Root scaling

List of contents

1. What is Root Planing?
2. Benefits of treating periodontitis or gingivitis
3. What is the difference between root scaling and scaling?
4. When should you scale and root planing your teeth?
5. Treatment procedures for periodontitis
6. Does it hurt?
7. Healthy gum care
8. Prevention of periodontal disease or gingivitis
9. Summarize
10. FAQ : Questions about root scaling

It is a method for treating people with gingivitis by removing plaque that harbors microorganisms deep into the tooth root surface. which is a major cause of periodontitis and gingivitis to make the dentin smooth, also known as “root scaling ” By rooting this tooth root cleaning is clean and smooth (scaling = smoothing) so that plaque is more difficult to accumulate. Restoration of root surfaces, including bone supporting teeth. to come back to hold the teeth more firmly

Most of them are caused by not scaling for a long time. or brushing teeth the wrong way causing the amount of tartar on the dentin gradually expands down to the bottom under the gum down to the root of the tooth until the gums cannot be attached to the teeth directly as before This causes the gingival sulcus to be deeper than usual. Usually, the gingival sulcus is 1-3 mm deep, if it is more than 4 mm deep.

People with severe gingivitis Often have to visit the dentist more often than normal people To take care and check the symptoms of the disease regularly

Benefits of treating periodontitis or gingivitis

• Helps to solve the problem of bad breath (caused by a large number of bacteria in the mouth) and swollen gums.
• When the root of the tooth has been cleaned will make the root surface smooth No plaque and germs that stick to the root of the tooth. It will help the gums become more flexible.
• Flexible gum tissue is able to become firmly attached to the tooth surface. When the root surface is smooth.
• Teeth will be stronger, not rocking, allowing them to come back to chew food and have good oral health as before.
• When the root surface is smooth Taking care of your health and cleaning your oral cavity is easier. This can help prevent the return of periodontal disease.
• When gingivitis is detected, it should be treated immediately.

What is the difference between root planing and scaling?

Many people are probably familiar with scaling very well. But root sharpening may be unheard of or unknown. And I don’t know what’s the difference.

Dental Scaling is the removal of plaque and bacteria. that accumulates above the gums, on the edge of the gums and slightly below the gums Using a scaling machine (sonic or ultrasonic scaler) to remove limestone. This machine will make a lot of noise and water while scraping.

It will scrape the tartar above the gums and may be combined with periodontal tools such as Curette and Sickle to scrape off any remaining plaque that the tartar can’t reach, such as between the teeth or slightly below the gums. Scaling usually does not require an anesthetic injection. because it doesn’t cause the patient much pain But there may be tooth sensitivity and mild pain in the gums that patients usually tolerate. Scaling is suitable for patients with gingivitis. Inflammation occurs only around the gums. still does not harm Other periodontal organs include the tooth enamel, periodontal ligaments and tooth socket Able to scrape the entire mouth of tartar in one go.

Root Planing is removal of limestone and microorganisms that accumulates deep at the root surface below and inflamed tissues that are deep under the gums Most will have to start scraping all the limestone above. Using a scaling machine (sonic or ultrasonic scaler) to remove limestone.

After that, specialized periodontal tools such as Curettes of various sizes and shapes and Sickle are used to scrape off the remaining plaque and to clean the root of the teeth beneath the gums. Root scaling is usually done along with the injection of anesthesia as it is very painful. In addition to treating inflammation of the gums It also helps to treat other periodontal organs, such as the cementum, the periodontal ligament, and the socket. Cannot be completed in one go and to check that Can the patient take care of cleaning properly or not? Therefore, the price is usually higher than normal scaling. Because it is a treatment that takes more time. and may need to inject an anesthetic together people with severe gingivitis Often have to visit the dentist more often than people To take care and check the symptoms of the disease regularly

Treatment procedures for periodontitis

• X-ray  for diagnostic evaluation Because the treatment of periodontal disease is different. It depends on the severity of the disease.
• Scaling to remove plaque and plaque on the teeth and on the edge of the gums. The dentist will scrape the plaque both on the tooth and the part on the root surface within the periodontal groove.

