Procedures To Help Stop the Progress of Periodontal
Disease & Further Health Issues

Read below to learn more about our Scaling & Root Planing Procedures here in Wilkes-Barre…
Scaling and Root Planing

Periodontal disease occurs when bacteria that live below the gum line produce toxins which cause our bodies to destroy the bone that supports the teeth. Though there is no cure for periodontal disease, early detection and timely treatment can stop progression of the disease and help prevent bone and tooth loss, and further health issues.

Bacteria resides in the plaque that accumulates in the mouth. When plaque is not removed properly, it can solidify into difficult to remove calculus, or tartar. Bacteria often affects the gums by causing the tissues to pull away from the teeth, creating periodontal pockets. When periodontal disease is left untreated, it can cause irreversible bone and tooth loss.

Scaling and root planing is a nonsurgical periodontal treatment that can be recommended when periodontal disease is diagnosed. Gingivitis is the first stage of gum disease, affects only the gum tissues, and is completely reversible if detected and treated early. When left untreated, it can progress into the deeper tissues and potentially cause bone and tooth loss. Patients who have gingivitis or more advanced stages of periodontal disease often experience bleeding and sore gums when brushing, flossing, and eating.

Here are some examples of the Scaling & Root Planing Procedures performed by
Dr. Fred Bonacci


Scaling and root planing treatments include a local anesthetic to numb the areas that will be treated. The doctor may suggest a form of sedation, if necessary. The treatment often requires hand instruments and an ultrasonic tool to remove the plaque and calculus accumulation. The doctor or dental hygienist will use the instruments below the gum line to clean the roots of your teeth and smooth any rough surfaces. The goal of the deep cleaning process is to clear away plaque and tartar as well as smooth the surfaces of the teeth to encourage the gum tissues to reattach to the teeth.

It is very important for scaling and root planing treatment patients to maintain their oral health and cleanliness after the procedure. Home maintenance is a major part of the healing process. The mouth needs to be free of food, debris, and plaque in order to keep the bacteria from causing further destruction. Frequent brushing and flossing will be required to ensure that the mouth is clean at all times. It is recommended to discontinue the use of tobacco products. This will aid in healing and reduce the risk of infection.

It is important for patients to be in good health and not had any major surgery before receiving a scaling and root planing treatment. The doctor will ask you about your medical history and discuss sedation options. After treatment, the doctor may recommend an antimicrobial oral rinse to rid your mouth of bacteria and reduce the risk of infection.

Scaling and root planing is the most effective in the early stages of gum disease and can help to reduce periodontal pocket depths up to two or three millimeters on average.

Would you like to discuss your options regarding a Scaling & Root Planing
procedure? Call us today to schedule a consult with Dr. Bonacci!
Schedule a Consultation