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A healthy smile is not just about white teeth–it is about strong gums too. Many people believe that brushing, flossing and regular dental cleanings are enough to maintain oral health. While that is true for most people, those with gum disease need more than just routine cleaning. That is where deep cleaning (scaling and root planing) comes in. If you have been told you need a deep cleaning, you might wonder:
- What is the difference between deep cleaning and regular cleaning?
- How does periodontal therapy help save your teeth and gums?
- Is deep cleaning painful?
- Do I really need it, or can I just brush better?
In this guide, we will explore deep cleaning vs. regular cleaning, explain how periodontal therapy prevents gum disease, and help you decide what is best for your oral health.
WHAT IS REGULAR DENTAL CLEANING?
Regular dental cleanings, also called prophylaxis, are designed for maintaining healthy teeth and gums. These cleanings are typically performed every six months by a dental hygienist.
STEPS IN A REGULAR CLEANING
- Plaque and Tartar Removal – Hygienists use special tools to remove plaque and tartar from the surface of your teeth and along the gumline.
- Polishing – Teeth are polished to remove stains and make them smooth, reducing plaque buildup.
- Fluoride Treatment (Optional) – Some patients receive fluoride treatments to strengthen enamel.
- Oral Health Check – The dentist examines your mouth for cavities, gum issues and other concerns.
WHO NEEDS REGULAR CLEANING?
Regular cleanings are for people with healthy gums and no signs of gum disease. They help prevent cavities, freshen breath and keep teeth looking great.
WHAT IS DEEP CLEANING (SCALING AND ROOT PLANING)?
Deep cleaning, or scaling and root planing (SRP), is a specialized periodontal treatment for patients with gum disease (periodontitis). It goes beyond the surface to clean deep below the gumline.
STEPS IN DEEP CLEANING
- Scaling – Plaque, tartar and bacteria are removed from below the gumline.
- Root Planing – The root surfaces of teeth are smoothed to prevent bacteria from reattaching.
- Antibacterial Treatment – In some cases, antibiotics may be applied to kill infection-causing bacteria.
- Multiple Visits – Deep cleaning is usually done in two or more sessions, focusing on different sections of the mouth.
WHO NEEDS DEEP CLEANING?
If you have bleeding gums, deep gum pockets, or early bone loss, your dentist may recommend deep cleaning to halt the progression of gum disease.
DEEP CLEANING VS. REGULAR CLEANING: KEY DIFFERENCES
| Feature | Regular Cleaning | Deep Cleaning (SRP) |
|---|---|---|
| Purpose | Preventive maintenance | Treats gum disease |
| Area Cleaned | Above the gumline | Below the gumline |
| Pain Level | Painless | Mild discomfort, may require anesthesia |
| Frequency | Every 6 months | As needed (usually every few years) |
| Healing Time | No recovery needed | Mild soreness for a few days |
| Cost | Lower | Higher, but necessary for health |
If you have healthy gums, a regular cleaning is all you need. But if you have gum disease, ignoring deep cleaning can lead to tooth loss.
WHY IS PERIODONTAL THERAPY IMPORTANT?
Periodontal therapy, including deep cleaning, helps control gum disease, which affects nearly 50% of adults over 30.
BENEFITS OF PERIODONTAL THERAPY:
- Stops gum disease before it worsens
- Prevents tooth loss by keeping gums healthy
- Reduces bad breath caused by bacteria buildup
- Lowers risk of systemic diseases (heart disease, diabetes, etc.)
- Saves money on costly dental surgeries in the future
Skipping periodontal therapy can lead to bone loss, loose teeth and even extractions. Early intervention is key!
SIGNS YOU MIGHT NEED A DEEP CLEANING
If you experience any of the following symptoms, you should see your dentist right away:
- Bleeding gums when brushing or flossing
- Red, swollen or tender gums
- Persistent bad breath that will not go away
- Gums pulling away from teeth (recession)
- Loose teeth or a change in bite
These symptoms indicate gum disease and deep cleaning may be necessary to prevent it from getting worse.
DOES DEEP CLEANING HURT?
Many patients worry about pain, but deep cleaning is generally well-tolerated. Here is what to expect:
- Local Anesthesia – Numbs your gums so you feel little to no discomfort.
- Mild Soreness – You may feel slight tenderness for a few days, but it is manageable.
- Pain Relievers & Rinses – Over-the-counter painkillers and saltwater rinses help with healing.
- Soft Foods Recommended – Stick to soft foods for a day or two.
Most patients find deep cleaning worth it because it protects their gums and prevents serious problems later on.
HOW OFTEN SHOULD YOU GET A DEEP CLEANING?
Deep cleanings are not needed as often as regular cleanings. The frequency depends on the severity of gum disease and your overall oral health.
Mild Gum Disease (Gingivitis) – May need a deep cleaning once to restore health.
Moderate to Severe Gum Disease – Deep cleaning may be needed every one to three years.
Regular Maintenance – Patients with a history of gum disease should get periodontal cleanings every three to four months.
Your dentist will create a personalized plan based on your needs.
HOW TO PREVENT THE NEED FOR DEEP CLEANING
Want to avoid deep cleaning? Follow these tips to keep your gums healthy:
- Brush Twice a Day – Use a soft-bristle toothbrush and fluoride toothpaste.
- Floss Daily – Removes plaque between teeth and under the gums.
- Use an Antiseptic Mouthwash – Kills bacteria and freshens breath.
- Quit Smoking – Smoking worsens gum disease and slows healing.
- Eat a Balanced Diet – Avoid sugary foods that feed bacteria.
- See Your Dentist Regularly – Don’t skip cleanings and checkups.
By maintaining good oral hygiene, you can reduce your risk of gum disease and avoid deep cleanings altogether.
FAQS ABOUT DEEP CLEANING AND PERIODONTAL THERAPY
1. CAN DEEP CLEANING REVERSE GUM DISEASE?
Deep cleaning can stop gum disease from getting worse, but it cannot fully reverse advanced periodontitis. However, if caught early, it can restore gum health.
2. HOW MUCH DOES A DEEP CLEANING COST?
The cost varies but usually ranges between $150-$350 per quadrant. Some dental insurance plans cover part of the cost.
3. WILL MY GUMS GROW BACK AFTER DEEP CLEANING?
Deep cleaning helps reduce inflammation, but gum recession is permanent. However, your gums can become healthier and tighter around your teeth.
4. CAN I EAT AFTER A DEEP CLEANING?
Yes, but it is best to eat soft foods and avoid spicy or hot items for a day or two.
5. WHAT HAPPENS IF I SKIP DEEP CLEANING?
Without treatment, gum disease worsens, leading to tooth loss, bone damage and infections.
6. IS DEEP CLEANING COVERED BY INSURANCE?
Many dental insurance plans cover a portion of deep cleaning costs, especially if it is deemed medically necessary.
CONCLUSION
Understanding the difference between deep cleaning vs. regular cleaning is crucial for maintaining a healthy smile. While regular cleanings are great for prevention, deep cleaning is essential for treating gum disease and preventing long-term damage.
If you have signs of gum disease, please do not delay treatment–your smile depends on it! Schedule an appointment with your dentist today and take control of your oral health.