Scaling & Root Planing
The initial stage of periodontal treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line. Tooth roots may also be planed to smooth the root surface promoting the gum tissue to heal and reattach to the tooth.
Bacteria in periodontal pockets beyond certain depths can be increasingly difficult to access and remove. While treatment of these areas with scaling and root planing remains essential, it may not be adequate alone in establishing long-term health. Consequently, surgery may be needed to restore periodontal health.
Antibiotics may be selectively used locally or systemically as an adjunctive treatment to scaling and root planing to further improve the outcome of treatment.