What Happens During a Deep Cleaning Procedure (Scaling and Root Planing)

Teeth Talk Girl
27 Oct 202203:50
EducationalLearning
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TLDRThis informative script delves into the process of scaling and root planing (SRP), commonly known as a deep cleaning, which is essential for patients with gum pockets deeper than three millimeters. It explains the use of a perio probe to measure pocket depth and the presence of bacteria and tartar necessitating the procedure. The video outlines the steps involved, including numbing, using high-pressure water and ultrasonic vibrations for plaque and tartar removal, and employing both hand instruments and suction to ensure thorough cleaning. It emphasizes the importance of post-cleaning care to maintain oral health and prevent future issues.

Takeaways
  • 🦷 Deep cleaning, or scaling and root planing (SRP), is a dental procedure for patients with gum pockets deeper than 3mm.
  • 🩺 The procedure is necessary when there is bacteria and tartar buildup in the deep gum pockets.
  • 💉 Local anesthesia or topical gel is used to numb the area for patient comfort during the procedure.
  • 💦 High pressured water and ultrasonic vibrations are employed to clean plaque and tartar both above and below the gums.
  • 🌊 Suction tools are used to manage the water and prevent discomfort during the scaling process.
  • 🛠️ Both ultrasonic scalers and traditional hand instruments are alternated to clean the teeth and gums.
  • 🔍 After the cleaning, dentists use explorers and sometimes X-rays to ensure all tartar has been removed.
  • 🌟 Post deep cleaning, it's crucial to maintain good oral hygiene practices like daily brushing and flossing.
  • 💡 Water flossers can be beneficial in keeping the gum pockets clean and free from new bacteria.
  • 📈 Regular check-ups and proper home care are essential for the gums to heal and remain healthy after a deep cleaning.
Q & A

  • What is the primary purpose of a scaling and root planing (SRP) procedure?

    -The main purpose of SRP is to treat patients with deeper gum pockets by removing bacteria, tartar, and plaque from both below and above the gumline, thus facilitating gum healing and promoting a healthy mouth.

  • What are healthy gum pockets and their ideal depth?

    -Healthy gum pockets are between one and three millimeters deep. When the depth exceeds five millimeters, it may indicate the presence of periodontal issues requiring a deep cleaning.

  • How is the depth of gum pockets measured?

    -Gum pocket depth is measured using a small ruler instrument called a periodontal probe or perio probe.

  • What happens during the numbing process in a deep cleaning?

    -During the numbing process, either topical gel or local anesthetic is applied depending on the patient's individual situation to ensure comfort and painless procedure.

  • What tools are used in the deep cleaning process?

    -The deep cleaning process involves the use of high pressurized water and ultrasonic vibrations from a water scaler, as well as traditional hand instruments for scaling.

  • How are the cleaning process and its noises managed for patient comfort?

    -To manage the cleaning process and noises, clinicians often alternate between the ultrasonic water scaler and hand instruments, providing breaks from the suction and noise.

  • What is the difference between gingival scaling and subgingival scaling?

    -Gingival scaling is a regular cleaning above the gumline and is performed when there are no deep pockets and the gums are healthy. Subgingival scaling, on the other hand, is a deep cleaning performed when tartar needs to be removed from below the gums.

  • How do clinicians confirm that the cleaning has been thorough?

    -After the cleaning, clinicians may use an explorer to recheck the areas, floss to ensure no spots are missed, and sometimes take an x-ray to confirm that no tartar or bacteria remain below the gumline.

  • What is the importance of home care after a deep cleaning?

    -Home care is crucial after a deep cleaning to maintain gum health and prevent the buildup of new bacteria. Regular brushing, flossing, and sometimes using a water flosser can help keep the gum pockets clean and promote healing.

  • What are some tips to keep in mind for maintaining oral health after a scaling and root planing procedure?

    -To maintain oral health, it's important to continue daily brushing and flossing, possibly using a water flosser, and to focus on keeping the gum pockets clean and free from bacteria to promote healing and overall mouth health.

  • Where can one find more information on oral health and teeth care?

    -For more information on oral health and teeth care, one can visit the website talkgirl.com or follow Teeth Talk Girl on Instagram at @teethtalkgirl.

Outlines
00:00
🦷 Understanding Deep Cleaning (Scaling and Root Planing)

This paragraph introduces the concept of deep cleaning, also known as scaling and root planing (SRP), which is a dental procedure for patients with deeper gum pockets. It explains that healthy gum pockets are typically between one and three millimeters, and deep cleanings are often necessary when pockets exceed five millimeters, indicating the presence of bacteria and tartar. The explanation includes a brief mention of the use of a perio probe, a ruler-like instrument used to measure the depth of gum pockets, and the importance of maintaining oral hygiene even after a deep cleaning procedure.

