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Scaling and Root Planing

When bacteria are allowed to accumulate on the teeth, a “sticky” matrix termed plaque will be formed. If bacteria are undisturbed, it will eventually form calculus, or “tartar”. Calculus provides a rough surface for more bacteria to accumulate. When you have periodontal disease, the supporting tissue and bone are destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space for bacterial plaque accumulate. As the bacteria in plaque advances under the gum tissue, it will become more difficult to remove and result in further bone and tissue loss.

Scaling and Root Planing is a common non-surgical treatment for periodontal disease. It involves gaining access to the pockets below the gum line with a dental instrument to remove the plaque and calculus deposits. Removal of the bacteria provides a healthy environment in the pockets which will promote the inflamed tissues to heal and reattach to the tooth, resulting in a decrease in the probing depth.

Plaque and calculus deposits before Scaling and Root Planing

Plaque and calculus deposits removed after Scaling and Root Planing