What to Expect During and After a Scaling and Root Planing Procedure

April 1, 2025

Gum disease doesn’t always show obvious signs, but when it does, bleeding gums and persistent bad breath are hard to ignore. That’s where periodontal treatment in Concord comes in. One of the most effective treatments for gum infection is scaling and root planing (SRP). This deep cleaning procedure removes harmful bacteria below the gumline, helping prevent tooth loss.

What Is Scaling and Root Planing?

Think of SRP as a deep clean for your gums. Regular brushing and flossing can’t reach all the plaque and tartar that build up below the gumline. This is where bacteria thrive, leading to inflammation, gum recession, and even bone loss.

  • Scaling removes hardened plaque (calculus) from the teeth and below the gums.
  • Root planing polishes the tooth roots, reducing bacterial attachment and growth.

Dentists recommend SRP when gum pockets become too deep to clean with routine care. Without treatment, gum disease progresses, putting your teeth at risk. If you’ve been struggling with swollen or bleeding gums, it might be time to consider scaling and root planing near you.

Who Needs Scaling and Root Planing?

Not everyone needs SRP, but if gum disease is in its early to moderate stages, it can be a game-changer. Here are some signs that this treatment may be necessary:

✔️ Gums that bleed during brushing or flossing may indicate underlying issues

✔️ Persistent bad breath that won’t go away

✔️ Swollen, red, or tender gums

✔️ Receding gums that expose tooth roots

✔️ Loose teeth or deep gum pockets

Your dentist evaluates gum health during an exam by measuring pocket depth with a periodontal probe. Measurements over 4mm can be a sign of worsening gum disease, which may cause lasting damage if not addressed.

Step-by-Step Process of Scaling and Root Planing

Before the Procedure

  1. Dental Evaluation – Your dentist will assess your gum health, measure pocket depth, and take X-rays if needed.
  2. Discussion of Anesthesia – Some patients prefer numbing gel, while others opt for local anesthesia. If you’re nervous, talk to your dentist about sedation options.
  3. Pre-Treatment Instructions – You may be advised to eat a light meal and avoid smoking before your appointment.

During the Procedure

  1. Scaling Begins – Using a small ultrasonic or hand scaler, the dentist carefully removes plaque and tartar from teeth and beneath the gums.
  2. Root Planing – The next step smooths the tooth roots, discouraging bacteria from returning.
  3. Flushing with Antibacterial Rinse – This helps eliminate any remaining bacteria.
  4. Finishing Touches – In some cases, the dentist may apply medication to promote healing.

🕒 How long does it take?

Expect about 45 minutes to an hour per quadrant of your mouth. Some people complete SRP in one visit, while others split it into two sessions.

What to Expect After the Procedure?

Immediate Aftercare

You’ll likely feel some tenderness once the numbness wears off. This is normal! Here’s what to expect in the first 24-48 hours:

  • Mild soreness or gum sensitivity
  • Slight bleeding while brushing or flossing
  • Temporary gum swelling

💡 How to ease discomfort:

✔️ Rinse with warm salt water to soothe irritation.

✔️ Opt for gentle foods like yogurt, scrambled eggs, and smoothies to avoid discomfort.

✔️ For the first few days, avoid spicy, hot, and crunchy foods to prevent irritation.

Long-Term Healing and Recovery

Most patients notice their gums feel firmer and healthier within a week or two. However, full healing can take several months, depending on the severity of gum disease.

  • Gums may tighten around the teeth, reducing pocket depth.
  • Mild sensitivity to cold or heat is common but temporary.
  • Regular cleanings help prevent dental bacteria from returning.

Post-Treatment Care Tips

Keeping up with oral hygiene is crucial after SRP. Here’s how to maintain results:

🦷 Brush twice daily – To protect your gums, brush with a soft-bristled toothbrush to minimize irritation.

🦷 Floss gently – It’s important to keep plaque from building up again.

🦷 Use an antibacterial mouthwash – This helps keep bacteria in check.

🦷 Avoid smoking – Tobacco slows healing and worsens gum disease.

🦷 Eat gum-friendly foods – Crunchy fruits and veggies help clean teeth naturally.

🗓️ Follow-up visits matter!

Your dentist will likely schedule a checkup in a few weeks to monitor healing. After that, routine cleanings every 3-4 months may be recommended to prevent further issues.

Potential Risks and When to Call the Dentist

Scaling and root planning are safe, but there are a few things to watch for. Call your dentist if you notice any of the following:

⚠️ Excessive bleeding that doesn’t stop after a few hours

⚠️ Swelling that worsens instead of improving

⚠️ Severe pain not relieved by over-the-counter medication

⚠️ Signs of infection (pus, fever, or bad taste in the mouth)

If you have any concerns, don’t wait—early intervention prevents complications.

Final Thoughts

Scaling and root planing help fight gum disease, keeping your smile healthier for the long run. While the recovery process is usually smooth, taking care of your gums is key to long-lasting results. Stick to good oral hygiene, follow your dentist’s advice, and don’t skip follow-up appointments. If you’re in need of expert gum care, Concord Lexington Periodontics is here to help.

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