Dr. Vikrant Kundu

BDS (Hons)
MDS ( Orthodontics )
CAIC ( Implantology Korea )
ADIC ( Implantology Israel )
CHIEF MENTOR, Mirell International

Scaling and Gum Surgery

Gum Disease is a very serious dental problem and if not taken care off can lead to loss of teeth. At our Multispecialty Shine Dental Clinic (Dwarka) our specialist closely examine the dental problem caused due to Gum Disease and treat it accordingly.


Dentists recommend the procedure of deep cleaning of teeth, also called teeth scaling and root planing, for removal of plaque deposited at the gum pocket. For the process, an instrument called an ultrasonic cleaner is used. The procedure of the scaling involves taking off the tartar for smooth appearance and averting

dental complications.

According to Leading Dental Association, gum tissues remain healthy when the shallow groove is limited to 3 millimeters within teeth and gums. If the grove deepens beyond this limit, there is a risk of periodontal disease affecting gum pockets. In the periodontal disease, gum pockets amass more plaque than usual, which is impossible to remove during regular brushing of teeth.

Procedure of Teeth Scaling

Scaling of teeth is usually done for specific part of mouth, as mouth needs to be numb for carrying out the procedure. In the procedure, dentists make use of several ultrasonic scalers and hand tools for scaling. These advanced instruments are integrated with a dull vibrating tip for removing calculus besides a water jet that wash off plaque along with debris. In order to get rid of remaining deposits, ultrasonic cleaning is done in tandem with hand instruments. Thereafter, dentist makes use of other set of dental instruments to plane the root for smoothness.

What would happen if Scaling is not done on time?

Periodontal disease is among most prominent infections associated with deposition of plaque around gum pockets. Plaque is a deposition of bacteria and pieces of foodstuffs, which eventually leads to gum inflammation. If the condition is ignored for long, stage of advanced Periodontitis become inevitable when plaque reaches roots of the teeth. It could also result in loosening of teeth.

Gum Disease

Gum Disease Risk Factors

The main cause of periodontal (gum) disease is plaque, but other factors affect the health of your gums.


Studies indicate that older people have the highest rates of periodontal disease.

Smoking/Tobacco Use

Tobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems. Tobacco users also are at increased risk for periodontal disease. Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease.


Stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems. Stress also is a risk factor for periodontal disease. Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal diseases.


Some drugs, such as oral contraceptives, anti-depressants, and certain heart medicines, can affect your oral health. Just as you notify your pharmacist and other health care providers of all medicines you are taking and any changes in your overall health, you should also inform your dental care provider.

Clenching or Grinding your Teeth

Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which these periodontal tissues are destroyed.

Other Systemic Diseases

Other systemic diseases that interfere with the body's innflammatory system may worsen the condition of the gums. These include cardiovascular disease, diabetes, and rheumatoid arthritis.

Gum Disease - Treatment

Early treatment of gum disease is very important. The goals of treatment are to prevent gum disease from permanently damaging tissues, control infection, and prevent tooth loss. For treatment to be effective, you will need to:

  • Keep your teeth clean by brushing two times a day and flossing one time a day.
  • See your dentist regularly for checkups and cleanings.
  • Avoid all tobacco use. Tobacco decreases your ability to fight infection, interferes with healing, and makes you more likely to have serious gum disease that results in tooth loss.

Your dentist will want to see you for regular checkups and cleanings. Professional cleaning can remove plaque and tartar that brushing and flossing missed. After you have had gum disease, you may need to see your dentist every 3 or 4 months for follow-up.

Your dentist may prescribe antibiotics to help fight the infection. They can be put directly on the gums, swallowed as pills or capsules, or swished around your teeth as mouthwash. Your dentist may also recommend an antibacterial toothpaste that reduces plaque and gingivitis when used regularly.

Treatment for advanced gum disease

Milder types of gum disease (gingivitis) that are not treated promptly or that do not respond to treatment can progress to advanced gum disease (Periodontitis). Periodontitis requires prompt treatment to get rid of the infection and stop damage to the teeth and gums, followed by long-term care to maintain the health of your mouth.

  • Your dentist or dental hygienist will remove the plaque and tartar both above and below your gum line. This procedure, called root planning and scaling, makes it harder for plaque to stick to the teeth.
  • Your dentist may give you antibiotics to kill bacteria and stop the infection. They may be put directly on the gums, swallowed as pills or capsules, or inserted into the pockets in your gums.
  • You may need surgery if these treatments don't control the infection or if you already have severe damage to your gums or teeth. Surgery options may include:
  • Gingivectomy, which removes and reshapes loose, diseased gum tissue to get rid of the pockets between the teeth and gums where plaque can build up.
  • A flap procedure, which cleans the roots of a tooth and repairs bone damage.
  • Extraction, to remove loose or severely damaged teeth.
  • After surgery, you may need to take antibiotics or other medicines to aid healing and prevent infection.

After treatment, you will need to keep your mouth disease-free by preventing plaque buildup. You will need to brush carefully and thoroughly after all meals and snacks and floss daily. Your dentist will probably prescribe an antibacterial mouthwash.

Your dentist will schedule follow-up appointments regularly for cleaning and to make sure that the disease has not returned.

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146 First Floor
Vardhman Plaza
(opp. Sai Temple)
Ashirwad Chowk, Sector-4, Dwarka
New Delhi: 110078

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