A deep cleaning is needed when you have tartar or calculus build-up on the roots of the teeth. This build-up will cause inflammation (swelling) of the bone around the teeth. This will lead to painful gums, bone loss, and eventually tooth loss.
Your dentist will use multiple methods and tools to tell if you need a deep cleaning. This includes the clinical exam, periodontal probing (a measurement around each tooth), and digital x-rays to look at the bone levels and shape.
Clinical Exam: Your dentist will be looking for swelling and bleeding of the gums around the teeth. Another factor your dentist will look at is if the teeth are mobile. Teeth that are able to be moved with light finger pressures can suggest severe bone loss.
Periodontal Probing: There is a pocket around each tooth (sulcus) that is measured with a small tool called a perio probe. In general, you want to have a pocket depth of 3 millimeters or less.
X-rays: Your dentist will look at the bone level and the shape of the bone near the root of the tooth. With digital x-rays, they’ll check for bone loss and damage, and based on the depth and angle of bone loss, will be able to determine if a deep cleaning is needed.
If your dentist determines that a deep cleaning is necessary, then a regular cleaning will not help to return you to proper oral health.
Since deep cleanings are more thorough, and go further below the gumline than regular cleanings, they can potentially cause some discomfort or pain. To ensure your comfort during your deep cleaning, your dentist will numb the treatment site before beginning. After you are numb you will feel pressure and vibration but will be free of pain for the procedure.
The amount of time a deep cleaning takes depends on several variables.
In some cases, only a few teeth or one area of the mouth will need a deep cleaning. Typically for a full-mouth deep cleaning, only one-half of the mouth is done per appointment.
For a half-mouth deep cleaning, you can expect an appointment time of around 90 minutes. This will also allow for time for post-treatment x-rays and to review after-care instructions.
This depends if the whole mouth or only part of the mouth is treated. Your dentist will most likely bill for one of two insurance codes, one for if only 1-3 teeth need to be treated and another if a whole quadrant needs to be treated. Your dentist also may need to charge for medication used around the tooth to help increase the chances of success for your deep cleaning.
Your insurance coverage will depend specifically on your dental insurance plan. Make sure to contact your dental insurance provider to find your specific coverage. The most common coverage I have seen is 80% in my patients.
Immediately after a deep cleaning you might have some discomfort and aching. After your mouth has had some time to heal you should notice some of the following improvements:
If you are in the Roanoke area and would like to have better oral health, please give We Care Dental Care a call at 540-427-7274. Dr. Benjamin Burkitt treats patients of all ages so the whole family can get the quality care they deserve.