Closeup of a scaling and polishing procedure performed by two dentists.

Scaling and Root Planing in Frederick, MD

Quick Highlights Deep cleaning below the gum line to remove plaque and calculus Smooths tooth roots to help gums reattach and heal Effective for gingivitis through moderate periodontitis Gentle, comfortable treatment with local anesthesia Often combined with advanced therapies (PRF, LANAP) for enhanced results Prevents gum recession, bone loss, and future surgery   What Is Scaling and Root Planing? Scaling and root planing is a deep dental cleaning that treats gum disease by removing plaque and tartar from below the gum line and smoothing the tooth roots. This non-surgical procedure helps reduce gum inflammation, stops infection from spreading, and encourages the gums to heal and reattach to the teeth. Scaling and root planing is often the first step in reversing early to moderate periodontal disease, helping many patients avoid more invasive surgery later. When Is Scaling and Root Planing Needed? Scaling and root planing is needed when gum pockets are 4 mm or deeper and regular cleanings can’t reach harmful buildup. It’s a key treatment for preventing gum disease from causing permanent damage. You may need this deep cleaning if: You have gingivitis or early signs of periodontal disease You’ve been diagnosed with moderate to severe periodontitis, where bacteria begin breaking down bone and gum tissue You notice persistent plaque, tartar, or gum inflammation even with daily brushing and flossing What Happens During the Procedure? Scaling and root planing is a deep cleaning performed under the gums to treat periodontal disease. It’s typically done in one or two visits, depending on severity. Here’s what to expect step-by-step: 1. Exam and Diagnosis We start by examining your gums and taking X-rays. This includes: Measuring pocket depth (4 mm or deeper indicates concern) Evaluating bone loss, gum health, and tooth mobility This step helps determine the number of areas that need treatment. 2. Scaling: Removing Plaque and Tartar We use ultrasonic scalers and hand tools to gently remove: Plaque, tartar, and bacteria beneath the gumline Buildup in deep gum pockets that regular cleanings can’t reach This reduces the source of inflammation and infection. 3. Root Planing: Smoothing Tooth Roots Next, we smooth the root surfaces to: Make it harder for bacteria to return Encourage gum tissue to heal and reattach to teeth Reduce pocket depth and stabilize your teeth 4. Antibacterial Therapy (If Needed) For moderate to advanced cases, we may apply: Antibacterial rinses or Localized antibiotics, such as Arestin®, directly into pockets These help speed healing and reduce future infection. 5. Home Care and Maintenance After your visit, we’ll give you tips to heal faster, including: Using a soft toothbrush and avoiding hard foods Returning for regular maintenance cleanings every 3–4 months  Consistent home care helps prevent disease from returning. Benefits of Scaling and Root Planing Scaling and root planing help stop gum disease and protect your oral and overall health. It’s one of the most effective non-surgical treatments for reversing early-stage periodontal problems. Here are the key benefits: Reduces gum inflammation and bleeding by removing the bacteria that cause infection Stops harmful bacteria from spreading to the bone, bloodstream, and other areas of the body Slows or reverses bone loss, helping preserve natural teeth and avoid extractions Improves breath and reduces stains by removing hidden plaque and tartar buildup According to ADA and clinical sources, early periodontal therapy like this not only treats gum disease but can reduce systemic health risks as well. Boost Healing with Advanced Therapies Scaling and root planing is a powerful first step, but sometimes, your gums need a little extra help to fully heal. That’s where advanced therapies come in. We often pair your deep cleaning with one or more of the following to improve healing and long-term results: Platelet-Rich Fibrin (PRF): This uses your own blood to create a concentrated healing serum. It’s completely natural and helps your tissue recover faster with less inflammation. LANAP® laser treatment: If your gum pockets are deeper or more stubborn, we may use a gentle dental laser to disinfect the area and encourage your gums to regenerate. Antibacterial rinses or local antibiotics: In some cases, we’ll place medication directly into deeper pockets to eliminate bacteria and keep things clean as you heal. Ongoing maintenance or surgery, if needed: For more advanced gum disease, we might recommend a minor surgical procedure or regular maintenance visits to prevent it from coming back. What If Left Untreated? When gum disease isn’t treated early, it  doesn’t go away on its own. It gets worse. Without a deep cleaning like scaling and root planing, bacteria stay trapped below your gums. Over time, they break down the bone and tissues that hold your teeth in place. Here’s what can happen if treatment is delayed: Bone and gum attachment starts to break down, often without any pain at first Gums begin to recede, exposing sensitive tooth roots and affecting your smile Teeth may loosen or shift, and eventually may need to be removed Advanced cases often require gum surgery or even dental implants to restore what was lost The earlier you treat gum disease, the more of your natural smile you can save, and scaling and root planing is one of the best tools we have to do that. Why Choose Our Frederick, MD Practice? When it comes to your gum health, experience and comfort matter. At our Frederick office, you’re in expert hands from start to finish. Here’s why so many patients in Frederick, Urbana, Middletown, and nearby communities choose us for scaling and root planing: Your care is led by Dr. Melanie Towe, a board-certified periodontist with advanced training in gum and implant therapy We personalize every treatment plan to fit your needs, not a one-size-fits-all approach Our modern, welcoming office is designed to keep you comfortable throughout your visit You’ll find complete care here, from deep cleanings to laser treatment to dental implants (no need to bounce between providers) Whether you’re catching gum disease early or coming in with more advanced symptoms, we’re here to help you get back to a healthier,

