Periodontal scaling and root planing is a cornerstone treatment for preventing and managing gum disease. It’s a non-surgical deep cleaning procedure that removes plaque and tartar from below the gumline, helping restore gum health and prevent further damage.

At Soho Smile, located in the heart of SoHo, NYC, this treatment is performed with precision and care by Dr. John Koutsoyiannis and his dedicated team.

Combining advanced techniques with a biologic approach, Soho Smile focuses on improving both oral health and overall well-being. If you’re experiencing bleeding gums, persistent bad breath, or gum tenderness, scaling and root planing may be the key to restoring a healthier, stronger smile.

Understanding Periodontal Disease

What Is Periodontal (Gum) Disease?

Periodontal disease, often called gum disease, is a bacterial infection that attacks the tissues surrounding your teeth. It starts small — with plaque buildup — but can escalate into inflammation, bone loss, and even tooth loss if untreated.

Like rust slowly eating away at metal, periodontal disease silently damages your gums and jawbone.

The Difference Between Gingivitis and Periodontitis

• Gingivitis is the earliest stage — gums may appear red and bleed easily.
• Periodontitis, on the other hand, is the advanced form. The infection spreads deeper, damaging bone and connective tissues.

Without timely intervention, gingivitis progresses to periodontitis — a journey you definitely want to avoid.

Why Bacteria and Plaque Are the Main Culprits

Bacteria feed on leftover food particles, forming sticky plaque. If not brushed away, plaque hardens into tartar, creating a fortress for bacteria below the gumline. This triggers inflammation, and before you know it… gum disease begins its silent takeover.

What Is Periodontal Scaling and Root Planing?

Definition and Purpose of the Treatment

Periodontal Scaling and Root Planing (SRP) is a specialized non-surgical dental procedure that removes plaque, tartar, and bacteria from below the gumline. It’s often referred to as “deep cleaning” because it goes where regular brushing and standard cleanings can’t.

The Role of Deep Cleaning in Periodontal Therapy

The goal of SRP is simple — to stop gum disease in its tracks. By removing irritants and smoothing the roots, your gums can reattach firmly to your teeth. It’s like resetting your mouth’s natural balance.

How It Differs From Regular Dental Cleaning

While a regular cleaning focuses on the surfaces of your teeth above the gumline, scaling and root planing digs deeper — targeting the bacteria lurking beneath. It’s the difference between sweeping the floor and scrubbing the foundation.

Signs You May Need Scaling and Root Planing

Bleeding or Swollen Gums

If your gums bleed when you brush or floss, it’s more than just sensitivity — it’s often the first sign of gum disease.

Persistent Bad Breath (Halitosis)

Bacteria trapped under the gums release foul-smelling toxins. No amount of mouthwash can mask it if deep cleaning isn’t done.

Gum Recession and Tooth Sensitivity

As bacteria spread, gums pull away from teeth, exposing sensitive roots. Hot coffee or cold drinks suddenly become your worst enemies.

Loose or Shifting Teeth

When gums detach and bone loss begins, teeth may start to wobble or move. That’s a red flag that deep cleaning is urgently needed.

The Step-by-Step Process of Scaling and Root Planing

At Soho Smile, every SRP procedure is done with precision and care.

Initial Examination and Diagnosis

Dr. Koutsoyiannis and his team begin with a comprehensive exam, using X-rays and gum measurements to assess pocket depths and infection levels.

Administering Local Anesthetic

To ensure your comfort, a local anesthetic is applied — you’ll stay relaxed and pain-free throughout the procedure.

Scaling — Removing Plaque and Tartar From Below the Gumline

Using ultrasonic or manual tools, the dentist removes hardened deposits from tooth roots and beneath the gums.

Root Planing — Smoothing the Tooth Roots for Healing

Once scaling is complete, root surfaces are polished and smoothed, helping gums reattach and heal naturally.

Tools and Techniques Used

Ultrasonic Scalers vs. Manual Instruments

Ultrasonic tools use high-frequency vibrations and water to dislodge tartar quickly and comfortably. Manual scalers, on the other hand, allow detailed precision — both are often used together for best results.

Laser-Assisted Scaling for Precision Cleaning

Some modern practices use dental lasers to kill bacteria and disinfect deep pockets — a cutting-edge solution that minimizes discomfort.

Modern Technology for Painless Treatment

At Soho Smile, advanced biologic and ultrasonic tools ensure minimal pain and maximum efficiency — transforming what used to be an uncomfortable treatment into a nearly relaxing one.

What to Expect During the Treatment

Timeframe and Comfort Levels

Depending on the severity, treatment may take one or two visits. Most patients describe the experience as “mildly sensitive but manageable.”

