Scaling and Root Planing

Scaling and root planing (SRP) remains the cornerstone of periodontal therapy for gum disease (gingivitis). SRP is usually accomplished under local or topical anesthetic to allow the therapist to meticulously clean root surfaces, remove chronic inflammatory irritants under your gums, and eliminate the bacteria involved in active gum disease. In addition to the mechanical removal of calculus (tartar), some scar tissue adherent to the tartar and roots may be removed in a non-surgical manner. As a result, the bacteria imbedded in these irritants is also removed, producing a much healthier environment for the gums, roots, and bone to heal.

We use an antimicrobial gel, called Arestin, in those areas where there is bone loss  and pockets over 5 mm which remains under your gums for about 1 week. This was a key addition to eliminate the bacteria most often involved in reoccurrence of gum disease. As a result, we do far fewer surgeries than was necessary 15 years ago.

After administration of anesthetics, the other areas of your mouth not being treated under the gums are scaled ultrasonically. Once this is complete, the target areas are cleaned ultrasonically, with hand instruments, and again ultrasonically. The second ultrasonic cleaning sprays a special antibacterial rinse (chlorhexidine) through the tip to flush debris out of your gums and kill bacteria. Then the Arestin gel is injected under your gums where needed. You will not be able to feel it and it dissolves over time. Wait 10 days to floss or WaterPik in the areas your therapist advised the Arestin was placed.

You will be given the same antibacterial rinse, called Periogard, in a home use bottle and will be instructed in its use. Your participation with meticulous home care is very important! If you smoke, stopping or reducing to less than five cigarettes per day will be very beneficial.

Post treatment symptoms are often minimal. Some gum soreness, hot-cold sensitivity, and possible minor tooth soreness can be expected, but last only a few days in most cases. During this time, following home care recommendations and the use of the chlorhexidine rinse not only helps keep you comfortable, but also contributes to the healing and final result. Brush and floss all of your teeth, including the treated area (although gently there unless otherwise directed). If you have a WaterPik for you chlorhexidine use as directed. Discomfort can be controlled by taking Ibuprofen, Aleve, or Tylenol as needed.

If you have any questions, then contact Rubino Dentistry. We are a Park Ridge dental practice and have great knowledge about this subject and can help you with any curiosity about it.