Scaling & Root Planing

If you’ve been told you have gum disease, scaling and root planing is usually the first — and often the most effective — step toward getting it under control. Dr. Jafari has helped many Sterling patients stop gum disease in its tracks with this straightforward deep-cleaning treatment, and she’ll make sure you’re comfortable throughout.

Scaling & Root Planing in Sterling, VA

Scaling and root planing is a non-surgical deep cleaning that goes below the gumline — the area a regular cleaning can’t reach. It has two parts:

• Scaling — removing plaque and hardened tartar (calculus) from the tooth surfaces, including the pockets between your teeth and gums where bacteria accumulate.
• Root planing — smoothing the roots of your teeth so the gum tissue can reattach and bacteria have fewer rough surfaces to cling to.

Together, these steps remove the bacterial buildup driving the infection and give your gums a clean surface to heal against. For many patients, this treatment alone is enough to halt the progression of gum disease and avoid more involved procedures down the road.

Will it hurt?

Most patients are surprised by how manageable the procedure is. Dr. Jafari uses local anesthetic to numb the area before starting, so you shouldn’t feel pain — just some pressure. If you’re anxious about dental work in general, let us know; we can talk through additional comfort options.

Mild sensitivity for a day or two afterward is normal. Over-the-counter pain relievers and a soft diet for the first 24 hours usually handle it.

How many appointments will I need?

It depends on how much of your mouth is affected. Dr. Jafari will evaluate the depth of your gum pockets and the amount of buildup before recommending a schedule. Many patients complete treatment in two appointments — each covering one side of the mouth — so the anesthetic and healing stay focused. She’ll give you a clear picture of what to expect at your first visit.

What happens after treatment?

Your gums need time to heal and reattach to the roots. Dr. Jafari will schedule a follow-up to measure your pocket depths again and confirm the treatment worked. Ongoing periodontal maintenance cleanings — typically every 3–4 months rather than twice a year — help keep the disease from returning. Good brushing and flossing at home make a real difference here too.

Frequently asked questions

What’s the difference between a regular cleaning and scaling and root planing?

A routine cleaning (prophylaxis) removes plaque and tartar from above and just at the gumline. Scaling and root planing goes deeper — into the pockets that form when gums pull away from the teeth due to disease. It’s a more involved procedure done with local anesthetic, and it’s specifically designed to treat active gum disease rather than prevent it.

How do I know if I need scaling and root planing?

The most common signs are gum pockets deeper than 4mm, bleeding when you brush or floss, gums that look red or swollen, persistent bad breath, or a diagnosis of gingivitis or periodontitis from your dentist. Dr. Jafari will measure your pocket depths at your exam and explain exactly what she finds.

Is the procedure covered by insurance?

Scaling and root planing is a recognized periodontal treatment, and many dental insurance plans cover it at least partially. Inova Dental Clinic accepts Medicaid and most major insurance. Call us at (703) 433-1400 and we’ll verify your benefits before your appointment so there are no surprises.

Can gum disease come back after scaling and root planing?

Yes — gum disease is a chronic condition, which is why follow-up care matters. Most patients who complete treatment and stay current with their periodontal maintenance cleanings do very well. Skipping those follow-ups or letting home care slip are the most common reasons it returns.

Does scaling and root planing require sedation?

Local anesthetic is standard and handles discomfort for most people. Sedation isn’t usually necessary, but if dental anxiety is a concern for you, talk to Dr. Jafari — she’ll work with you to make sure you’re comfortable before anything starts.

How soon will I see improvement?

Many patients notice their gums bleed less and feel less tender within a few weeks. The follow-up appointment, typically 4–6 weeks after treatment, is when Dr. Jafari re-measures your pocket depths to confirm the gums are healing. Full improvement can take a couple of months.

Ready to get your gum health back on track? Call us at (703) 433-1400 or schedule a visit — Dr. Jafari sees patients Monday through Friday and Saturday mornings by appointment.