Scale and Root Planing Risks
Scaling and Root Planing
A procedure which is highly effective in the treatment of gum disease is scaling and root planing. It also aids in the prevention of additional issues. During scaling and root planing, the dental professional completes a deep cleaning which reaches into the pockets between the teeth and gums. To ensure patients remain comfortable, a local anesthetic is commonly used to numb the mouth.
Tools
The two types of tools which can be used include handheld tools and an ultrasonic tool. The dental professional will determine which tool will be most effective based on severity of the patient’s gum disease.
Pain
The local anesthesia will typically cause the lips and gums to be numb for a few hours. While there may be some slight discomfort and soreness following the procedure, it is uncommon for patients to experience significant pain.
Candidates
Patients with receding gums or gum disease are typically good candidates for scaling and root planing. The procedure works by removing plaque and tartar from hard to reach areas. This eliminates gum disease and prevents further damage.
A patient may need to take antibiotics before and after the procedure if they meet any of the criteria listed below:
- Those with heart issues
- Compromised immune system
- Recently undergone major surgery
- Have artificial body parts
It is also possible to place antibiotic fibers into the periodontal pockets which expedite the healing process and aids in the prevention of infection. In most cases, the fibers will be removed during the follow-up procedure within a week.
Effectiveness
When patients practice good oral hygiene following the procedure, it is highly effective. This includes twice daily brushing, flossing, and regular visits to the dentist for an examination and professional cleaning. In some cases, patients may need to make frequent visits to the dentist.
Risks
While they are rare, there are risks associated with scaling and root planing. It is possible for the procedure to allow harmful bacteria to access the bloodstream. Another risk is for the gum tissue to become infected. Below is a summary of the risks associated with the procedure:
- Bleeding
- Bruising or swelling
- Change in oral hygiene practices
- Discomfort or pain
- Infection
- Local anesthetic or medication reaction
- Modified appearance of the smile
- Sensitivity
Gum Disease
While it is important to understand the potential risks of the procedure, it is perhaps more important to understand the risks in not seeking treatment. Gum disease which is not treated will progress and cause serious issues. In the early stages of periodontal disease, it can cause mild symptoms such as bad breath, sensitivity, and bleeding or redness in the gums. More advanced cases of gum disease can result in the formation of deeper periodontal pockets which quickly accumulate bacteria and plaque. Symptoms may include receding gums, teeth becoming loose, and the loss of bones or teeth.
Other serious health issues associated with periodontal disease can include strokes, heart disease, dementia, diabetes, and other conditions. Scaling and root planing is recommended by dental professionals when patients are at risk for serious issues and the patient’s oral health needs to be preserved.
Reach out to the office today for a consultation with the team. We can help determine if you are a good candidate for scaling and root planing and discuss any questions related to the procedure.