Services for all your dental hygiene needs...
Dental Hygiene Assessment
A dental hygiene assessment will be performed by one of our hygienists at your initial dental visit. Your assessment will include the following:
Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of potentially abnormal tissue and initiate a referral to an appropriate oral health care provider.
Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontitis.
Polish & Flouride Treatment
Polishing is usually carried out after scaling to remove stains and make your teeth feel smooth and shiny. Polishing is done with a soft rubber cup that spins. Prophylaxis paste – a special toothpaste-like material is scooped up into the cup and spun around on the teeth.
We provide fluoride to those clients who may benefit from this treatment including
Clients with dry mouth caused by certain diseases.
Clients who are taking certain medications such as allergy medications, antihistamines, anti-anxiety drugs, blood pressure medications, and those clients who have received head and neck radiation treatment. These conditions make an individual more prone to tooth decay because of the lack of saliva present in the mouth.
Clients who have a history of frequent cavities. If you have at least one cavity every year, you may benefit from additional fluoride.
Clients who have had crown and bridge work or for those who are having orthodontic (braces) treatment
Clients who have or have had a history of gum disease. This can expose more of your tooth and tooth roots to bacteria which can increase your chance of tooth decay.
Professional Dental Cleaning
The objective of scaling & root planning is to remove etiologic agents which cause inflammation to the gingival (gum) tissue and surrounding bone. Common etiologic agents removed by this conventional periodontal therapy include dental plaque and tartar (calculus).
These non-surgical procedures which completely cleanse the periodontium, work very effectively for individuals suffering from gingivitis (mild gum inflammation) and moderate/severe periodontitis.
Reasons for scaling and root planing
Scaling and root planing can be used both as a preventative measure and as a stand-alone treatment. These procedures are performed as a preventative measure for a periodontitis sufferer.
Here are some reasons why these dental procedures may be necessary:
Disease prevention – The oral bacteria which cause periodontal infections can travel via the bloodstream to other parts of the body. Research has shown that lung infections and heart disease have been linked to periodontal bacteria. Scaling and root planing remove bacteria and halts periodontitis from progressing, thus preventing the bacteria from traveling to other parts of the body.
Tooth protection – When gum pockets exceed 3mm in depth, there is a greater risk of periodontitis. As pockets deepen, they tend to house more colonies of dangerous bacteria. Eventually, a chronic inflammatory response by the body begins to destroy gingival and bone tissue which may lead to tooth loss. Periodontal disease is the number one cause of tooth loss in the developed world.
Aesthetic effects – Scaling and root planing help remove tartar and plaque from the teeth and below the gumline. As an added bonus, if superficial stains are present on the teeth, they will be removed in the process of the scaling and root planing procedure.
Better breath – One of the most common signs of periodontitis is halitosis (bad breath). Food particles and bacteria can cause a persistent bad odor in the oral cavity which is alleviated with cleaning procedures such as scaling and root planing.
What do scaling and root planing treatments involve?
Scaling and root planing treatments are only performed after a thorough assessment of the mouth. The dental hygienist will conduct visual assessments and make a dental hygiene diagnosis before recommending or beginning these procedures.
Depending on the current condition of the gums, the amount of calculus (tartar) present, the depth of the pockets and the progression of the periodontitis, topical anesthetic may be used.
Scaling – This procedure is usually performed with special dental instruments and may include an ultrasonic scaling tool. The scaling tool removes calculus and plaque from the surface of the crown and root surfaces. In many cases, the scaling tool includes an irrigation process that can also be used to deliver an antimicrobial agent below the gums that can help reduce oral bacteria.
Root Planing – This procedure is a specific treatment which serves to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed in order to promote good healing. Having clean, smooth root surfaces helps bacteria from easily colonizing in future.
During the next appointment, the dental hygienist will thoroughly assess the gums again to see how well the pockets have healed. If the gum pockets still measure more than 3mm in depth, additional and more intensive treatments may be recommended or referral to a periodontist (gum specialist) may be required.
If you have further concerns or questions about scaling and root planing, or periodontitis, please ask your dental hygienist.