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is root planing really necessary

by Jody Barrows Published 3 years ago Updated 2 years ago
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Bottom line Scaling and root planing procedures are often necessary to improve the overall health of a patient's gums. Good gum health is essential to good mouth health, which means patients need to undergo regular dental cleanings.

Scaling and root planing are not necessary for those with healthy gums. A dentist will only recommend the deep cleaning procedure if a patient has gum disease.

Full Answer

What is root planing and do I really need it?

Scaling and root planing is a deep cleaning below the gumline used to treat gum disease. Why Do I Need It? Gum disease is caused by a sticky film of bacteria called plaque. Plaque is always forming on your teeth, but if they aren’t cleaned well, the bacteria in plaque can cause your gums to become inflamed.

How often is scaling and root planing needed?

The frequency of receiving a scaling and root planing treatment will depend on the condition of the gums. For individuals with a healthy oral cavity, we recommend routine teeth cleanings twice a year. For those with advanced periodontitis, you may need to receive a deep cleaning twice a year or more, along with routine professional cleanings.

Is it really scaling and root planing?

Scaling and root planing is removing dental plaque or calculus and then smoothing (or planing) the exposed root surfaces. This removes the toxins that cause inflammation and controls periodontal disease. With modern technology we can show our patients what is going on with their teeth and gums. Patient education is key in explaining gum problems.

Is scaling and root planing painful?

Your dentist may prescribe a mouth rinse or antibiotics to prevent infection and help you heal. Scaling and root planing typically leave gums painful for a few days and the teeth sensitive for up to a week. Your gums may bleed and feel swollen or tender right after the treatment.

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Is deep root scaling necessary?

If the pockets between your gums and teeth are too deep, however, scaling and root planing may be needed. A July 2015 study in the Journal of the American Dental Association finds that scaling and root planing is beneficial to patients with chronic periodontitis (gum disease that has advanced past gingivitis).

Is there an alternative to root planing?

Although hand scalers are quite effective, they must be used carefully to avoid damage to gum tissue or, during deeper cleaning known as root planing, the tooth roots. A different method for plaque removal known as ultrasonic scaling has grown in popularity as an alternative to manual scaling.

Can scaling be done without root planing?

No, root planing and scaling are not the same thing, though they are part of the procedure known as deep cleaning. Root planing is when the root surface is smoothed, and infected tissue is removed. Scaling is the removal of dental plaque from the tooth's surface.

Is root planing effective?

Teeth scaling and root planing are considered to be the “ gold standard ” treatment for chronic periodontal disease. A 2015 review of 72 journal articles on these procedures found that they improved the pocket gap between teeth and gums by . 5 millimeters on average.

How often should root planing be done?

Most periodontists recommend scaling and root planing twice a year or more, depending on the severity of your gum disease. In fact, some patients are seen every 3 – 4 months.

How do you shrink gum pockets naturally?

Oil pulling Not all oils are used for the oil pulling activity. Coconut oil, Sunflower oil, Sesame oil, and Olive oil are commonly used oils for the oil pulling activity. These are some of the natural ways to reduce gum pockets. They can help to minimize the unwanted bacteria from the mouth and keep the teeth clean.

Can root planing damage teeth?

The Risks involved As we opened, if you do not remove the plaque the bigger risk is for the gum disease, or periodontal disease, to get worse causing serious damage to both the soft tissue and the teeth. This can lead to loose teeth, bone loss and teeth falling out.

Do gums reattach after deep cleaning?

While any gum loss experienced due to gum disease will not grow back, the majority of patients can expect their gums to reattach after undergoing a deep cleaning. This is because all of the harmful bacteria has been removed, allowing the gums to once again be healthy.

Is deep cleaning teeth necessary?

A deep dental cleaning is necessary when there is a significant amount of bacteria and tartar buildup on the surfaces of your teeth. Once pockets form from gum disease, the bacteria and tartar begin to fill these pockets. If not removed, periodontal disease and eventually tooth loss can take place.

Do gums grow back after scaling and root planing?

