Is Scale and Root Planing Painful?
If you’ve been told you need a deep cleaning, it probably means your dentist found signs of gum disease or significant plaque buildup below the gumline. This type of cleaning typically involves two steps: scaling and root planing. These procedures go deeper than a standard cleaning to help prevent further damage and promote healing. It’s common to feel a little nervous about the process, especially when you hear terms like “deep cleaning.” One of the most common concerns is whether the treatment will be painful. Read on to learn more about what you need to know about the procedure and any discomfort that comes with it.
What Is Scaling and Root Planing?
Scaling and root planing are performed when plaque, tartar, and bacteria have collected beneath the gums. Standard cleanings target the visible surfaces of the teeth. But when gum disease starts to take hold, treatment needs to go deeper. During scaling, the dentist or hygienist uses specialized instruments to remove the buildup beneath the gumline. This can be done with manual tools or ultrasonic devices that break up the deposits and flush them out.
Once scaling is complete, root planing follows. In this step, the root surfaces of the teeth are smoothed to reduce rough spots where bacteria could return. This makes it easier for the gums to reattach to the teeth and promotes healing.
Does the Procedure Hurt?
Most patients find scaling and root planing manageable, especially because local anesthesia is typically used. The anesthetic numbs the area being treated so that you won’t feel pain during the cleaning. You may still feel some pressure or vibration from the tools, but it shouldn’t be uncomfortable.
That said, some people are more sensitive than others. If you have tender gums or a low pain threshold, let your dentist know ahead of time. They can take extra steps to keep you comfortable, including adjusting the amount of anesthetic or breaking the procedure into multiple appointments.
What About After the Procedure?
It’s normal to experience some tenderness or soreness once the numbness wears off. Your gums may feel swollen or irritated, and your teeth could be more sensitive to hot or cold. These side effects are usually temporary and begin to fade within a few days.
To manage any discomfort, your dentist may recommend:
- Over-the-counter pain relievers like ibuprofen
- Rinsing with warm salt water
- Sticking to soft foods for the first day or two
- Using a soft-bristled toothbrush while your gums heal
If the soreness lasts longer than expected or you notice signs of infection, such as increased swelling or fever, reach out to your dentist for guidance.
What Should You Do Next?
If you’ve been advised to undergo scaling and root planing, it’s a sign your dentist is trying to prevent more serious issues down the line. While some mild discomfort is possible, the benefits far outweigh the temporary inconvenience. If you have concerns about pain or healing, speak with your dental provider. They’ll explain what to expect and help you feel more prepared before starting treatment.