Deep Teeth Cleaning

   Teeth cleaning involves the removal of plaque and tartar deposits from the teeth as well as below the gum line, with the help of ultrasonic scalers. Deep teeth cleaning is required when your dentist feels that you are at a risk of developing gum or periodontal infections due to poor oral hygiene and tartar deposits on your teeth.

Who needs deep teeth cleaning?

 If you have been very regular and thorough with your daily brushing and flossing, you are not likely to need a deep cleaning. People who have infection hiding deep between their gums and the teeth may be able to save their teeth from severe infections and ultimate extraction by getting a deep cleaning.

How does this situation arise?

Most likely you have run into this situation because you have neglected your oral hygiene for long, and at the same time, neglected routine dental visits. Dental plaque, if not cleaned regularly, can shelter bacteria which can infect your gum. If you neglect further, your gums will loosen, and form pockets around your teeth. Plaquewill deposit much more easily there, and harden into tartar. Bacteria will find a safe haven there. Ultimately, their activity can trigger loss of your teeth. Part of the deep cleaning process is the removalof this tartar.

The deep cleaning process

To ensure minimal discomfort and pain during the process, deep cleaning is usually performed under the effect of local anesthesia. The process consists of two major steps: scaling, and root planing.

  • Scaling –Scaling is the removal of scales of hardened plaque. The dentist goes under the gum flesh to clean the affected root surface and removes the plaque. Both manual and ultrasonic procedures can be employed by your dentist or dental hygienist.
  • Root Planning – Removal of the tartar will leave the root surface very rough. Rough surfaces encourage deposition of plaque and harbor bacteria. Therefore, he or she will scrape the root surface to make it plane or smooth. This is root planing.
  • Irrigation-Your dental hygienist or dentist will use a medicated rinse after the cleaning, usually chlorohexidine, to help promote faster healing.
  • Localized antibiotics-For those patients that have very deep pockets, and may have resistant bacteria, your practitioner may recommend localized antibiotic placed in areas needed. She/ he will first determine if you can and should receive these.  A commonly used antibiotic is Arestin, but there are many more and your dentist will use the one he feels is best suited.

It is important that you follow the post instructions of your practitioner, that you continue good oral hygiene at home, and that you return within the

Recommended appointment time frames.   At this point, your oral health is a team effort and not doing your part at home will cause a relapse on your treatment.

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