accessibility ACCESSIBILITY

Periodontal Scaling & Root Planing

The objective of scaling and root planing is to remove etiologic agents which cause inflammation to the gingival (gum) tissue and surrounding bone.  Common etiologic agents removed by this conventional periodontal therapy include dental plaque and tartar (calculus).

These non-surgical procedures which completely cleanse the periodontium, work very effectively for individuals suffering from gingivitis (mild gum inflammation) and mild to moderate periodontal disease.

Reasons for scaling and root planing

Scaling and root planing can be used both as a preventative measure and as a stand-alone treatment.   These procedures are performed as a preventative measure for a periodontitis sufferer.

Here are some reasons why these dental procedures may be necessary:

  • Disease prevention – The oral bacteria which cause periodontal infections can travel via the bloodstream to other parts of the body.  Research has shown that lung infections and heart disease have been linked to periodontal bacteria.  Scaling and root planing remove bacteria and halts periodontal disease from progressing, thus preventing the bacteria from traveling to other parts of the body.

  • Tooth protection – When gum pockets exceed 3mm in depth, there is a greater risk of periodontal disease.  As pockets deepen, they tend to house more colonies of dangerous bacteria.  Eventually, a chronic inflammatory response by the body begins to destroy gingival and bone tissue which may lead to tooth loss.  Periodontal disease is the number one cause of tooth loss in the developed world.

  • Aesthetic effects – Scaling and root planing help remove tartar and plaque from the teeth and below the gumline.  As an added bonus, if superficial stains are present on the teeth, they will be removed in the process of the scaling and root planing procedure.  

  • Better breath – One of the most common signs of periodontal disease is halitosis (bad breath).  Food particles and bacteria can cause a persistent bad odor in the oral cavity which is alleviated with cleaning procedures such as scaling and root planing.

What do scaling and root planing treatments involve?

Scaling and root planing treatments are only performed after a thorough examination of the mouth.  We will take X-rays, conduct periodontal examination and make a diagnosis before recommending or beginning these procedures.

Depending on the current condition of the gums, the amount of calculus (tartar) present, the depth of the pockets and the progression of the periodontitis, local anesthetic is normally used.

Scaling – This procedure is usually performed with special dental instruments and may include an ultrasonic scaling tool.  The scaling tool removes calculus and plaque from the surface of the crown and root surfaces.  In many cases, the scaling tool includes an irrigation process that can also be used to deliver an antimicrobial agent below the gums that can help reduce oral bacteria.

Root Planing – This procedure is a specific treatment which serves to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar.  The root of the tooth is literally smoothed in order to promote good healing. Having clean, smooth root surfaces helps bacteria from easily colonizing in future.

Following these deep cleaning procedures, the gum pockets may be treated with antibiotics.  This will soothe irritation and help the gum tissues to heal quickly.

During the next appointment, Dr. Dahm or the hygienist will thoroughly examine the gums again to see how well the pockets have healed.  If the gum pockets still measure more than 3mm in depth, additional and more intensive treatments may be recommended.

If you have any concerns or questions about scaling and root planing, or periodontal disease, please ask your dentist.


Read what people are saying about us.

read more


After many years of being self-conscious about my smile due to an overbite and overlapping teeth, I decided to have a consult about having braces (preferably Invisalign). Due to all the correction needed, wire braces were my only option. After 5 years of various correction procedures I am now proud of my smile. Dr. Jeff and the staff were always prompt and very encouraging during each visit.

~Sandy V.S.

I had an appointment this morning for a crown prep. I was seated a few minutes before my actual appointment time. I was seen immediately by the assistant who prepped me for my local anesthetic. The anesthetic was given gently and painlessly. When I was thoroughly numb the procedure was started and finished in a shorter time than I had thought it might be. I was happy with all the services I received. Everyone from office staff to those assisting and performing the services were courteous and efficient. Dr. Dahm was his usual friendly professional self. I would recommend this dental practice to anyone needing dental care.

~Sue S. (October 2016)

I know, through my own work experience, that working with the public can be trying at times, and sometimes it is difficult not to fall into a "negative" mode, which really does none of us any good. I am not sure whether a "negative" atmosphere shows its face when dealing with people, as much as a "positive" atmosphere does, or not. I am inclined to think not, but anyway, I would like to say that I am proud of everyone in your office, for creating and keeping that "positive" atmosphere, for all of us patients, because it truly does make a difference in the way we feel while we are there, and when we leave the office. I don't ever remember giggling several times during a dentist appointment, but couldn't help myself yesterday morning, as Dr. Dahm moved through the office, greeting, reassuring, and caring for people. The girls who helped me through the x-rays, molds, and other necessary procedures were awesome, as well! "Good Job", "You're doing great", etc., while in a place where most people are a little uncomfortable, at best, is so nice to hear. And, when I was confused about just where in my mouth my filling would go, the girls were so kind in explaining that they really were going to work on the correct tooth. LOL! I am running on here, but I think too often in business, the main feedback that people get, is the negative stuff. I have always tried to counter that, by letting people know when I really do appreciate what they have done "for" me, instead of "to" me, and I will be the first to admit that trust does not always come easy for me - just the way I am. And, I feel that an establishment's "true colors" show in instances like I had yesterday, when I needed some reassurance that everything was okay. I am so appreciative of the way everyone handled that (sorry that I took up precious time), but now I know, that if/when I truly do need help, it will be there, and given in a kind and understanding manner. That means a LOT to me! So, in closing, in the middle of the night, during my usual "awake" time, I just kept thinking WOW! I just don't know of a better way to express my feelings! And, of course, THANK YOU to everyone in that office, because it takes every person in an environment like that to maintain a caring and positive atmosphere! I notice and I appreciate all of it, and I would recommend anyone I know to become a patient there!

Pam B.

View More

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.