Scaling and Root Planing in Palm Desert, CA
Scaling and root planing is a thorough, non-surgical deep cleaning treatment recommended for patients who are experiencing moderate to advanced periodontal (gum) disease. Also known as a “deep cleaning,” this procedure goes beyond a routine cleaning to address the bacterial buildup that accumulates below the gumline — in the pockets that form when gum tissue separates from the teeth due to infection and inflammation.
At Gregg K. Balis, DDS, we perform scaling and root planing as a highly effective first line of treatment against periodontal disease before considering surgical options. While serious, gum disease is treatable — and early intervention with scaling and root planing can make a significant difference in preserving your teeth and preventing further bone loss.
What to Expect During Scaling and Root Planing at Gregg K. Balis, DDS
When gum disease progresses, bacteria hides in deep pockets that form between the gums and teeth. These pockets become impossible to clean with regular brushing and flossing alone — which is where scaling and root planing becomes essential.
During the scaling portion of the procedure, our team uses specialized instruments to meticulously remove plaque, bacteria, and calculus (tartar) from the surface of each affected tooth and all the way down to the bottom of the infected gum pocket. This step clears the bacterial burden that is driving the infection and inflammation.
Once scaling is complete, we move on to root planing — a technique used to smooth the surface of the tooth root. Smoothing the root removes residual bacteria and creates a clean, even surface that makes it far more difficult for bacteria to reattach. When the root has been effectively smoothed, the gum tissue can begin to reattach to the tooth and the pocket depth can decrease, giving the gum a greater chance of fully healing.
Local anesthesia is used to keep you comfortable throughout the procedure. Some patients experience mild sensitivity for a few days following treatment, and we will provide a personalized aftercare plan to manage any discomfort and support healing. Moving forward, maintaining excellent oral hygiene and attending regular periodontal maintenance visits at Gregg K. Balis, DDS are critical for preventing a recurrence.
To schedule a periodontal evaluation, contact us at (760) 346-6273 or request an appointment online.
Frequently Asked Questions About Scaling and Root Planing
What is scaling and root planing?
Scaling and root planing is a non-surgical deep cleaning procedure performed at Gregg K. Balis, DDS to treat periodontal disease. Scaling removes plaque, bacteria, and calculus from above and below the gumline, while root planing smooths the root surfaces to remove residual bacteria and promote gum reattachment and healing.
When is scaling and root planing recommended?
Scaling and root planing is recommended when patients have gum pockets that are too deep to clean with a routine cleaning — typically 4mm or deeper — or when there are visible signs of periodontal disease such as significant tartar buildup below the gumline, bone loss on X-rays, or bleeding and inflamed gums.
Is scaling and root planing painful?
Local anesthesia is administered before the procedure to ensure your comfort at Gregg K. Balis, DDS. Most patients report minimal discomfort during the treatment. Some soreness and sensitivity in the gums for a few days after the procedure is normal and manageable with over-the-counter pain relievers and prescribed rinses.
How many appointments does scaling and root planing take?
Scaling and root planing is often performed in two appointments at Gregg K. Balis, DDS, treating one half of the mouth per visit. This allows each treated area to begin healing before moving on, and makes each appointment more manageable for the patient.
What happens after scaling and root planing?
Following your procedure at Gregg K. Balis, DDS, you will need to schedule follow-up visits so our team can assess how well your gums have responded to treatment. Most patients transition to a periodontal maintenance schedule every 3 to 4 months rather than a standard 6-month cleaning schedule to keep the disease well-controlled.
Is scaling and root planing the same as a regular dental cleaning?
No. A routine dental cleaning (prophylaxis) focuses on removing plaque and tartar from above the gumline and is performed for patients with healthy gums. Scaling and root planing is a more intensive treatment that addresses bacterial buildup below the gumline and is specifically for patients with active periodontal disease.
Will scaling and root planing cure my gum disease?
Scaling and root planing is a highly effective treatment that can significantly reduce gum pocket depths and halt the progression of periodontal disease. However, it is not a permanent cure — ongoing maintenance, good oral hygiene, and regular visits to Gregg K. Balis, DDS are essential to keeping the disease controlled long-term.