Gum disease can silently threaten your oral health, often going unnoticed until it causes significant problems. This widespread issue, if left untreated, can have serious consequences for your entire well-being. That’s where periodontal scaling and root planing comes in.
At Supremia Dentistry in Wake Forest, NC, we recognize the crucial need for early and effective treatment. This “deep cleaning” is a vital defense against gum disease, an essential intervention that can literally save your smile.
In this guide, we’ll explore everything about this treatment, from its purpose to what you can expect if Dr. Edmond Suh and his team recommend it for you.
Understanding Periodontal Health
Healthy gums are the foundation of strong, long-lasting teeth. When we think about oral hygiene, we often focus on brushing and whitening—but what lies beneath the gumline can tell a very different story.
Periodontal health refers to the condition of your gums and the structures supporting your teeth. Neglecting this area can lead to serious complications, including tooth loss.
What Is Periodontal Disease?
Periodontal disease is a chronic bacterial infection that affects the gums and bones supporting your teeth. It usually starts as gingivitis (mild gum inflammation) and can progress to periodontitis, which involves deeper infection and tissue destruction.
If untreated, it can damage the bone that anchors your teeth—leading to loose teeth or even tooth loss.
How Gum Disease Progresses Without Treatment
The longer plaque and bacteria remain on the teeth and gums, the more damage they cause. Early gum disease may start with symptoms like bleeding during brushing or bad breath. Without proper treatment, it advances to deeper infections.
Gums begin pulling away from teeth, forming pockets filled with bacteria, and eventually causing bone damage.
The Difference Between Gingivitis and Periodontitis
Understanding the stages of gum disease helps in taking action at the right time:
| Gingivitis | Periodontitis |
| Mild, early stage | Advanced stage |
| Reversible with good oral care | Requires deep cleaning or surgery |
| Gums may bleed or swell | Gums recede, bone loss occurs |
| No damage to bone | Irreversible bone and tissue damage |
What Is Scaling and Root Planing?
Periodontal scaling and root planing is a specialized dental treatment aimed at cleaning below the gumline. It’s a more intensive treatment than regular cleanings and is typically recommended for patients showing signs of gum disease.
Defining the Treatment
Scaling and root planing is a non-surgical deep cleaning treatment. Dentists or hygienists at Supremia Dentistry remove plaque and hardened tartar from the tooth surface and root areas underneath the gums. It’s usually done under local anesthesia to ensure comfort.
This thorough cleaning reduces bacterial infection and helps the gums reattach to the teeth.
Why It’s Often Called “Deep Cleaning”
This treatment goes deeper than your usual dental cleaning. That’s why it’s commonly referred to as “deep cleaning.”
It targets areas beneath the gumline where regular brushes or floss can’t reach. Think of it as cleaning out the basement rather than just tidying the living room.
When Is It Recommended Over Regular Cleaning?
Dentists recommend Periodontal Scaling and Root Planing when:
- Gums are inflamed or bleeding
- Deep pockets form between gums and teeth (typically over 4mm)
- Bone loss is visible in dental X-rays
- You have persistent bad breath or gum sensitivity
If any of these signs apply, deep cleaning might be the next step.
How the Treatment Works
This process usually takes one or two visits, depending on the severity of the condition. It’s often done quadrant by quadrant, meaning one section of the mouth is treated at a time.
What Happens During Scaling?
During the scaling part, your dentist removes plaque and hardened tartar (also called calculus) from above and below the gumline. Special tools or ultrasonic instruments are used to gently clean the tooth surface and eliminate bacteria.
What Is Root Planing and Why It’s Critical
Root planing follows scaling. Here, the dentist smooths out the tooth root surfaces. Why is this important? Because a smooth root surface makes it harder for bacteria to stick and makes it easier for the gums to reattach—reducing pocket depth and improving healing.
Tools and Techniques Used by Dentists
Dentists use:
- Ultrasonic scalers – use sound vibrations to break up tartar
- Manual curettes – allow precise cleaning in tight spots
- Antibacterial rinses or local antibiotics – to reduce bacterial load in infected pockets
Some practices even use lasers to enhance precision and reduce discomfort.
Causes of Deep Pocket Formation
Gum pockets are not random. They’re caused by ongoing inflammation and tissue breakdown. Understanding the root cause helps prevent recurrence.
Plaque and Tartar Buildup
Plaque forms daily on teeth. When it’s not removed properly, it hardens into tartar. This hardened tartar irritates the gums, causes inflammation, and eventually leads to deeper gum pockets filled with bacteria.
Smoking, Diabetes, and Hormonal Changes
Smoking weakens gum tissue and slows healing. Diabetes reduces the body’s ability to fight infections. Hormonal changes—especially during pregnancy or menopause—can make gums more sensitive and prone to infection.