Have you ever felt self conscious about your smile? There is a solution!

Have you ever felt self conscious about your smile? There is a solution! Our wonderful patient here presented with generalized recurrent caries, non-restorable terminal dentition. With digital planning we are able to give the patient brand new teeth in just one day, predictably restoring function and esthetics. Thanks for allowing us to be part of your transformative journey! Pterygoid implants Noris Medical Pteryfits Alveolar implants Neodent GM Helix @norismedical_usa @eileennorismedical @neodent_maryland_dc @paige_neodentmidatlantic @neodent.us Wonderful collaboration with Dr. Stephen-Hassard #advancedimplantsandperiodontics #happypatient #allonx #allon4 #allonfour #dentalimplants #beforeandafter #digitaldentistry #digitaldentist #digitaldental #dentallab #dentist #dentistry #dental #smile #bestdentist #smile #lifechanging #oralsurgery #implantdentistry #surgeon #surgery #allon6 #fullarch #dream #happiness  #dentalimplants #3Dfacialscanner #instarisa We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD  

Great day for delivery of final prosthesis!

It is always a great day for delivery of final prosthesis. Patient presented with non restorable terminal dentition. With digital planning we are able to give the patient brand new teeth on the day of surgery, predictably restoring function and esthetics. Final prosthesis is a CAD-/CAM-milled monolithic zirconia structures that passively connect over implants, demonstrating extremely high long term survival and success rates in the present studies. Thanks for allowing us to be part of your transformative journey! Pterygoid implants Noris Medical @norismedical_usa @eileennorismedical Alveolar implants Neodent GM Helix @neodent_maryland_dc @paige_neodentmidatlantic @neodent.us Wonderful collaboration with Dr. Chiyo Alie! #advancedimplantsandperiodontics #happypatient #allonx #allon4 #allonfour #dentalimplants #beforeandafter #digitaldentistry #digitaldentist #digitaldental #dentallab #dentist #dentistry #dental #smile #bestdentist #smile #lifechanging #oralsurgery #implantdentistry #surgeon #surgery #allon6 #fullarch #dream #happiness  #dentalimplants #3Dfacialscanner We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD  

Study club!

Advanced Implants & Periodontics was happy to host our first study club meeting of 2024. We welcomed Dr. Daniel Greenbaum as our speaker. Dr. Greenbaum spoke about harnessing the potential of prefabricated abutments over custom abutments in single-unit dental implant restorations. The lecture shared the latest concepts and techniques for successfully restoring single-unit dental implants. Dr. Greenbaum is a dynamic speaker who provided both an informative and interactive lecture. We want to thank our referring doctors for attending the meeting and their continued support. Special thanks to Neodent for sponsoring the event! Looking forward to our next meeting on May 16th! #advancedimplantsandperiodontics #dentalimplants #digitaldentistry #digitaldentist #digitaldentl #dentist #dentistry #dental #bestdentist #smile #implantdentistry #3dprinting #implantideaguy#studyclub #learningeveryday #knowledgeispower #lecture #education @neodent_maryland_dc @paige_neodentmidatlantic @neodent.us We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD    

Delivery of final prosthesis

Delivery of final prosthesis. Patient presented with non restorable terminal dentition. With digital planning we are able to give the patient brand new teeth in on the day of surgery, predictably restoring function and esthetics. Thanks for allowing us to be part of your transformative journey! Pterygoid implants Noris Medical @norismedical_usa @eileennorismedical Alveolar implants Neodent GM Helix @neodent_maryland_dc @paige_neodentmidatlantic @neodent.us  #advancedimplantsandperiodontics #happypatient #allonx #allon4 #allonfour #dentalimplants #beforeandafter #digitaldentistry #digitaldentist #digitaldental #dentallab #dentist #dentistry #dental #smile #bestdentist #smile #lifechanging #oralsurgery #implantdentistry #surgeon #surgery #allon6 #fullarch #dream #happiness  #dentalimplants #3Dfacialscanner We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD

Happy Dental Hygienist Week!!!

