Amisha V. Patel, DMDFremont Family Dentistry

The procedure

How it works

1 · Scaling

Using gentle instruments, we remove plaque and hardened tartar from below the gumline — the deposits a toothbrush and a routine cleaning can't reach.

2 · Root planing

We smooth the root surfaces of the teeth. Smooth roots give bacteria fewer places to cling, and help your gum tissue reattach snugly to the tooth.

The area is numbed for your comfort, and we typically treat the mouth in sections over two or more visits. After treatment, healing is supported with periodontal maintenance — the ongoing care that helps keep the infection from returning.

Good to know

Deep cleaning questions, answered

What is scaling and root planing?

Scaling and root planing — often called a deep cleaning — is the standard first treatment for gum disease that has moved below the gumline. Scaling removes plaque and hardened tartar from below the gums; root planing smooths the tooth roots so gum tissue can reattach and bacteria have a harder time coming back.

Does scaling and root planing hurt?

We numb the area being treated before starting. Afterward, gums can be tender for a few days and teeth may be briefly sensitive to temperature — most patients manage easily with over-the-counter pain relief and gentle care.

How long does scaling and root planing take?

Usually the mouth is treated in halves or quadrants over two or more visits, with each visit taking about 45 to 90 minutes. Treating sections at a time keeps each appointment manageable and lets us be thorough.

Can a general dentist do scaling and root planing?

Yes. Scaling and root planing is well within the scope of general dentistry, and it's a particular focus of our office — Dr. Patel is a general dentist with a dedicated periodontal program and 18 years of experience treating gum disease. For advanced cases that need surgical care, we work with trusted local specialists.

Start with the basics: our complete gum disease guide →