Can a General Dentist Do Scaling and Root Planing?

According to the CDC, nearly 47% of adults aged 30 and older show signs of gum disease—and that number only increases with age. One of the most effective ways to treat and manage gum disease is through a procedure called scaling and root planing. But here's the question many patients ask: can a general dentist do scaling and root planing? The short answer is yes, but there's more to it. Let's dive deeper.

What Is Scaling and Root Planing?

Scaling and root planing, often referred to as a "deep cleaning," is a non-surgical procedure designed to treat gum disease by removing plaque and tartar from below the gumline and smoothing the roots of the teeth. This helps the gums reattach to the teeth and halts the progression of periodontal disease.

The process involves:

• Tooth scaling: Removing plaque and calculus (tartar) from the tooth surface and beneath the gums.
• Root planing: Smoothing the root surfaces to discourage further buildup and help gum tissue heal.

Can a General Dentist Perform This Procedure?

Yes, a general dentist can perform scaling and root planing if the case is mild to moderate. Most general dentists are trained to handle early to moderate forms of periodontal disease. However, in severe or advanced cases, they may refer you to a periodontist—a specialist in gum disease treatment.

Here are scenarios where a general dentist might handle your treatment:

• If you have mild or moderate gingivitis or early-stage periodontitis
• If you need regular maintenance after previous periodontal therapy
• When the dentist has advanced training or uses modern dental technologies like laser-assisted scaling

 

Scaling and Root Planing vs. Regular Dental Cleaning

Many patients confuse deep cleaning with a routine dental cleaning. Here's a quick breakdown:

Category	Regular Dental Cleaning	Scaling and Root Planing
Purpose	Preventive Care	Treat Gum Disease
Depth	Above the Gumline	Below the Gumline
Frequency	Every 6 months	As needed for treatment
Anesthesia	Rarely used	Often requires numbing

How Long Does Scaling and Root Planing Take?

The procedure is typically completed in one or two visits, depending on the severity of the condition and the number of quadrants needing treatment. Each session might last 45 minutes to 1 hour.

Does Scaling and Root Planing Hurt?

Most patients report mild discomfort rather than pain. Dentists often use local anesthesia to numb the area being treated, and post-procedure soreness usually resolves in a few days. Over-the-counter pain relievers can help manage any tenderness.

Scaling and Root Planing Cost and Insurance Coverage

The cost of dental scaling and root planing can vary depending on your location, the number of teeth treated, and whether you have dental insurance. On average:

• With insurance: $100 - $300 per quadrant
• Without insurance: $200 - $450 per quadrant

Many insurance plans cover this procedure when deemed medically necessary, especially if it helps prevent bone loss and further gum deterioration.

Healing and Aftercare Tips

After your deep cleaning, it’s essential to follow proper oral hygiene to ensure lasting results. Here’s how you can take care of your gums post-procedure:

• Use a soft-bristled toothbrush and brush gently
• Floss daily to remove debris between teeth
• Avoid smoking, which slows down healing
• Rinse with a dentist-recommended antibacterial mouthwash
• Schedule follow-up cleanings as advised

When to See a Periodontist Instead?

If your gum disease has progressed to the point where you’re experiencing:

• Deep periodontal pockets
• Severe bone loss
• Loose teeth
• Receding gum tissues

... then a referral to a periodontist may be the best route. However, many general dentists work collaboratively with specialists to provide comprehensive care.

A Healthier Smile Starts with the Right Care

If you suspect gum disease or have been advised to get a deep cleaning, don't wait. Addressing periodontal issues early can save your teeth and preserve your oral health.

At Kokua Smiles, our friendly and experienced team offers professional scaling and root planing services to help treat and prevent gum disease before it leads to more serious problems. We combine personalized care with the latest dental technology for results you can trust.

Ready to take the next step toward healthier gums? Schedule your deep cleaning at Kokua Smiles today.