Deep Teeth Cleaning

The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar, or calculus, which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment, or a preventative measure. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease.

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What Do the Procedures Entail?

Dr. Irene or Dr. Erez will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Drs. Irene or Erez may recommend scaling and root planing. In some cases, a local anesthesia may be used during the procedure.

An animated illustration showing the process of scaling

Scaling:

When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.

An animated illustration showing the process of root planing

Root Planing:

Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.

Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Drs. Irene or Erez may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.

When deep pockets between teeth and gums are present, it is difficult for Drs. Irene or Erez to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.

Benefits of Treatment

If treatment is successful, scaling and planing may have many periodontal benefits. One is that it can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the blood stream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing remove bacteria that cause these conditions.

Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss.

Finally, scaling and root planing may make the mouth more aesthetically pleasing, and should reduce bad breath caused from food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures.

La Jolla Dental Boutique

5 out of 5 stars based on 5 Deep Teeth Cleaning reviews

Patient Review by Robert D

This is a terrific group! Two great and caring dentists, and an equally professional and friendly staff.

- Robert D

5 out of 5 stars on

Patient Review by Robert G

Even though we don’t live in La Jolla any more, coming in for dental work is an easy choice. I can’t imagine going anywhere else!

- Robert G

5 out of 5 stars on

Patient Review by Janet L

I had an exceptional experience at La Jolla Dental Boutique with all the procedures I had done, including teeth cleaning, x-rays and an exam with Dr. Irene, replacement of old fillings, an extraction, and an implant. The staff is very friendly, informative and easy to work with. The hygienist performed the most thorough cleaning I can ever remember having! I scheduled an appointment to replace some old fillings and I am very pleased with the result! I later had a tooth extraction and was nervous, but Dr. Irene made it seem easy. She is kind and made sure to explain the procedures as well as aftercare. She has a gentle touch and really put me at ease. At another appointment, Dr. Erez performed an implant for me under sedation. The sedation and the procedure were both successful! I did not experience any discomfort during the procedure and I have gone on to heal without incident. The assistants in the office are so nice and they all seem to work well together! I can highly recommend La Jolla Dental Boutique for your dental care.

- Janet L

5 out of 5 stars on

Patient Review by Andre R

I am tremendously satisfied with the services provided by La Jolla Dental Boutique. The doctors and supporting staff have demonstrated an unrivaled level of professionalism. They truly care about the overall well being of the patients they serve.

- Andre R

5 out of 5 stars on

Patient Review by Shalom M

Highly recommend Other than heaving a great dentist as dr Irene, who worked Magic’s with the digital crowns The ability to have a team of restorative dentist and a periodontist , dr Erez Nosrati who removed the teeth and installed the implants gave me an amazing experience during the entire treatment.

- Shalom M

5 out of 5 stars on