
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,