Scaling & Root Planing

Our dentist may recommend you have scaling and root planing performed if you have a mild to moderate case of periodontal disease. This helps improve the health and appearance of your gumline to help keep this disease under control. If you have any questions about scaling and root planing in Katy, Texas and would like to schedule a visit with Dr. Linda Hoang, please call Village Center Dentistry at 281-693-2880.

Your Dentist in Katy, Texas

Our experienced dentist and team are committed to helping you achieve and maintain excellent oral health. During your regular dental visits Dr. Hoang will check for any signs of gum disease as part of your routine dental exam. If you do show signs of gum disease and are diagnosed with this condition, our dentist and team will work closely with you to determine the severity of the disease and provide you with an individualized treatment plan to manage your condition and improve your oral health. One of the most common treatments Dr. Hoang recommends is scaling and root planing.

Periodontal Disease

Periodontal disease, also known as gum disease, is a prevalent oral health condition characterized by inflammation and infection of the gums and supporting structures of the teeth. If left untreated, gum disease can progress from mild gingivitis to more severe forms, leading to irreversible damage to the gums and underlying bone as well as to tooth loss.

Gum disease is caused by the accumulation of plaque — a sticky film composed of bacteria, saliva and food debris — on the teeth and along the gumline. When plaque is not adequately removed through regular brushing, flossing and professional dental cleanings, it can harden into calculus (tartar) within as little as 48 hours. Tartar provides a rough surface that facilitates further plaque buildup and harbors harmful bacteria, triggering an inflammatory response from the body’s immune system.

The initial stage of gum disease is known as gingivitis, characterized by inflammation and swelling of the gums. Common symptoms include redness, tenderness and bleeding during brushing or flossing. Fortunately, gingivitis is reversible with proper oral hygiene practices and professional dental care. However, if left untreated, it can progress to periodontitis, a more severe form of gum disease marked by irreversible damage to the periodontal tissues and bone loss around the teeth.

Risk factors for periodontal disease include poor oral hygiene, tobacco use, genetic predisposition, systemic diseases, hormonal changes, certain medications and stress. Individuals with a family history of gum disease, diabetes or other systemic conditions should be especially vigilant about their oral health and seek regular dental care.

Signs & Symptoms of Gum Disease

Recognizing the signs and symptoms of gum disease is crucial for early intervention and effective treatment. Some common indicators of gum disease include:

  • Gum Inflammation: Swollen, tender or red gums are often early signs of gingivitis, the mildest form of gum disease.
  • Bleeding Gums: Gums that bleed during brushing or flossing may indicate the presence of gum disease. Healthy gums should not bleed during routine oral hygiene practices.
  • Persistent Bad Breath: Halitosis or bad breath can result from the buildup of bacteria in the mouth, which is common in individuals with gum disease.
  • Receding Gums: As gum disease progresses, the gums may start to pull away from the teeth, leading to gum recession and exposure of the tooth roots.
  • Periodontal Pockets: As the gums pull away from the teeth, they form “pockets,” or small gaps between the gums and teeth. Disease-causing bacteria inhabit these pockets and continue to advance your gum disease and cause damage to your oral structures.
  • Loose Teeth: Advanced periodontal disease can cause the supporting bone structure to deteriorate, resulting in loose or shifting teeth.
  • Pain or Discomfort: Gum disease may cause discomfort or pain while chewing, brushing or eating certain foods.

Regular dental checkups and professional cleanings are essential for detecting gum disease in its early stages and preventing further progression.

Scaling & Root Planing

Scaling and root planing, also known as deep cleaning, is a nonsurgical treatment for gum disease aimed at removing plaque, tartar and bacterial toxins from below the gumline and smoothing the tooth roots to promote gum tissue reattachment. This periodontal treatment is highly effective in treating mild to moderate gum disease and works to halt the advance of the disease before it can develop into a more severe and damaging form.

The procedure typically involves two main components:

  1. Scaling: Our dental hygienist or dentist use specialized instruments to remove plaque and tartar (hardened plaque) from the surfaces of the teeth, both above and below the gumline. This process eliminates bacteria and calculus that contribute to gum inflammation and infection.
  2. Root Planing: After scaling, the tooth roots are meticulously smoothed to remove rough spots and bacterial toxins. This step helps prevent plaque and tartar buildup and encourages the gums to reattach to the tooth surface, reducing pocket depth and promoting periodontal health.

Scaling and root planing may be performed using manual hand instruments or ultrasonic scalers, which utilize high-frequency vibrations to remove plaque and calculus with precision and efficiency.

Benefits of Scaling & Root Planing

Scaling and root planing offer several significant benefits for individuals with gum disease, including:

  • Halting Disease Progression: Deep cleaning removes bacteria and calculus from below the gumline, halting the progression of gum disease and preventing further damage to the gums and supporting structures.
  • Gum Tissue Regeneration: Smoothing the tooth roots through root planing promotes the regeneration of healthy gum tissue, reducing pocket depths and enhancing periodontal health.
  • Preventing Tooth Loss: By addressing the underlying cause of gum disease and promoting gum tissue reattachment, scaling and root planing help prevent tooth loss associated with advanced periodontal disease.
  • Improved Oral Health: Deep cleaning eliminates harmful bacteria and toxins, leading to improved oral hygiene and fresher breath. It also creates a clean and smooth tooth surface, making it easier to maintain good oral hygiene practices at home.
  • Preserving Overall Health: Research has shown a significant association between gum disease and various systemic health conditions, including cardiovascular disease, diabetes and respiratory infections. By treating gum disease, scaling and root planing may contribute to better overall health and wellbeing.
  • Cost-Effective Treatment: Compared to surgical interventions for advanced gum disease, scaling and root planing are typically more cost-effective and less invasive, making them a preferred treatment option for many patients.

