Scaling and root planing in Los Angeles, CA

At Leith K Shawaf DDS in Los Angeles, CA, scaling and root planing is a non-surgical gum therapy used to treat periodontal disease. This deep cleaning targets plaque and tartar below the gumline to reduce inflammation, shrink periodontal pockets, and help stabilize your gums and teeth. Patients in Los Angeles, California often choose this treatment to control early to moderate gum disease and protect long-term oral health.

Scaling and root planing explained

Scaling and root planing, sometimes called a deep cleaning, goes beyond a standard dental cleaning. Plaque hardens into tartar (calculus) on tooth surfaces and roots. When bacteria collect under the gums, the tissue becomes inflamed and pulls away, forming periodontal pockets. These pockets make brushing and flossing less effective. Scaling removes plaque and tartar from above and below the gumline. Root planing smooths the root surfaces so the gums can reattach more easily and fewer bacteria accumulate in the future.

This non-surgical periodontal therapy is recommended when gum measurements show pockets typically 4 millimeters or deeper, bleeding is present, or X-rays reveal early bone changes. It is a key gum disease treatment that can improve gum health and lower the risk of tooth mobility.

How scaling and root planing can help your gums

• Reduces bleeding and swelling by removing bacterial buildup from deep areas.
• Decreases periodontal pocket depth, making daily home care more effective.
• Helps protect bone and tooth support by interrupting disease activity.
• Improves breath and comfort by reducing tartar and plaque biofilm.
• Supports overall oral health as part of a comprehensive periodontal plan.

Step-by-step deep cleaning guide

Your visit begins with a periodontal evaluation, including pocket measurements and X-rays as needed. Numbing is provided with local anesthesia to keep you comfortable. The clinician uses ultrasonic and hand instruments to scale away plaque and tartar above and below the gumline. Root surfaces are then planed until smooth to discourage new buildup and encourage gum reattachment.

Deep cleanings are often completed in two visits, treating one side or two quadrants at a time. Each appointment typically lasts 60 to 90 minutes, depending on the number of teeth and pocket depths. A re-evaluation visit is commonly scheduled in 4 to 6 weeks to measure healing and determine next steps, such as periodontal maintenance.

What to expect before and after treatment

Before the appointment, eat a light meal and review medications with the dental team. Local anesthesia will numb treated areas, so your lips and cheeks may feel numb for a few hours afterward.

After treatment, mild soreness or temperature sensitivity is common for a few days. Gentle care speeds healing:

• Brush with a soft toothbrush and use floss or interdental brushes as directed.
• Rinse with warm saltwater or an antimicrobial mouthrinse if recommended.
• Use a desensitizing toothpaste to ease cold sensitivity.
• Avoid smoking, alcohol, and very spicy or crunchy foods for 24 hours.
• Take over-the-counter pain relief if approved by your physician.

Gums often feel firmer and bleed less within a few weeks. While lost bone is not restored by deep cleaning alone, scaling and root planing can halt disease activity and reduce pocket depths. Long-term success depends on consistent home care and scheduled periodontal maintenance, usually every 3 to 4 months, to control biofilm and protect your results.