A few complicated factors precede periodontal scaling, including the transition of biofilm to calculus and the swelling of gingival tissue. These factors are complicit in the advancement of common gingivitis—literally inflammation of the gums—toward chronic periodontitis, which affects nearly half of American adults over 30.
Most plaque lives at or just below the gum line, making it impossible to detach by ordinary brushing or flossing. To remove it, our LA periodontist uses a hand scaler and occasionally curettes. In addition, laser therapy has entered the periodontal arena to a large extent, so ask your specialist.
Whether the dentist or periodontist uses manual or electronic instruments, the object is to clean out any pockets that formed between the gums and teeth—the pockets where bacteria rule. Once the relevant area is numbed, the dentist goes over each tooth incrementally to scrub it of every deposit. Because of the attention to detail, only a quarter of the mouth may be covered in one session.
One advantage of an electronic instrument like an ultrasonic scaler is the creation of tiny air bubbles. Since all bacteria are anaerobic, the oxygen created by the bubbles is devastating.
Ask our expert in periodontal scaling in LA for more information.