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
"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
"We love Yancho Dentistry and have been going for 20 years! Dr. Yancho is very thoughtful and kind. His staff is always polite and professional."- B.K. / Facebook / Apr 04, 2022
"My wife and I are extremely pleased with our experiences with Dr. Yancho and his staff. We joined their dentistry a couple of years ago based on a private referral. I had an abscessed tooth removed and needed an implant. Dr. Yancho preformed the implant with literally no pain or even discomfort! Bonus - His cost was over $800 less than the estimate from our previous dentist. Also, a had a history of boarder line periodontal disease which made for very painful/bloody cleanings every 6 months. Dr. Yancho recommended a comprehensive treatment plan which I agreed to. I have had 2 cleanings since the treatment completion with no pain or bleeding! My gums are noticeably healthier. (Footnote - I had never even been approached about addressing this with previous dentists other than I needed to brush and floss better). Also, I can't say enough good things about Angie, the dental hygienist that helped me through everything. She has been extremely helpful, making sure I understood all of the details, explaining my responsibilities, all to ensure a positive outcome. It is such a pleasure to have finally found a dentistry that truly cares about our total welfare!"- D.M. / Google / Oct 19, 2021
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.