Scaling and Root Planing
Scaling and root planing is a careful cleaning of the root surfaces to 1) remove plaque and calculus (tartar) from deep periodontal pockets and 2) to smooth the tooth root to remove bacterial toxins. Scaling and root planing is sometimes followed by adjunctive therapy such as locally delivered antimicrobials, systemic antibiotics, host modulation, or any combination as needed on a case-by-case basis. Your periodontist may also recommend additional treatment modalities, including gum surgery, if you do not respond optimally to scaling and root planning due to the severity of your condition. It is very important to remember that ongoing maintenance is necessary therapy to sustain health.