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Scaling & Root Planing in Milwaukie, OR

If gum disease has moved below the gumline, a regular cleaning may not be enough. Scaling and root planing is a deeper cleaning designed to remove bacteria and buildup from beneath the gums — helping reduce inflammation and support healthier healing.
At Gregson Family Dentistry, we keep this treatment as comfortable as possible and walk you through exactly what’s happening and why. The goal is simple: help your gums calm down, heal, and stay stable.

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Have questions about deep cleanings or gum treatment? We’re happy to help.

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What Is Scaling & Root Planing?

Scaling and root planing is a treatment for gum disease that removes plaque and hardened buildup from below the gumline. The “root planing” part smooths the tooth roots to help gums reattach and stay healthier.
  • Targets bacteria below the gums
  • Helps reduce bleeding and inflammation
  • Supports healthier healing and stability

When It’s Recommended

We may recommend scaling and root planing if we see signs of periodontal disease — like deeper gum pockets, bone changes, or ongoing bleeding/inflammation.
  • Bleeding or swollen gums that don’t improve
  • Deeper pockets around teeth
  • Gum recession or bone loss
  • Persistent bad breath
  • Loose teeth or bite changes

What to Expect

We’ll keep you comfortable and explain everything as we go. Depending on the severity, treatment may be done in sections, and we’ll schedule follow-ups to check healing.
  • Numbing for comfort (and other options if needed)
  • Deep cleaning below the gumline
  • Home-care instructions to support healing
  • Re-evaluation to measure improvement

Aftercare & Next Steps

Some tenderness or sensitivity is normal at first. We’ll give you clear instructions and make sure you know when to call us.
  • Use sensitivity toothpaste if needed
  • Keep brushing and flossing (we’ll show you how to be gentle)
  • Follow recommended rinses or medications if prescribed
  • Return for periodontal maintenance if advised

Ready to get your gums back on track?

Frequently Asked Questions

Is scaling and root planing the same as a deep cleaning?

Yes — “deep cleaning” is the common term. Scaling and root planing is the clinical name for removing buildup below the gumline and smoothing the roots.

Does it hurt?

We use numbing to keep you comfortable. Some tenderness afterward is normal, but most patients feel it’s very manageable.

How long does healing take?

Many patients notice improvement within a few weeks. We’ll schedule a re-evaluation to measure healing and adjust your plan if needed.

Will I need maintenance afterward?

Often, yes. Periodontal maintenance helps keep bacteria under control so gum disease doesn’t return or progress.

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