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Periodontal Scaling and Root Planing Explained

photo of a woman's teeth during a dental check-up

Gum health plays a vital role in maintaining a confident smile and supporting long-term oral wellness. However, gum disease often progresses quietly, with early changes developing long before pain or obvious discomfort appears. When symptoms are ignored, professional periodontal care becomes necessary to protect the supporting tissues and prevent avoidable complications.

Clinicians at Charlotte Dental Associates approach gum therapy with careful diagnosis, precise treatment, and patient-focused comfort. With proven periodontal techniques and a welcoming clinical environment, they help patients regain control of oral health and maintain stable results over time.

Understanding Gum Disease

Gum disease is a progressive condition that worsens over time if left untreated. It typically begins with mild inflammation and may advance to serious infection affecting the gum attachment and underlying bone.

Differences Between Gingivitis and Periodontitis

  • Gingivitis is the earliest stage, marked by redness, swelling, and bleeding during brushing or flossing.
  • Periodontitis is more advanced and may involve gum recession, bone loss, deeper pockets, and loosening teeth.

How Plaque and Tartar Contribute to Infection

Plaque is a sticky bacterial film that forms naturally every day. If it isn’t removed effectively, it hardens into tartar, which bonds tightly to teeth and requires professional removal.

Once tartar forms below the gumline, bacteria can trigger inflammation, tissue breakdown, and progressive periodontal damage.

Risk Factors That Increase Gum Disease Severity

  • Tobacco use (smoking or vaping)
  • Diabetes and other systemic conditions
  • Genetic predisposition
  • Inconsistent oral hygiene
  • Chronic stress and poor sleep

What Is Periodontal Scaling and Root Planing?

Scaling and root planing is a non-surgical periodontal therapy intended to remove bacterial deposits and smooth tooth roots so gums can heal more effectively.

Purpose of Deep Cleaning Treatment

The goal is to reduce bacteria, control inflammation, shrink periodontal pockets, and support gum reattachment.

How It Differs From Routine Dental Cleanings

Routine dental cleanings focus primarily above the gumline. Deep cleaning addresses buildup below the gumline and along root surfaces.

When Dentists Recommend It

Dentists may recommend deep cleaning when there is:

  • Persistent gum bleeding
  • Gum pockets deeper than 4mm
  • Visible tartar under the gums
  • Bone loss on dental X-rays

Signs You May Need Scaling and Root Planing

Persistent Bad Breath

If bad breath lingers despite brushing, flossing, and rinsing, bacteria under the gumline could be the cause.

Bleeding or Swollen Gums

Gums that bleed during routine brushing or flossing often signal inflammation that needs professional treatment.

Gum Recession and Tooth Sensitivity

Receding gums may expose roots, increasing sensitivity and risk of decay.

Diagnostic Steps Before Deep Cleaning

Accurate diagnosis is essential. At Charlotte Dental Associates, periodontal evaluations support informed, personalized treatment planning.

Periodontal Pocket Measurements

A periodontal probe measures pocket depth, helping determine disease severity and treatment needs.

X-Rays to Assess Bone Levels

X-rays reveal bone loss and changes around the tooth roots that can’t be seen during a visual exam.

Gum Tissue Health Evaluation

Your dentist evaluates gum color, firmness, bleeding points, plaque buildup, and recession patterns.

Step-by-Step Deep Cleaning Treatment

Local Anesthesia and Comfort Options

Local anesthesia is often used to reduce discomfort, especially when deeper pockets are present. Comfort options may vary depending on the patient and clinical findings.

Scaling the Upper and Lower Quadrants

Many practices treat the mouth in quadrants (upper right, upper left, lower right, lower left) to maintain accuracy and comfort.

Root Planing and Polishing the Teeth

After scaling and planing, teeth may be polished to help reduce plaque retention and support a smoother surface.

How Long the Treatment Takes

One-Visit vs. Two-Visit Deep Cleanings

Some cases may be completed in one longer visit, but many are scheduled across two visits for patient comfort and thoroughness.

Factors That Influence Treatment Time

  • Pocket depth and number of affected teeth
  • Amount of tartar buildup
  • Sensitivity levels
  • Whether anesthesia is required

Time Estimates by Severity of Disease

Disease LevelTypical Time Estimate
Mild60–90 minutes
ModerateTwo visits (quadrants split)
SevereMultiple sessions plus follow-up care

What to Expect After the Treatment

Patients treated at Charlotte Dental Associates often notice that gums feel cleaner and tighter within days, with gradual improvement over weeks.

Mild Soreness or Sensitivity

Soreness is common for a short period, especially with cold foods or drinks.

Gum Tightening as Healing Begins

As swelling reduces, gums may tighten and appear less puffy.

Bleeding Expectations and Care Tips

Minor bleeding may occur for the first day or two. Gentle brushing and flossing should continue unless your dentist advises otherwise.

Healing and Recovery Timeline

Early Healing (First 48 Hours)

Discomfort typically decreases significantly within the first two days, especially with proper home care.

Gum Reattachment Phase

Over the next several weeks, gums may reattach more securely and pocket depth can reduce.

Long-Term Healing and Pocket Reduction

Long-term results depend on consistent home care and periodontal maintenance visits.

Home Care After Scaling and Root Planing

Brushing and Flossing Recommendations

  • Brush twice daily using a soft-bristled brush
  • Floss daily, gently sliding below the gumline
  • Consider an electric toothbrush for improved plaque removal

Antibacterial Mouth Rinse Use

An antibacterial rinse may reduce bacterial load during healing. Use as directed.

