Scaling & Root Planing

Scaling and root planing is a deep-cleaning treatment that removes the plaque and tartar causing inflammation in your gums and the bone beneath them — effective for both gingivitis and moderate-to-severe gum disease.

Why it matters

  • Protects your overall health — bacteria from gum infections have been linked to conditions like heart disease and lung infections
  • Protects your teeth — once gum pockets exceed 3mm, bacteria can multiply and gradually destroy the tissue and bone that hold your teeth in place
  • Improves your smile by removing surface stains along with tartar and plaque
  • Freshens breath by clearing away the bacteria that cause persistent odor

The process

After a thorough exam and X-rays, we may apply a local anesthetic depending on your comfort and the amount of buildup. Scaling uses specialized (often ultrasonic) instruments to remove calculus and plaque from the tooth and root surfaces. Root planing smooths the root surface itself, removing bacteria and toxins so your gums can heal and reattach.

Aftercare

We may apply an antibiotic directly to deeper pockets, and we'll schedule a follow-up to check your healing — with additional treatment if any pockets remain deeper than 3mm.

See our post-op care instructions for full recovery guidance after your deep cleaning.

Content reviewed by Jamisen Kohlman, DMD — KoLa Family & Cosmetic Dentistry, Austin, TX.

Frequently asked questions

It's a deeper cleaning that removes plaque and tartar from below the gumline, specifically to treat early gum disease — a routine cleaning only addresses the visible tooth surface.
We numb the area being treated, so the procedure itself is comfortable for most patients. Some tenderness and temperature sensitivity for a few days afterward is normal and fades — see our aftercare instructions.
Scaling and root planing is often completed over one or two visits, commonly treating one half or one quadrant of the mouth at a time so each area can be treated thoroughly and comfortably.
Your gums heal and reattach to the cleaned root surfaces over the following weeks. Most patients then move to periodontal maintenance cleanings every 3–4 months to keep the disease controlled.
Scaling and root planing runs $200–$335* per quadrant at our office fees, depending on how many teeth are involved. Many of the plans we work with cover periodontal treatment at 50–100%, so many insured patients pay $0–$135 per quadrant out of pocket. We map out exactly which quadrants need treatment after your exam and give you a written price before we begin.

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