Scaling and root planing is the most common treatment for for gingivitis and mild periodontal disease. This conservative procedure involves scraping of the plaque, calculus and inflamed soft tissue in the pockets around the tooth with a special instrument called a curette, to help gums heal.

Scaling and root planing is usually performed in one section of the mouth at a time and local anesthesia may be used for your comfort. Antibacterial medications (rinses, for example) may also be needed. Scaling and root planing is followed by a re-evaluation examination and may be sufficient to allow complete healing of early stages of periodontitis. For more advanced stages of the disease scaling and root planing is also prescribed but additional treatment may be necessary to repair any damage to the gums, teeth, and bone.