Why do I need deep scaling? If during periodontal charting pockets greater then 5 mm were detected you may need to have deep scaling procedure done by your hygienist in order to treat the inflamed area. Normal cleaning will not be enough to resolve the problem.
What is involved in deep scaling? Gums are numbed up and various power driven and manual instruments are used to remove calculus (tartar) from periodontal pockets.
The goal of deep scaling: Removal of calculus (tartar) from the root surfaces and reduction of inflammation.
Possible side effects of deep scaling: Temporary tenderness of the gums and cold sensitivity of the teeth. Tenderness of the gums should subside within 24-48 hours after deep scaling. To improve the results of deep scaling it is advisable to take all medications (antibiotics and painkillers) as prescribed by the dentist.
Not all patients develop teeth sensitivity as a result of deep scaling but if it does occur special professional and over-the counter products are very successful in fixing this (Sensodyne toothpaste, tooth mouse or others as prescribed by your clinician).
In some cases small amount of gum recession will occur as a result of deep scaling, however the amount of recession one may get is unpredictable and for most patients it will depend on the type of the gum type they have.
Can I avoid deep scaling and go straight into Perioscopy? In most cases Perioscopy is ineffective with out previous deep scaling, due to advanced gum inflammation present. However for some patients it is possible to go straight into Perioscopy, this will be determined on a case by case basis by your clinician.