Scaling and Root Planing

Periodontal disease is the major cause of tooth loss in adults. It is an inflammatory disease that results in the destruction of the attachment of gums and bone to the tooth. The gum inflammation is caused mainly by the accumulation of bacterial plaque below the gum line.

Bacterial plaque is a soft, sticky, toxic mass which attaches to teeth along and underneath the gum line. If the plaque is not removed by regular brushing and flossing, it hardens and becomes tartar (also called calculus). As the tartar develops, it forms a cohesive bond with the root surface of the tooth. Tartar can only be removed by the dentist or hygienist through Scaling and Root Planing.

Unremoved bacterial irritants and toxins cause the gums to become inflamed and tender. The bone and gums respond to this inflammation by simply pulling away. Untreated periodontal infection damages the tissues supporting the tooth. As the tissues are damaged, the sulcus (groove) around the tooth develops into a pocket. This pocket will harbor still more plaque and tartar in an area that is hard for the patient to reach. Periodontal disease is often painless in its early stages. Moderate and advanced periodontal inflammation will usually produce sensitive, loose teeth, and is often accompanied by bad breath.

Scaling & Root Planing (SRP) refers to the meticulous cleaning of the root surface, which establishes an environment necessary for healing. In many instances, SRP is the only procedure necessary. However, in more advanced cases additional treatments may be necessary to eliminate periodontal pockets. For your comfort, a local anesthetic is used during the procedure. Nitrous Oxide gas is also available to help you relax.

Tooth loss is the only potential problem confirmed to be caused by periodontal disease. However, recent research shows that there can be a correlation between periodontal disease and other health concerns such as diabetes, cardiovascular disease, stroke, bacterial pneumonia, and increased risk during pregnancy.

If you have any questions about how Scaling & Root Planing can help you preserve a beautiful smile, please ask Dr. Fellows or  the hygienist.