About the Periodontal Procedures

Scaling and Root Planing (Deep Cleaning)

The American Academy of Periodontology (AAP) treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost-effective manner. This is often accomplished through non-surgical periodontal treatment, including scaling and root planing (deep cleaning). Scaling and root planing is a careful cleaning of the root surfaces to remove plaque and calculus (tartar) from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins. It is usually performed in one or two sections of the mouth at a time using local anesthesia for patient comfort.

Most periodontists would agree that after scaling and root planing, many patients do not require any further active treatment, including surgical therapy. However, the majority of patients will require ongoing maintenance therapy to sustain health. Non-surgical therapy does have its limitations, however, and when it does not achieve periodontal health, surgery is usually indicated to restore periodontal anatomy damaged by periodontal diseases and to facilitate oral hygiene access.