Do I Really Need a Deep Cleaning?

A deep cleaning at the dentist is not what most people expect. 


Your typical bi-annual teeth cleaning involves:

  • Scraping for plaque.

  • Using a high-powered toothbrush.

  • Flossing in areas you might not be able to reach properly.


It's thorough, but your dentist might suggest taking it one step further. 

The goal of a deep cleaning versus a routine cleaning is to kill existing bacteria buildup that is deep into the gums, which causes Periodontal disease. Your regular cleaning prevents gum diseases, but a deep cleaning is going to treat it aggressively.

Is there a way to tell if you need this deeper teeth cleaning? Let's find out.




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Scaling and Root Planing



Technically, if your dentist recommends a deep cleaning, they're actually going to schedule you for "periodontal scaling and root planing." That's the official term for this procedure. 


When a dentist provides deep cleaning for your teeth, they actually need to clean underneath your gums. That's because, at this point, your gums are at risk of gum disease (or you already have it). 


The root planing aspect involves smoothing of the root surfaces. The scaling is when we remove the built-up, hard tartar on and around your teeth and gums. When the roots are smooth, it is difficult for bacteria, plaque and tartar to re-adhere.

If this sounds intense, don't worry— a local anesthetic will numb the area, so you don't feel a thing! 


This type of cleaning may also take two separate appointments (one side treated per appointment).

 



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The Importance of Deep Cleanings For Your Teeth


The reason why a deep cleaning with your dentist is necessary is because you likely have been diagnosed with Periodontal (Gum) Disease. Periodontal disease is "an infection of the tissues that hold your teeth in place.”


If you don't keep up with your daily oral hygiene routine, or you haven't been to the dentist in a while, you're a prime candidate for this procedure.


So what happens if you don't treat it? 

To be clear, you cannot reverse the effects of gum disease at home. Even if you jump back into a good tooth brushing routine and get a dental cleaning, you will need a scaling and root planing procedure to start with a clean slate. 

If not, you could face:


  1. Bone loss

  2. Loose teeth 

  3. Tooth loss

  4. Receding gums

  5. Red, inflamed gums


Some signs that indicate you may need a rigorous cleaning are bad breath, continuously bleeding gums, and on-going tooth sensitivity.

Does My Insurance Cover It?



Your insurance will have this service listed as a periodontal scaling and root planing treatment, which they don't consider preventative dental care. It is considered a service for disease treatment, so it may cost you more out of pocket money. Your regular cleaning is considered preventative, so your dental insurance plan usually covers all of it or most of it.



You'll need to look at your individual dental insurance plan to see what it covers. Most insurers pay for at least some of the costs.  If you are still not sure, call your dental office before scheduling your appointment and they usually have all the answers you need. 

How much does a deep cleaning cost? Prices vary depending on the area where you live and also if you have insurance or not. Call your dental office for more information.


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Once you have a deep cleaning, it's your job to keep up with your oral hygiene, so you don't have to have another one! However, we usually recommend coming back for a Periodontal maintenance cleaning every three to four months just to take extra care and to make sure the bacteria does not repopulate the area. 


Don't forget to call Downtown Dentist SF to schedule your dental hygiene appointment! We'll be able to tell you if your teeth need a deep cleaning.