If you require more than just a regular hygiene care, the doctor/hygienist may prescribe a deep cleaning (Scaling and Root Planing).  This procedure is usually done in sections.  The cleaning takes two sessions, in which half of the mouth is cleaned in each session.  First the teeth and the gums are usually anaesthetized, then the teeth are cleaned using a combination of ultrasonic (powered) and hand instruments.  It is normal to experience temperature sensitivity after the appointment.  Your teeth may even be sensitive to chewing.  Your gums will be sore and may bleed.

Sometimes the doctor/hygienist may advise the placement of an antibiotic (arestin, perio-chip) in the pocket if it is greater than 4mm.  In that case, patients should postpone brushing for 12 hours and avoid the use of interproximal cleaning devices (flossing) for 10 days.  Also patients should avoid eating hard, crunchy, or sticky foods for 1 week.

After completion of the treatment, it is important to follow good home care which includes regular brushing, flossing, and using a mouth rinse (prescription or over the counter).  The doctor/hygienist may put you on a 3 -4 month follow up care.  Failure to comply will return your gum condition back to its initial pre-treated state.  Regular follow up care will allow gums and bone to heal and will prevent further destruction.  Gum disease is a silent disease and the importance of follow up care cannot be emphasized enough.