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Root Planing Cleans Plaque from Tooth Roots Without Surgery

RootPlaningCleansPlaquefromToothRootsWithoutSurgery

Periodontal (gum) disease is an aggressive bacterial infection caused by built-up plaque on tooth surfaces. Gum disease results in bone loss and causes loss of attachment from the teeth, leading to eventual tooth loss.

The goal of any gum disease treatment is to remove as much plaque and calculus (hardened deposits of plaque) from the gums and teeth as possible. Scaling with special hand instruments or ultrasonic equipment is the basic technique for plaque and calculus removal above and below the gum line. As the infection spreads below the gum line, it can widen the natural gap between teeth and gums to form voids known as periodontal pockets that fill with infection. Accessing and cleaning these pockets, which can occur as deep as the tooth roots, will require more invasive procedures.

Pockets that form at a depth greater than 5 mm below the gum line will most likely require surgical access through the gum tissue. But for pockets not quite that deep there’s an intermediary technique called root planing without surgical intervention. As the name suggests, the roots are physically “planed,” much like shaving a wooden board to remove minute layers of wood.

Using similar instruments as with scaling, root planing removes calculus, bacteria and other infected matter adhering to the root surfaces. It’s best to perform the procedure with local anesthesia to numb the gum tissues, which may be quite sensitive depending on the degree of infection. Working in a pain-free environment also helps us to be as thorough as possible in detecting and removing every bit of plaque and calculus we can find.

In advanced cases, it may be necessary to perform this procedure during multiple visits. As plaque and calculus are removed the inflammation in affected tissues will begin to subside, revealing more deposits of plaque and calculus. It’s also important to begin and maintain a daily habit of effective brushing and flossing to lessen the chances of a recurring infection.

Treating gum disease is an ongoing effort that requires constant monitoring and sustained efforts to remove plaque and calculus, including root planing. Saving your teeth, however, is well worth the effort.

If you would like more information on treating periodontal disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Planing.”

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Testimonials From Our Morristown, NJ Area Patients

What Our Clients Say About Us

  • "Dear Jay,

    I have been to the dentist here in Raleigh,NC twice since coming here from Morristown, NJ (and the magnificent dinner in Westfield with you, your lovely wife and Ginny Williams) and both times the dentist has said, "Wow! Whoever did your dental work was a real professional. You need nothing done except a routine cleaning."

    Jane and I miss you. And your exquisite professionalism. And, of course, we miss much more your friendship."
    Roland P. Perdue
  • "I recently switched to Dr. Schuster and am so happy I did. He is an amazing Dentist and the nicest person in the world. The work he has done for me has be nothing but amazing.

    Thanks much!!!!"
    Irene Scanlon
  • "Dear Dr. Schuster,

    Jay, really nice crown. Now THAT’s the way dentistry should be done:)

    Thank you for allowing me to participate in the care of your patient. I will of course keep you apprised of any changes if they occur. If I may be of any additional assistance regarding this or any other patient, please feel free to call.

    With best personal regards,"
    Mitchell H. Davich, DMD, FACD, FICD