Genetic Predisposition and Immune Response
Some people are simply more prone to gum disease due to genetic factors. A family history of periodontal problems increases your risk, even if you maintain good oral hygiene.
Benefits of Scaling and Root Planing
Deep cleaning doesn’t just clean your teeth—it actively helps your gums heal and prevents serious dental issues.
Halting the Progression of Gum Disease
This treatment stops gum disease from advancing to a stage where tooth loss or surgery becomes necessary. It removes the source of infection and gives the gums a chance to recover.
Reducing Inflammation and Gum Bleeding
After treatment, most patients report less bleeding when brushing and flossing. Gums become firmer and less swollen, making daily oral care easier and more effective.
Preventing Tooth Loss and Bone Deterioration
Gum disease is a leading cause of tooth loss in adults. Scaling and root planing help stabilize the structures around your teeth and prevent further bone destruction.
Risks and Side Effects to Be Aware Of
While safe and commonly performed, the treatment can have temporary side effects that you should be aware of.
Temporary Tooth Sensitivity
Your teeth might feel more sensitive to hot or cold foods for a few days. This happens because your roots are newly exposed but should subside as your gums heal.
Gum Tenderness and Swelling
It’s normal to experience mild discomfort or swelling after the treatment. Dentists may recommend pain relievers or saltwater rinses to ease the symptoms.
Rare Risks of Infection
Though rare, infection can occur if bacteria enter the bloodstream. That’s why post-treatment care is essential, especially if you have a medical condition that requires premedication before dental work.
Aftercare and Recovery Tips
Proper aftercare ensures the best results and prevents complications.
Immediate Post-Treatment Guidelines
- Avoid hard, spicy, or acidic foods
- Use a soft-bristled toothbrush
- Rinse with warm salt water
- Avoid smoking for at least 48 hours
Long-Term Oral Hygiene Practices
Good habits make a big difference. Continue:
- Brushing twice daily
- Flossing every day
- Using antibacterial mouthwash if advised
- Getting professional cleanings every 3–4 months
When to Schedule Follow-up Appointments
Dentists usually recommend a follow-up in 4–6 weeks to check your gum healing and pocket depths. Based on results, they may suggest additional cleanings or maintenance therapy.
Preventing the Need for Deep Cleaning
Prevention is your best defense against gum disease.
Daily Brushing and Flossing Habits
Brush for two minutes twice a day using fluoride toothpaste. Don’t forget to floss—even one missed spot can harbor bacteria and plaque.
Regular Dental Checkups and Cleanings
Visit your dentist at least every six months. These checkups can catch early signs of gum issues before they become serious.
Diet and Lifestyle Adjustments
Eat a balanced diet rich in fiber and vitamins. Avoid sugary snacks and drinks. Smoking cessation and stress management also play a role in gum health.
Scaling and Root Planing vs. Surgical Options
When is deep cleaning enough—and when does surgery come into play?
When Deep Cleaning Is Enough
For mild to moderate gum disease, Periodontal Scaling and Root Planing is often all that’s needed. It’s non-invasive, effective, and typically covered by insurance.
When Surgical Intervention Becomes Necessary
If deep cleaning doesn’t reduce pocket depths or the disease is very advanced, surgical treatments like flap surgery or bone grafts may be required. These are more invasive and require longer recovery.
Periodontal Scaling and Root Planing at Supremia Dentistry
At Supremia Dentistry in Wake Forest, NC, you’re not just another patient—you’re treated like family. Our experienced team provides exceptional care, combining advanced dental techniques with genuine human compassion.
You can find us at 1704 S Main St Suite 110, Wake Forest, NC 27587, United States. We’re open Monday through Thursday from 7 AM to 3 PM, and we’re closed on Fridays, Saturdays, and Sundays.
Whether you need routine care or advanced treatments like periodontal scaling and root planing, Supremia Dentistry is your trusted partner for lifelong oral health. Call today to schedule your consultation!
Conclusion
Periodontal scaling and root planing is more than a dental treatment —it’s a turning point for your oral health. By cleaning deep under your gums, this treatment helps you reclaim healthy gums and a confident smile.
If you’re experiencing gum discomfort, don’t delay and call Supremia Dentistry today. Get ahead of the problem before it gets ahead of you.
FAQs
Can I eat after a scaling and root planing treatment?
Yes, but it’s best to wait until the numbness wears off. Stick with soft foods like yogurt, soup, and mashed potatoes for the first day.
Will my gums grow back after deep cleaning?
While deep cleaning helps gums reattach to the teeth, it won’t regrow lost gum tissue. However, it will stop further damage and improve overall gum health.
How long does each session typically last?
Each session can take 45 minutes to an hour. Some patients may require multiple sessions depending on how many areas need treatment.
How often will I need this treatment?
If you maintain good oral hygiene, one treatment may be enough. Some patients with chronic gum disease may need it more regularly as part of ongoing care.