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Root Planing


Diagram of cross section of molar tooth with gums and bone at Tieken Smiles Dentistry.Some relationships are just meant to go together, like peanut butter and jelly, cookies and milk, and scaling and root planing. When we here at Tieken Smiles Dentistry recommend scaling and a root planing to our patients, what we are advising is a procedure known as a deep cleaning.

Deep cleanings are extremely important to help remove any hardened calculus and bacteria from your teeth and up underneath your gumline. While most of our patients have had a scaling done before, a root planing is a little bit more unusual. This helps us clean deep under your gums, helping stop gum disease from advancing further and reducing the depth of your gum pockets.

What Happens During a Root Planing?


Regular appointments with us are essential to not only keep your smile bright and beautiful, but it also helps keep it healthy. During your checkup, we will not only assess your oral health, but we will provide cleaning. However, if you take too long between your appointments, you may start to develop the first signs of gum disease. Gum disease comes in stages.

Early stage gum disease is also known as gingivitis, which is completely curable. Once it advances to periodontitis, it is no longer reversible and must be managed like a chronic disease.

Gum disease can be hard to catch on your own, which is another reason why it is so important to come to see us. If you notice blood in your saliva when you brush and floss your teeth, your gums seem red or swollen, you have bad breath (also known as halitosis), and your gums are starting to recede, then that can indicate that you have gum disease. If we do notice these symptoms of gum disease, we will advise a deep cleaning. That is where root planing comes in.

Root planing removes all of the hardened calculus from up underneath your gumline. This works in three different ways. First, it removes all of the hardened calculus and bacteria. We may clean the area with an antibacterial wash during this procedure to kill any remaining germs. Secondly, it smooths down the tooth root. This makes it harder for bacteria to grow back onto the tooth and the tooth root, giving it less of a surface to cling onto.

Lastly, because it smooths down the tooth root, the gums can reattach to your tooth. This helps prevent your gum recession from getting worse.
During your root planing, we may offer you local anesthesia to help prevent you from experiencing discomfort. Some patients do occasionally need surgery to help us more thoroughly remove the calculus from beneath your gumline. We will offer you dental sedation if we do need to surgically remove the calculus, either in the form of IV sedation or nitrous oxide (laughing gas). After your procedure, it is normal to feel some mild sensitivity and light bleeding. Depending on the severity of your gum disease, we may advise that you follow up with us more frequently to help manage your periodontal disease.

Want To Know More?


To learn more about root planing, or to set up an appointment with us for a checkup and a cleaning, please give us here at Tieken Smiles Dentistry a call at (281) 942-0444 today!
Dr. J. Derek Tieken's best selling book, 'The Million Dollar Smile'
Beautifully written and very informative

View Dr. Tieken's Best-Selling Book:
The Million Dollar Smile



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Bestselling Author, Dr. J. Derek Tieken launched his book, The Million Dollar Smile: Changing Lives with Cosmetic Dentistry in May 2018. The book was well received and climbed to the top of Amazon's bestsellers list a few weeks after its launch. The book's success was covered on CBS and ABC News, among other media channels, and now the book is available in our office for you to read!

The Million Dollar Smile: Changing Lives with Cosmetic Dentistry is a candid look at the cosmetic dentistry industry and offers insights from some of the leading experts in the field. The 12 professionals whose contributions make up this book were selected for their dedication and integrity in seeking the best dental solutions for their patients. These dentists offer factual and honest advice about cosmetic dentistry procedures and how they can benefit you.
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