Do I Need Periodontal Scaling & Root Planing?

When gums begin to show signs of disease—redness, swelling, bleeding, or recession—it can indicate that standard dental cleanings are no longer sufficient. In these cases, periodontal scaling and root planing may be recommended.

The goal? To interrupt that cycle of infection, inflammation, and tissue breakdown. By removing bacterial buildup below the surface, this non-surgical treatment gives your gums a chance to heal and reattach more securely to your teeth. It’s an important step in managing gum disease before it progresses further.

Why Periodontal Scaling & Root Planing Goes Below the Surface

A routine dental cleaning targets plaque and tartar above the gumline, but periodontal therapy goes deeper. When periodontal pockets (the space between your teeth and gums) exceed three millimeters, they can harbor bacteria that irritate gum tissue and contribute to bone loss over time. This deeper cleaning procedure is designed to remove those harmful deposits below the surface.

This isn’t a cosmetic fix. It’s a medically necessary treatment to prevent bone loss and preserve your natural teeth. By clearing out that bacterial load, you give your body the space to do what it’s designed to do: heal. The result is a healthier oral environment, more stable teeth, and improved long-term outcomes.

What to Expect During the Procedure

The treatment is usually performed under local anesthesia to ensure comfort. Using specialized instruments, the dental team carefully removes plaque, calculus, and bacteria from beneath the gumline. Depending on how widespread the infection is, treatment may happen in sections, sometimes over two or more visits.

Mild soreness afterward is common, but it generally fades within a couple of days. Healing begins almost immediately, and you may notice less gum bleeding and discomfort within the first week. Dr. Serrano may also recommend additional therapies such as antimicrobial rinses or localized medication, depending on your specific needs.

Signs You May Benefit From Periodontal Therapy

You might not feel pain, but that doesn’t mean all is well. Periodontal disease often advances silently. Here are some signs that could point to the need for this treatment:

• Bleeding gums during brushing or flossing

• Bad breath that doesn’t go away

• Teeth that feel like they’ve shifted slightly

• Gums that look puffy or seem to be pulling away

• A dental exam revealing pockets greater than 3mm

Not all patients with these symptoms will need scaling and root planing, but these are key indicators that warrant evaluation. Dr. Serrano uses both clinical exams and gentle gum measurements to determine whether scaling and root planing would benefit you.

Supporting Gum Health Beyond the Chair

Healing doesn’t stop when the treatment ends. After scaling and root planing, your gums need ongoing care to stay healthy. That’s where periodontal maintenance comes in.

This isn’t your typical dental cleaning. Periodontal maintenance visits are scheduled more frequently—usually every three to four months—and focus on keeping bacteria at bay before it causes new damage. These visits involve thorough cleanings both above and below the gumline, monitoring of pocket depths, and reinforcement of oral hygiene habits at home.

If you’ve had periodontal treatment, returning to twice-a-year cleanings isn’t enough. Periodontal disease doesn’t go away completely—it’s something we manage. With the right support, that’s entirely possible.

Personalized Gum Treatment With Dr. Serrano at Alma Dental Care in Petaluma, CA

At Alma Dental Care in Petaluma, Dr. Serrano takes the time to understand what’s happening beneath the surface. She combines careful diagnosis with a gentle approach, explaining each step in clear, simple terms so patients feel informed—not overwhelmed.

If you’ve noticed changes in your gums or have been told you have periodontal pockets, don’t wait. Call today to schedule a consultation. Dr. Serrano will guide you through the next steps and provide thoughtful, science-based care to help restore your gum health. Your oral health has a major impact on your overall well-being. Let’s work together to protect it.

Image from Authority Dental under CC 2.0

Categorised in: Gum Health