deEP CLEANING

What is the difference between a regular cleaning and a “Deep Cleaning” or “scaling and root planing?”

A regular teeth cleaning is a professional cleaning and polishing of the teeth for relatively healthy teeth and gums.  This cleaning is recommended if there is no evidence of disease or development of pockets. 

A deep cleaning, gum infection therapy, or SRP ( scaling and root planning) is required when a patient has gum infection, inflammation or bleeding.  This is determined by x-rays, perio charting or gum measurements, and a dental exam.  If you have 4mm+ pockets around your teeth,  heavy bleeding and evidence of calculus found during your check up a Scaling and Root Planning will be recommended.

WHAT IS SCALING AND ROOT PLANNING?

Scaling and root planning is the removal of debris and infected root surface tissue beneath the gums. This allows the tooth structure to reattach for healthy gums.

The goal of SRP is to remove harmful bacteria and debris under the gun tissue where it is difficult for you to reach on your own. At times patients can present with an excessive amount of calculus and debris. Too much to even look at your teeth, at this point a debridement will be completed and a re-evaluation of your gums and tooth health

Dentistry now has the use of lasers which help irradiate bacteria under the gums and your doctor may also recommend this to help with your situation if it is aggressive.

WHAT ARE RISKS OF NOT GETTING A DEEP CLEANING IF I NEED ONE?

In my experience as dentist working in many different cultures and diverse populations I have found that educating patients about their heath and conditions is the best way for one to accept what is needed.

SOME PATIENTS ARE IN DENIAL. DOCTOR, WHY DO I NEED A DEEP CLEANING? NOTHING HURTS. I FEEL FINE.

Periodontal disease develops slowly and at times can be painless. It causes a loss of bone that surrounds and supports your teeth. Although it may not hurt the damage if not treated can be irreversible.

HOW IS PERIODONTAL DISEASE CAUSED?

Periodontal disease begins as gingivitis. Gingivitis is swelling of the gums but no loss of attachment of tooth to bone. This is typically caused my poor brushing and flossing. When teeth are not cleaned properly its allows plaque to form on your teeth which can then turn to calculus or tartar.

Periodontal disease (Periodontitis) occurs when there is a high amount of specific bacteria (Gram - anaerobic bacteria) located underneath the gums.   This bacteria creates plaque. 

Risk factors for periodontal disease include: smoking, hormonal changes, diabetes and medications or conditions that lessen saliva in the mouth.