Scaling and Root Planing

Scaling and Root Planing

 


Set of curettes


Curette under gum

 


Using curette on model


Curette entering pocket


Curette in pocket

 


Curette cleaning pocket


Using an ultrasonic scaler

With early and moderate pockets, up to 5 mm in depth, adequate pocket debridement is generally possible. However, with pockets over 5 mm, much of the root calculus is missed. Many studies have shown that deeper pockets are cannot be adequately cleaned with any technique, unless the gum is reflected to improve access. This minor surgical procedure consists of making a small incision to push back the gum edge, allowing access to deeper areas. This is known as open flap curettage, and is done under local anesthesia. Sutures are generally used, but there is little post-operative discomfort.