Dental curettage: definition, procedure, pain, cost and benefits

Dental scaling and root planing is a treatment often dreaded… but sometimes essential when the gums are deeply affected . If your dentist mentions it, it's often because inflammation has developed, or even periodontitis . In practice, it involves cleaning under the gum line to eliminate the bacteria causing the infection . We'll tell you everything you need to know here to better understand this procedure and take care of your gums in the long term.

Imagine that bacteria have taken root under your gums. Dental scaling and root planing is the deep cleaning that will dislodge them . Over time, plaque can harden into tartar , which seeps under the gum line, creating small pockets that become havens for these bacteria.

The objective of this treatment is threefold:

• Remove tartar hidden under the gum line.

• Remove the bacteria that perpetuate the inflammation.

• Smooth the root of the tooth to help the gum reattach.

In reality, it's the same thing. The term "periodontal" simply refers to all the tissues that support the tooth: the gum, the periodontal ligament, and the bone. Therefore, there's no difference in treatment ; it's just a matter of terminology.

Dental scaling and root planing becomes necessary when gum inflammation goes beyond simple bleeding . At this stage, these germs have established themselves under the gum and are attacking the tissues that support your teeth.

Your dentist might recommend it if you notice:

• Deep "pockets" between your teeth and gums,

• Recurring bleeding when you brush your teeth,

• Persistent inflammation ,

• Persistent bad breath caused by bacteria,

• Slight mobility of some teeth.

Without treatment, periodontitis often progresses silently. The inflammation gradually erodes the bone that anchors your teeth.

Over time, we may see the following appear:

• Visible gum recession ,

• Sensitivity to heat and cold ,

• Teeth that are becoming increasingly loose,

• And in the most advanced cases, the loss of the tooth.

Your dentist begins by conducting a thorough examination . They will measure the depth of your periodontal pockets with a probe and may order X-rays to assess the condition of your bone. This diagnosis allows them to evaluate the extent of the periodontitis , determine the areas to be treated, and plan the number of appointments required. Sometimes, a professional cleaning is performed beforehand to remove any visible plaque.

For your comfort, the procedure is performed under local anesthesia. The dentist then uses manual or ultrasonic instruments to remove tartar hidden under the gum line, clean periodontal pockets, and smooth tooth roots . Depending on the extent of the treatment required, everything can be done in a single session or spread over several appointments.

It is common to experience temporary tooth sensitivity , slight bleeding, or a feeling that the gums are more fragile. These discomforts usually disappear within a few days. Good oral hygiene is then essential to promote healing and consolidate the results in the long term.

The procedure is performed under local anesthesia, so you should n't normally feel any pain . However, you may experience some sensations: slight pressure, small vibrations from the instruments, or even a trickle of water if the dentist uses ultrasound.

When the anesthesia wears off, it's common to experience some sensitivity, especially to hot and cold . This is because the tartar that covered the roots has been removed, making them more exposed.

You might also notice slight bleeding, feel that your gums are thinner, or experience discomfort when brushing your teeth. These issues are usually temporary and disappear within a few days.

To alleviate discomfort, you can:

• Take a pain reliever if needed.

• Use an antiseptic mouthwash recommended by your dentist.

• Opt for a toothbrush with soft bristles ,

• Choose a toothpaste specifically designed for sensitive teeth .

In practice, treatment is often done by quadrant, meaning a section of the mouth. The price therefore varies depending on the size of the areas to be treated. On average, expect to pay:

• Between €150 and €300 per quadrant,

• That's between €300 and €600 for a more extensive treatment.

• Sometimes more if the situation is advanced and requires several appointments.

Health insurance covers certain procedures, but often only partially. Your supplemental health insurance can then cover part or all of the remaining costs.

To avoid unpleasant surprises, it's best to:

• Request a written quote,

• Check the guarantees in your contract,

• Contact your health insurance provider if you have any doubts.

First and foremost, dental curettage helps to stop the progression of periodontitis . By eliminating the bacteria that cause inflammation, the supporting tissues are protected.

Specifically, you should observe:

• Less bleeding when brushing,

• Less swollen and sensitive gums ,

• Fresher breath ,

• Teeth that move less ,

• A slowing of bone loss .

However, be aware that dental curettage does not regrow lost bone. Its role is to stabilize the situation and prevent it from worsening . And for the results to last, two things are essential: rigorous oral hygiene and regular checkups with your dentist.

To ensure everything goes smoothly, it's important to share your medical history with your dentist so they can tailor your treatment. Special attention is needed if you have:

• Blood clotting disorders,

• Anticoagulant treatment,

• Poorly controlled diabetes

• Unstable cardiovascular problems,

• An immune deficiency.

Smoking is also a factor to consider, as it slows healing and can reduce the effectiveness of the treatment. Finally, this treatment is possible for pregnant women if necessary. The dentist will simply choose the most suitable time and adjust the treatment according to the trimester.

Prevention is key. Periodontitis doesn't develop suddenly; it's often the result of dental plaque accumulating over time .

In your daily life, remember to:

• Brush your teeth twice a day, for two minutes.

• Use dental floss orinterdental brushes every day.

• Opt for a soft toothbrush , which is gentler on your gums.

• Change your brush (or its head) every three months.

• Reducing tobacco consumption is a real accelerator of gum problems.

An electric toothbrush can also help you clean more evenly, especially along the gum line where bacteria like to linger.

Even with impeccable hygiene, tartar often builds up. That's why regular dental checkups are essential. They allow for the early detection of inflammation before it worsens .

A professional cleaning once a year (or every six months if your gums are sensitive) helps prevent the formation of those dreaded periodontal pockets. The earlier gingivitis is treated, the less likely you are to need a professional cleaning.

In short, dental scaling and root planing is a treatment that cleans below the gum line in cases of periodontitis. It removes bacteria deep down and helps protect the tissues that support your teeth.

Performed under local anesthesia, it is generally not very painful and allows for:

• Reduce bleeding and inflammation,

• Stabilize your teeth,

• Preserve your long-term dental health.

For the treatment to be effective, good oral hygiene and regular checkups are essential. And the earlier you act, the better!