Periodontal maintenance or scaling aims to protect gum and bone health. It requires more skill and expertise than prophylaxis procedures as it goes deeper under the gums than a simple prophy.
Periodontal maintenance procedure involves instrumentation of the crown and root surfaces of the teeth to remove deposits and is therapeutic, not prophylactic, in nature
Root planing is the definitive procedure designed to remove plaque and calculus from these surfaces. It is indicated for patients with periodontal disease and is for the removal of cementum and dentin that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some soft tissue removal occurs.
What does periodontal maintenance involve?
X-ray and examination
Supragingival cleaning (bacteria above the gums)
Subgingival cleaning (bacteria below the gums)
Root planing (smooth out tooth surfaces)
Medication (antibiotics for faster healing, ease discomfort)
Non-surgical periodontal treatment
Nonsurgical periodontal therapy aims to control microbial periodontal infection by removing biofilm, calculus, and toxins from periodontally involved root surfaces.
Scaling and Root Planing
Scaling and root planing is a deep cleaning below the gumline used to treat gum disease. The goal is to thoroughly scale all plaque, bacterial toxins, and tartar deposits from your teeth and root surfaces.
If the pockets between your gums and teeth are too deep, scaling and root planing may be needed.
A Two-Step Process
Dives deeper into the gum line with manual hand instruments, ultrasonic instruments, or both.
Involves an even deeper dive with detailed scaling of the root surface to smooth out rough areas