Active gum disease is often first treated with thorough non-surgical therapy to remove plaque and calculus below the gum line — sometimes called a “deep cleaning.”
Scaling and root planing
After an exam that may include X-rays, scaling removes deposits from tooth surfaces, especially roots below the gums. Root planing smooths root surfaces to help gums reattach and reduce bacterial buildup. Local anesthesia may be used. Irrigation or antimicrobial agents may support healing; localized antibiotics may be considered in some cases.
Benefits
Treatment can reduce harmful bacteria linked to periodontal infection, help preserve teeth by controlling pocket depth, and improve breath and appearance by removing stain and deposits.
Deep pockets are difficult to keep clean at home — follow-up with periodontal maintenance visits is critical.