However, the surface texture and surface mechanical properties can be affected by the type of instrument. A variety of hand instruments and sonic and ultrasonic scalers are used for scaling and root planing. Therefore, scaling and root planing is considered as the first line of treatment for the management of periodontal treatment targeting to prepare health and smooth root surface for the attachment of delicate healing gingival tissues. In general, a significant reduction in the probing depth can be expected. There is a variable tissues response to nonsurgical treatments that are affected by various clinical factors such as severity of disease. Although scaling and root planing is a very demanding technique, its role in controlling the gingival inflammation and bleeding index is well-accepted. The root planing deals with removal of infected root cementum and dentin and preparing the root surfaces for reattachment of periodontal tissues. The scaling procedure involves eradication of plaque, calculus, and stains from the tooth crown and root surface. Noninvasive periodontal treatment procedures including scaling, root planing, and oral hygiene maintenance are widely practiced by dentists and dental hygienists to manage the periodontal conditions.
A variety of treatment modalities such as conventional nonsurgical procedures (scaling-root planning), gingival curettage, laser therapy, and regenerative approaches can be indicated.Īccording to the American Academy of Periodontology, the health of periodontal tissue should be maintained using the least invasive approaches. The successful management is based on controlling the bacterial plaque and restricting of further progression of the disease. Timely and vigilant management of periodontal conditions is necessary to prevent the tooth loss due to irreversible bone destruction. Periodontitis is one of the common oral diseases that lead to the destruction of bone tissues and tooth loss. A majority of people suffer from gingivitis in response to bacterial plaque and progressing to periodontitis. There is a high prevalence of periodontal diseases among the populations of developed as well as developing countries.
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