Scaling and root planing is the non-surgical technique that removes plaque and tartar from below the gumline using specially designed instruments. The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line. The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. There are studies to prove with localized antibiotics therapy for some selected cases especially for the limited area which doesn’t respond to the treatment.
In some cases, Dr. Nagatomo may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for Dr. Nagatomo to thoroughly remove plaque and tartar. At-home hygiene techniques cannot keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
We normally wait 6 weeks after scaling and root planing treatment. Dr. Nagatomo is going to evaluate your gum status and decide what’s the next step for you to control your disease.