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    Scaling polishing

    Routine cleaning of teeth with a stainless steel instrument, the Ultra Sonic Scaler, operating at a very high frequency is referred to as scaling.

    Brushing is only partially effective in cleaning the teeth. If one also regularly uses inter dental brushes and dental floss, the results improve significantly. However, none of these ensure total removal of dental plaque from the teeth surfaces.

    Hence, we always recommend you to visit a dentist for a routine dental check up once every 6 months, and then if need be you can be advised to get scaling done.

    Usually, a topical or surface anaesthetic spray or ointment is used to numb the gums and other soft tissues prior to scaling. Scaling and polishing is done only to remove the deposits on the surface of the teeth and at the junction of the gums and teeth. These deposits if left in situ causes inflammation of the “gingiva”, commonly know as gums and resultant weakening of the structures surrounding the teeth. In the long run thus can also cause perfectly healthy teeth to shake and fall off.

    Scaling, as a rule cannot erode enamel, thing down teeth and make spaces occur between them. If anything, scaling helps improve health of the gums and bone surrounding the teeth, “The Periodontium”.

    • The leading cause of bleeding gums is the deposit of calculus causing them to get inflamed and infected. Routine scaling with adjunctive use of a suitable mouthwash, and medicated oral gels and ointments help resolve these issues in most cases.
    • Sensitivity of teeth, is also caused due to exposure of the root surface of the teeth, as a result of receded gums due to calculus. The exposed root surface does not have the protection of the enamel which ends at the Cemento – enamel junction. The denuded root surface is instead covered by the cementum, which allows the periodontal tissues to adhere to the same. Once, thorough scaling is done, the exposed root surface needs to be further protected by use of a suitable de-sensitizing ointment. This block the exposed dentinal tubules, and significantly reduces issues related to sensitivity.
    • Tooth ointments which promise solutions to problems such as bleeding gums or sensitive teeth, target to relieve the symptoms only without getting to the root of the problem.
    • Remember, getting rid of the problem without addressing the cause and rectifying it is only going to make matters worse. What could be treated with a minor oral prophylaxis or a simple restoration may end up requiring invasive surgeries for correction.
    • Such de-sensitizing ointments are to be used on the teeth surfaces with the finger, they are not to be used for routine tooth brushing. One should use a pea sized portion of any non-medicated regular tooth paste for brushing two times daily. Brushing before going to bed is of paramount importance.
    • Polishing after completion of scaling is also mandatory, as this ensures a very smooth tooth surface which does not attract deposition of plaque.