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Scaling and root planing is a common treatment for gum disease, but it is not always a one-time procedure. How often you need it depends on the condition of your gums, your risk factors, and how well you care for your mouth afterward.
In this blog, you will learn how dentists decide when scaling and root planing is necessary, what to expect during the procedure and how to reduce the chances of needing it again.
Scaling and root planing is often the first step in managing gum disease. Some patients need it only once, while others may require periodic deep cleanings. Your dentist will monitor your gum health over time and recommend treatment as needed. Good home care and regular maintenance visits can help prevent the need for retreatment.
What Is Scaling and Root Planing?
Scaling and root planing is a deep cleaning that removes plaque, tartar, and harmful bacteria from below the gumline to help stop the progression of periodontal disease.
What happens during the procedure:
- Scaling: We use ultrasonic devices and hand instruments to remove hardened plaque (calculus) and bacterial infection from the tooth surfaces and root.
- Root planing: We smooth the root surface so the gum tissue can reattach, and bacteria have fewer places to hide. This helps prevent future tooth loss.
How Dentists Determine If You Need Scaling and Root Planing
Your dentist will assess your gum health with a periodontal chart and digital X-rays. Key signs you may need this treatment include:
- Pocket depths over 4mm: This means your gums have pulled away from the teeth, forming periodontal pockets.
- Bleeding when probing: Indicates gum inflammation and bacterial infection.
- Visible tartar below the gumline: Cannot be removed with brushing or regular cleanings.
- Bone loss on X-rays: Shows long-term effects of gum disease and risk of future tooth loss.
How Often Do You Need Scaling and Root Planing?
Most patients only need scaling and root planing once, followed by consistent dental care. But for those with moderate to severe gum disease or ongoing inflammation, repeat treatments may be necessary.
You may need more frequent scaling and root planing if:
- You have moderate to severe periodontitis
- You smoke or use tobacco products
- You have uncontrolled diabetes, autoimmune conditions, or other chronic health issues
- You have a family history of gum disease or are genetically prone to dental problems
- Your home care routine has been inconsistent or needs improvement
After your initial treatment, the focus shifts to keeping your gums healthy and preventing the need for future deep cleanings. Your dentist may place you on a periodontal maintenance schedule, typically every 3 to 4 months. These visits help manage chronic gum disease, monitor pocket depth, and keep bacteria from building up again.
Keeping Your Gums Healthy After Treatment
Good oral habits and preventive care can go a long way in keeping your gums healthy after treatment. Here’s how to reduce the chances of needing another round of scaling and root planing:
- Brush twice a day using a soft-bristled toothbrush and fluoride toothpaste. Focus on cleaning along the gumline and between teeth.
- Floss daily to clean areas your toothbrush cannot reach, especially between teeth and under the gumline.
- Rinse with an antibacterial mouthwash to help reduce bacteria around the gums and tooth roots.
- Stay on schedule with all dental checkups and stick to the periodontal maintenance plan your dental team recommends.
- Eat a balanced diet with nutrients like vitamin C, which supports gum healing and tissue health.
- Avoid smoking, as it weakens gum tissue and makes it harder for gums to heal.
Get Personalized Gum Disease Care in Buffalo Grove, IL
Healthy gums are essential to your overall well-being, and treating gum disease early can make a significant difference.
At Morris Dental Solutions, we provide care that is tailored to your needs. Whether you need scaling and root planing or ongoing periodontal maintenance, we will guide you through each step with a focus on long-term results.
To book an appointment at our dental office in Buffalo Grove, IL, call (847) 215-1511 or visit us at 195 N. Arlington Heights Rd., Suite 160, Buffalo Grove, IL.
