Deep Cleaning or Root Planning
Deep Cleaning/Root Planning Periodontal and gingival diseases have affected humans since the beginning of time. When your gums are not in their prime a deep clean, or root planning, is a treatment that helps bring the health of your gums back to health. Gums that typically need this kind of treatment present with swollen gums, bleeding, inflammation, rescission of gums (shrinking) and/or loose teeth. Firstly, the dentist needs to manually remove tartar along the tooth and under the gum line. If this does not happen, the tooth may potentially be lost. Typically, deep cleans are longer than your typical appointment and require more than one appointment to treat and restore gums to optimal health. If a phase 2 deep clean is required, usually if the above mentioned symptoms present quite intensely and more tailed steps will be used.
Deep cleans can take more than one appointment for the cleaning to be performed due to the extensive need for a thorough clean. Deep cleaning is considered the gold standard for the treatment of gum disease by Australian Dental Association & the Journal of Evidence Based Dental Practice.
– Gingival/gum disease Gingivitis is one of earlier stages of gum disease and it can occur when there is a build-up of plaque (or bacteria) on and/or between the teeth, Causing the gums to inflame and become irritated. Gingivitis is reversible by maintain good oral hygiene and regular 6 months check up and clean.
There are two main categories of gingival diseases:
Dental plaque-induced gingival disease: This can be caused by plaque, systemic factors, medications, or malnutrition.
Non-plaque induced gingival lesions: This can be caused by a specific bacterium, virus, or fungus. It might also be caused by genetic factors, systemic conditions (including allergic reactions and certain illnesses), wounds, or reactions to foreign bodies, such as dentures. Sometimes, there is no specific cause.
Periodontal disease is unfortunately not reversible. This is cause when the gingivitis is not treated, it will often advance to periodontitis. Periodontitis is a severe stage of gum disease where the gums pull away from the teeth and form gaps (often called ‘pockets’) that become infected. Periodontitis can also often involve the breakdown of bone structure surrounding your tooth. –
Risk Factors Periodontal
There are a few factors that may increase the risk of getting gums disease. These factors include:
Smoking – smoking is one of the most significant risk factors associated with the development of gum disease.
Poor Oral Hygiene – poor oral hygiene habits means plaque and bacteria are more likely to grow and expand, which causes gum disease.
Diabetes – people with diabetes are at a higher risk of developing varying infections, including gum disease. · Hormonal changes in females
Hormonal changes – make the gums more sensitive, making gingivitis easier to develop. ·
Medications – there are numerous prescription, herbal and over-the-counter medications that reduce the flow of saliva. Without sufficient amount of saliva, the mouth becomes more vulnerable to infections such as gum disease.
Other illnesses – Disease such as HIV/AIDS makes the body more susceptible to infections, also the medications used to manage such diseases also can negatively affect the health of the gums. · Poor Diet – diets high in sugar causes the build-up of plaque
Some patients may be required to come back for a two phase deep clean, Why?
If you present with a combination of one or more of the following signs including extensive tartar build up, puffy inflamed gums, bleeding heavy staining, bone loss or tooth mobility, our Oral Health Therapist may recommend you come back for an additional specialised hygiene appointment. As you may require more time, care and additional tailored steps to bring your gums & teeth back to optimum health. This two phase appointment will provide you with a deep clean option to bring your gums completely back to health. A deep clean is performed over 2 separate visits (1 hour each), which is cleaning of tartar build-up below the gum-line along the root surface. If you present with heavy staining, an air flow polishing treatment will be included to combat tough stains.