Wishing our amazing hygienist, Becca, a very happy Dental hygienist’s week!!! Thank you for all that you do for our patients and our team. We appreciate you so much!!! 🦷#dentalhygienist #thankyou #weappreciateyou #teamworkmakesthedreamwork # #appreciationpost #teammates We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD

Thank you for brightening our day with your kindness!

We recently had a patient show our practice immense generosity by supplying Dr. Choi and her team with bottles of wine as a token of appreciation. It makes us so happy to know she had such a great experience at our office. Thank you for brightening our day with your kindness! #thankyou #happypatient #wine #patientcare #bestteamever❤️ #weloveourjob #grateful #aboveandbeyond We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD

3DBioCad Training

Had a wonderful opportunity to travel to Seattle for a Hands-on Workshop hosted by 3DBioCAD for Staining and Glazing on Zirconia. The workshop provided techniques to achieve life-like surface texture and contour for zirconia prostheses. Special thanks to Charles & Harry @3dbiocad for their warm hospitality. We enjoyed touring their facility and meeting their talented team! #advancedimplantsandperiodontics #allonx #allon4 #allonfour #dentalimplants #digitaldentistry #digitaldentist #digitaldental #dentallab #dentist #dentistry #dental #smile #bestdentist #smile #allon6 #fullarch #dream #happiness  #dentalimplants #3Dfacialscanner #milling We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD

Terminal dentition

Terminal dentition. Our wonderful patient suffers from chronic bruxism, resulting in severe attrition, broken teeth and loss of vertical dimension of occlusion. Preoperative CBCT reveals adequate bone in Bedrossian zones 1 and 2, as well as dense pterygomaxillary complex in zone 4. Planned for a standard PFAST. Following the PATZI protocol, pterygoid implants Noris Pteryfit are first placed with 60+Ncm torque bilaterally. Moving anteriorly, implants are angled toward the nasal crest of the maxilla, again with 60+Ncm torque bilaterally. Strong tilted implants 60-70 Ncm torque. Maxillary CTV over 360Ncm. Using the micronmapper and Instarisa face scan, we were able to provide 3D facially driven restorations. Prosthesis printed using Einstein 3D printer. Upper arch delivered same day with little to no adjustment on occlusion. We were able to increase and restore his vertical dimension of occlusion immediately. Pterygoid implants Noris Medical  Alveolar implants Neodent GM Helix #advancedimplantsandperiodontics #happypatient #allonx #allon4 #allonfour #dentalimplants #beforeandafter #digitaldentistry #digitaldentist #digitaldental #dentallab #dentist #dentistry #dental #smile #bestdentist #smile #lifechanging #oralsurgery #implantdentistry #surgeon #surgery #allon6 #fullarch #dream #happiness  #dentalimplants #3Dfacialscanner We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD IMG_0 (4) Media2 Media1

Happy Dental Assistant’s Week!!

We are so lucky to have the BEST team of Dental Assistants! Your kindness, expertise, and constant smiles make our days brighter. We appreciate you all so much!! We are happy to celebrate with coffee for breakfast, CAVA for lunch, and a goodie bag of sweet treats for dessert! #dentalassistant #thankyou #weappreciateyou #teamworkmakesthedreamwork #dentalassistantweek #appreciationpost #teammates We deliver and maintain beautiful, healthy smile. 240-651-5478 https://www.Frederickimplant.com 6550 Mercantile Dr E #201, Frederick, MD

National Children’s Month

February is National Children’s Dental Health Month! Dr. Lisa Shoff had the privilege of volunteering at the “Give Kids A Smile Dental Clinic” sponsored by the Frederick County Dental Society. Dr. Shoff serves as a Delegate for the Frederick County Dental Society.  The clinic offered free dental screenings, fluoride varnish, and oral health education to parents and children. We are happy to take part in serving the Frederick community!

Had a fantastic weekend in Nashville at the Neodent Zygoma implant launch event

Had a fantastic weekend in Nashville at the Neodent Zygoma implant launch event hosted by The Straumann Group. A wonderful opportunity to learn and share with the best of the best in the field of implantology. Fantastic presentations by Drs. Simon Oh, Juan Gonzalez and Vishtab Broumand. Michel AzerJoe Camarata Adam Hogan David Zelig Sewon Oh Juan Gonzalez Kyle Perkins Allie Hogan Tyler Rushing Vishy Broumand Michael Graham @surgicalsuites @theatlanticimplantinstitute @neodent_maryland_dc @paige_neodentmidatlantic @neodent.us We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD Juan Gonzalez Kyle Perkins Allie Hogan Tyler Rushing Vishy Broumand Michael Graham @surgicalsuites @theatlanticimplantinstitute @neodent_maryland_dc @paige_neodentmidatlantic @neodent.us We deliver and maintain beautiful, healthy smile. 📞240-651-5478 💻 https://www.Frederickimplant.com 📍6550 Mercantile Dr E #201, Frederick, MD