This is the first stage in the treatment of gum disease, and consists of the removal of plaque, calculus, and rough areas from the root below the gums. It is usually done one quarter of the mouth at a time, with local anesthesia for your comfort.

For a day or two after your appointment, the treated area may be sore. Aspirin or Tylenol should be adequate if needed.

You may notice several changes after scaling and root planing. The most obvious is a clean feeling in that area. Any bad taste or breath will begin to disappear. Your gums will begin to firm up and shrink, which is a sign that the infection in the gums is healing. After a few days, your gums should stop bleeding during brushing and flossing.

Sensitivity to cold is often noted. Your must keep your teeth extra clean. If you leave plaque on the teeth, the sensitivity gets worse. Brushing four times a day with a toothpaste for sensitive teeth will help reduce sensitivity.

Scaling and root planing is effective in treating early and moderate periodontal disease, but when pockets are deep, (5mm or more) you may require additional treatment such as surgery. After an evaluation of this initial therapy, we will discuss if you need any additional treatment. By practicing excellent plaque control at home, you may be able to keep your gums in a healthy state and avoid the reoccurrence of periodontal problems and the need for further periodontal treatment in the future.