RESTORATIVE DENTISTRY
Deep Cleaning (Scaling & Root Planing)
What Is Deep Cleaning?
Deep cleaning, also known as scaling and root planing, is a non-surgical treatment that removes tartar, plaque, and bacteria from below the gum line. During scaling, we use ultrasonic instruments and hand tools to remove hardened deposits from the tooth surface and beneath the gumline. Root planing follows, smoothing the root surfaces to promote healing and prevent future bacterial buildup.
When Is Deep Cleaning Needed?
Deep cleaning is recommended when you have signs of gum disease, including periodontal pockets deeper than 4mm, bleeding or swollen gums, or bone loss visible on x-rays. These signs indicate that plaque and tartar have accumulated below the gumline where regular brushing and flossing can\'t reach. Early intervention with deep cleaning can stop gum disease from progressing and prevent tooth loss.
The Deep Cleaning Procedure
Dr. Chan begins by applying a local anesthetic to ensure your comfort during the procedure. He then uses an ultrasonic scaler to vibrate and break up tartar deposits, with suction removing debris and excess water. For stubborn deposits and to smooth root surfaces, hand instruments are used for precise cleaning. The entire process typically takes one to two appointments, depending on the extent of buildup and the number of teeth needing treatment.
Recovery & Aftercare
Most patients experience mild soreness or sensitivity for one to two days after deep cleaning, which is normal. Gently rinse with warm salt water several times daily to promote healing. Avoid hard, crunchy, or sticky foods for a few days. You may notice reduced bleeding and improved gum health within days. A follow-up appointment in four to six weeks allows us to measure the healing and determine if additional treatment is needed.
Deep Cleaning vs Regular Cleaning
Regular professional cleaning is a preventive treatment that removes plaque and tartar from above the gumline. It\'s recommended for patients with healthy gums. Deep cleaning, by contrast, treats existing gum disease by removing deposits and bacteria from below the gumline, in the periodontal pockets. While a regular cleaning takes 30-45 minutes, deep cleaning typically requires one to two longer appointments and is more thorough in treating disease.
Frequently Asked Questions
Is deep cleaning painful?
Deep cleaning is generally not painful because we apply local anesthesia before the procedure. You may feel some pressure and vibration from the instruments, but not pain. Some patients experience mild sensitivity or soreness for a day or two afterward, which is normal and subsides quickly.
How long does deep cleaning take?
Deep cleaning typically requires one to two appointments, each lasting 45 minutes to an hour, depending on the extent of gum disease and the number of teeth involved. Some dentists do the entire mouth in one visit, while others prefer to do half the mouth at a time.
Will deep cleaning stop my gum disease?
Deep cleaning is an effective treatment that can stop gum disease progression when combined with improved home care and regular maintenance visits. However, you must maintain excellent oral hygiene and follow-up appointments to keep the disease under control. In severe cases, additional treatment may be needed.
How often do I need deep cleaning?
After successful deep cleaning, most patients return for follow-up visits every three to four months, then every six months once the gums are healthy. Maintenance visits help prevent disease recurrence. Some patients with aggressive gum disease may need more frequent cleanings.
What's the difference between deep cleaning and regular cleaning?
Regular cleaning removes plaque and tartar from above the gumline and is preventive. Deep cleaning treats existing gum disease by removing deposits and bacteria from below the gumline, in periodontal pockets where disease takes hold. Deep cleaning is more thorough and targeted at treating disease rather than preventing it.
