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Scaling

" Let us take care of yours "

Periodontal or gum problems is caused by Plaque.

Plaque is the colorless film of bacteria which forms on the tooth. If not removed daily, it forms acid which irritates the gum causing it to

  • Become red

  • Tender

  • Swollen

  • Gums even start bleeding

If plaque is not removed it hardens and become calculus / tartar (A yellowish layer around the tooth)

After some time the gum around the tooth become loose and eventually the Bone around the tooth is destroyed and the tooth becomes mobile(loose).

The treatment now becomes more extensive and complicated in order to save the tooth.

Surgery of the gums is required in order to make the tissues around the tooth healthy.

" Periodontal disease is usually a slow progressive and painless disease. "

Most patients are unaware of the problem.

If diagnosed early the tooth and your gums can be saved!

So visit your dentist regularly!


What is scaling?

Scaling is one such procedure that keeps your gums healthy and firm.

It is a procedure used to remove infected deposits like plaque, calculus and stains from the tooth surfaces.

Such deposits, if not removed by scaling, cause infection and loosening of the gums, ultimately leading to pyorrhoea and tooth loss.

Scaling is a safe and routine procedure and does not damage the tooth surface in any way.

It must be done by a dental professional.

Dental scaling should be done once every six months.


Myths about scaling of teeth:

  • Teeth become weaker

  • Gaps are increased than before

  • Teeth become shaky or mobile than before

  • Sensitivity appeared which was not there prior to the scaling procedure.

Scientific Reasoning against the Myths

  • In some cases there are gaps between teeth which gets covered by tooth coloured tartar. On removal of this tartar the patient feels the gap has occurred due to Cleaning of teeth which is wrong.

  • Mobility of teeth post scaling is a myth as teeth can only get better and healthier after scaling. Tartar presence holds the shaky teeth intact psychologically, but actually it is causing a negative impact on the natural attachment of gums and teeth.

  • As the tartar is removed the concealed part of the teeth is exposed to the oral environment thereby causing mild to moderate sensitivity to the teeth which is transient. This sensitivity vanishes in a day or two. Most of the patients do not even experience this sensitivity.

Risks

Root planning and scaling can introduce harmful bacteria into the bloodstream.

Gum tissue is also at risk of infection.

You may need to take antibiotics before and after surgery if you have a condition that puts you at high risk for developing a severe infection, such as:

  • Damaged or artificial heart valves.

  • A congenital heart defect

  • An impaired immune system.

  • Liver disease (cirrhosis).

  • An artificial joint, such as a hip replacement.

  • A history of bacterial endocarditis.

Procedure

Scaling can be done in single visit or 2-3 visits depending upon condition of your teeth.

Scaling involves a deep cleaning of the tooth above and below the gum line in order remove any plaque and calculus that has accumulated on the tooth.

Scaling involves a deep cleaning of the tooth above and below the gum line in order remove any plaque and calculus that has accumulated on the tooth.

This involves the use of special instruments. We use ultrasonic instruments.

It has a fine tip which vibrates at ultrasonic frequency and which dislodges tartar and plaque from the tooth surface.

After scaling teeth can be sensitive to extreme hot and cold for first 24- 48 hrs.

Teeth may feel light or little loose for some time.

Continue with the mouthwash as prescribed by us.


Gum Treatment

What is gum disease?

Gum disease refers to inflammation of the soft tissue (gingiva) and abnormal loss of bone that surrounds the teeth and holds them in place. Gum disease is the second most common cause of toothache.

What causes gum disease?

Gum disease is caused by toxins secreted by bacteria in "plaque" that accumulate over time along the gum line. This plaque is a mixture of food, saliva, and bacteria.

What are symptoms of gum disease?

Early symptoms of gum disease include gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth

How is gum disease treated?

Treatment of early gum disease involves oral hygiene and removal of bacterial plaque.

Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called "root planing" and "subgingival curettage."

Root planing is the removal of plaque and tartar (hardened plaque) from exposed teeth roots while subgingival curettage refers to the removal of the surface of the inflamed layer of gum tissue.

