What Is Scaling?

Dental scaling is routinely performed to help patients with gum disease and excessive plaque buildup. While a standard cleaning will address the surface of the tooth, scaling goes much deeper. If your dentist suggests dental scaling and root planing for your teeth, it's helpful to know what this means so you can prepare for what's ahead.

Understanding Scaling

Scaling is a common dental procedure for patients with gum disease. This is a type of dental cleaning that reaches below the gumline to remove plaque buildup. The process of scaling and root planing the teeth is often referred to as a deep cleaning. This treatment goes beyond the general cleaning that you receive with your regular checkup and annual visit.

When Is Dental Scaling Necessary?

Everyone experiences some form of plaque buildup. The saliva, bacteria, and proteins in your mouth form a thin layer that covers your teeth at almost all times. When you eat, tiny particles, acids, and sugars from the food stick to this film, creating a buildup on the teeth known as plaque. The bacteria that lives in this plaque can cause gum disease and tooth decay. Brushing, flossing, and regular dental cleanings will help remove the plaque and prevent more serious problems.

Scaling Procedures

Dental scaling involves the careful removal of plaque bacteria from the tooth's surface just below the gumline. There are two basic methods for scaling teeth. If your dentist uses handheld instruments, he or she will scrape plaque from the tooth using a metal tool known as a dental scaler and curette. The dentist will insert this thin tool beneath the gum line to access plaque your toothbrush can't reach.

What Does Scaling Feel Like?

Dental scaling can be uncomfortable, particularly if you have sensitive gums. Your dentist may offer a local anesthetic to numb your gum tissue and make the procedure more comfortable. Speak with your dental care provider about your options for desensitizing the area if you're concerned about pain or discomfort during the process.

What to Expect Afterwards

Your mouth may feel sore and sensitive after your dental scaling and root planing. Some patients experience swelling or bleeding for a few days following the procedure. Your dentist may suggest a desensitizing toothpaste to help ease this discomfort. You might get a prescription mouthwash to use after the procedure, as well, to help keep the gums clean.