Cleanings
Dental cleaning is the scaling and prophylaxis, or
polishing performed by a Dentist, Dental Hygienist or Dental
Therapist to treat gingivitis as well as prevent tooth decay
and periodontis. It usually involves the removal of plaque
and its calcified form known as tartar from above the gum
line. Plaque often forms in areas that are difficult to
brush or floss and beneath the gum line where the seal
between gum and tooth has failed due to bacterial activity.
Left undisturbed, plaque hardens into tarter.
Plaque and most tarter can be removed with a cavitron,
which uses ultrasonic sound waves traveling through a jet of
water to vibrate plaque and tarter from teeth. (Those who
wear a pacemaker should not get ultrasonic cleaning, because
a cavitron can interfere with the function of the
pacemaker.) The remainder of the tarter must be removed with
scaling tools, which are specially shaped scrapers.
Prophylaxis involves the use of a toothpaste with more
abrasive particles than normal on a small rubber cup or
brush in a drill motor to abrade away stains and microscopic
plaque deposits and polish the teeth to discourage future
plaque adhesion.
The amount of time needed for dental cleaning is a
function of your oral health. Those who have not had regular
cleanings will require more time than the normal 25 to 30
minutes. Cleaning should be performed every six months to
prevent excessive plaque accumulation.
After cleaning, the gums may briefly bleed due to
underlying inflammation caused by the plaque that was
present. The tongue may feel that there are gaps between the
teeth that are actually the real teeth and gum surfaces that
were previously covered with tarter. The tongue soon becomes
accustomed to the real mouth.
Teeth may be sensitive to hot and cold foods and drinks,
because any exposed root surface that was covered by plaque
and calculus is now exposed to the oral environment. With
regular cleaning and good oral hygiene, the sensitivity
should cease.
There is no pain associated with cleaning teeth, but on
occasion the ultrasonic jet of water or a dental pick may
irritate sensitive gums. this pain quickly dissipates.
Root planning is the cleaning of pockets between tooth
and gum beneath the gum line to stop the cycle of infection,
inflammation and separation of bone and gum that can result
in tooth loss. Sometimes local anesthesia is needed to
prevent pain. Depending on the degree of difficulty, root
planning can require several dental visits.
Ear, throat and even lung infections have been trace to
tooth and gum infections, so the importance of good oral
hygiene and frequent dental cleaning cannot be
overstated.
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