The deep cleaning is one of the most misunderstood services Dental Hygienists provide. Here at our Punta Gorda dentist office, we have encountered patients who are doubtful about the benefits a deep cleaning can provide, skeptical about the amount of time it takes, or both. In this blog, we hope to take some of the mystery out of the deep cleaning.
My teeth look fine, why do I need a deep cleaning?
Some deep cleanings are clearly warranted by visible buildup of plaque and calculus (tarter) on the teeth. In other cases, patients get plaque and calculus buildup below the gumline where it is not easily detected by looking at one’s teeth in the mirror. Left to flourish, this buildup can cause serious problems and even lead to tooth loss. The bacteria in this buildup will eventually cause inflammation and can essentially “eat” away at the gums and the bone that support the teeth. Not only do these bacteria affect the teeth, gums, and bone it also affects the heart, lungs, and brain.
For most of our Punta Gorda dental patients, regular routine cleanings are sufficient to maintain healthy teeth and gums. However, in cases where a patient is returning to our Punta Gorda office after a long period with no routine cleanings, if they have gum disease, pre-existing conditions like diabetes, or if they have buildup below the gum line, a deep cleaning may be needed.
What is involved in a deep cleaning?
For gingivitis, if there is inflammation of the gums but no periodontal disease present will do a more thorough cleaning than a “normal” six-month prophylaxis cleaning. This is called a gingivitis scaling. In non-dental terms, gingivitis is gum disease in its early stage whereas periodontal disease is mid and late stage gum disease.
For heavy buildup that is visible on the teeth, the deep cleaning approach typically used is called full mouth debridement. This type of deep cleaning will focus on the teeth above the gumline. Your Punta Gorda Dental hygienist will use special tools to remove the buildup to protect the teeth from decay.
When there is buildup below the gumline, and periodontal disease is present, the deep cleaning approach used is called scaling and root planing. In this type of cleaning, your Punta Gorda Dental Hygienist will meticulously remove plaque and tartar from the surfaces of the teeth and their roots below the gumline. In addition, the roots may be smoothed to prevent further buildup.
These types of cleanings will help to preserve the teeth by preventing or arresting the progression of gum disease, which is the leading cause of tooth loss.
Why do some deep cleanings take longer than others?
- Tools and Techniques Used. Hygienists have a choice of approaches to the work of deep cleaning and depending on which tools and techniques they use; the cleaning may take what seems like a very short time but reflects using the most advanced approach.
- Extent of Gum Disease: If gum disease is in its early stages, the deep cleaning process may be relatively quick. For more advanced gum disease, more extensive cleaning and treatment is required so it will take longer.
- Number of Quadrants Needing Treatment: Dental cleanings are often divided into quadrants (upper right, upper left, lower right, lower left) with some patients only needing cleaning in one or two quadrants. The time needed for a deep cleaning will vary depending on the number of quadrants involved.
But really, why do I need a deep cleaning?
Deep cleaning is a powerful first-line tool to prevent or arrest the progression of gum disease. Left untreated, serious gum disease can require surgery. For this reason, it is prudent to go ahead and have that deep cleaning or root planing and scaling at Punta Gorda Dental when it is recommended.
Plaque and tartar below the gumline causes inflammation and detachment of the gum from the tooth. This leaves more tooth and possibly the root exposed and vulnerable to decay. Deep cleaning to remove that plaque and tartar reduces inflammation so gums can re-attach to the teeth, protecting more of the tooth from damage or decay.
Finally, bacteria in the mouth can cause bad breath. An added benefit to deep cleanings is fresher breath.
And if all that isn’t enough, research has linked gum disease to many health conditions, including diabetes, heart and kidney disease, Alzheimer’s, asthma, osteoporosis, and cancer. If you strive for good health, your gum health should not be neglected. Your Punta Gorda dental team is here to ensure that you have the best possible oral health.
