Deep Cleanings (Scaling & Root Planing)
Scaling and root planing, commonly referred to as a deep cleaning, is a non-surgical periodontal treatment designed to address gum disease at its source. When bacterial plaque and tartar accumulate below the gumline, they create an environment that leads to inflammation, infection, and eventually bone loss around the teeth. Deep cleaning removes these deposits from the tooth surfaces and root structures, allowing the gum tissue to heal and reattach more firmly to the teeth.
At Bensonhurst Dental Care, deep cleanings are performed by Dr. Geoffrey Rubinshtein, a board-certified periodontist with advanced training from NYU's Post Graduate Program in Periodontics. The procedure involves two key steps. Scaling removes plaque and calculus from above and below the gumline, reaching into the periodontal pockets where bacteria harbor. Root planing smooths the root surfaces to eliminate rough areas where bacteria tend to collect, promoting a cleaner environment for the gums to heal against the tooth.
Deep cleaning is typically recommended when a comprehensive oral exam reveals periodontal pockets deeper than what routine cleaning can effectively manage, or when there is clinical evidence of active gum disease. The treatment may be completed in one visit or across multiple appointments depending on the extent of the condition. Local anesthesia is available to ensure comfort throughout the procedure.
Following a deep cleaning, patients typically transition to a periodontal maintenance schedule to protect the results and prevent reinfection. In some cases, preventive laser bacterial reduction may be recommended alongside or following treatment to further reduce bacterial load below the gumline. Dr. Geoffrey monitors each patient's progress closely and adjusts the care plan as healing progresses.
Frequently Asked Questions
How do I know if I need a deep cleaning?
A deep cleaning is recommended when periodontal pockets measure deeper than normal, typically four millimeters or more, or when there is evidence of tartar buildup beneath the gumline and early signs of bone loss. These conditions are identified during a comprehensive exam and periodontal evaluation.
Is a deep cleaning painful?
Local anesthesia is used to keep patients comfortable during the procedure. Some patients experience mild soreness or sensitivity in the days following treatment, which typically resolves on its own. Over-the-counter pain relief and gentle oral hygiene are usually sufficient during the healing period.
How long does recovery take?
Most patients feel back to normal within a few days. The gums may be slightly tender or swollen immediately after the procedure, but this subsides as the tissue heals. Full healing and reattachment of the gum tissue to the tooth roots occurs gradually over the following weeks.
Will I need more than one deep cleaning session?
Depending on the severity and extent of the condition, deep cleaning may be completed in one visit or divided into two or more appointments, often treating one side of the mouth at a time. Dr. Geoffrey determines the best approach based on the individual case.
What happens after the deep cleaning is completed?
Patients are typically placed on a periodontal maintenance schedule with visits every three to four months. These follow-up appointments are essential for monitoring healing, maintaining the results, and preventing the condition from recurring.
