What Happens During Scaling and Root Planing? Your Non-Surgical Gum Disease Treatment Guide

When you hear “deep cleaning,” what’s really happening behind the scenes is a Scaling and Root Planing (SRP) procedure, and we at Elite Smile are here to guide you through every step. This is the gold standard Gum Disease Treatment, designed to fight infection below the gumline and protect your smile for years to come.


Let’s walk you through what to expect, how to heal, and how SRP fits into your long-term gum care plan.

Defining the “Deep Cleaning Procedure

Gum Disease Treatment

A “deep cleaning” isn’t just a more intense brushing; it’s a carefully targeted non-surgical Gum Disease Treatment designed to reach infection under the gums. While ordinary cleanings maintain healthy teeth and gums, Scaling and Root Planing digs deeper.

It’s the go-to solution when periodontal disease has advanced, when bacteria lurk in pockets beneath the gumline, and when preventing bone loss and tooth loss is important.

Rather than treating just the surface, SRP addresses disease at its root (literally), reducing inflammation, halting infection, and giving your gums a chance to heal.

Why Scaling and Root Planing is Essential

Gum disease often begins with gingivitis, gums that bleed, redden, or swell. At that early stage, excellent oral hygiene may reverse the problem. But if it progresses to periodontitis, the stakes rise: plaque and tartar get trapped under the gums, creating deep “pockets” where bacteria thrive.

Those pockets separate the gums from the tooth, and the bacteria inside can start eroding bone. A standard cleaning can’t reach those depths; that’s where SRP (our cornerstone Gum Disease Treatment) comes into play. With scaling and root planing, we eliminate the hidden infection and set the stage for healing, bone preservation, and a more stable foundation for your teeth.


Phase 1: Scaling – Removing the Infection

Comfort is key. Before we begin, we often numb the area with a local anesthetic so you won’t feel discomfort while we work below the gumline. Many patients prefer to do one quadrant (a quarter of your mouth) at a time, which helps us focus thoroughly and gives you breathing room between appointments.


In the scaling phase, we remove hardened calculus (tartar) and bacterial biofilm from the tooth’s root surfaces. We use:

  • Manual scalers and curettes — to delicately scrape off deposits
  • Ultrasonic devices — with vibrations and water mist to break up deposits and flush them out

This deep removal is essential. The cleaner we get, the less bacterial load remains to re-infect your gums or bone.


Phase 2: Root Planing – Smoothing the Surfaces

Once scaling is done, it’s time for root planing, smoothing the rough, contaminated root surfaces. Why is this important?

  • A smoother root resists new bacterial buildup
  • It encourages gum tissues to reattach securely to the tooth
  • It helps shrink the pocket depth over time


In some cases, we may also place a localized antibiotic or antimicrobial agent directly into the cleaned pocket. This adjunctive step enhances bacterial control and supports your recovery.


Aftercare: Healing and Supporting Your Treatment

After your SRP appointment, here’s what to expect and how to help your mouth heal well:

  • Numbness: Your lips, tongue, and cheeks will be numb for a few hours.
  • Soreness & sensitivity: Mild tenderness or sensitivity (especially to temperature) is normal and typically fades in a few days.
  • Diet: Stick to soft, cool foods for the first 1–2 days (yogurt, mashed potatoes, smoothies, etc.).
  • Pain control: Over-the-counter pain relievers (as directed) are usually sufficient.
  • Oral hygiene: Be gentle around treated areas. Use the prescribed antimicrobial rinse exactly as we instruct; it helps reduce bacterial regrowth during healing.
  • Follow-ups: Stay in close contact. We’ll want to monitor how your gums respond, check pocket depths, and catch any early signs of relapse.


By being gentle but consistent, you help us lock in the progress we achieved during the procedure.


The Maintenance Phase: Long-Term Gum Disease Treatment

Think of SRP as the strong foundation for your ongoing periodontal health. Because gum disease is chronic, keeping it in check is vital. Here’s how we support you moving forward:

  • We schedule periodontal maintenance cleanings (often every 3 or 4 months) to remove any new microscopic buildup before trouble begins again.
  • During these visits, we recheck gum pocket depths, monitor bone health, manage inflammation, and reinforce your hygiene practices.
  • Over time, consistent maintenance means less bleeding, less swelling, and a greater chance of preserving your bone and teeth long-term.

In short, SRP is the essential first chapter in your broader Gum Disease Treatment narrative, but the story continues with maintenance, care, and partnership.

Frequently Asked Questions

 Is scaling and root planing painful?

 Not usually, we use a local anesthetic to keep you comfortable. Afterward, mild soreness or sensitivity is common but manageable.

How many visits does SRP require?

Typically, we treat one quadrant per visit, so full-mouth SRP may require 2–4 appointments depending on your condition.

Will my gums reattach after the procedure?

 Often yes, by smoothing the roots and controlling bacteria, we encourage the gum tissues to re-adhere to the tooth, reducing pocket depth.

Can SRP replace surgery for advanced gum disease?

It depends. In many moderate cases, non-surgical Gum Disease Treatment like SRP is sufficient. In more advanced cases, we may recommend surgical options, but SRP remains a key foundation.

What happens if I skip maintenance cleanings?

Without regular upkeep, plaque and bacteria can return, pockets may deepen again, and you risk renewed bone loss or even tooth loss.

When should I call my dentist after SRP?

If you notice increasing pain, swelling, persistent bleeding beyond a few days, or signs of infection, call us immediately.

Conclusion

At Elite Smile, we believe every patient deserves a warm, supportive experience, especially when facing gum disease. Scaling and Root Planing is more than a procedure; it's our promise to fight infection, restore gum health, and preserve your smile through thoughtful, non-surgical care.

If you’re in or around Northville, MI, and you’ve noticed bleeding gums, bad breath that won’t go away, or loose teeth, don’t wait. Reach out today to schedule your comprehensive exam and begin your personalized Gum Disease Treatment plan. Visit our Gum Disease Treatment service page for more details and to request an appointment: Gum Disease Treatment at Elite Smile.

We look forward to caring for your smile together. We’ll keep your gums strong, healthy, and lasting a lifetime.