Periodontal Scaling & Root Planing
Periodontal Scaling & Root Planing

The main purpose of periodontal scaling & root planing is to remove etiologic, or disease-causing, agents that are responsible for triggering inflammation of the gingival (gum) tissue and surrounding bone. Common etiologic agents removed by this conventional periodontal therapy include dental plaque and tartar (calculus).
These non-surgical procedures tend to work very effectively for individuals suffering from gingivitis (mild gum inflammation) and moderate/severe periodontal disease. Of course, no matter what your individual needs are, your periodontist and our team will be sure to inform you about your options so that you’re able to achieve optimal gum health. To learn more about periodontal scaling and root planing, contact our Duxbury office today!
Why Choose Lightfoot Center for Laser Periodontics for Periodontal Scaling & Root Planing?
- Skilled Periodontal Team with Years of Experience
- Comfortable Office with Patient-Friendly Amenities
- Locations in Braintree, Duxbury, Hingham, & Norwood
Why Do I Need Periodontal Scaling & Root Planing?

Scaling and root planing can be used both as a preventative measure and as a stand-alone treatment. Here are some reasons why we might recommend it:
- Disease prevention – The oral bacteria that cause periodontal infections can travel through the bloodstream to other parts of the body. Research has shown that lung infections and heart disease have been linked to periodontal bacteria. Scaling and root planing remove harmful bacteria and halt periodontal disease from progressing, thus preventing the bacteria from traveling to other parts of the body.
- Tooth protection – When gum pockets exceed 3mm in depth, there is a greater risk of periodontal disease. As pockets deepen, they tend to house more colonies of dangerous bacteria. Eventually, a chronic inflammatory response by the body begins to destroy gingival and bone tissue which may lead to tooth loss.
- Aesthetic effects – Scaling and root planing help remove tartar and plaque from the teeth and below the gumline. As a bonus, if superficial stains are present on the teeth, they will be removed in the process of the scaling and root planing procedure.
- Better breath – One of the most common signs of periodontal disease is chronic halitosis (bad breath). Food particles and bacteria can cause a persistent bad odor in the oral cavity which is alleviated with cleaning procedures such as scaling and root planing.
What Does Scaling & Root Planing Involve?

Scaling and root planing treatments are only performed after a thorough examination of the mouth. We will take X-rays, conduct visual examinations, and make a diagnosis before recommending or beginning these procedures. Depending on the current condition of the gums, the amount of calculus (tartar) present, the depth of the pockets, and the progression of the periodontitis, a local anesthetic may be used. Here’s a brief overview of each part of the process:
Scaling – This procedure is usually performed with special dental instruments and may include an ultrasonic scaling tool. This device removes calculus and plaque from the surface of the crown as well as the tooth roots. In many cases, the scaling tool includes an irrigation process that can deliver an antimicrobial agent below the gums that can help reduce oral bacteria.
Root Planing – This procedure is a specific treatment that serves to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins, and tartar. The root of the tooth is literally smoothed to promote good healing and encourage the reattachment of gum tissue. Plus, having clean, smooth root surfaces helps to prevent bacteria from easily colonizing in the future.
Following these deep cleaning procedures, the gum pockets may be treated with antibiotics. This will soothe irritation and help the gum tissues to heal quickly. During the next appointment, your periodontist will thoroughly examine the gums again to see how well the pockets have healed. If the gum pockets still measure more than 3mm in depth, additional and more intensive treatments may be recommended.