
Your gums can struggle quietly for months before your teeth show any sign of trouble. Bleeding when you brush, breath that never seems to freshen, or gums that look red and puffy are easy to dismiss, yet they are often early signs of gum disease. Scaling and root planing is a deep cleaning that removes plaque and tartar from below the gumline, which gives irritated gums a chance to heal before the problem spreads.
At Lexington Family Smiles, our team provides periodontal care for families across Lexington, SC, and we’ve served this community for more than a decade. Our goal is to catch gum problems early and explain your options in plain language so you feel comfortable with every step.
What Is Scaling and Root Planing?
Scaling and root planing is a two-part cleaning for the areas of your teeth you cannot reach with a toothbrush. During scaling, plaque and hardened tartar are removed from the tooth surfaces above and below the gumline. During root planing, the rough spots on the tooth roots are smoothed, making it harder for bacteria to cling and helping your gums reattach to the teeth.
Gum disease starts when plaque and tartar collect under the gumline and irritate the gum tissue. Over time, that irritation can create deep spaces called pockets between your teeth and gums, and those pockets can trap even more bacteria. Brushing and flossing cannot reach into deep pockets, which is why a deeper cleaning in the dental chair is often the next step.
Signs Your Gums May Need a Deep Cleaning
Gum disease often develops without pain, so it helps to know what to look for. Roughly 2 in 5 U.S. adults age 30 and older have some form of periodontitis, according to the National Institute of Dental and Craniofacial Research, so you are far from alone if you notice any of these changes:
- Bleeding gums: Blood on your toothbrush or floss, especially when it happens often
- Persistent bad breath: A sour taste or odor that returns soon after brushing
- Red or swollen gums: Tissue that looks puffy, feels tender, or has changed color
- Receding gums: Teeth that look longer because the gumline is pulling away
- Loose teeth: A change in how your teeth feel or fit together when you bite
Not everyone notices symptoms, which is why regular checkups matter. A periodontal evaluation helps us assess your gum health and the bone that supports your teeth, and our digital X-rays give us a clear look below the surface.
What to Expect During Scaling and Root Planing Treatment
Treatment may begin with a review of your gum measurements and X-rays so we can see which areas need the most attention. Depending on how much buildup you have, the cleaning may be spread across more than one visit, often by section of the mouth. Numbing medication may be used to keep you comfortable while the area below the gumline is cleaned.
Afterward, your gums may feel tender or look slightly swollen for a few days, which is normal as you heal. Brushing gently and following the aftercare instructions you receive may help you recover comfortably.
Why Treating Gum Disease Early Matters
Gum disease is a progressive condition, which means mild irritation may become more serious when plaque and tartar stay in place. Treating it early may help protect the gum tissue and bone that support your teeth, and it may help you avoid more involved care later.
After treatment, we recommend keeping up with your home care and regular visits. Brushing twice a day, cleaning between your teeth, and scheduling dental exams and cleanings can help prevent plaque buildup, and some patients may benefit from periodontal maintenance visits on a schedule that fits their needs.
Payment and Coverage Options
Coverage for scaling and root planing varies by plan, so it helps to check your benefits before treatment begins. Our practice participates in insurance through a dental advocacy group, and our team can help you review what your plan may cover.
If you don’t have insurance, our in-house dental savings plan may be an option. We also offer financing options through CareCredit, Cherry, and Sunbit, so you can choose a payment approach that fits your budget.
Schedule Your Visit With Lexington Family Smiles
Scaling and root planing may give your gums the chance to recover before gum disease causes lasting damage, and acting early may open up more treatment options. Dr. Michael Moulton is a member of the South Carolina Dental Association and the American Dental Association, and you can expect a calm, spa-like office and an outstanding staff when you visit.
Our team at Lexington Family Smiles is now accepting new patients and offers flexible schedule options for local families. Contact our office today to schedule your appointment and experience comprehensive, compassionate general and preventive dentistry right here in Lexington, SC.

