What is the difference between scaling and root planing and a regular cleaning? Question
A regular cleaning removes plaque and tartar near the gumline. Scaling and root planing, often called a deep cleaning, goes deeper below the gums. Scaling removes plaque and tartar, and root planing smooths the tooth roots. It is a nonsurgical treatment for mild to moderate periodontitis, done with local anesthesia.

What to know
- A hygienist, dentist or periodontist can perform it.
- It takes one to two hours, in one visit or split into two.
- Antibiotics may be placed around the roots or prescribed by mouth.
Sources
Treatment and surgery Read next
What are the downsides of a gum graft?The main risks of a gum graft are infection, heavy bleeding and graft failure.
What can be done instead of a gum graft?The pinhole surgical technique is one option.
What is gum flap surgery?Gum flap surgery, also called pocket reduction surgery, treats moderate to advanced periodontitis.
What mouthwash helps with gum disease?An antimicrobial mouthwash can help kill the bacteria that cause gum disease.
Am I a candidate for LANAP?Good candidates for LANAP have moderate to severe periodontitis with pockets of 5 mm or more that remain after deep cleaning, and want to keep their teeth without cutting and stitches.
Does gum surgery hurt?Gum surgery is done under local anesthetic, so the procedure itself should not hurt; many offices add oral or IV sedation.