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 a Maryland bridge, something I have been stuck with since I was a teenager because I was born without my lateral incisors. I had a great dentist in PA, but over the years in Petoskey, MI - I failed to find one that I felt comfortable with and/or had confidence in while working on my bridge. I did some research and stumbled upon Dr. Yancho and his crew. My first appointment last spring was amazing. Everyone was so kind. I could NOT be more happy, so much so, that I ended up sticking with Dr. Yancho and his team for my cleanings. Even though I do not have a lot of money as I struggle to get through my final years in school, they treat me like I am equally as important. Allie took the time to figure out payment options for some cavity work, and never made me feel bad for it. I felt my bridge faltering last week, so I e-mailed the office that night and received an immediate response from Dr. Yancho and a call from Denise first thing the next morning. She got me in less than a week later. Then, as I was brushing my teeth last night, the whole thing fell out. I called Denise and without any question, got me in today. I had some bad experiences with my bridge work - today...my anxiety was completely quashed. Dr. Yancho did a fantastic job! He explains everything he is doing, why he is doing it and even stopped to make sure what he was doing was the best option for me. Plus, he makes sure at every step I was not uncomfortable. From Denise, to Allie, Rachel, Erin, and Melanie - I cannot be more thankful for making me feel so comfortable. The 90 minute drive to see all of you is absolutely worth it. It is rare to find so many fantastic team players in one place."- C.B. / Google / Dec 05, 2019
"I have had dental issues my entire life. Dr. Yancho is by far the best dentist I have ever encountered. His practice is guided by what he feels is best for the patient, not predicated by insurance dictates or any third party interests. I was there yesterday and he rebuilt a badly damaged tooth. It looks perfect - I cannot believe how beautiful it looks and how good it feels. I'm 71 and only wish I had encountered him earlier in my life. An absolutely amazing exceptional dentist. I recommend him unreservedly."- S.Q. / Yelp / Jul 19, 2019
"Dr Yancho and his staff are the best ! He helped me with an emergent situation when I had a 'hot' tooth and came in his office to fix it himself!! Dr Yancho is a warm, welcoming person who is very knowledgeable, adept in his field and promotes education for dental students and his patients. He has helped veterans like me tremendously over the years. Much gratitude for him! Best dental practice in Northern MI. !!! I highly recommend him!! He absolutely is the BEST!!!"- N.J. / Facebook / Jun 12, 2019
"Dr. Yancho and his staff are caring and knowledgeable. I have a fear of needles when it comes to my mouth. Dr. Yancho has developed an amazing painless injection technique.Even if I move away from Traverse City, I will continue to return to him for my dental."- P.G. / Google / Jun 05, 2019
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.