A typical Scaling and Root Planing or "Deep Cleaning" treatment consists of having the gum levels thoroughly measured and extensive removal of the excess build-up of plaque and calculus. This treatment may require a longer appointment time or separate visits to complete the entire process. Local anesthetic and Gas (Nitrous Oxide)is available in case of any discomfort and to calm anxious nerves. Often, a mouth rinse (without alcohol content) may be recommended to help assist in treating the infection. A follow up evaluation and polishing will take place after the gums have healed. In some cases, after having this treatment is performed, four routine cleaning and exams per year may be recommended.
For someone that qualifies for a deep periodontal cleaning, it is important for them to receive or it is likely there will be bone loss, periodontal gum disease and other health concerns. The infection in the gums can spread and reach areas weakened from wear and tear, grinding, and enamel disintegration (acid erosion from food, drink, sugar), and progress into tooth decay. Once tooth decay reaches the root, the tooth will abscess.