What is Scaling and Root Planing (SRP)?

Scaling and Root Planing is a non-surgical dental procedure designed to treat gum disease by cleaning the surfaces of the teeth and gums. It targets the areas below the gum line to remove plaque, tartar, and bacteria that regular brushing and flossing can’t reach. This procedure helps restore gum health and prevent further damage to the teeth and bone.

Why is Scaling and Root Planing Necessary?

When plaque and tartar build up below the gum line, it can cause gum irritation and infection, leading to gum disease (gingivitis) or more advanced stages of periodontal disease. Over time, this can result in gum recession, tooth mobility, and even tooth loss. Scaling and root planing are typically recommended when the gum disease has reached a moderate or advanced stage.

The Scaling and Root Planing Procedure

1. Scaling
Scaling involves using specialized dental instruments (manual or ultrasonic) to remove plaque, tartar, and bacteria from the surfaces of your teeth, both above and below the gum line. This cleaning is thorough and ensures that your teeth are free from harmful buildup that can contribute to gum disease.

2. Root Planing
Root planing focuses on smoothing the root surfaces of the teeth. This process helps remove the bacteria from the roots and promotes the reattachment of the gums to the teeth. Smoothing the roots also reduces the chance of further bacterial buildup and allows the gums to heal properly.

What to Expect During the Procedure

Scaling and root planing typically involves two visits, one for each quadrant of the mouth. Here’s a step-by-step overview:

  • Local Anesthesia: To ensure comfort, your dentist may use a local anesthetic to numb your gums.
  • Cleaning: The dentist or hygienist will use specialized tools to remove plaque and tartar from below the gum line and smooth the roots of the teeth.
  • Post-Cleaning Care: After the procedure, your gums may be tender, and you may experience some swelling or mild discomfort. This is normal and should subside within a few days.

Benefits of Scaling and Root Planing

  • Prevents Tooth Loss: By treating gum disease early, SRP can prevent tooth mobility and tooth loss.
  • Improves Gum Health: It removes harmful bacteria and allows your gums to heal, reducing inflammation and bleeding.
  • Eliminates Bad Breath: Scaling and root planing removes the bacteria that cause persistent bad breath (halitosis).
  • Improves Overall Health: Gum disease has been linked to other serious conditions such as heart disease, diabetes, and stroke. Treating gum disease helps reduce the risk of these systemic health issues.

Recovery and Aftercare

  • Pain Relief: Over-the-counter pain relievers (like ibuprofen) can help alleviate any discomfort.
  • Post-Procedure Instructions: You should avoid eating hard or crunchy foods for a few days, and maintain good oral hygiene by gently brushing your teeth.
  • Follow-Up Appointments: Your dentist may schedule a follow-up visit to monitor the healing process and ensure your gums are responding well to the treatment.

How to Prevent Gum Disease After SRP

After scaling and root planing, it’s essential to follow a strict oral care routine to prevent future gum problems. Here are a few tips:

  • Brush your teeth twice daily with fluoride toothpaste.
  • Floss daily to remove plaque between your teeth.
  • Visit your dentist regularly for cleanings and check-ups.
  • Consider using an antimicrobial mouthwash to reduce bacteria in the mouth.

Who Should Consider Scaling and Root Planing?

Scaling and root planing are typically recommended for patients who have been diagnosed with moderate to severe gum disease (periodontitis). Your dentist will evaluate the health of your gums and recommend the best course of treatment to improve your oral health.