Foods to Avoid While Healing

  • Hard chips and crunchy snacks
  • Sticky candies
  • Very spicy foods
  • Excess sugar

Medications Your Dentist May Recommend

Antibiotic Gels or Rinses

Localized antibiotic therapy may be placed directly in periodontal pockets.

Oral Antibiotics for Severe Infections

For advanced infection, oral antibiotics may be prescribed based on clinical judgment.

Anti-Inflammatory Pain Relief

Over-the-counter anti-inflammatories may be recommended to manage discomfort.

Benefits of Scaling and Root Planing

Stops Periodontal Disease Progression

Deep cleaning removes irritants that drive inflammation and tissue breakdown.

Reduces Tooth Loss Risk

Stabilizing the gums helps preserve bone and tooth support.

Improves Breath and Gum Health

Reducing bacteria often leads to fresher breath and healthier gum tissue.

Risks and Limitations

Temporary Gum Sensitivity

Sensitivity is usually temporary, especially in areas with recession.

Potential Mild Recession After Treatment

As swelling decreases, the gums may appear slightly lower, revealing existing recession.

Rare Infection Risks

Infection is uncommon when aftercare instructions are followed.

Deep Cleaning vs. Routine Dental Cleaning

Differences in Tools and Technique

Deep cleaning uses periodontal instruments designed for subgingival tartar removal.

Differences in Time and Cost

Deep cleaning generally requires more time, clinical precision, and often multiple visits.

When a Routine Cleaning Is Not Enough

If gum pockets are deep and tartar is embedded below the gums, routine cleaning cannot adequately address the problem.

Advanced Periodontal Treatment Options

For more complex conditions, Charlotte Dental Associates can help evaluate advanced options if needed.

Laser Therapy

Laser periodontal therapy may reduce bacteria and inflammation in certain cases.

Pocket Reduction Surgery

Surgical reduction of pockets can improve access for cleaning and long-term maintenance.

Gum Grafting Procedures

Grafting may be recommended for significant recession or root exposure.

Periodontal Maintenance After Deep Cleaning

Why 3–4 Month Visits Are Crucial

Periodontal patients often benefit from more frequent cleanings to prevent relapse.

Monitoring Gum Pocket Depth

Regular measurements track healing and identify early recurrence.

Preventing Reinfection

Maintenance visits remove tartar before it becomes destructive again.

Long-Term Risks of Untreated Gum Disease

Jawbone Loss

Bone loss can compromise tooth stability and future dental treatment options.

Loose or Shifting Teeth

As the support structures weaken, teeth may shift or loosen.

Increased Systemic Health Risks

Gum disease has associations with systemic inflammation and certain health conditions.

Scaling and Root Planing for Severe Gum Disease

Cases With Deep Pockets

Deeper pockets may require multiple visits and close follow-up.

Considering Adjunctive Therapies

Adjunctive options may include antibiotics, laser therapy, or surgical referral.

Close Follow-Up Evaluations

Periodic re-evaluation ensures the disease remains controlled.

Cost of Scaling and Root Planing

Average Costs Per Quadrant

Fees vary by severity and location. Deep pockets and heavy tartar buildup often increase cost.

Insurance Coverage Considerations

Insurance may cover part of the treatment depending on periodontal diagnosis and plan benefits.

Long-Term Savings Compared to Surgical Treatment

Early non-surgical care may reduce the need for surgical intervention later.

Charlotte Dental Associates: Your Partner in Advanced Periodontal Care

If you’re searching for an Affordable Dentist in Charlotte, NC, Charlotte Dental Associates is Charlotte’s premier dental office accepting NC Medicaid & NC Health Choice. We provide top-quality dental care to every patient and offer a wide variety of dental services for the whole family in a caring, welcoming environment.

Our proven treatments and techniques support long-term dental and overall health, including deep cleanings, preventive care, restorative services, and more.

Book Us Today

We’ve moved down the street, and we’d love to welcome you to our new office.

New Location: 8401 University Executive Park Dr., Suite 120, Charlotte, NC 28262
Hours: Monday–Thursday, 9:00 am – 4:00 pm

If your gums have been bleeding, your breath hasn’t felt fresh, or your dentist has mentioned “pockets,” now is the time to take action. Contact Charlotte Dental Associates to schedule an evaluation and protect your smile.

Conclusion

image of an elderly woman during a dental procedure

Periodontal scaling and root planing is a proven, non-surgical approach to managing gum disease and protecting the foundation of your smile. By removing harmful bacteria below the gumline and supporting proper healing, this treatment helps prevent further tissue and bone damage while improving long-term oral health.

With expert diagnosis, advanced periodontal care, and a patient-focused approach, Charlotte Dental Associates remains committed to helping patients achieve healthier gums and lasting results. Through personalized treatment plans and ongoing periodontal maintenance, their team supports every step of your journey toward improved dental and overall wellness.

Frequently Asked Questions

How long does recovery take?

Most patients feel significantly better within a few days. Healing continues over several weeks as gum pockets reduce and tissues stabilize.

Will gum recession improve after deep cleaning?

Deep cleaning reduces swelling, so gums may look “lower” afterward. This is usually a reveal of existing recession rather than new damage.

Can deep cleaning reverse gum disease?

It can stop progression and significantly improve gum health. Advanced periodontitis may not be fully reversible, but it can often be controlled.

How does Charlotte Dental Associates maintain healthy gums long term?

We use periodontal maintenance schedules, regular pocket monitoring, tailored home-care coaching, and early intervention when changes are detected.

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