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Hygiene and prophylaxis

Hygiene and prophylaxis

Dental scaling is part of oral hygiene and involves the removal of dental plaque from natural or artificial teeth with the intention of preventing cavities (dental caries),gingivitis, and periodontal disease; it also implies above and below gum scaling. Calculus is the cornerstone for periodontal disease.

How is teeth scaling performed?
Scaling can only be performed by specilized personnel , manually ,using ultrasonic or sonic instruments.
Scaling with hand-held instruments Your dentist or periodontist will use a dental scaler and curette to manually remove (scale) the plaque from the teeth. Because the dentist or dental hygienist can’t see the plaque, they rely on touch to identify areas of tartar buildup and rough spots.
Scaling with ultrasonic instruments.Ultrasonic scaling instruments clean plaque from the teeth with a vibrating metal tip that chips off the tartar and a water spray to wash it away and keep the tip cool.
Scaling with sonic instruments is perfomed by air propulsion and is more effective than ultrasonic scaling.
After scaling ,residual plaque is removed and scaled tooth surfaces are finished with hand or rotary instruments such as brushes ,rubber cups, fluoride or non fluoride abrasive toothpaste .

Incorect dental scaling might cause:

  • tooth expulsion
  • soft tissue injuries
  • high sensitivity
  • obturation fracture

When is scaling recommended ?
Patients should visit the dentist for dental scaling every 6-12 months.If patients have congenital heart disease we recommend prophylactic antibiotic administration. We will take into account ultrasonic and sonic contraindication.