Scaling and Root Planing

A regular cleaning focuses on the visible parts of the teeth above the gumline and is mainly preventive. Scaling and root planing, often called a “deep cleaning,” removes plaque and tartar from below the gumline and smooths the root surfaces so the gums can heal and reattach. The ADA describes scaling and root planing as a standard treatment for gum disease, not just a routine cleaning. ADA+1

Most people are numbed with local anesthesia, so they feel pressure and vibration but not sharp pain during the procedure. Afterward, the gums may feel sore and the teeth may be sensitive to hot or cold for a few days. This is usually mild and can be managed with over-the-counter pain medicine and gentle brushing, as suggested in many university and hospital patient guides.

Depending on a patient and the stage of periodontal disease, the deep cleaning can be done in one or two visits.

After a deep cleaning, your gums may be a bit sore and may bleed slightly for a day or two. Your teeth may feel more sensitive for a short time. This usually improves within a week or two as the gums heal and tighten around the teeth. Good home care and any rinses recommended by your clinician help your mouth heal faster.

To keep your gums healthy, brush twice a day with a soft toothbrush, clean between your teeth every day with floss and interdental brushes (if indicated), and use any special tools or rinses your dental team suggests. Regular periodontal maintenance visits are important to remove bacteria that build up again under the gums and to monitor healing.