Scaling and root planing, sometimes called a deep cleaning, is a common procedure for the treatment of the first stages of periodontal disease (gingivitis) that does not respond to home care and regular dental cleanings. During scaling, the dental plaque and calculus around the crown and root surfaces of the teeth is removed, and root planing requires scaling the root of the tooth. The goal of root planing is to remove the roughened cementum and dentin that has absorbed significant amounts of calculus and microorganisms. At Yancho Family and Cosmetic Dentistry in Traverse City, MI, board-certified dentist Dr. Phillip Yancho uses ultrasonic tools to complete the scaling procedure because they provide the best disruption of biofilms. After the scaling process is completed the tooth roots may be planed to smooth the surface area and make it easier for the gum tissue to reattach to the tooth. In some cases, antibiotics may be used to help eliminate the potential for bacterial infection as the mouth heals. A simple saliva test can be done to determine what specific bacteria is causing the patient's infection. This test helps Dr. Yancho to determine which antibiotic will work best.
"Phillip C. Yancho, D.D.S., Cosmetic and Family Dentistry, Traverse City, is more than a name or a dental practice. It is the gold standard of service, treatment, and care. From our very first phone call to the on-going dental experience, we are always in the hands of a friendly, professional family. Dental hygiene, education, and a spectrum of dental care give us good health. Even the front and back office staff are the best.Having relocated several times, we are delighted to have found a practice that uses not only the latest technology and diagnostics, but also engages the friendliest professionals among all our medical and service providers. In Traverse City, a mecca for excellent medical services, that is high praise."- R.H. / Google / Mar 17, 2017
"The entire team has been outstanding. Such an incredibly skilled group of dental professionals. Thanks for the care you provide our family & friends."- A.K. / Facebook / Mar 09, 2018
"They are one of the most caring offices I've ever been to. Dr. Yancho even came in on a Saturday when one of my older crowns fell off. I have very sensitive teeth and they go out of their way to make me comfortable any time I've had to come in. I would recommend Dr. Yancho and his staff to anyone who is looking for a dentist. They truly make you feel like family."- G.S. / Yelp / Feb 15, 2018
"Our family has enjoyed the professionalism and exceptional care of Dr. Yancho and his staff for over 24 years! My kids grew up loving their dental visits here which was a far cry from how I grew up, always filled with anxiety and fear about seeing the dentist. The kindness and gentleness of Dr. Yancho’s care put my fears to rest and now I actually look forward to going to the dentist! Forever grateful to him, for his generosity and quality of care, it just can not be adequately expressed in a review. You must visit to experience the difference!"- B.K. / Facebook / Jan 18, 2018
"I have been going to Dr. Yancho since I was pregnant and my son is now 30. His office is cutting edge and I can't even imagine going anywhere else. Initially I found him when I moved to Traverse City and his add stated he catered to cowards. That was me then, now I have no fear of the dentist."- L.M. / Yelp / Dec 20, 2017
What to Expect
Scaling and root planing is performed in the dentist’s office with local anesthesia on the areas being treated and/or sedation to help the patient remain calm and comfortable. The dentist begins by using a manual scaling tool or an ultrasonic cleaner to reach all areas of the gum pocket and remove the plaque and tartar that has built up. Once the gum pocket is cleaned, the dentist will smooth or plane the surface of the tooth to minimize areas where plaque and tartar can become trapped. Once the gum pockets are clean and smooth, they can begin to heal and reattach properly to the tooth root.
After the scaling and root planing treatment, patients might have some inflammation or bleeding of the gums, but this should only last for a few days. Patients should continue or start a daily oral health care routine that includes brushing at least twice a day, flossing, and following any special instructions by the dentist. Patients should return in 2 – 4 months to have their gums re-checked by the dentist. A second treatment may be needed to fully restore the gums or the dentist may refer the patient to a periodontist for special treatment.
Plan Your Procedure
- Procedure Recovery Location
- In Office
Stop Gum Disease Early
Scaling and root planing can stop early signs of gum disease, including inflamed and bleeding gums, as well as bad breath and loose teeth. A dentist can catch these signs early during an annual dental exam and treat the problem effectively with scaling and root planing treatment.