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Dental Deep Cleaning

Keeping your smile healthy goes far beyond brushing and flossing. When plaque and tartar sneak below the gumline, routine cleanings might not be enough to stop the damage. That’s where deep cleaning teeth—a treatment also known as scaling and root planing—comes in.

It’s a crucial step in preventing and managing gum disease, protecting your overall oral health.  In Tukwila, WA, Dr. Addie Chang provides compassionate, personalized dental care tailored to your unique needs.

Whether you’re seeking preventative care or managing gum disease, this article will guide you through everything you need to know about deep cleaning teeth—what it involves, when it’s necessary, and how it supports long-term oral wellness.

Understanding Deep Dental Cleaning

What Is Deep Cleaning?

Let’s break it down: deep cleaning teeth, clinically known as scaling and root planing, goes beneath the surface—literally.

Unlike your regular dental cleaning, which polishes teeth and removes surface-level plaque, deep cleaning dives deep below the gumline to tackle hardened tartar and bacteria that cause inflammation and gum disease.

Difference Between Regular Cleaning and Deep Cleaning

Regular dental cleanings and deep cleanings might sound similar, but they serve distinct purposes. Regular cleanings (prophylaxis) are the preventive six-month checkups focused on removing surface plaque, tartar, and stains for healthy gums. You get polished teeth and fresh breath.

Deep cleanings (scaling and root planing), however, go below the gumline to treat gum disease. They remove bacteria from deep pockets and smooth root surfaces. Regular cleanings are quick and usually don't need numbing, while deep cleanings often require anesthesia or sedation and multiple visits.

Essentially, regular cleaning maintains health, while deep cleaning restores gum health and fights periodontal disease.

Medical Term: Scaling and Root Planing Explained

This isn’t just jargon—“scaling” removes plaque and tartar from below the gumline, and “root planing” smooths the root surfaces to help gums reattach and prevent bacteria buildup.

When Do You Need Deep Cleaning?

Signs You May Need It

Ever notice bleeding when you brush? Or perhaps persistent bad breath that mouthwash just can’t beat? These might be more than annoyances—they could be your mouth’s cry for help.

Signs include:

  • Swollen, red, or bleeding gums
  • Gum recession (teeth look “longer”)
  • Chronic bad breath
  • Visible tartar buildup
  • Sensitive teeth

Diagnosis from Your Dentist

Only a dental professional can definitively say whether you need a deep cleaning. Using a periodontal probe, your dentist measures the depth of pockets around each tooth—anything over 3mm may warrant treatment.

Stages of Gum Disease That Require Deep Cleaning

  • Gingivitis: Reversible but may still benefit from deep cleaning if inflammation persists.
  • Early Periodontitis: Pocket depths increase; bone damage begins.
  • Moderate to Severe Periodontitis: Deep cleaning becomes critical to prevent tooth loss.

Deep Cleaning Treatment: What to Expect

Initial Examination and X-rays

Before anything begins, your dentist will review your dental history, take X-rays, and check for infection or bone loss.

Step-by-Step Breakdown of the Appointment

  1. Numbing the area with local anesthetic
  2. Scaling: removing tartar and plaque
  3. Root planing: smoothing root surfaces
  4. Irrigation with antimicrobial solutions
  5. Application of medications (if needed)

Duration and Number of Sessions Needed

Typically, your mouth is divided into quadrants. You might have two appointments—one for each side—or four, depending on severity.

Is Deep Cleaning Painful?

Local Anesthesia and Numbing Options

Dr. Addie Chang will use numbing agents to keep discomfort to a minimum. You won’t feel a thing during the treatment, though some post-treatment tenderness is expected.

Discomfort During and After the Treatment

Some describe a dull ache or gum soreness for a day or two. Mild sensitivity is normal—especially when drinking hot or cold beverages.

Tips to Manage Sensitivity

  • Use desensitizing toothpaste
  • Avoid extreme food temperatures
  • Rinse with salt water
  • Take over-the-counter pain relief as advised

Aftercare and Recovery

What to Expect After the Appointment

Healing begins immediately. You might experience minor swelling or bleeding, but these symptoms subside in a few days.

