Scaling and Root Planing in Westborough, MA

When gum disease is diagnosed, one of the most important steps in restoring oral health is a procedure called scaling and root planing. At Westborough Family Dental, Dr. Nseir, our periodontist, and Dr. Shinde, our general dentist, work together to provide comprehensive periodontal care for patients throughout Westborough, Shrewsbury, Northborough, and nearby communities.

Why Gum Disease Requires Treatment

Gum disease develops when harmful bacteria collect around the teeth and beneath the gums. Over time, this buildup causes inflammation, bleeding, gum recession, and loss of bone support. Once the pockets around your teeth become deeper than normal, routine cleanings are no longer able to reach the infected areas.

Without treatment, gum disease can continue to progress and eventually lead to tooth mobility or tooth loss. Scaling and root planing is often the first step in controlling the infection and giving the gums an opportunity to heal.

What does scaling and root planing entail?

Dr. Nseir will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Dr. Nseir may recommend scaling and root planing. In some cases, a local anesthesia may be used during the procedure.

• Scaling:
  When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.
• Root Planing:
  Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.

Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. Nseir may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.

When deep pockets between teeth and gums are present, it is difficult for Dr. Nseir to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.

Who Benefits From Scaling and Root Planing

This treatment is often recommended for patients who have:

• Bleeding or swollen gums

• Persistent bad breath

• Tenderness or gum recession

• Deep periodontal pockets

• Early or moderate bone loss

If you have been diagnosed with gum disease, scaling and root planing is a crucial first step in protecting your oral health and preserving your natural teeth.

Frequently Asked Questions

What are periodontal pockets?
These are spaces that form when the gums detach from the teeth due to inflammation. Deep pockets collect bacteria and require professional cleaning.

Will the procedure hurt?
Local anesthetic is used, so most patients remain comfortable during treatment. Mild soreness afterward is normal.

How long does healing take?
Initial improvement is often noticeable within a few days, and deeper healing continues over several weeks.

Will gum disease go away after treatment?
Scaling and root planing helps control the disease, but ongoing home care and maintenance visits are essential to prevent it from returning.

Is this different from a regular cleaning?
Yes. A regular cleaning focuses on the surfaces above the gumline, while scaling and root planing cleans and smooths areas deep beneath the gums.