Possible treatment alternatives will be explained to you at your consultation appointment. This is the best time to ask any questions you may have regarding your therapy. Our aim is always to preserve teeth if possible and advisable.

The most common form of treatment consists of Scaling and Root planing.

Scaling refers to the professional removal of soft plaque and hard calculus (tartar) from the teeth and around the gum line. It is undertaken using hand instruments (scalers or curettes) and/or sonic/ultrasonic instruments which use high frequency vibrations to help remove these deposits.

Root planing is really an extension of scaling, which involves removing deposits from under the gum line. This is usually undertaken once the gum tissues are numbed with a dental anaesthetic, so that the treatment can be performed painlessly. The aim is to provide a clean, smooth, tooth and root surface in order that the gum tissue/ attachment has a chance to heal.

Scaling and root planing may sometimes be combined with the use of antibiotics to assist in the management of the gum infection.

Root planing

Also referred to as “Non-surgical Debridement”. This is the mainstay of gum treatment and is usually the first choice therapy in the majority of cases. It involves the removal of all plaque and tartar from the surfaces of the roots, both above and below the gum level, and is usually performed over a series of appointments and with a local anaesthetic.

Surgical therapy

Occasionally root planing is not sufficient to treat more advanced cases and consideration needs to be given to more involved procedures. The most important aspect of gum therapy is the prevention of further loss of bone support and surgical treatment may be needed to achieve this. If this approach is advisable in your case all aspects will be discussed with you in detail and a cost estimate provided, should you decide to proceed.


In order to monitor how your treatment is progressing and how healthy your gums are, we normally like to see patients at regular intervals after their initial therapy is completed. The usual frequency is every six months and a charge will be levied for these visits. Regular reassessments are important as they can identify further problems and allow us to intervene as required.