Scale and Root Planing Risks
Scaling and root planing is a widely used dental procedure meant to treat gum disease and improve oral health. It targets plaque and tartar that collect beneath the gumline, helping to stop further damage and promote healing. While the procedure is considered safe and effective, like any treatment, it carries a few potential risks. Knowing what they are can help you make an informed decision and prepare for a smooth recovery.
Gum Sensitivity and Discomfort
One of the most common side effects after scaling and root planing is temporary gum sensitivity. The procedure involves using specialized tools to clean below the gumline, which can irritate the tissue. It’s normal to experience some soreness, swelling, or slight bleeding in the days following treatment. The discomfort is usually mild and fades within a few days, especially if you follow your dentist’s aftercare instructions. Over-the-counter pain relievers and saltwater rinses can help manage symptoms if they occur.
Increased Risk of Infection
Because the procedure involves working below the surface of the gums, there’s a small risk of infection. This risk is higher if harmful bacteria enter the area while the tissue is healing. Signs of infection can include persistent swelling, pain that doesn’t improve, pus near the treated area, or a low-grade fever. While infections are uncommon, it’s important to monitor for symptoms and report any concerns to your dentist. If you have a medical condition that affects your immune system or healing, be sure to let your provider know before the procedure.
Gum Recession
In some cases, patients may notice their gums appear lower or more pulled back after treatment. This is known as gum recession. It can happen when inflamed or infected tissue is removed, or when the gums begin to heal and pull away from previously swollen areas. A small amount of recession is part of the healing process, but more severe cases can lead to sensitivity and may require further evaluation or treatment.
Tooth Sensitivity
As the roots of the teeth are exposed during cleaning, you might notice increased sensitivity to hot, cold, or sweet foods and drinks. This happens because the protective covering that usually shields these areas is temporarily reduced. Tooth sensitivity is generally short-lived and tends to improve as the gums begin to reattach and heal.
Limited Results in Some Cases
Scaling and root planing is often successful in controlling gum disease, but results can vary based on the severity of the condition and how well you follow aftercare recommendations. In cases of advanced gum disease, additional treatments such as surgery or repeat cleanings may be necessary. Your dentist will evaluate your progress and suggest the right next steps if needed.
What Should You Do Next?
If you’ve been recommended for scaling and root planing, ask your dentist about the specific risks based on your oral health. Most people tolerate the procedure well, and understanding what to expect can help you feel more prepared and confident as you move forward with treatment.