planing to prevent minor gingivitis from becoming a major problem. To schedule an appointment with the dental professionals right here at Castle Rock Family Dental, give us a call today at (303) 688-2229.