Scaling and root planing can manage the inflammation of the gum tissue. While it won't regenerate new gum tissue, it may encourage the remaining gum tissue to reattach to the teeth. If you've lost a great deal of gum tissue, then you may need a surgical treatment called a gum graft.

Can scaling cause gum recession?

You may notice that your gums are pulling away from your teeth by one millimeter after scaling and root planing. But like swollen gums, there's nothing to fret about. With time, the gum recession will eventually heal.

Is root planing painful?

The short answer is no, the procedure is not painful. You will experience discomfort upon completion but the actual process can be completed with the administration of a local anesthetic to the soft tissue to minimize any unpleasant feelings during the process.

What is scaling and root planing?

Scaling and root planing is removing dental plaque or calculus and then smoothing (or planing) the exposed root surfaces. This removes the toxins that cause inflammation and controls periodontal disease. With modern technology we can show our patients what is going on with their teeth and gums.

Do you need a general understanding of gum disease?

You will need a general understanding of gum disease and treatment before making a decision on moving forward with your gum therapy.

Does Cranford Dental have a long term relationship?

At Cranford Dental we value long time relationships. This allows us to evaluate changes in gum health as patients age. We will inform you when radiographs show changes in bone levels or gum condition.

What Is Root Planing?

Root planing involves smoothening the root surfaces to allow the teeth to reconnect and attach to your gums. Normally root planing is performed alongside scaling.

Can a Periodontist Determine if The Procedure is Necessary?

Upon examination, your dentist will establish the condition of your jawbone and teeth roots. If you are exhibiting all the signs of advanced periodontal gum disease, the dentist will recommend scaling and root planing to control the progression of the disease.

What Is Root Planing?

Root planing is a procedure periodontists use in the fight against gum disease. Your periodontist will use specialist tools, such as a curette, to smooth away any gaps in the root of your tooth. This involves working beneath the gumline. Because of this, sometimes a periodontist will numb the gums to avoid any discomfort for the dental patient.

Root Planing Versus Scaling: Is It the Same?

No, but the two treatments usually go together. Scaling involves cleaning around and below the gumline to remove bacteria and tartar from the base of the teeth. It’s basically a deep clean for your teeth.

When Is Planing Necessary?

Your periodontist will decide whether root planing and scaling are necessary after assessing your mouth. Signs that you may need root planing include:

How deep is a tooth root planing?

Tight pockets are required to hold the tooth roots securely in place. Most dentists will recommend scaling and root planing is the pocket depth is more than five millimeters. Performing the procedure when the gum pocket is only between five or six millimeters can help stop bone tissue and tooth loss.

How to make an appointment at High Plains Periodontics?

Request an appointment here: https://highplainsperio.com or call High Plains Periodontics And Implant Dentistry at (806) 513-6312 for an appointment in our Lubbock office .

Why do dentists clean the gum line?

The procedure allows the dentist to clean plaque below the gum line so that gums can reattach to the tooth’s roots. Knowing the symptoms and when the treatment might be necessary is vital because it can help to prevent gum disease from reaching its advanced stage where scaling and root planing may be required.

Why do dentists recommend tooth extractions?

A dentist may recommend a tooth extraction for many reasons. Abscessed, impacted, and badly broken teeth are often extracted in consideration of the patient's overall dental health. When there is rampant decay present, the patient may have teeth removed and dentures placed. Whatever the reason for having a tooth pulled, it is important that the…

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What is root planing?

Root planing is the definitive procedure designed for the removal of cementum and dentin that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some soft tissue removal occurs.

What is scaling and root planing?

From the American Academy of Periodontology (AAP) Policy on Scaling and Root Planing: “Periodontal scaling is a treatment procedure involving instrumentation of the crown and root surfaces of the teeth to remove plaque, calculus, and stains from these surfaces.

Why is bone loss not considered root planning?

Scaling of calculus and bacterial deposits from enamel surfaces, whether supragingival or subgingival does not constitute root planning because it does not include loss of bone or attachment.

What type of root planing is required for late type II periodontitis?

It is anticipated that this procedure would be requested in cases of severe periodontal conditions (i.e., late Type II, III, IV periodontitis) where definitive comprehensive root planing requiring local/regional block anesthesia and several appointments would be indicated.

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