★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072
Gum & Periodontal Services

Scaling and Root Planing

Scaling and Root Planing
Board-Certified Periodontal Care Narberth, PA

Scaling & Root Planing (Deep Cleaning) in Narberth, PA

The Essential Non-Surgical Foundation for Halting Active Periodontal Infection

Duration 1–2 Hours Typical
Comfort Local & Sedation
Clinician Board-Certified
Partnership Dentist Coordinated

Often referred to as a "dental deep cleaning," Scaling and Root Planing (SRP) is the gold-standard non-surgical frontline treatment for chronic periodontitis. Unlike a routine prophylaxis cleaning that only polishes tooth surfaces above the gumline, scaling and root planing reaches deep beneath the gumline to eradicate hardened calculus (tartar) and toxic bacterial colonies.

During the scaling phase, ultrasonic scalers flush and dislodge hardened mineral deposits from deep pocket depths. During the root planing phase, our clinical hygienists and periodontists smooth out rough root surfaces, eliminating micro-grooves where bacteria hide and allowing inflamed gum tissue to shrink, tighten, and biologically reattach to clean tooth roots.

At Main Line Dental Arts, we prioritize your comfort by administering gentle local anesthetics and optional nitrous oxide, ensuring a relaxing, painless clinical experience.

Who Is a Candidate?

You may benefit from this treatment if you experience any of the following:

Periodontal probing depths measuring 4mm or deeper with active bleeding
Visible calculus deposits beneath the gumline visible on diagnostic radiographs
Gums that bleed spontaneously, feel chronically tender, or appear puffy and purplish-red
Initial diagnosis of mild-to-moderate periodontitis requiring non-surgical intervention

What to Expect: Step-by-Step

1

1. Profound Local Anesthetic Comfort

We thoroughly numb the targeted quadrant or half of the mouth using gentle local anesthetics so you feel zero discomfort.

2

2. Ultrasonic Subgingival Scaling

Vibrating ultrasonic tips deliver therapeutic antimicrobial irrigation while pulverizing hardened calculus deep inside the periodontal pocket.

3

3. Fine Hand Instrumentation & Root Planing

Delicate micro-curettes are used to meticulously plane and smooth the root cementum, removing bacterial endotoxins.

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4. Antimicrobial Flush & Healing Evaluation

Pockets are irrigated with antiseptic solutions. A 4 to 6 week follow-up appointment is scheduled to re-probe pockets and confirm clinical reattachment.

Key Clinical Advantages

Stops Progression of Bone Loss

Arrests the active bacterial assault before permanent bone destruction worsens.

Shrinks Periodontal Pockets

Allows gum tissue to heal firmly against clean roots, reducing pocket depths significantly.

Eliminates Gum Bleeding

Resolves chronic vascular engorgement, returning gums to healthy, firm pink tissue.

Protects Systemic Health

Reduces bacteria escaping into the bloodstream, protecting heart and glycemic health.

Patient Preparation & Recovery Guide

Practical instructions to ensure an anxiety-free visit and smooth, rapid healing.

Pre-Procedure Preparation
  • Health & Medication Review: Continue taking prescribed routine medications unless specifically advised by our doctors.
  • Pre-Op Nutrition: Eat a light, nourishing meal prior to procedures performed under local anesthesia. (If conscious sedation is scheduled, follow fasting guidelines provided).
  • Comfort Attire: Wear comfortable, loose-fitting clothing. Feel free to bring earbuds to listen to relaxing music during care.
  • Escort for Sedation: If receiving conscious oral sedation, arrange a trusted companion to drive you home and assist you afterward.
Post-Procedure Recovery Care
  • Rest & Cold Therapy: Rest quietly with your head slightly elevated. Apply an ice pack externally (20 minutes on, 20 off) to reduce swelling.
  • Gentle Soft Diet: Enjoy nutritious soft foods (protein shakes, Greek yogurt, broths, scrambled eggs). Never drink through a straw.
  • Gentle Oral Hygiene: Do not spit or rinse vigorously during the first 24 hours. After 24 hours, begin gentle warm salt-water rinses after meals.
  • Dedicated Follow-Up: Our clinical team phones you to check on your comfort, and we coordinate digital records directly with your general dentist.

Treatment Roadmap & Clinical Milestones

What to expect from your initial specialist consultation through complete recovery.

Phase 1
Diagnostic Probing

Comprehensive 6-point periodontal charting per tooth to assess pocket depths and bone loss stages.

Phase 2
Active Therapy

Deep ultrasonic debridement, scaling, root planing, and therapeutic antimicrobial decontamination.

Phase 3
Tissue Re-Evaluation

Follow-up check 4 to 6 weeks later to measure pocket depth reduction and gum reattachment.

Phase 4
Periodontal Recall

Personalized 3-month periodontal maintenance cleanings to keep infection in permanent remission.

The Specialist Advantage

Why Choose a Board-Certified Periodontist?

Periodontists undergo 3 additional years of accredited university surgical residency beyond dental school, focusing exclusively on jawbone biology, tissue regeneration, and micro-precision implant placement. We partner closely with your family dentist to deliver lasting clinical excellence.

Frequently Asked Questions

No. Because your gums and teeth are completely numbed with local anesthesia, you will not feel pain during the treatment. You may feel gentle water vibration and slight pressure.

Typically, SRP is divided into two separate visits (treating one side of the mouth per appointment), allowing you to chew comfortably on the untreated side while the treated side recovers.

Your gums may feel slightly tender or sensitive to cold temperatures for 2 to 4 days. Warm salt-water rinses and sensitivity toothpaste help speed comfort.

If you maintain regular 3-month periodontal maintenance cleanings and consistent home brushing and flossing, SRP usually does not need to be repeated.
Main Line Dental Arts

Schedule Your Personal Consultation Today

Our board-certified periodontists, Dr. Borguet, Dr. Hodgson, and Dr. Susanin, are here to help restore your oral health with compassionate, personalized care.