Dental cleaning is a routine procedure that everyone should undergo regularly to maintain oral health. A simple dental cleaning, also known as a prophylaxis, is commonly performed to remove plaque and tartar from the surface of the teeth. However, when the plaque and tartar have built up below the gum line and become harder to remove, a more intensive cleaning is required. This is where a deep dental cleaning comes into play. But what exactly is a deep dental cleaning called, and why is it necessary?
What is a Deep Dental Cleaning?

A deep dental cleaning, often referred to as scaling and root planing, is a procedure that goes beyond the typical teeth cleaning. It focuses on removing plaque and tartar buildup not only from the visible surfaces of the teeth but also from the areas beneath the gum line. This is typically recommended for patients who have gum disease or are showing signs of gingivitis or periodontitis.
Scaling
Scaling involves the removal of plaque and tartar (calculus) from the surfaces of the teeth, including areas that are difficult to reach with regular brushing and flossing. This step is essential to eliminate the bacteria responsible for gum disease and prevent further complications.
Root Planing
Root planing is the process of smoothing the roots of the teeth. This step helps to remove any remaining bacteria, smooth the root surfaces, and promote gum reattachment. This treatment helps reduce gum inflammation and is critical in restoring the health of the gums.
When is Deep Dental Cleaning Necessary?
While regular cleanings are part of maintaining good oral hygiene, there are situations where a more intensive cleaning becomes necessary. The primary reason for needing deep cleaning is the presence of gum disease, which progresses in stages, and deep cleaning is often recommended for more advanced stages.
Signs of Gum Disease
Signs that you may require deep cleaning include:
- Red, swollen, or bleeding gums
- Bad breath or a persistent bad taste in the mouth
- Receding gums or pockets forming between your teeth and gums
- Loose teeth or a change in the way your teeth fit together when you bite
Types of Gum Disease
Gum disease typically progresses through the following stages:
- Gingivitis: The earliest stage of gum disease, where the gums become inflamed and may bleed during brushing or flossing. This can be reversed with proper oral care.
- Periodontitis: At this stage, the inflammation extends deeper into the tissues and bone. Scaling and root planing may be needed to halt its progression.
- Advanced Periodontitis: The most severe stage, which may result in tooth loss. Deep cleaning is essential, along with other treatments like surgery.
How is Deep Dental Cleaning Performed?

Deep dental cleaning is typically performed in two visits, though the number of visits may vary based on the severity of the gum disease. The procedure is usually carried out under local anesthesia to ensure patient comfort.
First Visit: Scaling
During the first visit, the dentist or hygienist will begin with scaling. This involves using specialized instruments to remove plaque and tartar from the tooth surfaces. They may use ultrasonic tools or hand scalers to effectively clean the teeth above and below the gum line.
Second Visit: Root Planing
The second visit involves root planing, where the roots of the teeth are smoothed out. This process helps the gums to reattach to the tooth roots and reduces the pockets that form between the teeth and gums.
Post-Treatment Care
After the deep cleaning procedure, the dentist may provide instructions on how to care for your gums and teeth. This may include:
- Using a soft-bristled toothbrush and gentle brushing techniques
- Flossing carefully and using mouthwash to reduce bacteria
- Scheduling follow-up visits for regular check-ups and maintenance cleanings
Benefits of Deep Dental Cleaning
Deep dental cleaning offers several benefits for oral health, particularly in the treatment and prevention of gum disease. Some of the key benefits include:
- Prevention of further gum disease progression: By removing bacteria and tartar, deep cleaning can halt the progress of gum disease and prevent it from advancing to more severe stages.
- Reduction of gum inflammation: Scaling and root planing help reduce swelling, bleeding, and discomfort in the gums.
- Prevention of tooth loss: By addressing the causes of gum disease, deep cleaning can reduce the risk of losing teeth due to bone loss or severe infection.
- Improved oral health: Maintaining healthy gums and teeth contributes to overall health, reducing the risk of other systemic issues like heart disease.
Potential Risks and Side Effects

Although deep cleaning is a highly effective treatment for gum disease, there are some potential risks and side effects to consider. These may include:
- Discomfort: After the procedure, some discomfort or sensitivity in the teeth and gums may occur. This is typically temporary and can be managed with over-the-counter pain relievers.
- Gum recession: In some cases, the deep cleaning process may lead to slight gum recession, though this is uncommon.
- Infection: There is a slight risk of infection, but this can be minimized by following post-treatment care instructions.
How Much Does Deep Dental Cleaning Cost?
The cost of deep dental cleaning can vary depending on several factors, including the severity of the gum disease, the location of the dental practice, and the dentist’s experience. On average, deep cleaning may cost between $100 and $300 per quadrant of the mouth. It is often covered by dental insurance, but it’s a good idea to check with your insurance provider to understand your coverage.
Conclusion
Deep dental cleaning, or scaling and root planing, is a critical treatment for individuals with gum disease. It helps prevent the progression of gum disease, reduces inflammation, and improves overall oral health. If you’re experiencing symptoms of gum disease, it’s important to seek professional care promptly. By understanding the process, benefits, and potential risks of deep cleaning, you can make informed decisions about your oral health care.
FAQs
1. Is deep dental cleaning painful?
Deep dental cleaning is typically done under local anesthesia to minimize discomfort. After the procedure, some mild sensitivity or discomfort may occur, but it usually subsides within a few days.
2. How long does it take to recover from a deep dental cleaning?
Recovery time varies, but most people can resume normal activities immediately after the procedure. Some may experience slight discomfort for a few days, which can be alleviated with pain relievers.
3. How often should I have a deep dental cleaning?
Deep cleaning is typically done once when gum disease is present. After the treatment, your dentist will recommend follow-up cleanings and check-ups to ensure your gums remain healthy.
4. Can deep cleaning reverse gum disease?
Deep cleaning can help reverse the early stages of gum disease, such as gingivitis. However, it cannot reverse the advanced stages of gum disease, like periodontitis, though it can stop it from progressing further.

