A Guide to Healing Gums Without Surgery: Understanding Scaling and Root Planing for Gum Disease
The word periodontal means “around the tooth.” So, periodontal disease attacks the supportive gums and bone. When plaque is not removed with good oral care, this sticky bacterial film hardens into tartar. Untreated plaque build-up destroys the tissues that support the teeth. Fortunately, preventative dentistry detects disease in its earliest stages (when it may not produce symptoms) and treats it before irreversible damage arises. It is also our good fortune at Advanced Dental to have the equally advanced knowledge of board-certified periodontist Dr. Joseph C. Yang on staff. Scaling and root planing and other nonsurgical interventions at our office in Aliso Viejo, California, maybe in your future to effectively stop the progression of gum disease.
Scaling and root planing to beat gum disease
A deep dental cleaning often involves scaling and root planing and may be performed when a dentist identifies signs of active disease. The procedure consists of dental hygienists using special techniques and instruments to lift stains, bacterial plaque, and stubborn tartar from the teeth and gum line.
Early intervention is crucial here to prevent further damage.
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What is scaling and root planing (SRP)?
This service is often referred to as “deep cleaning.” It is considered a more extensive alternative to the “standard” teeth cleaning or prophylaxis, which is scheduled at least every six months or on a routine basis.
How is SRP different from the typical cleaning?
The “prophy” involves dental hygienists using special techniques and instruments to lift stains, bacterial plaque, and stubborn tartar from the teeth and gum line. SRP consists in removing these substances from the root surfaces underneath the gums. Additionally, the surfaces are smoothed out. So, the rough texture does not attract more “bad stuff,” such as harmful bacteria responsible for disease. This process also helps reduce the size or depth of the spaces that develop between the teeth and gums as the disease marches on. These steps encourage healing and reattachment of the natural supports to the teeth.
Why would Dr. Yang recommend a deep cleaning instead of a regular one?
SRP may be appropriate if he identifies signs of active disease. When early-stage gingivitis goes untreated, it can progress into a later-stage form of the disease, periodontitis. At this stage, the soft and hard tissues are threatened. Interventions such as SRP prevent more advanced forms of periodontitis and the loss of teeth and bone in the jaw.
What should I expect afterward?
For most patients, SRP is sufficient to heal their damaged gums. However, it is imperative that you follow any instructions for care. This includes maintaining follow-up visits at the office of Advanced Dental. During these appointments, we will assess the condition of your gums to see how well treatment is working to encourage healthy tissue reattachment. If nonsurgical interventions, like SRP, do not achieve optimal gum health, Dr. Yang can discuss surgical options. We make every effort to ensure utmost comfort, precise treatment, and maximum preservation of healthy tissues. We accomplish this with laser-assisted periodontal therapies as an alternative to traditional surgeries that use scalpels and cutting techniques.
The “red stuff” on your toothbrush. Tenderness when you brush, floss, or touch your gums. A dusky and puffy appearance at the gumline. These can be signs that something is very wrong with your gums and that they demand attention. Whether you have noticed alarming changes or are simply due for your dental checkup, call us at (949) 289-9993 today. Remember: Many oral problems, including gum disease, are silent and produce little to no symptoms early on. So, we want to intervene with these issues before potential damage and associated symptoms develop.
Periodontal Scaling and Root Planing FAQs
Is a deep cleaning the same as a regular cleaning?
No. Standard dental cleanings remove plaque and tartar just below the gum line, and are best suited for prevention. Dentists recommend regular cleanings every 3-6 months to protect your smile from cavities, gum disease, and other issues.
In contrast, we recommend deep teeth cleanings for patients with active gum disease, targeting dental calculus from the deep pockets where infection takes hold. Everyone needs standard cleanings, but deep cleanings are for those who have been clinically diagnosed with gum disease.
Is the treatment painful?
Not at Advanced Dental. Our dentist uses local anesthesia during treatment to ensure a comfortable dental experience. You may notice mild sensation or vibration, but not pain. If you are anxious about treatment, let’s talk about sedation dentistry. This option helps you overcome your anxieties and enjoy a relaxing dental experience.
How long does the procedure take?
Treatment lasts about 60-90 minutes, depending on the severity of your gum disease and the number of treatment areas. Most patients complete treatment in one visit, while others may need multiple appointments to treat different sections of the mouth comfortably and thoroughly. We’ll outline the expected timeline during your consultation so you can plan accordingly.
Are deep teeth cleanings optional?
No! A deep teeth cleaning is necessary to halt the progression of gum disease and put it into remission. Without treatment, the infection progresses, leading to more costly, invasive treatments later.
What are the alternatives to scaling and root planing?
Scaling and root planing (SRP) are often the most effective non-surgical treatment for moderate to advanced gum disease. However, if gum disease progresses significantly, you may need more advanced treatments, including laser therapy and gum flap surgery. Our periodontist, Dr. Joseph C. Yang, will recommend the most effective treatment to restore optimal gum health.
What can I do at home to maintain my results?
Good oral hygiene is essential for maintaining healthy gums after treatment. Brush and floss your teeth twice daily, and use a medicated mouthwash to eliminate harmful bacteria and plaque buildup. Moreover, avoid smoking and maintain a dental-friendly diet to improve healing and long-term results.
Is gum disease curable?
The earliest form of gum disease (gingivitis) is typically reversible with dental cleanings and consistent oral care. More advanced periodontal disease may not be curable, but it is manageable with targeted treatment and ongoing maintenance. Early diagnosis and treatment offer the best chance of preserving your oral health.
How much is deep teeth cleaning in Aliso Viejo, CA?
The cost of deep teeth cleaning varies, depending on the severity of gum disease and the number of treatment areas. Our office will provide a detailed cost estimate after your periodontal evaluation. We’ll also discuss ways to make your treatment affordable with insurance and an in-house membership plan.
Does insurance cover deep teeth cleaning?
Your insurance is likely to cover scaling and root planing because the treatment is medically necessary to restore oral health. However, the exact amount of coverage varies, depending on several factors, such as deductibles, annual maximums, co-pays, and waiting periods. Since every insurance plan is unique, it’s best to verify your coverage before any treatment begins to avoid surprises.
Where can I get scaling and root planing in Aliso Viejo, CA?
If you notice signs of gum disease, don’t wait. Call (949) 289-9993 and schedule an appointment with Advanced Dental for non-surgical periodontal treatment. You can trust our dental team to provide the best possible care.
Dr. Chitra Tiruveedula
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Dr. Chitra Tiruveedula has been practicing dentistry for over 20 years. After advanced training at Case Western Reserve University and Cleveland Clinic in Ohio, she relocated to Orange County, CA in 2015. Dr. Chitra is a member of the American Dental Association and California Dental Association. Committed to continuous education, she provides top-quality dental services using the latest advancements.
Dr. Joseph C. Yang
Dr. Joseph C. Yang has over 30 years of dental practice experience. He earned his B.S. from Washington University in St. Louis, MO, and his D.D.S. from the University of Illinois, Chicago. He then had a distinguished 30-year career as a U.S. Naval Dental Officer, including a residency in Periodontology at the University of Oklahoma Health Sciences Center. Dr. Yang is a diplomate of the American Board of Periodontology and a member of the American Dental Association and American Academy of Periodontology. As a board-certified Periodontist, he has performed thousands of successful periodontal and implant procedures. He is also a renowned lecturer and trainer in the latest implant and periodontal techniques worldwide.
