Scaling and Root Planing Dr. Elizabeth Fleming Dentist | Phoenix - Scottsdale

Scaling and Root Planing

We remove the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease.

Soft-Tissue Laser

Scientists are now discovering that inflammation of the gums, commonly called periodontal disease, can be linked to a variety of other diseases, including heart disease, diabetes, preterm births, and strokes. Keeping periodontal disease under control is easier now that lasers have been incorporated into our practice.

Traditionally, periodontal disease was treated with deep cleanings and in more advanced cases, with surgery. Antibiotics could also be used to kill the bacteria that caused periodontal disease.

Today we are able to specifically target the bacteria that cause the periodontal disease using our soft tissue laser for decontamination and removal of diseased gum tissue. With your emphasis on improved homecare between visits, we will be able to monitor the health of your gums after your laser assisted periodontal therapy. This process works approximately 90% of the time for moderate pocket depths of 4 to 6 mm.

Deeper pockets can remain due to conditions such as diseased teeth, grinding or clenching problems, and broken or missing restorations. Other restorative such as crowns, orthodontic appliances, or bruxism prevention devices may be recommended to treat these conditions.

As certified members of the Academy of Laser Dentistry, we are excited to provide laser assisted periodontal therapy for our patients.

Invest in yourself. Call our dental office and schedule a consultation appointment with Dr. Fleming to discuss the benefits of laser dentistry. Our Phoenix practice serves patients from Scottsdale, Cave Creek, Carefree, and the surrounding areas.

Medications

Medications may be used with treatment that includes scaling and root planing, but they cannot always take the place of surgery. Depending on the severity of gum disease, we may still suggest surgical treatment. Long-term studies will be needed to determine whether using medications reduces the need for surgery and whether they are effective over a long period of time. Here are some medications that are currently used:

Medication	What is it?	Why is it used?	How is it used?
Prescription antimicrobial mouthrinse	A prescription mouthrinse containing an antimicrobial called chlorhexidine	To control bacteria when treating gingivitis and after gum surgery	It's used like a regular mouthwash
Antiseptic "chip"	A tiny piece of gelatin filled with the medicine chlorhexidine	To control bacteria and reduce the size of periodontal pockets	After root planing, it's placed in the pockets where the medicine is slowly released over time.
Antibiotic gel	A gel that contains the antibiotic doxycycline	To control bacteria and reduce the size of periodontal pockets	We place it in the pockets after scaling and root planing. The antibiotic is released slowly over a period of about seven days.
Antibiotic micro-spheres	Tiny, round particles that contain the antibiotic minocycline	To control bacteria and reduce the size of periodontal pockets	We place it in the micro-spheres into the pockets after scaling and root planing. The particles release minocycline slowly over time.
Enzyme suppressant	A low dose of the medication doxycycline that keeps destructive enzymes in check	To hold back the body's enzyme response -- If not controlled, certain enzymes can break down gum tissue	This medication is in pill form. It is used in combination with scaling and root planing.