SRP Therapy (Scaling and Root Planing)

Plenty of people in Charlotte, NC worry about their teeth, but they aren’t spending enough time on gum health. The soft tissue holding your teeth in place needs to get more of your attention because if you ignore them, you do so at your own peril. Without proper care, your gums can become infected and inflamed, which will eventually impact the health and appearance of your smile.
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Our team at DentalWorks – Carmel Village has created a short guide on scaling and root planing, a treatment that helps Charlotte, NC patients with periodontal disease.

Occasionally known as a deep cleaning, scaling and root planing is usually performed on Charlotte, NC patients after they are diagnosed with gingivitis. The first stage of periodontal (gum) disease, gingivitis is an inflammation of the gum tissue caused by a buildup under the gumline. People at higher risk for gingivitis include those who use tobacco and those who do not have good oral hygiene (especially those who don’t floss regularly). A family history of gum disease could also put you at higher risk. Pregnant women also need to be vigilant in their oral health to avoid what’s commonly known as pregnancy gum disease. During your annual oral health examination, your dentist will check the condition of your gums and measure your gum pockets. If you are diagnosed with gingivitis, your dentist will most likely recommend a scaling and root planing procedure (also known as SRP therapy).
To help both your oral and overall health, it’s smart to deal with gum disease at the first signs with SRP therapy.
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Without treatment, gingivitis can progress to periodontitis, the advanced stage of gum disease. Dentists typically treat advanced gum disease with periodontal surgery (also known as flap or pocket reduction surgery) and can also require gum and bone graft surgery to restore your oral health. Current research is investigating the possible link between advanced gum disease and other acute conditions, including diabetes and heart disease.


  • Chronic bad breath (halitosis)
  • Gums that bleed easily
  • Gum pockets that are deeper than three millimeters
  • Red, swollen, or tender gums
  • Teeth that are sensitive to hot and cold temperatures
  • Loose teeth
  • Tooth pain when chewing
  • A receding or high gumline

Dental scaling is the process of removing tartar, plaque, plus buildup and debris from beneath your gumline.
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Using a special instrument, your dentist will carefully scale the buildup from your gum pockets. Some dentists use an ultrasonic scaler to loosen buildup with vibrations before switching to a manual scaler. Your team of dental professionals will continue this process to scale the gum pockets in the front and back of each tooth.

After your enamel is scaled to remove buildup from your gum pockets, your team will start the root planing portion of your SRP therapy. Root planing smoothes the surface of your tooth to eliminate rough areas of your enamel. These pitted areas make it easy for debris to get caught, so root planing minimizes the chance of future buildup. During root planing, your dentist will use a unique tool to reach as deep as possible below your gumline without making any incisions.

Since an SRP therapy addresses areas below your gumline, your dentist will apply a local anesthetic to numb your gums. This should help keep you from feeling any pain during the treatment]. For patients with dental fears, DentalWorks – Carmel Village also offers sedation dentistry options. This could include nitrous oxide gas (more commonly known as laughing gas) or oral-conscious medication to keep you calm but still awake during your SRP therapy. If you are interested in sedation dentistry, a consultation with your dentist will be needed before your SRP appointment to ascertain if you can safely receive sedation.


    Along with brushing and flossing at home, professional cleanings at your dentist can help the health of your gums and teeth. A cleaning removes built-up plaque and tartar in areas that you may miss on your own. Regularly removing this buildup can prevent a reoccurrence of gingivitis as well as cavities.
    Between cleanings by your dentist in Charlotte, NC, you will need to take care of your teeth and gums on your own at home. This means brushing your teeth at least twice per day and flossing daily. Our team of dental professionals at DentalWorks – Carmel Village offers product recommendations and checks your brushing and flossing technique to make sure you are receiving the greatest benefits.
    If needed, your dentist may have to perform a few scaling and root planing treatments to fully heal your gums. After each procedure, your gum pockets should get smaller as your gum tissue becomes stronger. If SRP treatments are not enough, your dentist may recommend surgery.
    In many cases, your dentist will prescribe a round of oral antibiotics to take after your SRP therapy. This will help remove any remaining bacteria in your mouth and help your gums heal properly.
    Everyone needs to be visiting their dentist at least once a year for oral health examinations. After an SRP treatment, your dentist may recommend scheduling exams more often so they can check the health of your gums.

When you have symptoms of gum (periodontal) disease, schedule an appointment with your dentist in Charlotte, NC. When diagnosed early and treated quickly with a scaling and root planing procedure, gingivitis may be stopped. The team at DentalWorks – Carmel Village employs state-of-the-art equipment to perform SRP therapy efficiently for restored gum health. Get in touch with our practice in Charlotte, NC to schedule an oral health examination and consultation so we can develop a personalized oral health restoration treatment plan that might include SRP therapy.