Mindmap
Keywords
💡Scaling and Root Planing (SRP)
Scaling and Root Planing (SRP) is a non-surgical periodontal therapy that involves deep cleaning of the teeth and gums to remove plaque and tartar. It is essential for patients with deeper gum pockets, which are pockets deeper than the healthy range of one to three millimeters. The procedure aims to treat and prevent periodontal disease by addressing the root cause, which is the accumulation of bacteria and tartar below the gumline. In the video, SRP is the central topic, explaining the process and its importance in maintaining oral health.
💡Gum Pockets
Gum pockets, also known as periodontal pockets, are the spaces between the teeth and the gumline. Healthy gum pockets are typically between one and three millimeters deep. When these pockets are deeper, it indicates the presence of periodontal disease, as bacteria and tartar can accumulate at greater depths, leading to inflammation and potential tooth loss. The video emphasizes the significance of monitoring gum pocket depths and the necessity of a deep cleaning like SRP when they exceed the healthy range.
💡Bacteria and Tartar
Bacteria and tartar are key contributors to periodontal disease. Bacteria are microorganisms that can accumulate on the teeth and gums, forming a sticky film called plaque. Over time, plaque can harden into tartar, which is a more challenging substance to remove and can only be effectively eliminated through professional dental cleaning like SRP. The video highlights the importance of removing bacteria and tartar, especially from deep gum pockets, to prevent further gum and tooth damage.
💡Perio Probe
A perio probe is a small, graduated instrument used by dental professionals to measure the depth of gum pockets. It is essential in diagnosing periodontal disease by determining the depth of the pockets and the extent of the tartar buildup. The video mentions the use of a perio probe to identify patients who require SRP due to having gum pockets deeper than the healthy range.
💡Ultrasonic Water Scaler
An ultrasonic water scaler is a dental instrument that combines high-pressure water and ultrasonic vibrations to remove plaque and tartar from both above and below the gumline. This tool is particularly useful in a deep cleaning procedure like SRP, as it can effectively clean hard-to-reach areas and break down stubborn tartar deposits. The video describes the use of an ultrasonic water scaler as part of the SRP process to thoroughly clean the teeth and gums.
💡Suction
Suction is a mechanism used in dental procedures to remove fluids, such as saliva and water, during treatment. In the context of SRP, suction helps keep the area dry and clear of excess fluids, allowing the dental professional to have a better view of the gum pockets and teeth while performing the deep cleaning. The video mentions the use of suction to contain the water and maintain a clear operating field.
💡Hand Instruments
Hand instruments refer to the manual dental tools used by dental professionals for various procedures, including scaling and root planing. These instruments are designed for different purposes, such as removing plaque, tartar, or smoothing the tooth surfaces. In the video, hand instruments are used in conjunction with the ultrasonic water scaler to ensure a thorough cleaning, especially in areas that may be difficult to reach with the ultrasonic device alone.
💡Subgingival Scaling
Subgingival scaling is the process of removing plaque and tartar from the surfaces of the teeth that are below the gumline. This is a critical part of the Scaling and Root Planing procedure, as it targets the areas where periodontal disease is most likely to occur. Subgingival scaling helps to reduce the bacterial load and tartar buildup that contribute to gum inflammation and tooth decay.
💡Explorer
An explorer is a dental instrument with a sharp tip and a bent handle, used for detecting changes in the tooth structure, such as cavities or areas where the tooth has been cleaned. After the SRP procedure, the dental professional may use an explorer to recheck the areas that were scaled to ensure that all tartar has been removed and no damage has been done to the teeth.
💡X-ray
Dental x-rays are a diagnostic tool used to provide a detailed view of the teeth, gums, and bone structure. They can help identify issues below the gumline that may not be visible during a regular examination. In the context of SRP, x-rays can be used to confirm that the deep cleaning has been thorough and that no tartar or bacteria remain below the gumline.
💡Home Care
Home care refers to the daily oral hygiene practices that individuals perform to maintain their dental health. This includes brushing and flossing, which help remove plaque and prevent the buildup of tartar. The video emphasizes the importance of consistent home care after an SRP procedure to keep the gums healthy, prevent the recurrence of periodontal disease, and ensure that the treated areas heal properly.
Highlights

Scaling and root planing (SRP) is often referred to as a deep cleaning due to its focus on patients with deeper gum pockets.

Healthy gum pockets typically range between one and three millimeters in depth.

Deep cleanings are usually necessary when gum pockets exceed five millimeters and contain bacteria and tartar.

A perio probe, a small ruler-like instrument, is used to measure the depth of gum pockets.

The process begins with numbing the patient using either topical gel or local anesthetic.

High pressurized water and ultrasonic vibrations are used to clean plaque and tartar from both above and below the gums.

Suction tools are used to contain the water and debris during the cleaning process.

Clinicians may alternate between ultrasonic and hand instruments to provide relief from continuous suction and noise.

Hand scaling produces a familiar noise, and it's used for cleaning when there are no deep gum pockets.

Sub gingival scaling is the process of removing tartar from beneath the gums, necessary for deep pockets.

After the cleaning, dental professionals will double-check their work using an explorer and sometimes floss to ensure no spots are missed.

X-rays may be taken to confirm that no tartar remains below the gum line.

Post deep cleaning, it's crucial to maintain a good home care routine, including daily brushing and flossing.

A water flosser can be beneficial in keeping gums healthy and free from new bacterial build-up.

The goal after a deep cleaning is to have a tarter-free, bacteria-free mouth where gums can heal and become healthy.

Maintaining pocket cleanliness is essential for healing and preventing future issues.

The video aims to educate viewers on the importance and process of deep cleaning for dental health.

Transcripts

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