What does scaling and root planing entail?
After a thorough examination of the mouth, which includes x-rays and visual inspection, Dr. Bernier may propose scaling and root planning as a potential treatment. This recommendation will be influenced by factors such as the gum condition, tartar buildup, pocket depth, and the advancement of periodontitis. In some cases, a local anesthesia may be administered during the procedure.
- Scaling: Scaling is a dental procedure that removes calculus and plaque from teeth, targeting the area beneath the gum line and root. An ultrasonic tool is used, sometimes with an antimicrobial agent, to reduce oral bacteria.
- Root Planing: Root planing is a dental procedure that aims to eliminate harmful microorganisms, toxins, and tartar that are deeply embedded in the cementum and surface dentin. It involves smoothing the tooth's root, promoting healing, and preventing future bacterial colonization.
Antibiotics and Surgical Options
To control the growth of bacteria causing periodontitis, Dr. Bernier may recommend the use of antibiotics or anti-microbial irrigation. Additionally, after scaling and planing, Dr. Bernier may insert antibiotic fibers into the periodontal pockets to manage infection and facilitate healing. However, in cases where deep pockets are present, it becomes difficult for Dr. Bernier to fully eliminate plaque and tartar. Patients often find it challenging to keep these pockets clean, which may necessitate surgery to restore periodontal health.
Benefits of Scaling & Root Planing
Scaling and root planing offers several periodontal advantages, including the prevention of diseases. Research has shown that bacteria from periodontal infections can spread through the bloodstream and affect other parts of the body, potentially leading to heart and respiratory diseases. By undergoing scaling and root planing, the bacteria responsible for these conditions can be eliminated.
Furthermore, this treatment helps prevent tooth loss by protecting teeth against the risk of periodontal disease. When gum pockets deepen beyond 3mm, the likelihood of developing periodontal disease increases. Deeper pockets allow more bacteria to accumulate, triggering a chronic inflammatory response that damages the gums and bone tissue, ultimately resulting in tooth loss.
In addition to these benefits, scaling and root planing can improve the appearance of the mouth and eliminate bad breath caused by food particles and bacteria. Moreover, this procedure effectively removes superficial teeth stains, providing an extra advantage.