Scaling & Root Planing

Deep Cleaning (Scaling and Root Planing)

Understanding Your Treatment for Gum Disease

If you’ve been told you need a deep cleaning, don’t worry — this is a very common and effective treatment for gum disease (periodontitis).

This handout explains what it is, why you need it, and what to expect before and after your visit.

What Is a Deep Cleaning?

A deep cleaning, also called scaling and root planing, goes below the gum line to remove the bacteria, plaque, and tartar that cause gum infection and bone loss.

It’s different from your regular 6-month cleaning — instead of cleaning only the visible surfaces of your teeth, deep cleaning focuses on the areas where your toothbrush and floss can’t reach.

The goal is to help your gums heal, tighten around your teeth again, and stop the progression of gum disease.

Why You Can’t Get a Regular Cleaning

If you have gum disease, a regular cleaning (prophylaxis) is not enough — and could even make things worse.
A regular cleaning only removes buildup above the gums and is meant for people with healthy gums.

When infection and bone loss are present:

Bacteria and tartar collect below the gum line around the roots.
A regular cleaning cannot reach that area.
Doing a regular cleaning on infected gums can push bacteria deeper and increase inflammation.

That’s why your dentist or hygienist recommends a deep cleaning — it’s the proper way to remove the infection and let your gums heal.

How the Procedure Works

Numbing for Comfort
The area is gently numbed with local anesthesia so you feel comfortable and relaxed during the procedure. Most patients say it’s painless.
Scaling
Special instruments are used to remove plaque, tartar, and bacteria from under the gums and around the roots of the teeth.
Root Planing
The roots are smoothed to help your gums reattach and prevent bacteria from coming back.
Antibiotic Treatment (if needed)
In some cases, an antibiotic gel or medication is placed under the gums to speed up healing and fight any remaining bacteria.
Two Visits
Deep cleaning is usually done in two appointments — one side of the mouth at a time — to keep you comfortable and allow proper healing.

What To Expect After Treatment

Your gums may feel a little tender or sensitive for a few days.
You might notice less bleeding and fresher breath within a week or two.
Continue brushing and flossing gently but thoroughly.
Rinse with any mouthwash your dentist recommends (sometimes an antibacterial rinse is prescribed).
Schedule your follow-up cleaning and gum check to monitor healing.

Once your gums have healed, you’ll likely switch to a periodontal maintenance schedule, meaning cleanings every 3–4 months instead of every 6 months.
This helps keep the gums healthy and prevents infection from returning.

Benefits of Deep Cleaning

Stops gum infection and bleeding
Prevents further bone and tooth loss
Helps gums reattach and heal
Improves breath and comfort
Makes your mouth easier to keep clean
Protects your overall health (gum disease has been linked to heart and diabetic issues)

Frequently Asked Questions

Is the deep cleaning painful?
No. We use local anesthesia so the treatment is completely comfortable. You may feel light pressure but no pain.

How many visits will I need?
Usually two visits, one for each side of your mouth.

Will I need antibiotics?
Sometimes. If the infection is deep, your dentist may place a small amount of antibiotic under the gums to help healing.

What happens if I don’t get the deep cleaning?
The infection can continue to damage your gums and bone. Over time, this can lead to loose teeth or tooth loss.

How do I keep my gums healthy afterward?
Brush twice a day, floss daily, use mouthwash if recommended, and keep up with your follow-up visits.

In Summary

A deep cleaning is the first step to getting your gums healthy again.
It’s safe, gentle, and one of the best things you can do to protect your teeth for life.
With proper care and follow-up visits, your gums can heal, tighten, and stay strong for years to come.

Call us today at (215) 558-4205 to schedule an appointment!