Periodontics : Non-surgical treatments will be applied if the patient is
still in the early stages of periodontal disease.
If the disease is still in the first stage (gingivitis) your dentist may prescribe an anti-microbial mouth and
advise you to brush and floss on a regular basis.
Treatment for the prevention of periodontal diseases or other dental diseases by the cleaning of the teeth in the dental office
using the procedures of Dental Scaling and Polishing.
The treatment may include plaque detection,
removal of supra- and subgingival plaque and calculus, application of caries-preventing agents, checking of restorations and prostheses
and correcting overhanging margins and proximal contours of restorations, and checking for signs of food impaction.
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.
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.
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.
Scaling and Root Planing
Periodontal scaling is a treatment procedure which involves
the instrumentation of the crown and root surfaces of the
teeth. Plaque, calculus, and stains will be removed from
these surfaces. It is performed on patients with periodontal
disease and is therapeutic, as apposed to prophylactic and
may precede root planning. It is a definitive, meticulous
treatment procedure aimed at the removal of cementum and/or
dentin that is rough and is possibly permeated by calculus,
or even contaminated with toxins or microorganisms. When
carried out thoroughly, some unavoidable soft tissue removal
occurs. This procedure can be used as a definitive treatment
or as part of pre-surgical therapy ("tissue preparation")
depending on how far the periodontal disease has advanced.
Debriding the root surface is a critical element in
establishing periodontal health.