Health Deep Within the Gums
If gum diseases (periodontal diseases) are not treated at an early stage, inflammation spreads to the supporting tissues beneath the gums and toward the tooth roots. Deep spaces known as “pockets” form between the gums and the teeth. Subgingival curettage (deep tissue cleaning) is the procedure used to clean these deep pockets and diseased root surfaces in cases where superficial scaling is insufficient.
Why Is Subgingival Curettage Necessary?
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Deep Periodontal Pockets: When gingival pockets exceed normal limits (3 mm), it leads to bacterial colonization in areas inaccessible to a toothbrush.
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Root Surface Deposits: When tartar extends to the root surface, bone loss accelerates. The root surface must be cleared of these deposits and infected tissues.
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Advanced Inflammation: Deep cleaning is essential in cases of persistent gum bleeding and the onset of loose teeth.
How Does the Subgingival Curettage Process Proceed?
The procedure is performed under local anesthesia to ensure patient comfort. Once the area is numbed, specially designed, slender hand instruments known as “curettes” are used to access the periodontal pocket. Tartar and inflamed tissues on the tooth root surface are removed by scraping. Following the procedure, the root surface is completely smoothed (root planing). Depending on the extent of the disease, the treatment may be divided into several sessions covering different areas of the jaws.
Frequently Asked Questions
Is subgingival curettage a surgical procedure?
It is a type of minor periodontal procedure, but it is not a surgical operation in the traditional sense involving gum incisions and sutures (flap surgery). The procedure is performed via a closed approach from within the periodontal pocket.
Will there be pain after the procedure?
After the effects of the anesthesia wear off, you may experience mild aching and tooth sensitivity. This period can be easily managed by using the painkillers and mouthwash recommended by your dentist.
Conclusion
Subgingival curettage is a critical procedure performed to prevent tooth loss and halt the destruction of the jawbone. Following successful treatment, the gums tighten, reattach to the root surface, and return to a healthy state.