Periodontal Maintenance

After completing your scaling and root planing treatment, our dentist will recommend a schedule of regular visits for you to receive periodontal maintenance. The frequency of these visits may vary depending on the severity of the disease and your response to treatment, but typically patients who are receiving periodontal maintenance will need to visit Dr. Hoang every 12 weeks to receive this treatment and maintain optimal management of their oral health. The goal of periodontal maintenance is to prevent the recurrence of gum disease, minimize the risk of further damage to the periodontal tissues and preserve the integrity of the teeth and supporting bone.

Periodontal maintenance involves a combination of professional cleanings, examinations and personalized oral hygiene instructions. These appointments allow our dentist and team to monitor your periodontal health, assess the effectiveness of previous treatments and address any developing issues before they can progress. During your appointment, our dentist or hygienist will perform a thorough cleaning of the teeth and gums to remove plaque, tartar and bacterial toxins that have accumulated since the last visit. This cleaning may involve an additional scaling and root planing treatment to address any residual pockets or areas of persistent inflammation. Our dentist will also evaluate the health of the gums, measure pocket depths, check for signs of infection or inflammation and perform any additional periodontal treatments which may be necessary. We will also take the time to provide education and reinforcement of proper oral hygiene practices at home.

Periodontal Disease & Your Health

The health of your gums is closely linked to your overall health and wellbeing. Emerging research continues to highlight the connection between gum disease and various systemic conditions, underscoring the importance of maintaining optimal periodontal health.

  • Cardiovascular Health: Gum disease has been associated with an increased risk of cardiovascular diseases, including heart attack and stroke. The inflammation and bacterial toxins associated with periodontal disease may contribute to the development and progression of cardiovascular conditions.
  • Diabetes Management: Individuals with diabetes are at a higher risk of developing gum disease and untreated periodontal disease can make it more challenging to control blood sugar levels. Managing gum disease through treatments like scaling and root planing can help improve diabetes management and overall health outcomes.
  • Respiratory Health: Oral bacteria associated with gum disease can be aspirated into the lungs, potentially leading to respiratory infections such as pneumonia. Maintaining good oral hygiene and treating gum disease can help reduce the risk of respiratory complications.
  • Pregnancy Complications: Pregnant women with untreated gum disease may be at a higher risk of pregnancy complications, including preterm birth and low birth weight. Managing gum disease during pregnancy through professional cleanings and good oral hygiene practices is essential for maternal and fetal health.

Preventing Gum Disease

While scaling and root planing are effective treatments for existing gum disease, prevention remains the best approach to maintaining optimal periodontal health. Here are some essential tips for preventing gum disease:

  • Maintain Good Oral Hygiene: Brush your teeth at least twice a day and floss daily to remove plaque and food debris from between your teeth and along the gumline. Use a fluoride toothpaste and replace your toothbrush every three to four months or sooner if the bristles become frayed.
  • Visit Your Dentist Regularly: Schedule regular dental exams and cleanings every six months or as recommended by our dentist. Professional cleanings help remove plaque and tartar buildup that cannot be adequately addressed through brushing and flossing alone.
  • Quit Smoking: Smoking and tobacco use are significant risk factors for gum disease and can impair the body’s ability to heal and fight infection. If you smoke, talk to our dentist or healthcare provider about strategies to quit smoking and improve your oral and overall health.
  • Eat a Balanced Diet: Maintain a balanced diet rich in fruits, vegetables, whole grains, lean proteins and low-fat dairy products. Limit sugary snacks and beverages, as they can contribute to plaque formation and increase the risk of gum disease.
  • Limit Alcohol Consumption: Excessive alcohol consumption can irritate the gums and increase susceptibility to gum disease. Drink alcohol in moderation and rinse your mouth with water afterward to help neutralize acids and remove debris.
  • Manage Stress: Chronic stress can weaken the immune system and increase inflammation throughout the body, including the gums. Practice stress-reduction techniques such as meditation, deep breathing exercises, yoga or engaging in hobbies and activities you enjoy.
  • Use Antimicrobial Mouthwash: Rinse with an antimicrobial mouthwash containing ingredients such as chlorhexidine or essential oils to help reduce bacteria and plaque levels in the mouth. However, be mindful not to use mouthwash as a substitute for proper brushing and flossing.
  • Wear a Mouth Guard: If you grind or clench your teeth during sleep (bruxism), wearing a custom-fitted mouth guard can help protect your teeth and gums from excessive wear and damage.
  • Stay Hydrated: Drink plenty of water throughout the day to help stimulate saliva production and wash away food particles and bacteria from the mouth. Saliva plays a crucial role in maintaining oral health by neutralizing acids and remineralizing tooth enamel.
  • Be Aware of Medication Side Effects: Some medications, such as certain antidepressants and antihypertensives, can cause dry mouth as a side effect, increasing the risk of gum disease. If you are experiencing dry mouth, talk to your healthcare provider about potential solutions or alternative medications.

By incorporating these preventive measures into your daily routine and partnering with our dentist and team for regular checkups and cleanings, you can significantly reduce your risk of developing gum disease and maintain a healthy smile for years to come. Remember that early detection and intervention are key to preventing gum disease from progressing to more advanced stages and causing irreversible damage to your oral health.

Schedule A Consultation

For more information about scaling and root planing and to make an appointment with Dr. Hoang, please contact our team today. We are committed to providing you with the personalized care and support you need to achieve optimal oral health throughout your life.