Scaling and Root Planning

Dentistry Dedicated To Your Happiness

Gum disease is caused by a sticky film of bacteria called plaque. Plaque is always forming on your teeth, but if they aren’t cleaned well, the bacteria in plaque can cause your gums to become inflamed. When this happens, your gums will pull away from your teeth and form spaces called pockets. Plaque then gets trapped in these pockets and cannot be removed with regular brushing. If untreated, gum disease could lead to bone and tooth loss.

If gum disease is caught early and hasn’t damaged the structures below the gum line, a professional cleaning should do. If the pockets between your gums and teeth are too deep, however, scaling and root planing may be needed.

A deep cleaning has two parts. Scaling is when our dentists at The Italian Dental Clinic remove all the plaque and tartar (hardened plaque) above and below the gumline, making sure to clean all the way down to the bottom of the pocket. Your dentist will then begin root planing, smoothing out your teeth roots to help your gums reattach to your teeth.

Good dental care at home is essential to help keep gum disease from becoming more serious or recurring.  Brush your teeth twice a day with a soft brush, clean between your teeth daily, eat a balanced diet, avoid using tobacco and see your dentist regularly!

Gum Flap Surgery

What Is It?

Gingival flap surgery is a procedure in which the gums are separated from the teeth and folded back temporarily to allow our dentist to reach the root of the tooth and the bone.

What It’s Used For?

Gingival flap surgery is used to treat gum disease (periodontitis). It may be recommended for people with moderate or advanced periodontitis, especially if the initial, non-surgical treatment (scaling and root planing) has not eliminated the gum infection. It may also be done in conjunction with another procedure known as osseous (bone) surgery.

Preparation

Our Dentists at The Italian Dental Clinic, will first remove all plaque and tartar (calculus) from around your teeth and make sure that your oral hygiene is good. Before flap surgery, your dentist will determine whether your general health or your current medications allow for a surgical procedure to be carried out.

How It’s Done

After numbing the area with a local anesthetic, your dentist will use a scalpel to separate the gums from the teeth and then lift or fold them back in the form of a flap. This gives the dentist direct access to the roots and bone supporting the teeth. Inflamed tissue is removed from between the teeth and from any holes (defects) in the bone. The dentist will then do a procedure called scaling and root planing to clean plaque and tartar. If you have bone defects, your dentist may eliminate them with a procedure called osseous recontouring, which smoothes the edges of the bone using files or rotating burs.

After these procedures are completed, the gums will be placed back against the teeth and anchored in place using stitches. Your dentist may use stitches that dissolve on their own or stitches that have to be removed a week to 10 days after the surgery, depending on the case. Your dentist may also cover the surgical site with an intraoral bandage known as a periodontal pack or dressing.

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