Scaling and root planing are important dental procedures aimed at eliminating gingivitis and preventing advanced periodontal disease. However, many people are apprehensive about these procedures, especially because of the expected pain. How painful are they really? This depends on several factors, from the severity of the disease to the individual sensitivity of the patient to the chosen treatment method.
What is scaling and root planing?
Scaling is a process in which a dental hygienist or dentist removes hard deposits (tartar) and bacterial plaque from the teeth, including the areas below the gum line. Root planing goes even deeper, smoothing the surface of the tooth roots, removing debris, and helping the gums to reattach firmly to the root. Both procedures are key in treating periodontitis (gum disease), which can lead to tooth loss.
Is scaling and root planing painful?
Whether you feel pain during the procedure depends on several factors:
- Depth of periodontal pockets – If the pockets (the space between the tooth and the gum) are deep and the inflammation is extensive, the procedure tends to be more uncomfortable. In such cases, local anesthesia is commonly used.
- Individual sensitivity – Each person has a different pain threshold. What is only mildly uncomfortable for one person may be significantly painful for another.
- Tooth sensitivity and exposed necks – Teeth that are already sensitive to hot, cold or sweet may react more painfully to the instruments during the treatment.
- Technique used – Modern ultrasonic devices can be gentler for some patients than classic hand instruments. They also reduce the time needed to complete the procedure.
Use of anesthesia
For deeper procedures or more significant discomfort, it is common to use local anesthesia. This temporarily “numbs” the area, completely eliminating pain during the procedure. The patient may feel pressure or vibrations, but not sharp pain. After the anesthesia wears off, mild soreness or tenderness may occur, but this usually only lasts 1-3 days.
What to expect after the procedure
After scaling and root planing, it is common for patients to experience:
- Sensitivity of the teeth to temperature, especially when eating or drinking.
- Mild bleeding – usually within the first day.
- Sore gums – more of an inconvenience than a sharp pain, resembling irritation.
These symptoms can be managed with common over-the-counter pain medications like ibuprofen and the use of a soft toothbrush. Rinsing the mouth with antiseptic solutions, which are prescribed by your dentist, also helps, reducing the risk of infection and promoting healing.
Tips to reduce pain and speed up healing
- Follow your doctor or hygienist's instructions.
- Increase oral hygiene, but use a soft toothbrush and gentle pressure.
- Avoid hot, acidic, and spicy foods for the first day after the procedure.
- Drink plenty of water
- Do not smoke or drink alcohol
- Consider using a toothpaste for sensitive teeth if sensitivity persists.
In conclusion
Scaling and root planing may not be painful. For most patients, the procedure is minimally uncomfortable, especially when performed by a professional and using local anesthesia. While it may be slightly uncomfortable, the benefits to your gum and tooth health are far greater. In addition, regular care and timely treatment help avoid more painful complications in the future, so please call us today, and we will do a thorough examination to determine your plan of care.