Scaling and Root Planing

Dr. Michael Schacter D.M.D, P.C.,Scaling and root planing cleans between the gums and the teeth down to the roots.

 

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Periodontal Disease Linked to Cardiovascular Disease

While current research does not yet provide evidence of a causal relationship between the two diseases, scientists have identified biologic factors, such as chronic inflammation, that independently link periodontal disease to the development or progression of cardiovascular disease in some patients. - PRNews wire.

 

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Michael A. Schacter, D.M.D., P.C. of Yonkers, NY specializes in the care and treatment of the supporting structures of the teeth and implant dentistry.

Our doctors and staff are committed to providing you with the highest quality of care by making your experience as relaxed and comfortable as possible. Call today to schedule an appointment.

 

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Dr. Schacter maintains an active membership in many professional associations. He was recognized as a “Top Dentist” in Westchester County Magazine in 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017 and 2018

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Scaling and Root Planing

Gum disease

Treatment and care

Scaling and root planing  is one of the most effective ways to treat gum disease before it becomes severe.

scaling and planing

Scaling and root planing cleans between the gums and the teeth down to the roots. Your dentist may need to use a local anesthetic to numb your gums and the roots of your teeth.

Scaling and root planing is done when gums have either started to pull away from the teeth or the roots of the teeth have hard mineral deposits (tartar) on them.

If plaque and tartar is left on the teeth, as we mentioned before, it provides the right conditions for bacteria to thrive. The bacteria irritate the gums, which means that they bleed more easily. You may notice this if you are brushing your teeth, or eating, and sometimes your gums may bleed a bit.

 

 

 

 

 

 

 

The objective of scaling and root planing, otherwise known as conventional periodontal therapy, non-surgical periodontal therapy or deep cleaning, is to remove or eliminate the etiologic agents which cause inflammation: dental plaque, its products and calculus, thus helping to establish a periodontium that is free of disease.

 

Periodontal scaling procedures "include the removal of plaque, calculus and stain from the crown and root surfaces of teeth. Root planing is a specialized skill involving scaling of the root of the tooth, made up of cementum. Because cementum is softer than enamel, it is affected more by ongoing build-up and inflammatory byproducts. A smooth cementum provides less opportunity for bacteria to hang out and form calculus, so root planing is an important part of stopping periodontal disease where it is at, and preventing periodontal disease from getting worse, especially once deeper pockets have formed in the gums, which is really in the bone. So, root planing is a specific treatment that removes the roughened cementum and surface dentin that is impregnated with calculus, microorganisms and their toxins.

Because in periodontal disease pockets form that are deeper than the usual gingival depth, such scaling and root planing are often referred to as deep cleaning, and may be performed using a number of dental tools, including ultrasonic instruments and hand instruments, such as periodontal scalers and curettes.

Removal of adherent plaque and calculus with hand instruments can also be performed prophylactically on patients without periodontal disease. A prophylaxis, or prophy for short refers to scaling and polishing of the teeth in order to prevent oral diseases. Polishing does not remove calculus, only some plaque and stains, and should therefore only be done in conjunction with scaling.

Sometimes a device may be electric, known as an ultrasonic or sonic scaler. Ultrasonic scalers vibrate at a frequency that breaks down bacterial cell membranes and removes both plaque and calculus. Hand instruments are used to complete the fine hand scaling that removes anything the ultrasonic scaler left behind.

  

Gum disease can break down the support (bone) structures of the teeth, so that eventually, they will become loose. The problem is that until it gets quite severe, the person often has no symptoms. Sadly, the damage to the support structures of the teeth is irreversible. The good news is that if gum disease is caught in time, its progression can be halted and improved upon, and that is the key.

 

Effectiveness

Scaling and root planing is considered the basic treatment of periodontal diseases and may be the only treatment required to treat mild cases of periodontitis; however, it may also be the initial therapy prior to future surgical needs. For the procedure to be considered effective, the patient must be able to be maintained at a level of periodontal health that will prevent reinfection with periodontal pathogens. This requires optimal home care and ongoing periodontal maintenance therapy, usually every 3 to 4 months to sustain health.

It is effective only when certain conditions are fulfilled. A complete removal of calculus from the periodontal pockets using hand and ultrasonic instruments is not totally effective. The depth of the pocket, when identified by the probe, exceeds more than 3mm then calculus removal becomes more insufficient. The maximum access of a probing instrument is up to 6mm, any calculus beyond that can't be reached.[citation needed] If there is calculus exceeding more than 6mm, then scaling and root planing are ineffective and the best treatment option in such cases will be surgical access for complete pathogen and calculus free area.[citation needed]

The probing depth and methods affects the success of the procedure, and factors like root grooves, concavities, and furcation involvement may limit visibility of underlying deep calculus and debris. In severe periodontal disease where there is a systemic involvement, scaling and root planing are insufficient and surgery is required.[citation needed] Scaling and root planing are ineffective in cases where tooth mobility is severe, such conditions require periodontal surgery and placement of bone grafts.

 

 

 

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  • We offer surgical and non-surgical periodontal therapy.
  • Contact Michael A. Schacter, D.M.D., P.C. today at 914-963-7700
  • "Top Dentist” in Westchester County Magazine in 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017
  • "Top Dentist” in Westchester County Magazine in 2018
  • We care about you as well as your Periodontal Health
  • Dr. Schacter specializes in placing dental implants
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MICHAEL A. SCHACTER, D.M.D., P.C
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