Teeth Cleanings

What Is a Root Planing?

What is a root planing? f you have gum disease, you have calculus and tartar below the gum line, and that means you’ve not had a dental cleaning frequently enough. The tartar that’s building up above the gum line is slowly creeping down past the gum line. So, the gum doesn’t quite attach to the tooth directly.

by Dr. Burhenne

Video transcript:

Hi, Dr. Mark Burhenne here of AsktheDentist.com. I remember back in dental school when someone said, “We’re going to clean below your gums,” and I said, “No, you’re not.” And of course, it’s important to do that, and I’ll explain why in this video.

A lot of people have questions about root planing. What is a root planing? In dentistry, it’s called SRP: scale and root planing.

If you have gum disease, you have calculus and tartar below the gum line, and that means you’ve not had a [dental] cleaning frequently enough. The tartar that’s building up above the gum line is slowly creeping down past the gum line.

So, the gum doesn’t quite attach to the tooth directly. It attaches below the point that you see in the mouth. And, hence, there is a little moat or a little crevice around each tooth.

The tartar that builds up above the gum line starts creeping down, crystallizing under the tooth surface, and that needs to be removed. And that, technically, is called a root planing. You’re planing the root with an instrument. The hygienist will do it.

So if your dentist tells you that you need a root planing, you’re getting your roots planed, cleaned, scraped, and disinfected. And it’s an important procedure. It’s expensive because it takes longer. You may need anesthesia to have that accomplished, but it needs to be done.

If you don’t get it done, then you’re going to have all sorts of problems like heart disease, infections in the blood. Your inflammatory index, it’s called CRP, or your inflammatory index will rise and stay high and cause other parts of your body to become inflamed. And, of course, that’s not a good thing.

So, when your dentist says root planing, ask him about it. Ask how deep your pockets are. Typically, pockets get deeper with root planings past 3 mm. If you have 4 or 5mm pockets, then you will have to go beyond that normal depth and get the roots cleaned.

So, ask your dentist and get it done.

Dr. Mark Burhenne

Any other questions about root planings? Ask in the comments below. I read each and every one.

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Dr. Mark Burhenne DDS

5 Comments

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  1. I go to the dentist regularly because I have diabetes. I also have periodontal disease and have been recommended to go to a Periodontis. I am currently have planning and scaling done. for some reason one of my back teeth hurts with escruciating pain whenever I chew down on it. It is a molar that was in front of a wisdom tooth I had pulled years ago. Could this pain be part of my periodontal disease?

  2. Hi! I was just told today I need to have a deep cleaning because my numbers are 4&5 for my teeth. I am terrified and very scared!!!! I am 24 and haven’t been to the dentist since 1st grade. I know that terrible!! But am trying to get on better track now! I brush a lot and have always tried to take good care of my teeth at home. I am very scared that I’m going to bleed a lot because my teeth are not straight and my mouth is sensitive! Do you think that might happen to me? Also I just want to have a shot and not be put all the way out!! My dentist said for me to come do this four times instead of 2 to help with axienty. Any advice would be great!! Thank you!!

  3. My dentist wants to do a planing. They also want to apply local antibiotics. I don’t have insurance, and the antibiotic seems to be the most expensive part. Why can’t I take an oral antibiotic?

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