After Periodontal Scaling and Root Planing
Care of the mouth
after deep cleaning has an important effect on healing. Symptoms that
follow treatment need not cause alarm and may be minimized if the following
post-operative instructions are followed carefully.
WHAT TO EXPECT: Following periodontal
treatment, expect the treated area to be sore and tender to touch for 4-7 days. Swelling,
discomfort, and bleeding may occur depending on the extent of the treatment and location in the
BLEEDING & SWELLING: The treated
area may bleed and be tender when you clean your teeth. This is normal and
expected, and should subside within 7-14 days. If you have any questions about plaque-control recommendations, please
do not hesitate to contact our office.
SENSITIVITY: Commonly after gum
treatment, the tissue shrinks and the root surface is exposed. This may cause
sensitivity to hot, cold and sweets, which is normal. This sensitivity can be treated at home with over-the-counter
anti-sensitivity toothpastes such as Sensodyne, or a prescription for fluoride. The fluoride can be
prescribed to you in our office.
PAIN: If you feel that the pain and sensitivity
is uncomfortable, you can take analgesics such as Advil (ibuprofen) or aspirin
tablets, or other pain medication with which you are familiar. If you develop a
rash or if you become nauseated, discontinue medication and contact our office.
ORAL HYGIENE: The treated area must be
kept plaque-free with thorough brushing, flossing, and other recommended
plaque-control devices or rinses. If treated area is not kept clean, the area
may become infected and/or may not heal properly.
RECOMMENDED HOME CARE RINSES: Warm salt water (1/2 tsp salt to 8 oz. lukewarm
water) 4-6 times daily. Or Chlorhexidine
rinses (Peridex) 1 time daily in the evening. This can be
prescribed to you through our office.
DIET: For the next 3 days, do not eat
anything hot and spicy, or anything with nuts, seeds or popcorn. Try to stay on
a softer diet for the next few days and do most of your chewing on the side
opposite to the area that was treated.
SMOKING: AVOID SMOKING for at least six
hours after treatment, since smoking is an irritant.
FOLLOW UP TREATMENTS: Deep cleanings or Periodontal Scaling and Root Planing are usually done in several appointments, as treatments are done on a section of your mouth at a time. It is VERY important that this series of treatments be done in a VERY timely manner, i.e. every 1-2 weeks. If too much time is allowed to lapse between treatments, the effectiveness of the procedure is greatly compromised and the desired healing may not be realized. It is also extremely important that regular periodontal maintenance procedures are performed (usually every 3 months after the deep cleaning procedures are completed) to keep the periodontal disease under control and prevent relapse.
If you have any questions and/or concerns about your treatment, please do not hesitate to contact our office. We will be more than happy to assist you.