Gum Treatment (Scaling and Root Planing)

Treating bleeding, receding and inflamed gums with scaling, root planing and, where needed, surgical procedures.

Duration

Scaling 30 to 45 minutes

Anaesthesia

Local for root planing

Visits

1 to 4

Maintenance

Every 3 to 6 months

What is gum disease?

Gum disease starts when bacterial plaque on the teeth hardens into tartar and inflames the gums. In the first stage, gingivitis, the gums turn red and bleed. Left untreated, the inflammation reaches the bone under the gum; this is periodontitis. As the supporting bone is lost, teeth loosen and are eventually lost. In adults the leading cause of tooth loss is gum disease, not decay.

Signs

• Bleeding when brushing or spontaneously
• Red, swollen, tender gums
• Persistent bad breath
• Receding gums and teeth that look longer
• Loose teeth or a change in the bite

Treatment options

Scaling and polishing

Tartar on the tooth surface and at the gum line is removed with an ultrasonic device and hand instruments, and the teeth are polished. Recommended every six months; it does not harm enamel.

Root planing (deep cleaning)

Tartar and inflamed tissue inside the gum pocket are removed under local anaesthesia and the root surface is smoothed. The mouth is usually treated in quarters over several visits.

Surgical treatment

For deep pockets the gum is lifted to clean underneath (flap surgery). Bone grafts and membranes can be used to rebuild lost bone.

After treatment

A few days of tenderness and sensitivity to cold are normal. Lasting results depend on daily care: brushing twice a day, floss or interdental brushes, and no smoking. Maintenance visits every three to six months in the Periodontology department prevent the disease returning.

Frequently Asked Questions

Medically reviewed by

Prof. Dr. Burcu KARADUMANPeriodontology