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
"My parents took me here as a kid and I can't remember really ever having a complaint as a kid. After nearly a decade's lapse in dental work with no more parents' insurance and just all in all being anxious at the dentist and unable to ever calm my twitching muscles and nerves, I had some tooth pain and decay that was out of control and went with the cheapest option I could find on google's "Dentist's near me." I got what I paid for: A rushed job, treated like just another num...ber, stuck in the waiting room for an hour multiple times... I went back to Dr. Yancho after almost another year of hesitancy after that. What a world of difference. First off, for those just looking for this: When it's advertised as, "Pain free" this practice means it. I just had a total of 6 fillings done in the course of a month and didn't feel a bit of pain the entire time. The work is so well done that after the numbness wears off, even the soreness and potential pain you're expecting is minimal to absolutely nothing. And speaking of the work, it's so well done I can't tell where the fillings even are. My fiance commented immediately, "Oh, they look SO much better!" I'm thrilled with the outcome of finally getting in and getting this done. Outside of the chair, the hygienist team and front office and desk staff are all absolutely some of the nicest and friendliest people you'll interact with! They know what they're doing, keep everything moving fluidly, and make sure you know what's going on and are as comfortable as can be. They work with multiple insurances and hugely helpful to those without insurance: they accept Care Credit. If I'm getting dentistry work done for the foreseeable future, it's definitely going to be at Dr. Yancho's office. I highly recommend you do as well if you're on the search."- J.R. / Facebook / Feb 28, 2019
"Retiring to Traverse City from downstate required finding a new dentist. Dr. Yancho has been just the BEST! I would highly recommend him and his staff to anyone seeking a caring, pain free dental experience. I have had my share of dental work over many years and I can honestly say my experiences here have been the best ever. My three grandchildren go here as well and never complain about going to see Dr. Yancho."- C.L. / Google / Feb 06, 2019
"Dr. Yancho and his crew are absolutely fabulous! They are kind, thorough with exams, patient and compassionate. My entire family goes to Dr. Yancho and I would never dream of going somewhere else. I recommend this practice to everyone that I know. I have never met a dentist that is as concerned about our comfort during procedures as Dr. Yancho is. Going to the dentist can be a scary thing for many of us... but it's not an issue here."- J.K. / Facebook / Dec 15, 2018
"Dr. Yancho and his crew are absolutely fabulous! They are kind, thorough with exams, patient and compassionate. My entire family goes to Dr. Yancho and I would never dream of going anywhere else. I recommend this practice to everyone that I know. I have never met a dentist that is as concerned about our comfort during procedures as Dr. Yancho is. Going to the dentist can be a scary thing for many of us... but it's not an issue here."- J.K. / Google / Dec 15, 2018
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.