Scaling and Root Planing is done to remove tartar and hard crusty
calculus, that is loaded with bacteria, around and BELOW the gum line. A
professional polishing or prophy removes only the soft sticky plaque
that is above the gum line. It is a method of treating gum disease
when pockets are formed around the teeth have a
measurement of greater than 3mm.
Hard crusty calculus
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Scaling
Scaling is procedure that meticulously removes contamination toxins, micro-organisms, plaque,
tartar, cementum, dentin that is rough and/or permeated by
calculus from around, below
and under the gum line down to the bottom of
the pocket. This is done to
remove biofilm,
calculus, and toxin down to the bottom of each
periodontal pocket in order to obtain a healing
response.
To see this process in
action click here: Scaling
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2. Root Planing
Root planing involves smoothing the root surfaces of your
teeth with thin curettes so gum tissue can more firmly reattach to roots that are clean and smooth
to prevent tooth loss and sensitivity problems. The procedure makes it more
difficult for plaque to accumulate along the root surfaces.
Planing
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Because this procedure goes deeper than a
regular cleaning, your
mouth may be numbed. The cleaning may take two visits to complete.
Depending on the extent of the disease you may need one or
more sections (quadrants) of the mouth to be treated with
scaling and root planing. Treatment may require one or
more visits.
This
procedure is done:
 |
With our ultrasonic
instrument that both scales and medicates your gum tissue.
|
| To control the growth of harmful
bacteria. (Bacteria ABOVE the gum line is less aggressive bacteria
whereas the bacteria BELOW the gum are MORE DESTRUCTIVE AND DANGEROUS!
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| Helps gums or pocket
wall reattach firmly to the the spotlessly clean
root surface to
help prevent tooth loss.
|
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Prevent further bleeding of the gums.
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| Reduces gum swelling
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| Reduces discomfort. |
|
Decrease tooth sensitivity due to gum
recession.
|
|
Prevent bone
loss.
|
|
Prevent tooth loss due to gum
disease.
|
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Perio Maintenance Check
This appointment is necessary to check and make sure your gums have healed and
to see how the periodontal pockets have decreased.
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Home Care After Root Planing and Scaling
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Rinse with warm salt water every few hours
(1/2 tsp. salt in 8oz water) every hour for the remainder of the day to encourage
healing and sooth discomfort.
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Be careful not to bite or chew your lip,
cheek or tongue while they are numb. Avoid chewing for 2 hours after
this procedure or until numbness has
worn off.
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Keep
your fingers and tongue away from
the areas that have been treated.
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Drink 8
glassed of water or fruit juice a
day.
-
Take pain medication according to directions
on label for a couple of days to help with the discomfort, do NOT take
Aspirin.
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Do not drink hot liquids or eat hot spicy
food after this procedure.
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Rinse your mouth with BreathRX
or Periogard to reduce oral bacteria.
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Eat a soft healthy diet
like yogurt, soft cooked
eggs, or soups.
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Do not smoke
or chew tobacco for 72 hours after the procedure
to allow for healing.
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Gently brush
and floss your teeth after each meal.
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Use
your Chlorhexidine and
fluoride as instructed to
keep the area clean and
free of the bacteria that
causes plaque and calculus
build-up during the
healing period.
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Since
you have periodontal
disease it is advised that
you disinfect or change
your toothbrush head
between brushing to prevent
self infection from periodontal
germs that remain on your
toothbrush for 4 hours or
more after use.
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It is must be remembered that a side effect of
aspirin is it can increase bleeding by inhibiting blood clotting making it
unsuitable following root
planing and scaling.
-
If a
lymph gland swells after
having removing so much
infection through Root
Planing and Scaling,
Penicillin will be
provided for after
procedure care as
medical history allows.
Your care of your teeth
and gums after treatment is critical to reduce the risk of recurring
periodontal disease.
At this time due to Dr.
Peterson's accident and the Pan handle's lack of available
hygienist our patients will see a periodontal for Scaling
and Root Planing of Stage 3 or for Severe Periodontal Disease.
February 27, 2007
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Updates
It may be
concluded that subgingival scaling and root planing followed
by a single application of a 3% potassium oxalategel
resulted in a significantly higher reduction of dentinal
hypersensitivity at 14 and 21 days, when compared to the
placebo.
(Effect of a 3% Potassium
Oxalate Topical Application on Dentinal Hypersensitivity
After Subgingival Scaling and Root Planing
Flávio L. Pillon, Ingrid G. Romani, and Édina R. Schmidt
J Periodontol
2004;75:1461-1464)
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