Dr. Musto

Practice Limited to Periodontics and Dental Implants

920 Wyoming Avenue, Suite 203, Forty Fort, PA 18704


Scaling and Root Planing

The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.

gum scaling

The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.

root planing

Scaling and Root Planing Overview

For a brief narrated overview of scaling and root planing, please click the image on the right. It will launch our flash educational MiniModule in a separate window that may answer some of your questions about scaling and root planing.

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Antibiotics or irrigation with anti-microbial agents (chemical agents or mouth rinses) may be recommended at the time of scaling and root planing. This may be done to help control the growth of bacteria, which creates toxins and causes periodontal disease and to encourage normal healing.

When deep pockets between teeth and gums are present, it is difficult to thoroughly remove plaque and tartar during professional cleanings. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to reduce pockets and restore periodontal health.

You will need to be seen approximately four to six weeks after scaling and root planing to evaluate healing, oral hygiene, and to discuss any additional required treatment. A periodontal maintenance schedule will be recommended at this time.

Bite Adjustment

A bite (how the upper and lower teeth contact) is considered to be healthy when all or most of the teeth are present and not destroyed by normal daily usage.

It is destructive when teeth show wear, looseness or when TMJ (jaw joint) damage is seen. Bite therapy helps restore a bite that can function without damage and destruction. The therapy may include:

  • Reshaping the biting surfaces of the teeth and eliminating spots of excessive pressures where the teeth are brought into contact. This is done by carefully dividing bite pressures evenly across all of the teeth.
  • Bite splint therapy uses a custom fitted and adjusted plastic bite guard to keep the teeth apart during the day, night or both.
  • Orthodontic consultation (Braces) may be necessary to reposition mal-aligned or drifted teeth.
  • Replacement of old, worn out or damaged fillings.
  • Reconstruction of worn or damaged teeth.