Scaling And Root Planing
Advanced Non-Surgical Solutions for Periodontal Disease
Even in its advanced stages, periodontal disease can often be managed and its progression halted through non-surgical interventions. The specific course of treatment is determined by the type and severity of the disease, and your dental professional will recommend the most suitable approach for your individual needs.
Deep Cleaning: Scaling and Root Planing
A cornerstone of non-surgical periodontal therapy is a deep cleaning procedure known as scaling and root planing. This treatment targets the primary cause of gum disease: the accumulation of plaque and tartar on tooth surfaces. While routine cleanings address the tooth's crown, scaling and root planing is a meticulous process that extends below the gum line to remove bacterial deposits from the root surfaces. This is crucial for eliminating the harmful bacteria and their toxins that contribute to inflammation and tissue damage.
Following the removal of plaque and tartar, the root surfaces are smoothed in a process called root planing. This step is vital as it eliminates rough areas where bacteria can easily colonize, thereby preventing their recolonization. Furthermore, root planing facilitates the reattachment of the gum tissue to the tooth, which helps to reduce the depth of periodontal pockets—the spaces between the gums and teeth where bacteria thrive. This tissue regeneration is fundamental to preventing the recurrence of gum disease. For severe cases where deep pockets are present, surgical options like flap surgery or a gingivectomy may be necessary to gain better access to the infected root surfaces for thorough cleaning. To aid in healing and control infection, your periodontist may also prescribe local or systemic antibiotics and an antiseptic mouth rinse.
Targeted Antibiotic Therapy
A significant advancement in periodontal care involves the use of a locally administered antibiotic powder. This powder is applied directly into the infected periodontal pockets following a scaling and root planing procedure. This innovative therapy utilizes microspheres to deliver a controlled, slow release of the antibiotic directly to the site of infection for up to 10 days. This targeted approach enhances the effectiveness of deep cleaning by continuing to fight bacteria long after the procedure is complete. The application of this antibiotic is a quick and comfortable process that typically does not require anesthesia and promotes the healing of gum tissues with minimal intervention.
Post-Treatment Guidelines for Scaling and Root Planing
Initial Recovery
Following your scaling and root planing procedure, it is advisable to limit physical activity for several hours. Strenuous or aerobic exercise should be avoided for the remainder of the day to support the healing process.
Monitoring for Complications
Swelling of the gums or face is not a typical outcome of scaling and root planing. Should you experience any swelling, it is important to contact your dental office promptly for evaluation.
Managing Minor Bleeding
It is normal to experience slight bleeding for a few hours after the procedure. If bleeding is persistent or appears excessive, please contact your dentist. It is worth noting that saliva mixed with even a small amount of blood can appear more dramatic than it is, so minor discoloration of your saliva should not be a cause for alarm.
Dietary Adjustments
To avoid injury, it is important to wait until the effects of the local anesthesia have completely subsided before eating. For your initial meals, opt for soft foods and avoid items that are spicy, salty, acidic, or extreme in temperature (very hot or cold). It is also recommended to abstain from alcoholic beverages to prevent irritation and support healing.
Oral Hygiene Practices
Maintaining excellent oral hygiene is crucial for recovery. Continue to brush and floss all areas of your mouth, being gentle in the treated areas initially. Your hygienist may recommend using a desensitizing toothpaste for a few days to alleviate any tooth sensitivity. Rinsing with a prescribed antiseptic mouthwash at least twice daily for several weeks post-treatment can further aid in the healing process and promote optimal periodontal health.
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