Scaling and Root Planing:
This procedure is aimed to remove plaque, calculus and bacterial toxin from the periodontal pockets and root surfaces. Occasionally, locally-delivered chemotherapeutics or systemic antibiotics may be administered as adjunctive therapy.
In general, scaling and root planing is indicated for early to moderate periodontal diseases or utilized as an initial therapy for more advanced diseases.
Re-evaluation will normally be performed 4-6 weeks later to check on the patient’s plaque control and to determine the success of therapy.
Traumatic occlusion can play a contributing role in periodontal disease progression.
Occlusal therapy is designed to eliminate excessive occlusal force or interference and restore physiologic occlusion.
Maintenance therapy with good plaque control is integral to the long-term success of periodontal therapy regardless of the treatment modalities.
Studies have shown that periodontal maintenance can minimize recurrence and progression of periodontal diseases and hence tooth loss.