Scaling and root planing is a thorough cleaning below the gum line to remove hardened deposits (calculus) and bacterial film from root surfaces inside gum pockets. It is the first treatment for periodontitis.
It reduces bleeding, shrinks pockets and slows or stops bone loss around teeth. It cannot regrow lost bone, and its benefit lasts only with careful daily cleaning and regular maintenance.
What Deep Cleaning (Scaling and Root Planing) involves
The dentist or hygienist first charts every tooth, measuring pocket depths at six points and noting bleeding, and takes X-rays to see bone levels. Under local anaesthetic, ultrasonic tips with water spray break up deposits on the roots, followed by fine hand curettes that smooth the root surface so the gum can re-attach. The mouth is treated in two halves or four quadrants, or in one long visit. You are shown how to use interdental brushes of the right size, which matters as much as the treatment. Pockets are re-measured after 8 to 12 weeks, and sites that remain deep may then need gum surgery.
Who is a good candidate for Deep Cleaning (Scaling and Root Planing)?
It is for gum disease with pockets, not for a routine polish.
- Gum pockets of 4 mm or more that bleed on probing
- Visible calculus below the gum line on X-rays
- Bad breath and bleeding gums that persist despite routine cleaning
- Preparation before implants, crowns or orthodontics in someone with gum disease
- People with diabetes, in whom gum treatment also helps glucose control slightly
Es ist normalerweise nicht die richtige Wahl, wenn:
- Healthy gums or simple gingivitis, which need only a normal clean
- Teeth that are already hopeless and very loose
- Expecting it to work while continuing to smoke heavily and without daily interdental cleaning
- People with certain heart conditions may need antibiotic cover first; ask your cardiologist
Technikoptionen
- Quadrant-by-quadrant treatment: Two to four visits of about 45 minutes each.
- Full-mouth disinfection: Everything treated within 24 hours, with chlorhexidine rinsing; practical for visitors.
- Adjunctive antibiotics: Reserved for severe or rapidly progressing disease; not routine.
- Laser or local antimicrobial gels: Optional extras with limited additional benefit in studies.
Was passiert während Ihrer Behandlung
With local anaesthetic you feel vibration, water and scraping but not pain. Each session lasts 45 to 90 minutes. Numbness wears off after 2 to 3 hours.
Vorbereitung auf Ihre Reise
The active treatment fits into 1 to 3 days. The 8 to 12 week reassessment and the maintenance cleans every 3 to 6 months should be done by a dentist or hygienist near your home, so ask for your pocket chart and X-rays to take with you.
- Informieren Sie den Arzt über Medikamente, Allergien, Schwangerschaft oder Stillen und eine Vorgeschichte von Fieberbläschen, Keloidnarben oder Autoimmunerkrankungen
- Vermeiden Sie Alkohol, Aspirin und entzündungshemmende Schmerzmittel für ein paar Tage im Voraus, wenn Ihr eigener Arzt zustimmt, um Blutergüsse zu reduzieren
- Kommen Sie ohne Make-up auf dem Behandlungsbereich an und vermeiden Sie zwei Wochen vorher Sonnenliegen und starke Sonne
Genesung und Ergebnisse
Gums are tender for a few days and teeth are often sensitive to cold for 2 to 6 weeks; a desensitising toothpaste helps. As swelling goes down the gums shrink back, so teeth can look longer and small gaps may appear between them. This is a sign of healing, not damage.
- Zurück zur alltäglichen Aktivität: Keine
- When results show: Less bleeding in 1 to 2 weeks; pockets reassessed at 8 to 12 weeks
- How long they last: As long as home care and 3 to 6 monthly maintenance continue
Sicherheit, Risiken und Revisionspolitik
It is a low-risk treatment, but you should expect some changes.
- Temperature sensitivity from exposed root surfaces
- Gum recession and dark spaces between teeth
- Short-lived soreness and minor bleeding
- A gum abscess on rare occasions
- Pockets that do not respond and need surgical treatment
- Relapse without maintenance
Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.
Cost of Deep Cleaning (Scaling and Root Planing) in Türkiye
Clinic-Y does not publish a single price for Deep Cleaning (Scaling and Root Planing), because the honest figure depends on your case. What moves it:
- Number of quadrants and depth of pockets
- Dentist, periodontist or hygienist performing it
- X-rays and periodontal charting
- Any adjunctive antibiotics or laser
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Häufig gestellte Fragen
Is it different from a scale and polish?
Yes. A routine clean works above the gum. Deep cleaning treats the root surfaces inside the pockets and takes much longer.
Will my loose teeth tighten up?
Often a little, as inflammation settles. Teeth that have lost most of their bone support may still need to be splinted or removed.
Should I have it before implants?
Yes. Untreated gum disease is one of the main causes of implant failure.