• Root Planing is the cleaning and smoothing of the root surface. To get rid of tartar and plaque that is deep in the root surface of the teeth is to scrape the tartar that is very deep under the gums. An anesthetic injection and scraping are usually required in each section or half of the mouth. Most of these root canal treatments take a long time. Because it is a very detailed job and it is difficult to remove all deep limestone in one go.

• Periodontal Surgery in case of severe periodontal disease to perform gum surgery The dentist will consider a treatment plan. There are many types and types of work, such as cutting the gums, reconstructing the bone, retracting the gums, or surgery to scrape the plaque on the root surface of the teeth that are very deep. It depends on the degree of disease progression.
• Tooth extraction in cases where the tooth is heavily loosened. If severe periodontitis until unable to keep the teeth.

• Have to go treatment many times. This is because there may be part of the root canal that does not do the whole mouth at once. The patient therefore had to see a doctor by appointment. and clean the mouth as recommended by the dentist.

• In the elderly ,especially if the patient has a congenital disease Such as high blood pressure, diabetes, heart disease and should be careful of non-stop bleeding in patients who regularly take blood clot-dissolving drugs. They should consult with the patient’s personal doctor to bring various information to plan the best and safest treatment.

• Must see a dentist every 3-6 months  After treatment is complete. To check if gum health has improved or not. and will also examine the condition of the periodontal trench

• Healthy gum is pink. In most cases, the gum tissue that used to be red and swollen will regain its strength. The bleeding decreases or disappears. The periodontal groove will also be smaller. After this, if you take good care of your teeth. You may not need additional treatment.

Healthy gum care.

After treating periodontal problems or gum disease by any means Regular oral hygiene care Clean teeth deeply. May need to visit the dentist every 3-6 months to

• Please check and take care that Can we take care of the oral condition and cleanliness correctly and consistently? Because plaque is a major cause of periodontal disease. So if you can get rid of plaque every day and regularly. Because the soft microscopic plaque will turn into plaque within 24 hours.
• Thoroughly check the health of the gums and measure the distance of the periodontal furrows for gingival recession. will be able to protect periodontal disease.
• Symptoms found after root canal scaling Those who may have aches and pains can take salt to reduce symptoms or take medications as prescribed by the doctor.

Taking care of your teeth begins at home and in your own daily routine. Check out the oral care tips below to help you start healthy teeth at home. By following the advice to prevent periodontal disease as follows: 

• You should brush your teeth and clean between your teeth properly to get rid of plaque. to be consistent at least twice a day with fluoride toothpaste.
• Replace the toothbrush when the bristles are found to be blooming or damaged.
• Floss your teeth with dental floss between teeth, bridges, crowns, or implants on a daily basis. at least once a day.
• Use mouthwash to help reduce plaque buildup.
• No smoking

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Summarize

Gum disease treatment Periodontal disease by scaling or root scaling is the solution to the problem at the end. Wouldn’t it be better if we didn’t get the microbial plaque from happening by getting rid of it every day? (Do not stay more than 24 hours), which is to prevent gum disease. Periodontal disease by default, we can prevent such diseases. by cleaning between teeth with dental floss or brush between teeth At least twice a day, morning and before bedtime. It will prevent the formation of tartar and gingivitis. which if after treating gum disease successfully drought But poor cleaning, not brushing teeth, the disease will return to the same or more severe.

After treating gum disease. The lesions will remain. Scaling should be done every 6 months, but depending on the dentist’s oral assessment, it may be every 3 months, once a year depending on the amount of new calculus and the patient’s own inflammatory condition.

FAQ : Questions about root scaling

Dentist specializing in gum disease | Thor.2479

Dr. Malinee Smitch (Ma)

ทพญ.มาลินี สมิทช์ (มา)

educational record

Bachelor of Dentistry, Mahidol University
Higher Diploma (Periodontics), Mahidol University
Master of Economics, Chulalongkorn University

ทันตแพทย์ชำนาญรักษาโรคเหงือก | ท.5579

Dentist specializing in gum disease treatment | Thor 5579

Dr. Ratthaphon Jongkonrat (Bom)

ทพ.รัฐพล จงกลรัตน์ (บอม)

educational record

Bachelor of Dentistry, Prince of Songkla University
Dental Implant Mahidol University