Scaling is the process by which plaque and other deposits are removed from the tooth surface, both above and below the gum margin. The primary aim of scaling is to restore the gingival health by completely removing from the tooth surface elements that provoke inflammation and further destruction of the gum. Scaling is normally done without any anesthesia but if there is pain or discomfort local anesthesia can be applied over the area of proposed treatment.

 

Scaling can be done in two ways:

 

Scaling using special hand instruments, which are designed for the purpose.

 

Ultra sonic hand scaling equipment which uses which use vibratory forces to dislodge the hard deposits and stains present on the tooth surface.
 

The ultra sonic method of scaling is more commonly used among the two. For patients with mild deposits on the tooth surface, a single appointment is usually enough. But for patients with thick, tenacious deposits and stains more than two appointments may be required to perform scaling on all the teeth present.

 
Deposits on the root of the tooth, makes the root surface rough and irregular, which latter become the breeding grounds for bacteria. The procedure, which smoothens the root surface, is known a root planning and is usually carried out with scaling.

Following scaling and root planning the patient may experience mild pain or sensitivity for a day or two, which can be controlled by taking some pain relievers. 

A commitment to maintaining good dental health is essential to the successful treatment of periodontal disease. The outcome of this treatment is very much dependent on how well the patient maintains a regular schedule of brushing and flossing