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SCALING AND ROOT PLANNING

Ahmed Abdulelah Abduljawad Al-jawady


College of dentistry
Mosul-Iraq

?What is the difference

Scaling: removal of deposits around


tooth surface without removal of
.tooth structure
Root planning: removal of
subgingival plaque,calculus and
infected cementum to produce a
.smooth, hard and clean surface

Healing following scaling and root


:planing

Reduction in pocket depth occurs by two principal


:mechanisms
Recession of the gingival margin due to resolution of - 1
inflammation and subsequent reduction in swelling and
hyperplasia
Reattachment to the root surface. This occurs- 2
primarily by the formation of a long junctional epithelial
attachment. Epithelial cells grow from the gingival
sulcus to repopulate the pocket lining and attach by
hemidesmosomes to the root surface. This is most
.likely to occur in the absence of inflammation
Whilst the periodontal ligament contains precursor cells
that have the ability to form a connective tissue
.reattachment

Scaling and Curettage


Instruments
Sickle Scalers. Sickle scalers -1
have a flat surface and two
cutting edges that converge in a
.sharply pointed tip
The sickle scaler is used
primarily to remove
.supragingival calculus
Because of the design of this
instrument, it is difficult to insert
a large sickle blade under the
gingiva without damaging the

Curettes. The curette is the instrument of choice for - 2


removing deep subgingival calculus, root planing altered
cementum, and removing the soft tissue lining the
.periodontal pocket

Double-ended Gracey curettes are paired in


:the following manner
Gracey #1-2 and 3-4: Anterior teeth
Gracey #5-6: Anterior teeth and premolars
Gracey #7-8 and 9-10: Posterior teeth: facial
and lingual
Gracey #11-12: Posterior teeth: mesial
Gracey #13-14: Posterior teeth: distal

:Technique

Thank you