Scaling and Root Planing procedures
A local anesthetic may be given. Not every patient will need anesthesia. If an anesthetic is given it is generally an injection like you would get for a filling. Most people call this Novocaine, but Novocaine has not been used in years. The most common anesthetic given today is lidocaine. A topical gel is placed on the gums before the injection is given to pre-numb the area to make the injection more comfortable. The topical gels or the non injectable option Oraquix numb only the soft tissues (the gums) but not the tooth itself. You may be more comfortable with one of these gel options if only the gums are tender, but if you experience a lot of sensitivity an injection may be necessary as this is the only way to numb the actual tooth.
The next step is a complete periodontal charting. This involves measuring the space between the tooth and the gum with an instrument called a probe. If you are told “I am going to probe you now” this is the procedure. It sounds scary but it a very simple information gathering technique. The probe is like a little ruler. It is gently placed into the space between the tooth and the gum and a millimeter measurement is taken on six places on each tooth. Another measurement taken during this process is the amount of root showing above the gum line. These two measurements together are used to calculate the amount of bone loss. Any bleeding during this process is an indicator of disease.
Cost of Scaling and Root Planing
Cost for deep cleaning: US $50 per quadrant.