Post-Treatment Instructions

  • Avoid hard, spicy, or crunchy foods
  • Don’t smoke—healing takes longer
  • Follow your dentist’s care plan
  • Use prescribed antimicrobial mouth rinses

Foods to Eat and Avoid

Eat ThisAvoid This
Soft fruits (bananas, melons)Nuts, popcorn, seeds
Mashed potatoes, yogurtSpicy or acidic foods
Scrambled eggsCrunchy chips, toast

Potential Side Effects and Risks

Gum Sensitivity and Bleeding

It’s normal for gums to feel sensitive or even bleed lightly after the cleaning. This should fade within a week.

Swelling or Soreness

Slight swelling is common, especially in deeper pockets. Ice packs and warm salt rinses can help alleviate discomfort.

Rare Complications

  • Infection (very rare)
  • Temporary tooth looseness
  • Allergic reaction to anesthetics or rinses (uncommon)

Cost of Deep Cleaning Teeth

Factors That Influence Pricing

  • Number of quadrants treated
  • Severity of disease
  • Location of the dental office
  • Experience of the practitioner

Insurance Coverage Insights

Most dental insurance plans cover deep cleaning if medically necessary—usually 50–80%, depending on your plan.

Payment Plan Options

Many dental offices offer payment plans or financing through providers like CareCredit to ease the financial load.

How Often Should Deep Cleaning Be Done?

One-Time Treatment vs. Periodic Maintenance

For some, a single session followed by regular cleanings suffices. Others—especially those with chronic periodontal disease—require ongoing maintenance.

Dentist Recommendations Based on Condition

Your dentist might recommend a 3-month recall program for those with ongoing periodontal concerns.

High-Risk Groups Who May Need It More Often

  • Smokers
  • Diabetics
  • Individuals with autoimmune disorders
  • People with a history of gum disease

Deep Cleaning and Periodontal Disease

How It Helps Prevent Tooth Loss

By removing deep-seated bacteria and tartar, it halts the progression of periodontitis—which, left untreated, causes bone and tooth loss.

Reversing Early Stages of Gum Disease

Caught early, deep cleaning can reverse inflammation and shrink gum pockets, allowing gums to heal.

Maintaining Bone Health

Healthy gums support healthy bones. Deep cleaning protects your jawbone by reducing bacterial load and stabilizing teeth.

Comparing Deep Cleaning to Other Treatments

Deep Cleaning vs. Root Canal

A root canal treats infected pulp inside a tooth. Deep cleaning treats infection around the tooth in the gums and bone.

Deep Cleaning vs. Gingivectomy

A gingivectomy involves surgically removing gum tissue. Deep cleaning is non-surgical and less invasive.

When Surgery Is a Better Option

If deep cleaning can’t access severely infected pockets or if bone loss is extensive, flap surgery or grafting may be necessary.

The Long-Term Benefits

Improved Gum Health

Healthier gums mean fewer infections, less bleeding, and better overall oral health.

Fresher Breath and Whiter Teeth

Goodbye, bad breath! Removing bacteria and tartar leads to a cleaner, fresher mouth.

Reduced Risk of Tooth Loss

A firm foundation ensures your teeth stay where they belong—right in your smile.

Deep Cleaning and Cosmetic Dentistry

Prepping for Veneers or Implants

A clean and healthy foundation is crucial before receiving cosmetic work. Deep cleaning ensures your gums are ready for the spotlight.

Boosting Whitening Results

Think of it as a deep exfoliation—removing the gunk so your whitening treatment works even better.

Foundation for a Healthier Smile

Cosmetic treatments are an investment—deep cleaning protects that investment with a strong, healthy gum base.

Dr. Addie Chang: Personalized Periodontal Care You Can Trust

Looking for exceptional care in Tukwila, WA? Dr. Addie Chang offers personalized, compassionate treatment in a warm, welcoming environment.

Our friendly team prioritizes your comfort, provides a wide range of services (excluding root canals), and works with numerous insurance providers to make top-tier care accessible. 

Contact us today and schedule an appointment.

Conclusion

a photo showing how teeth is cleaned using a dental scaler

Deep cleaning teeth isn’t just a treatment—it’s a proactive step toward lasting oral health. Whether you're dealing with early gum disease or prepping for cosmetic treatments, understanding the process (and trusting the right provider) makes all the difference.

Let professionals like Dr. Addie Chang guide you back to a confident, healthier smile.

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