What is the difference between a "regular cleaning", a “root planning”, and a “periodontal maintenance procedure”?

A "regular cleaning", also called a prophylaxis, is the removal of plaque, calculus (tartar), and stains from teeth that have not been affected or have been minimally affected by gum disease and bone loss. The dental hygienist or dentist removes these deposits from the crowns of the teeth with hand instruments and/or an ultra sonic scaler. This is usually followed by polishing with a paste to smooth the surfaces and remove any remaining stains.

This type of cleaning is only recommended for people who have had minimal to no periodontal disease and/or accompanying bone loss. Root planing is a procedure that involves removing bacteria and deposits from the surfaces of the tooth's roots. The loss of the bone surrounding the teeth generally accompanies periodontal disease.

When this bone loss occurs, it is then necessary to clean and smooth the root surface of the tooth down to where it meets the bone and gum tissue. Root planing is usually one of the first procedures recommended to treat ... more.

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