About Scaling and Root Planing
If you've developed the unfortunate signs of periodontal (gum) disease, a normal cleaning may not be adequate to repair your inflamed gums. The first stage of periodontal disease, gingivitis, is typically treated with scaling and root planing (SRP). This is a deep cleaning performed by our general and cosmetic dentist, Dr. Michael Macaluso, to slow the progression of gingivitis and eliminate the bacteria that cause periodontal disease.
Scaling will remove the built-up tartar and plaque from above and below the gumline and on the exposed roots with a handheld or ultrasonic scaling instrument. Then, Dr. Macaluso will smooth the roots that have rough edges so they reattach themselves to your tooth's enamel. Our periodontal therapies at Michael A. Macaluso, D.D.S., PC, like SRP, are customized based on the severity of your gum disease. Please contact us for your periodontal evaluation today.
"Simply the best! Dr. Mac and his team actually make going to the dentist a pleasurable experience."- J.G. / Google / Jul 17, 2019
"Dr Macaluso is a wonderful dentist! Very caring and his staff are always sweet and always helpful."- H.T. / Facebook / Nov 09, 2018
"In our marriage we have lived in four different states and had to find a new dentist every time we moved. Dr. Mac and his team (Shauna & Liz) are fantastic. Their care is precise, gentle, thorough, and patient. They make the experience enjoyable and ready us to look forward to our next visits. The dental schools should have him teach their new students how operate an outstanding dental office."- B.W. / Facebook / Jul 23, 2020
"I have been a patient of Dr Macaluso all my adult life. He is the most caring doctor I have ever encountered with impeccable bedside manner. I highly recommend him for your dental needs especially if you are afraid of dentists. He will put you at ease and make it a memorable experience."- L.M. / Google / Jul 09, 2020
"Have you ever had a doctor so well liked and trusted that everyone in you family goes to him? Well, Dr Macaluso has been treating me & most of my family for over 20+ years. Let’s face it- no one looks forward to going to the dentist, but Dr Macaluso‘s office is friendly & professional from the top down. The hygienists are awesome! Thorough, chatty, with quick agility. Dr. Macaluso is superb. Get this....it never hurts! He is even able to do most of my dental procedures without the use of anesthetic. He has taken impeccable care of my teeth, been forward thinking to catch some potential problems ahead of time, & all with the utmost kindness & courtesy. Our family has ambled into the habit of letting one another know when we’ve had our sweet “taste” of Dr. Macaluso! He’s truly the best, & we are blessed."- M.M. / Facebook / Jul 01, 2020
At your dental examination, Dr. Macaluso will assess how deep your gum pockets are. In the event your gum pockets, also called sulcus, are more than three millimeters, then SRP would be recommended. SRP can help to decrease the size of the gum pockets so bacteria and plaque cannot accumulate and contribute to the first phase of periodontal disease (gingivitis). A number of the early signs of periodontal disease are loose teeth, gums that are tender, swollen, bleed easily, look red, or have begun to recede. When periodontal disease is diagnosed at the onset, one or more SRP treatments can improve the signs. When periodontal disease has reached later phases (regular or advanced periodontitis), then you might need more comprehensive, surgical interventions.
What To Expect
SRP is a deep cleaning that may be carried out in our office using local anesthesia on the areas of your mouth being addressed. We might also suggest sedation methods if you are feeling stressed about having SRP. Dr. Macaluso will utilize a scaling tool to clean the tartar and plaque buildup above and below the gumline. He will subsequently plane or smooth the exposed roots so they will have a better chance at reattaching to the tooth. Then, your gums will be disinfected. This may be a lengthy appointment, and you should be prepared to allow for the time off to do it.
Following your SRP session, you might have greater tooth and gum sensitivity in addition to some residual numbness. Dr. Macaluso may write a prescription for antibiotics that will help with the underlying infection within your gums. You should adhere to a good oral hygiene regimen, such as daily flossing and brushing. You may be asked to make quarterly (four times a year) dental exams so that Dr. Macaluso can assess your gums more frequently. He can also offer treatment as needed. Based upon the initial state of your mouth and your own home care following an SRP therapy, you might need several SRP procedures to improve your gums.
Please Contact Us for SRP
Please schedule an appointment at Michael A. Macaluso, D.D.S., PC. The first stage of periodontal disease, gingivitis, is normally treated with a series of SRP sessions with Dr. Macaluso. We also offer sedation techniques for patients with dental anxieties. Please contact us in Houston, TX to receive more details.