Number of Appointments Required

For early-stage periodontal disease, one appointment may suffice. Severe cases might require multiple sessions spaced a week apart.

Pain Management and Local Numbing Options

At Soho Smile, comfort is key. Local anesthesia, numbing gels, and even sedation options are available for patients with dental anxiety.

Benefits of Scaling and Root Planing

Reducing Inflammation and Gum Bleeding

Once the irritants are removed, your gums can finally rest and recover — inflammation fades, and bleeding stops.

Preventing Tooth and Bone Loss

Scaling and root planing helps protect the bone that anchors your teeth, preventing further deterioration.

Improving Breath and Oral Hygiene

Say goodbye to chronic bad breath. Freshness returns as bacteria and toxins are eliminated.

Supporting Overall Health (Heart, Lungs, and Diabetes Control)

Studies show strong links between gum disease and systemic health issues like heart disease and diabetes. Treating your gums can improve more than your smile — it can improve your life.

Potential Risks and Side Effects

Mild Gum Tenderness or Sensitivity

It’s normal for gums to feel tender for a few days post-procedure.

Minor Bleeding After Treatment

Some slight bleeding can occur but typically subsides within 24 hours.

Temporary Tooth Sensitivity

Cold or hot sensations might trigger brief sensitivity — using a desensitizing toothpaste usually helps.

Aftercare and Recovery Tips

How to Care for Your Gums Post-Treatment

Brush gently with a soft-bristled brush and rinse with an antimicrobial mouthwash. Avoid vigorous flossing for a few days.

Recommended Foods and Drinks During Recovery

Stick to soft foods like yogurt, mashed potatoes, and smoothies for the first 24–48 hours. Avoid spicy or crunchy snacks.

When to Schedule Follow-Up Cleanings

Your dentist may recommend a follow-up cleaning within 4–6 weeks to assess healing and plaque control.

Periodontal Maintenance After Treatment

The Importance of Regular Deep Cleanings

After initial treatment, periodontal maintenance ensures your gums stay healthy long-term.

Maintenance Visits Every 3–4 Months

Frequent checkups prevent bacterial buildup and keep gum pockets under control.

Monitoring Gum Pocket Depths and Healing Progress

Your dentist will measure pockets and compare results — progress is carefully tracked at every visit.

Scaling and Root Planing vs. Surgical Treatments

When Deep Cleaning Alone Is Sufficient

For mild to moderate cases, scaling and root planing often restore gum health completely — no surgery needed.

When Gum Surgery May Be Needed

Severe cases with deep pockets or bone loss may require flap surgery or grafting for complete healing.

Combining Therapies for Severe Periodontal Cases

Sometimes, scaling and root planing are performed before surgery — preparing gums for optimal recovery.

Soho Smile: Expert Care for Your Periodontal Health

Your Smile, Our Masterpiece.

Welcome to SohoSmile®, where dental excellence meets holistic wellness for us. Under the leadership of Dr. John Koutsoyiannis, and with the expertise of Dr. James Linkous and Dr. Ari Koutsoubis, you’ll experience dentistry that goes far beyond routine care.

Located at 206 Spring Street, 5th Floor, New York, NY 10012, our practice offers advanced periodontal therapy like Scaling and Root Planing, along with teeth whitening, veneers, and cutting-edge biologic dental care.

We prioritize personalized treatments tailored to your health goals, using state-of-the-art technology and a compassionate team focused on your comfort. You can visit us Monday through Thursday, with late hours on Tuesday and Wednesday, and open until 5 PM on Friday. Choose SohoSmile® for our holistic approach to dental health.

Embark on your journey to a healthier, happier smile today.

Schedule your appointment now and experience the transformative power of SohoSmile®.

Conclusion

Healthy gums mean a healthy life. Periodontal Scaling and Root Planing isn’t just about cleaning your teeth — it’s about reclaiming your oral health, confidence, and comfort. With the professional care of Soho Smile, you’re not just getting a treatment; you’re investing in a smile that lasts a lifetime.

Your gums deserve the best. And at Soho Smile, that’s exactly what they’ll get.

Frequently Asked Questions

Is scaling and root planing painful?

Not at all! With local anesthesia, most patients feel only mild pressure — not pain.

How long does recovery take?

Typically, full recovery occurs within a few days, though gums continue healing for weeks.

How often do I need this treatment?

Most patients require it once unless periodontal disease recurs. Regular maintenance every 3–4 months is essential afterward.

Can gum disease return after treatment?

Yes, if oral hygiene lapses. Consistent brushing, flossing, and dental visits help prevent recurrence.