When to Deep Clean

By Dr. Andrade & Dr. Montalvo

How do you know if you need a deep cleaning? This is one of the most popular questions we get at Dynamic Dental.

Q: What’s the difference between a basic cleaning and a deep cleaning?

A: A basic dental cleaning is known as a prophylaxis or prophy for short. For individuals with healthy gums, the American Dental Association recommends getting a prophy every six months. The purpose of a prophy is to remove superficial plaque (bacteria) and hard build up know as tartar (calculus) from teeth and gums. Healthy gums should not bleed nor have pockets that measure more than 4mm. If there are signs of gingivitis (inflamed gums) or periodontal disease (severe gum infection), a prophy is not recommended. Most prophy appointments include a check up exam, x-rays and usually take’s about an hour to complete.

Q: What is a deep cleaning?

A: A deep cleaning is also known as scaling and root planing. It is a procedure done to treat infected gums. This type of cleaning is reserved for patients meeting one or more clinical criteria. 1. Having swollen gums measuring 5mm or more on one or more teeth. 2. Radiographic evidence of tartar below the gums. 3. Radiographic evidence of bone loss. 4. Bleeding gums.

The purpose of this cleaning is to clean and remove debris from the root surface (under the gums) that is causing inflammation and bleeding. This treatment takes more than one appointment and the patient is anesthetized with local anesthesia. This allows the doctor or hygienist to thoroughly clean the teeth and gums in order to reduce bleeding, inflammation and reduce gum measurements.

Q: How do you know if you need a deep cleaning?

A: During your general check up, your dentist or hygienist will measure your gums and make sure they are not bleeding, swollen or measure more then 5mm in depth. So, if you haven't had a basic cleaning in a long time then most likely you will need a deep cleaning to remove the debris that has accumulated around the tooth surface. Taking care of gum bleeding and inflammation is the best way to prevent future tooth loss. It's never too late to get back on track to a healthier smile.