Scaling and Root Planing
Scaling and root planing is the cornerstone non-surgical treatment for periodontal disease. When bacteria accumulate below the gumline and harden into tartar, they trigger an inflammatory response that damages the gum tissue and, over time, the bone that supports the teeth. Scaling removes the bacterial deposits and calculus from the tooth surfaces and root structures beneath the gums, while root planing smooths the root surfaces to eliminate the rough areas where bacteria tend to recolonize.
At Bensonhurst Dental Care, scaling and root planing is performed by Dr. Geoffrey Rubinshtein, a board-certified periodontist with the advanced training and diagnostic precision to address periodontal disease at every stage. Dr. Geoffrey evaluates the depth of periodontal pockets, the extent of bone involvement, and the overall condition of the gum tissue before developing a treatment strategy. The procedure is performed under local anesthesia and may be completed in one visit or staged across multiple appointments depending on the severity and distribution of the disease.
The goal of scaling and root planing is to halt the progression of gum disease and create an environment where the gum tissue can heal and reattach to the teeth. After treatment, most patients experience a noticeable reduction in gum inflammation, bleeding, and pocket depth. The results are maintained through a consistent periodontal maintenance schedule, which Dr. Geoffrey establishes based on each patient's response to treatment and ongoing risk factors.
For patients whose gum disease has advanced beyond what non-surgical treatment can fully resolve, Dr. Geoffrey may recommend additional interventions such as pocket reduction surgery or laser periodontal therapy (LANAP). Preventive laser bacterial reduction performed by Dr. Alex Rubinshtein can also complement scaling and root planing by targeting residual bacteria below the gumline with precision laser technology.
Frequently Asked Questions
How do I know if I need scaling and root planing?
Scaling and root planing is recommended when a periodontal evaluation reveals pocket depths of four millimeters or greater, bleeding on probing, or evidence of tartar beneath the gumline. These signs indicate active gum disease that requires treatment beyond a standard cleaning.
Is the procedure painful?
Local anesthesia is used to ensure comfort throughout the procedure. Some patients experience mild soreness or sensitivity in the days following treatment, which typically resolves quickly. Over-the-counter pain medication is usually sufficient for managing any post-operative discomfort.
How many visits does scaling and root planing require?
The treatment may be completed in one visit or divided into two or more appointments, often treating one quadrant or one side of the mouth at a time. The number of visits depends on the extent and severity of the disease. Dr. Geoffrey determines the best approach for each patient.
Can gum disease come back after scaling and root planing?
Gum disease is a chronic condition that can recur if not managed with consistent professional care and diligent home hygiene. Periodontal maintenance appointments are essential for keeping the disease under control long term.
