Scaling and root planing — commonly called a deep cleaning — is the primary non-surgical treatment for gum disease. If your dentist has recommended it, it means gum disease has progressed beyond what regular cleaning can address. Here is what the procedure involves and what to expect.
When Is It Needed?
A regular cleaning (prophylaxis) cleans tooth surfaces above and just below the gumline. Scaling and root planing is needed when gum disease has caused pockets to form between the teeth and gums that are deeper than 4-5mm. These pockets trap bacteria, tartar, and debris that cannot be removed by home care or regular cleaning alone.
The Procedure
Scaling and root planing is typically performed under local anaesthesia. Scaling involves using special instruments — manual scalers and/or an ultrasonic scaler — to remove all calculus (hardened tartar) and bacterial deposits from below the gumline, deep into the pockets. Root planing smooths the root surfaces of the teeth, removing any roughness that could harbour bacteria and making it easier for the gum tissue to re-attach.
What to Expect After
Some soreness, sensitivity, and gum tenderness is normal for several days after the procedure. Warm salt water rinses, over-the-counter pain relief, and a soft diet help with recovery. Gum tissue may look lighter and less swollen as the inflammation resolves over the following weeks. We typically schedule a follow-up 4-6 weeks later to reassess the pockets and evaluate how the gums have responded.
After Deep Cleaning: Maintenance
Once gum disease is controlled with scaling and root planing, maintaining it requires more frequent professional cleanings — typically every 3-4 months rather than every 6. These periodontal maintenance visits prevent recolonization and disease progression. With consistent care, most patients with managed gum disease maintain their teeth for life. Contact Smileworks Dental to assess your gum health.