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.

What Do the Procedures Entail?

Dr. Downey 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, Dr. Downey 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 depiction of a root planing procedure

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, Dr. Downey 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 Dr. Downey 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.

Worried About Gum Disease?

Scaling and root planing can be used to treat or prevent periodontal disease. Contact us to schedule an appointment.

Call us: (260) 622-4138

Still Waters Family Dentistry

5 out of 5 stars based on 11 Deep Teeth Cleaning reviews

Our Latest Patient Testimonial

I love this dental staff. I've been with them for 20 years and 3 dentists. They never disappoint. Dr Downy has also impressed me. Very nice, gives you the treatment options and didn't push for a root canal as first line treatment.

- Nina O

5 out of 5 stars on

Our Latest Patient Testimonial

The entire staff is extremely courteous and respectful. Upon arriving you can tell / feel that you are welcome and their concern is genuine. The waiting area is very comfortable and relaxing. There is even a fire place! I highly recommend Stillwater Dentistry.

- Vesta M

5 out of 5 stars on

Our Latest Patient Testimonial

Very friendly office and staff. All listen to any concern I had and addressed the question in away that was understandable. Would recommend this office.

- PAMELA W

5 out of 5 stars on

Our Latest Patient Testimonial

Everything has always been friendly, courteous and professional. Stillwater is like being around family and friends.

- ed h

5 out of 5 stars on

Our Latest Patient Testimonial

As always, all the staff members at Still Waters Family Dentistry make a visit to the dentist a pleasant experience. From the welcome at the front office, to the efficient yet gentle cleaning procedure, to the thorough exam by Dr. Downey, to the wrap-up and send-off back at the front, each person is friendly and caring in all of their interactions. I always walk out the door with a sparkling smile on my face.

- Deb M

5 out of 5 stars on

Our Latest Patient Testimonial

Lauren is the best hygienist ever! She is gentle and thorough, personable and friendly. Dr Downy is not pushy about services. He makes recommendations, but totally leaves the decision up to the patient. The front office is always friendly and willing to help with any questions about making appointments and costs for procedures. I highly recommend this dentist office.

- Nancy B

5 out of 5 stars on

Our Latest Patient Testimonial

As I figured the office is growing. I was seen by a new hygienist and she was great. Professional and friendly they have kept their small town feel while using the latest equip and technology to leave you feeling well taken care of. If you want great dental care at a fair price this is the office for you.

- steve s

5 out of 5 stars on

Our Latest Patient Testimonial

I have a challenging mouth. Dr. Clark and Melissa did a great job. They are very informative about what's going on and concerned about the patients comfort. Great nob

- Steve B

5 out of 5 stars on

Our Latest Patient Testimonial

I started coming to this dentist office because I broke a tooth. They understood and got me right in to take care of the pain and I have been a customer ever since. They knew Dennis has taken over for the one that was originally there and he is every bit as friendly as the others. The staff didn't change and everyone goes out of their way to make you feel very comfortable.

- Steven S

5 out of 5 stars on

Our Latest Patient Testimonial

A dedicated doctor and staff putting the customer first. Always comforting to know you are in good hands.

- Donald N

5 out of 5 stars on

Our Latest Patient Testimonial

Friendly, knowledgeable, caring office

- Dobie P

5 out of 5 stars on