Deep Cleaning: Scaling and Root Planing

Anthony Costella, DDS | Rosemarie Goldstein, DDS

After Your Deep Cleaning • Scaling & Root Planing

Deep cleaning removes plaque and hardened deposits from below the gums to treat periodontal disease. It helps inflamed gums heal and reduces the risk of further damage to the tissues and bone supporting your teeth.

  1. What to expect

    Mild gum soreness, tenderness and slight oozing or pink saliva may occur during the first 24-48 hours and should gradually improve. Teeth may feel sensitive, especially to cold drinks. Sensitivity can last a week or longer; call if it is severe, worsening or not improving.

  2. Sensitivity & exposed roots

    As swelling settles and deposits are removed, more root surface or spaces between teeth may become noticeable. Exposed roots can be sensitive. Use a fluoride toothpaste for sensitive teeth as directed. Choose lukewarm drinks and avoid very cold, hot, acidic or sugary foods if they trigger discomfort.

  3. Eating & numbness

    If local anesthetic was used, wait until numbness wears off before chewing. Avoid hot food and drinks while numb, and take care not to bite your lip, cheek or tongue. Choose soft foods while gums are tender, drink water and return to usual foods as comfortable.

  4. Excellent daily home care

    Brush gently twice daily with a soft toothbrush and fluoride toothpaste. Clean between teeth daily with floss or the interdental brushes recommended by your dental team. Mild bleeding is not a reason to stop gentle cleaning. If medicine was placed under the gums, follow your dentist’s special cleaning instructions.

  5. Salt water & mouthwash

    For comfort, gently rinse with 1 teaspoon of salt dissolved in a tall glass (about 12-16 oz) of warm water, two or three times daily for a few days. Spit out; do not swallow.

    If your dentist approves, you may use Listerine or another mouthwash of your preference as labeled; an alcohol-free option may be more comfortable. Stop if it burns or irritates. If a prescription rinse was provided, follow that plan instead. Rinses support, but do not replace, brushing and cleaning between teeth.

  6. Medication & healing

    Continue medicines and any prescribed pain relief, antibiotics or mouth rinse exactly as directed. Do not exceed recommended doses. For a rash or hives, stop the suspected medicine and call promptly. Avoid smoking or vaping to support gum healing. Allow time for recovery and complete all recommended treatment visits.

  7. Protect your results

    After deep cleaning, you will need ongoing periodontal maintenance, often every 3-4 months or as recommended for your gum condition. These visits remove new deposits, monitor pockets and help prevent further gum and bone damage. They are different from routine preventive cleanings. Keep your healing recheck so we can assess the gums, remeasure pockets and decide whether more treatment is needed.

Care guidance: American Dental Association (MouthHealthy); American Academy of Periodontology.

Your dentist’s individualized instructions take priority. Keep this guide handy during recovery.

FAQ

What to expect
Mild gum soreness, tenderness and slight oozing or pink saliva may occur during the first 24-48 hours and should gradually improve. Teeth may feel sensitive, especially to cold drinks. Sensitivity can last a week or longer; call if it is severe, worsening or not improving.
Sensitivity & exposed roots
As swelling settles and deposits are removed, more root surface or spaces between teeth may become noticeable. Exposed roots can be sensitive. Use a fluoride toothpaste for sensitive teeth as directed. Choose lukewarm drinks and avoid very cold, hot, acidic or sugary foods if they trigger discomfort.
Eating & numbness
If local anesthetic was used, wait until numbness wears off before chewing. Avoid hot food and drinks while numb, and take care not to bite your lip, cheek or tongue. Choose soft foods while gums are tender, drink water and return to usual foods as comfortable.
QUESTIONS OR CONCERNS? PLEASE CALL THE OFFICE
Call for heavy or persistent bleeding, fever of 100.4°F or higher, unusual lethargy, pus, foul odor or taste, increasing swelling, severe or worsening pain or sensitivity, or a medication reaction. Call with any concern.