Scaling and polishing is the professional removal of dental plaque (bacterial biofilm) and tartar (calculus, or hard deposits) from the teeth and gums. The dentist uses an ultrasonic scaler, along with curettes or hand instruments to remove these debris inside the gum pockets.
It is advised twice a year. For smokers and those with active disease, we treat more frequently until oral health is achieved.
A routine dental visit involves
Update of medical and dental history
Check-up and charting of teeth
Screening for decay, gum disease and other oral conditions, including oral cancer
Discussion with the patient about treatment and costs
Scaling and polishing
X-rays where indicated as well as use of oral camera
Fluoride application where indicated
Oral hygiene instructions
What healthy gums look like
Pink, flat and firm (pigmentation is a common feature in some people)
No bleeding on probing
No pocketing between teeth and gums
Free of plaque and tartar
Dental plaque (biofilm)
Dental plaque is a soft, sticky layer containing bacteria that forms regularly on the teeth and gums, even after brushing. Plaque acts on food to produce acids that attack tooth enamel and gums, which can result in:
Acute and chronic gingivitis
Decay
Tooth sensitivity
Halitosis (bad breath)
Periodontitis (more serious damage)
Tartar
Tartar forms when unremoved plaque and food particles harden (within about 48 hours), and it becomes rock solid over time. This results in:
‘Joining’ of the teeth, making flossing difficult
Gum recession, leaving spaces after cleaning and more food impaction
Sensitive roots as they become exposed once tartar is removed
To keep gums healthy, regular check-ups and cleaning with the dentist, along with correct brushing and flossing techniques, are necessary.
Tartar
Gum diseased teeth that require gum surgery will be referred to our specialist colleague (periodontist)to save teeth.
