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
"I have been seeing Dr. Phil Yancho for 30 years. Yes I am old. I've had a lot of dentists as well because our family has moved a lot. I would recommend Phil highly to anyone that wants a professional, kind and honest dentist.You will be glad you gave him a try!"- J.B. / Yelp / Jul 23, 2017
"Went in for a few fillings today. Not only did I not feel Dr. Yancho administer the numbing shot, but I actually dozed off a few times while getting the filling. It was by far the best dentist/filling expirence I've had by far!!"- I.W. / Healthgrades / Jul 19, 2017
"I have been going to Dr. Yancho bi-annually for 18 years. And it's not just me. My entire family has been going to him throughout the years for a wide spectrum of dental issues. He is easily the best dentist I have ever had. His whole practice is extremely friendly and professional. I would give the practice 10 stars if I could. It's a shame that I no longer live in Traverse City and it's hard for me to get back for my 6 month cleanings. Regardless, Dr. Yancho referred me to a website for NY-based licensed dentists. Nothing beats the best though."- A.Z. / Yelp / Jun 01, 2017
"I have been a lifelong dental phobe cursed with problem teeth. It took me 8 years in California to find a dentist I was comfortable with and trusted. When we moved to Northern Michigan I was terrified to begin the hunt for a great dentist again but the tooth gods smiled down on me two years ago and I found Dr. Yancho. All those 5 star reviews? Believe them! I have had dental implants, cosmetic restorations, and fillings all performed by him and they were all a walk in the park for me. He is gentle, reassuring, knowledgeable and skillful. The staff is fantastic and seems almost like a family. Visit this practice just once and you will never want to see anyone else, I guarantee it."- P.D. / Google / Feb 14, 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.