Following an examination of the gum tissues there may be a need for treatment, which can either be scaling and/or root planing. The condition of the gums, the amount of calculus present, the depth of the pockets, and the progression of gum disease will indicate what is the more appropriate treatment for you. In general,
Is when Dr. Daniel Kaufman removes the calculus and plaque that is attached to the tooth above the gum line and below it along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool and hand scalers. Superficial stains on the teeth will be removed during scaling and will make the teeth look better.
- Root Planing:
Is needed to remove infected cementum and surface dentin that are full of unwanted microorganisms, toxins and tartar. This procedure makes the root of the tooth smooth, which promotes healing and helps prevent bacteria from easily colonizing it again. Since the root surface is sensitive many times, a local anesthesia is administered to prevent pain and discomfort.
Usually if the depth of the gum pockets is no greater than 3 mm the gum disease will heal after scaling with good oral hygiene at home. But if the pocket depth is greater than 3 mm there may be a need for root planning as well. Following the scaling and /or root planning a healing period starts that can last a couple of weeks. If the treatment is successful, the harmful bacteria are eradicated and the gum tissues can recover. After the healing period the gum pocket depth should diminish to no more than 3mm in depth and there should be a reduction in bad breath.