Non Surgical Periodontal Therapy: Scaling & Root Planning

Scaling and root planing teeth, provided by either your dentist or dental hygienist, may take more than one appointment to complete, and a local anesthetic is often used to minimize any discomfort. The procedure involves thoroughly scaling all plaque, bacterial toxins and tartar deposits from your teeth and root surfaces; and then root planing, which smoothes all rough areas on your roots’ surfaces. Smooth root surfaces keep bacteria, plaque and tartar from re-adhering underneath the gumline, allowing your gums to heal and reattach themselves more firmly.

Surgical Periodontal Therapy: Open Flap Debridement

Some gum pockets are too deep for you to clean with daily oral home care and for your dentist to clean during professional care visits. Surgery is thus necessary to remove plaque and calculus below the gum line.

The pockets and position of the gums are reduced to minimise areas where disease-causing bacteria can hide. During this procedure, the gum tissue is folded away from the tooth and disease-causing bacteria removed from the root surface through scaling and root planing with hand and ultrasonic instruments, before securing the tissue into place with stitches.