Scaling and Root Planing

Periodontal disease is caused by the buildup of plaque and calculus around the gum line and between the teeth. In order to prevent disease, it is imperative to remove these etiologic agents. This will prevent bacterial growth which leads to bone breakdown and advancement of the disease process. The objective of scaling and root planing is to physically remove the plaque and calculus which causes the disease. Scaling and root planing is a non-surgical procedure which is particularly effective in dealing with gingivitis and early stages of periodontitis. If performed effectively at these stages, no further periodontal treatment may be necessary.

What do scaling and root planing treatments involve?

After conducting a thorough examination of the oral tissues and viewing radiographic findings, we may suggest scaling and root planing treatments. Depending on the severity of the disease process and the amount of plaque and calculus, local anesthesia may be used to make the treatment more comfortable.

Scaling involves the removing of debris from the crown and root surfaces. This may be accomplished with the use of a combination of ultrasonic and hand scalers. After all the plaque and calculus are “scaled” away, root planing may be undertaken using hand instruments to smooth the root surfaces of the tooth. Smooth root surfaces help prevent the buildup of the agents which cause periodontal disease.

After scaling and root planing procedures eliminate the causative factors, the remaining pockets may be treated with antibiotics.

Frequently Asked Questions

What is scaling and root planing and how does it treat gum disease?

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Scaling and root planing (also called periodontal deep cleaning) removes plaque, tartar, and harmful bacteria from below the gum line and smooths the tooth roots to stop periodontal disease progression.

How is a scaling and root planing procedure performed?

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During the procedure, your dentist cleans below the gumline using specialized instruments to scale away tartar and then planes (smooths) the root surfaces to help gums reattach. Local anesthesia may be used for comfort.

Who needs scaling and root planing?

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This treatment is recommended for patients diagnosed with gingivitis or early to moderate periodontitis, especially when gum pockets are too deep to clean with a regular dental cleaning.

What are the main benefits of scaling and root planing?

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Benefits include reduced gum inflammation, lowered risk of tooth loss, fresher breath, improved gum health, and prevention of advanced periodontal disease.

How long does it take to heal after scaling and root planing?

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Most patients experience initial healing within a few days, with full gum recovery over 1–2 weeks. Some sensitivity and tenderness are normal during this time.

Is scaling and root planing painful?

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The procedure is typically done under local anesthesia to minimize discomfort. Post-treatment sensitivity and mild discomfort are common but temporary.

How many appointments will I need for scaling and root planing?

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Deep cleaning may be completed in one visit for mild cases, but more often requires two or more appointments to treat all affected areas thoroughly.

How does scaling and root planing differ from a regular dental cleaning?

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A regular cleaning focuses on surface plaque and tartar above the gumline, while scaling and root planing reaches below the gumline to remove deep-seated bacteria and smooth root surfaces.

Are antibiotics or special aftercare required after scaling and root planing?

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In some cases, your provider may prescribe antibiotics or medicated rinses to prevent infection and promote healing. Follow-up care and periodontal maintenance are essential for long-term success.

How often should I get scaling and root planing for periodontal health?

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Once periodontal pockets are cleaned and gum health improves, your dentist will recommend a personalized maintenance plan—often with more frequent periodontal cleanings than routine checkups—to prevent recurrence.

Our Locations

285 Sills Road
Suite 4A
Patchogue, NY 11772
365 County Road 39A
Suite 5
Southampton, NY 11968

Patchogue Hours

Wednesday
9:00 am - 5:00 pm
Friday
8:00 am - 5:00 pm
Saturday
8:00 am - 2:00 pm

Please note: Summer hours may vary. We are open 1 Saturday a month, please call to confirm.

Southampton Hours

Monday
9:00 am - 5:00 pm
Tuesday
9:00 am - 5:00 pm
Thursday
9:00 am - 5:00 pm

Please note: Summer hours may vary.