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You can then set up periodic maintenance visits. If the bone loss is extensive enough, the teeth may begin to become mobile, or loose, and without intervention to arrest the disease process, will be lost. Munteanu IR, Luca RE, Mateas M, Darawsha LD, Boia S, Boia ER, Todea CD. ed. Scaling and root planing This is a response to the article, "Systematic Review and Meta-analysis on the Nonsurgical Treatment of Chronic Periodontitis by Means of Scaling and Root Planing With or Without Adjuncts" (Smiley CJ, Tracy SL, Abt E, et al. The procedure gets rid of tartar (hardened minerals) that can adhere to your teeth. However, the damage caused by periodontal disease never heals completely. Subgingival chlorhexidine irrigation for scaling and root planing Following scaling, additional steps may be taken to disinfect the periodontal tissues. Pediatric dentists specialize in helping children who experience fear and anxiety related to dental visits. Additionally it helps prevent plaque from accumulating on the surfaces of the tooth root. Contrary to old beliefs, it is not a normal part of aging to lose one's teeth. Blackwell Munksgaard, Oxford; Ames, Flemmig TF, Beikler T (2011) Control of oral biofilms. It is the first step in the decline of periodontal health, and the only step which can be fully reversed to restore one's oral health.[4]. Evidence-based clinical practice guideline on the nonsurgical treatment Scaling and Root Planning Site specific antibiotics may also be placed in the periodontal pocket following scaling and root planing in order to provide additional healing of infected tissues. After your deep cleaning, you'll need to schedule a follow-up visit with your dentist. American Dental Association. J Clin Periodontol 2018;45 Suppl 20:S1-S8. The average cost for scaling and root planing is $200-$300. Tooth Scaling & Root Planing: Deep-Cleaning Treatments - Cleveland Clinic J Public Health Dent 2013;73(2):112-9. The inflammation dissipates as the infection declines, allowing the swelling to decrease which results in the gums once again forming an effective seal between the root of the tooth and the outside environment.