Scaling and root planing, also known as subgingival scaling or deep periodontal treatment, are essential dental procedures for combating advanced gingivitis and periodontitis. After these treatments, follow-up care is essential to ensure proper healing, prevent infection, and maintain long-term oral health. This essay covers the most important guidelines for the postoperative period, expected symptoms, and best practices to ensure the effectiveness of the procedure.
What happens after the procedure
Scaling and root planing involves removing tartar (dental calculus) and plaque that accumulate below the gum line. The goal is to eliminate inflammation and smooth the surface of the tooth roots so that the gum tissue can reattach and reattach itself. Because the procedure targets sensitive and inflamed areas, it is normal for the patient to experience some discomfort after the appointment.
In the days following the scaling, symptoms such as tooth sensitivity to heat and cold, slight bleeding of the gums, swelling or discomfort in the gums, slight movement of the teeth (temporary); and bad breath (due to the healing process) may occur. These symptoms are considered normal and usually disappear within a few days, especially when post-operative care is followed correctly.
Immediate care after the procedure
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Controlling pain and swelling:
It is common for the dentist or periodontist to recommend the use of painkillers or anti-inflammatories (such as ibuprofen or paracetamol) to relieve discomfort. Applying cold compresses externally to the face, in the treated area, can help reduce swelling in the first 24 hours.
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Proper nutrition:
In the first 24 to 48 hours, it is recommended to consume soft and cold foods, such as yogurts, purees, cold soups, boiled eggs, and avoid hard, crunchy, or very hot foods, which can irritate the gums and delay healing. It is also important to avoid acidic, spicy, or very sugary foods.
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Careful oral hygiene:
Maintaining good oral hygiene is essential, even after such a delicate procedure. The ideal is to brush your teeth with a soft-bristled toothbrush and use gentle movements, avoiding damaging the treated areas. Flossing should continue, taking extra care not to hurt your gums. Your dentist may recommend an antibacterial mouthwash (such as one containing chlorhexidine) to help disinfect and heal your gums.
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Avoid tobacco and alcohol:
Smoking or drinking alcohol can seriously compromise gum healing and increase the risk of infection. Ideally, patients should avoid these habits for at least a week after the procedure – or, preferably, give them up altogether.
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Avoid intense physical exertion:
Strength exercises can increase blood circulation in the head and neck region, which can worsen bleeding or swelling of the gums. Therefore, relative rest is recommended for the first 24–48 hours after treatment.
Professional follow-up
Follow-up with a dentist or periodontist after scaling and root planing is essential. Typically, a follow-up appointment is scheduled in one to two weeks to assess healing, measure the depth of the gum pockets, and decide whether other complementary treatments are necessary.
In more severe cases, you may be advised to have periodic scaling every three to six months as part of a periodontal maintenance plan.
In conclusion
Aftercare after scaling and root planing is crucial to the success of periodontal treatment. Following your dentist’s instructions correctly, maintaining good oral hygiene, eating a proper diet, and avoiding harmful habits such as smoking are essential steps to promote gum healing and prevent the progression of periodontal disease. Oral health is an ongoing responsibility, and care after a procedure is the beginning of a new phase of prevention and maintenance. Contact us today for your appointment!