Deep Scaling and Laser Disinfection of Periodontal Pockets

Help for Your Teeth and Gums

Periodontal Disease
Bacteria in your mouth form a sticky film (plaque) on teeth and gums. If not removed, this hardens into a crust (tartar). The bacteria in plaque and tartar can cause an infection called periodontal disease. This can lead to pain, gum damage, bone loss, and even tooth loss. Scaling and root planning is a special type of cleaning done by a general dentist, dental hygienist, or periodontist (dentist specializing in gum and bone problems). This cleaning removes plaque and tartar from beneath the gums. This helps restore health to your gums and teeth.

Your Evaluation
Drs. Boyarsky and Kwon look at your gums for color changes, bleeding, swelling, and recession. Your teeth are checked for looseness and sensitivity. Full mouth x-rays show if there is bone loss around your teeth. You may be asked about your health to see if a medical condition, like diabetes, is contributing to your periodontal disease.

The Procedure
Scaling and root planing removes plaque and tartar from below your gum line. This controls the growth of harmful bacteria. It also helps gums reattach firmly to the teeth. Because this procedure goes deeper than a regular cleaning, your mouth may be numbed.   A special dental laser, that has been developed especially for this procedure, may then be used to kill the bacteria under the gum.   An antibiotic (Arestin) may also be placed under the gum at this time. This procedure may take a few visits to complete.

After Your Procedure
Your mouth may feel sore and tender after treatment. Keep brushing and flossing your teeth after each meal. You may need to rinse with warm salt water every few hours and use an antibacterial rinse. Pain medication may be suggested if you need it.

Brush and Floss Right!
Brushing and flossing stop plaque and tartar from building up on your teeth. Brush and floss after every meal. Be sure to brush and floss right by following these tips.


* Use a soft toothbrush and fluoride toothpaste. An electric toothbrush may be recommended.
* Hold the brush at a 45° angle to your gum line. This lets the bristles reach under the gums. Gently brush all surfaces of your teeth with a circular motion.
* Scrub the chewing surfaces.
* Clean the inside of the upper and lower front teeth using the bristles at the tip of the toothbrush.
* Brush your tongue to clear away food and bacteria, then rinse well.
* You may need to use mouth rinse after brushing.


* Our staff will recommend the type of dental floss that is best for you.
* Wrap up to 12 – 14 inches of floss around your middle fingers. Hold it tight between your thumb and index finger, or use a floss holder.
* Ease the floss between your teeth. Rub up and down against the sides of each tooth.
* Floss gently under your gum line where plaque tends to collect.

Periodontal disease can be an ongoing problem. Keep your gums and teeth healthy: brush, floss, and keep your regular exam and cleaning appointments. Eat a healthy diet. If you smoke or chew tobacco, quit. Call us if you notice any tooth or gum problems.