Both of these procedures are usually performed under local anesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess.

Follow-up treatment may include various types of gum surgeries. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.

Periodontitis

It is a progressive inflammatory disease of the gums and the surrounding tissue around the teeth.

It is commonly known as gum disease and was referred to as pyorrhea in the old days.

It is estimated that up to 80% of the population above the age of 40 may suffer from this disease with the severity varying drastically from one person to another.

Periodontitis is the number one cause of tooth loss after the age of 40. Certain medical conditions or medications can make you more susceptible to gum disease.

They include pregnancy, diabetes, epilepsy, and such medications as chemotherapy, birth control pills, antidepressants, and those for heart problems.


If you notice any of the following signs of gum disease, schedule an appointment immediately:

  • Gums that bleed when you brush your teeth

  • Red, swollen or tender gums

  • Gums that have pulled away from the teeth

  • Bad breath that doesn't go away

  • Pus between your teeth and gums

  • Loose teeth

  • A change in the way your teeth fit together when you bite

  • A change in the fit of partial dentures


Non-Surgical Therapy

  • Scaling and Root Planing:Manually removing the plaque and tarter from the root surfaces of your teeth below the gum line.

  • Splinting: This technique attaches weak teeth together, combining them into a stronger single unit, making them more stable and offering more comfortable chewing.


Surgical Therapy

  • Flap Surgery:It aims to reduce pocket depth and increase the ability to maintain the remnant pockets clean.

  • Gingivectomy: This procedure is performed when excess amounts of gum growth around the teeth have occurred. This results in false pocket formation and the inability to keep them clean.

  • Osseous (bone) surgery: This procedure is done to smooth shallow craters and defects in the bone due to mild or moderate bone loss. Guided Tissue Regeneration: This procedure is done in combination with a surgical flap operation where gum growth into a defect is barriered off to allow slower growing bone, cementum and ligament cells to populate a bony defect.

  • Bone Grafts: Tiny fragments of the patient's bone, synthetic bone or bone obtained from a bone bank are used to fill a bony defect around the teeth. These grafts act as a scaffold on or around which patients own bone is conducted or induced to grow.


What is the outcome?

Bleeding from gums stops and they become healthy.

Good oral hygiene prevents, and is vital to the treatment of many of the dental and oral disorders.

Good oral hygiene results in a healthy mouth.

Moreover, the mouth is the gateway to the whole body.

" A healthy mouth ensures a healthy body to a great extent! "

Scaling and Root Planing Post Operative Instructions

  • Following scaling and root planning, you can expect to notice less redness, less bleeding, and less swelling of your gum tissues.

  • Your teeth may feel smoother, and your mouth will taste and feel better.

  • When anesthesia has been used, your lips, teeth, and tongue may be numb for several hours after the appointment.  Avoid any chewing until the numbness has completely worn off.

  • It is not unusual for the teeth to be more sensitive to hot or cold temperatures, and/or sweets.  This occurs as the gum tissue heals and shrinks in size.

  • Brushing two to three times daily with sensitivity toothpaste or using fluoride rinses may help alleviate sensitivity over time.

  • In most cases, only one half of the mouth is treated at a visit.  Please remember to keep all appointments to complete the treatment on the opposite side, and all follow-up appointments thereafter.

  • Eat a well balanced soft diet for today. You may chew on the opposite side of the treated area until it is comfortable to chew normally.

  • Rinse with a warm salt water rinse, a teaspoon in one. glass of water, 3 times a day.

  • Brush your teeth very lightly in the treated area the first night. Then begin flossing lightly as well the next day, gradually increasing to normal force by the week's end.

  • After flossing and brushing, rinse with mouthwash, if it was prescribed, for at least 30 seconds.

Braces

  • You may experience some pressure and discomfort on your teeth.

  • Be gentle with braces and avoid chewing hard and/or sticky food.

  • Brushing and flossing around braces are sometimes challenging but very important.

  • Call our office if you have any questions.

" An ounce of prevention is worth a pound of cure "