Scaling and root planing, also known as conventional periodontal therapy, Is a procedure involving removal of dental plaque and calculus (scaling ) and then smoothing, or planing, of the exposed surfaces of the roots, removing cementum or dentine that is impregnated with calculus, toxins, or microorganisms. Periodontal scalers and periodontal curettes are some of the tools used for scaling and root planing. Dr. Rajat Sachdeva's Dental clinic helps to overcome all the dental problems. So hurry up and come book an appointment with us at Dr. Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has all the latest technology available for you. To book an appointment contact: Dr. Rajat Sachdeva Director & Mentor Dr Sachdeva’s Dental Aesthetic And Implant Institute I 101, Ashok Vihar Phase 1, Delhi- 110052 Contact us at Phone : +919818894041,01142464041 Our Websites: www.sachdevadentalcare.com www.dentalimplantindia.co.in www.dentalclinicindelhi.com www.dentalcoursesdelhi.com Google+ link: https://goo.gl/vqAmvr Facebook link: https://goo.gl/tui98A Youtube link: https://goo.gl/mk7jfm Linkedin link: https://goo.gl/PrPgpB Slideshare link : http://goo.gl/0HY6ep Twitter Page : https://goo.gl/tohkcI Instagram page : https://goo.gl/OOGVig For Dentists : https://goo.gl/6t8DD5

1. SCALING AND ROOT
PLANNING

2. WHAT IS SCALING AND ROOT PLANNING?
• Scaling and root planning is a clinical procedure performed in
the daily practice of the clinic. It is a part of the deep
cleaning.
• During this procedure the calculus attached to the tooth and
the root surface are removed using special instruments.
These are special hand instruments called curettes used in
root planning.
• Ultrasonic instruments are also used for the procedure of
scaling.
• The root planning is essential for smoothening the root
surface of the tooth after removal of calculus, so that no
rough surface is left behind. This rough surface can act as a
source of formation of more calculus later.

3. WHY IS SCALING AND ROOT PLANNING NEEDED?
• Scaling and root planning is required for the following
causes:
• Supra and sub gingival calculus present.
• Swollen and erythematous gums.
• Periodontal pockets ( pseudo or true pockets)
• Before a periodontal surgery.
• Halitosis.

4. WHAT IS CALCULUS?
• Calculus is a hard deposit formed on the tooth and root surface over a period
of time when hygiene is not maintained.
• It forms by the process of deposition of calcium and other extra cellular
products on the surface where food is present in the form of plaque/pellicle.
• In the initial stages the calculus formed is supra gingival (above and around
the gingiva) which eventually turns into sub gingival calculus if it is not
removed at the right time.
• Sub gingival calculus detaches the gum away from the tooth which eventually
effects the support system of the tooth.

5. WHAT ARE THE TYPES OF CALCULUS?
Types of
calculus
Supra gingival
calculus
Subgingival
calculus

6. SUPRA GINGIVAL CALCULUS
• Supra gingival calculus is the type of calculus
found on the tooth surface that is above the
gingival margin.
• It can be seen clinically.
• It is light yellow or white in colour matching
the colour of the tooth in most cases.
• It follows the contour of the tooth that is why
most of the times the patients think it is the
part of the tooth itself.

7. SUB GINGIVAL CALCULUS
• The sub gingival calculus is the calculus
that is present below the gingival margin
and cannot be seen clinically as it is
covered by the gingiva all the time.
• It is darker in shade, like a black or a
brown in shade. It is harder than the supra
gingival calculus.
• It is attached to the tooth with the root
surface of the tooth and is difficult to
remove.

8. WHAT ARE GUM DISEASES AND WHAT ARE THE
DIFFERENT TYPES?
• Gum disease is a condition that is found in most of the population of the world. It is caused by the
deposition of plaque and calculus which is formed from plaque ( if left uncleaned ).
• It is characterized by swollen and red gums which bleed on touch, eating or probing.
• Sometimes the gum may be sore to touch.
• If this is not taken care of the condition worsens to affect the supporting structure of the tooth
which eventually loosens the tooth.

9. TYPES OF GUM
DISEASES
GINGIVITIS
ACUTE
GINGIVITIS
CHRONIC
GINGIVITIS
PERIODONTITIS
CHRONIC
PERIODONTITIS
CHRONIC
LOCALISED
PERIODONTITIS
CHRONIC
GENERALISED
PERIODONTITISAGRESSIVE
PERIODONTITIS
PERIODONTAL
ABSCESS

10. GINGIVITIS
• It is the inflammation of the gums due to
deposition of plaque around the tooth.
• Characterized by swollen, erythematous gums.
• Gums bleed on touch or probing.
• Gingival pocket depth remains unchanged.
• Pseudo pockets might form due to
inflammation or hypertrophy of the gums.

11. PERIODONTITIS
• It is the inflammation of the periodontium surrounding the
tooth with loss of the supporting bone.
• It can be a localized phenomenon or a generalized
phenomenon.
• Periodontal pockets are formed which can be shallow in
initial stages of the condition and can be deep pockets in
advanced stages of the condition.
• Radiographically can be diagnosed by the presence of
bone loss ( horizontal or vertical ).
• Mobility seen in the affected areas of various grades.
• Supragingival and subgingival calculus seen around the
tooth.
• Generally seen in older age group of people.

12. WHAT TO EXPECT AFTER SCALING AND ROOT
PLANNING?
• Sensitivity in teeth post scaling
and root planning for 1 week.
• Dull pain in the teeth for 1-2 days.
• Your gum may be swollen for
initial days.
• Gums may bleed and slightly
tender on touching.

13. WHAT POST OP CARE SHOULD BE TAKEN AFTER
SCALING AND ROOT PLANNING?
• Follow the instructions given by your dentist precisely.
• Medicated mouth wash prescribed by your dentist has to be used twice daily after brushing and in the
middle of the day after your meal to maintain oral hygiene.
• Analgesics and antibiotics given have to be eaten as prescribed.
• Follow proper brushing technique to maintain hygiene with a soft brush.
• Eat a balanced diet and specially rich in Vitamin C.
• Avoid smoking and use of tobacco.
• Follow up with your dentist regularly.

16. To book an appointment contact :
Dr.Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental
Aesthetic And Implant
Institute
I 101, Ashok Vihar Phase 1, Delhi-
110052
Contact us at
Phone :
+919818894041,0
1142464041

17. IMAGE COURTESY
• https://pocketdentistry.com/15-clinical-features-of-gingivitis/
• http://medind.nic.in/jay/t12/i1/jayt12i1p115.htm