Scaling and Root Planing in Houston, TX

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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.

Best Candidates

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.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.