Scaling And Gum Surgery




What is scaling and why it is important?

The deep cleaning process of teeth and gums and taking out all the plaque which has been deposited over time out of the gum pockets is known as scaling. With the use of ultrasonic cleaner, this process is done and it is important because it helps in removing the tartar present in the gums and teeth and for providing healthy and smooth teeth and gums and also it averts the risk of complicated dental disease.

The shallow groove within the teeth and gum must not deepen more than 3 millimeters according to most of the prestigious and leading Dental Associations. It is the sign of healthy teeth and gums but if the groove deepens, then there are chances of having periodontal disease in the gum pockets. If one has this disease then their gum pockets accumulate excessive plaque which cannot be removed through regular brushing or flossing.


Procedure of Teeth Scaling

The procedure of scaling asks for numbing of the mouth so at a time one part of the mouth is cleaned by this process. The dentists use various hand tools along with the ultrasonic cleaners to remove the plaque. The calculus is removed by the dull tip of these instruments of modern days and the tip vibrates for removing efficiently. The water jet is used to remove the plaque by washing them away along with the debris. Afterward, hand instruments are used to remove the remaining deposits, along with ultrasonic cleaner. For making the roots and gums smooth, dentists use other instruments sets.


What would happen if Scaling is not done on time?

The chances of periodontal disease increase when the accumulation of plaque, debris in the gum pockets increases. The gums can be inflamed if there is a huge accumulation of plaque as plaque is bacterial infection along with the minute food particles left over in the gums. If it is not treated at the right time, then this infection will reach the root of the teeth causing the removal of teeth in most of the cases.


Gum Disease

Gum Disease Risk Factors

The main reason which leads to periodontal gum disease is accumulation of plaque, but there are other factors which initiate and increase the chances of this disease;

Age: The chances of having periodontal gum disease increase with the increase in age according to various dental surveys and studies.

Smoking/Tobacco Use: Tobacco is one of the main reason behind various chronic disease like cancer, heart disease etc. It is also a primary cause of periodontal gum disease. It not only increases the chances of having this disease but also accelerates the growth of the disease.

Stress: If the patient having periodontal disease stresses himself, the chances of spread of the infection increases and the treatment becomes more difficult. It is evident that stress can also initiate this disease as stress is one of the major reasons behind various another serious disease like hypertension, high BP, cancer etc.

Medications: Oral health is affected by intake of certain medicines like oral contraceptives, some of the heart medicine, anti-depressant etc. You must ask your dentist for the precautions to be taken when you are on this medicine, to protect your oral hygiene and health.

Clenching or Grinding your Teeth: It can accelerate the destruction of the periodontal tissues which leads to chronic infection of the gums and teeth as grinding or clenching puts the huge force of the tissues of the teeth and gums which supports them.

Other Systemic Diseases: If the patient with periodontal disease also has heart disease, diabetes, arthritis of rheumatoid nature, then the gum inflammation can be faster and it might worsen.


Gum Disease - Treatment

It is mandatory to have treatment of your oral health from the beginning of the problems otherwise permanent damage can occur like tooth loss, progressing infection, tissue damage etc. To prevent such issues, early and efficient treatment is needed:


  • You must keep your teeth clean by flossing every day besides brushing twice a day.
  • Regularly visit the dental clinic for checkups and cleaning of the mouth.
  • Stop using tobacco products as it increases the chances of gum infection and also prevents the treatment to act on your body.

If you had gum disease, then it is necessary to see the dentist in every 3-4 months and follow-up is mandatory. Normal brushing or flossing cannot remove plaque completely that is why professional help is needed.

If the patient is having an infection, the dentist may prescribe some antibiotics of the cure. It can be any form of pills, drops that are needed to be put directly on the gums, capsules, and anything. You might be also recommended with antibacterial toothpaste for regular use etc.


Treatment for advanced gum disease

Periodontitis is the advanced stage of gum disease which occurs when gingivitis, the milder form of gum disease is not treated at the right time or the treatment wasn’t that responding. The advanced stage of gum disease calls for immediate treatment so that the infection can be stopped from spreading to the gums and the roots of the teeth. Follow ups and regular treatment is necessary once the infection is cured to maintain the oral health and hygiene.


  • Scaling and root planning has to be done once you have Periodontitis. Dentists remove the plaque and other particles from the gum line and also this procedure makes it difficult for the plaque to get deposited in the upcoming days.
  • Antibiotics will be prescribed to remove the bacterial infection present in the gums.
  • If there is severe damage or the treatment through medicines is not effective, then surgery has to be done. Gingivectomy is the surgery which reshapes the gum after removing the plaque and other tissues which were damaged and infected.
  • Other procedures can also be opted for treating the jaw bone damage.
  • Extremely damaged or loose teeth have to be extracted.
  • For healing and betterment of your oral health after surgery, medications and antibiotics are mandatory.

Using antibacterial toothpaste, mouthwash and regular cleaning beside regular checkup have to be done after the treatment to prevent further buildup of plaque and advanced periodontal disease.

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