In the upper part of the gums, there is human access for cleaning, brushing and maintaining hygiene. It is in the gingival groove and under the gum, which is difficult to clean. or clean it with methods such as the modified bass method by brushing, which is very difficult for the majority of people in our country to use this method of brushing to maintain the health of the gum groove..
Therefore, plaque and mass remain under the gums. And in practice, only the above gum will not be enough. Because the cause of the problems is the bacterial plaque on the teeth. It remains in the gingival groove and as subgingival mass.. The solution is to use different methods, the routine method is the use of ultrasonic waves for subgingival scaling..
Of course, subgingival scaling will take more time from the therapist. And also because the ultrasonic waves affect the masses under the gums, the gums will be slightly irritated, which will not be seen in the upper gum masses where there is no contact between the dental instruments and the gums..
There is generally no need to inject anesthesia in subgingival scaling with ultrasound. Our experience shows. Something about 95% A percentage of patients do not need to inject dental anesthesia for subgingival scaling. Finally, a very simple and common soothing mouthwash is used to relieve the oral mucosa for a limited period of time to treat subgingival ultrasonic scaling that is not lidocaine or benzocaine..
The mouthwash is kept in the mouth for about five minutes. This mouthwash does not have antibacterial effects, but is only for soothing the mucous and oral environment. Usually, the irritation of the gums during the scaling process by this mouthwash is at the threshold of tolerance for the vast majority of patients. And there will be no need to inject anesthesia.
A final and very important point, which causes patients to pay insufficient attention to scaling treatments, which are the first line of all dental treatments as oral hygiene.. It is it. If the teeth are scaled by a skilled and trained therapist. And it should be done with experience and with the correct way of using dental tools and technologies. It does not cause any damage to teeth, enamel, creating lines or scratches on the surface of teeth or enamel .
People's thinking that wrong criminalization can lead to scratches on the enamel. It is a correct thought. Because, unfortunately, in the past, the use of related devices, the most routine of which is ultrasonic waves, was not done correctly by some people, and the devices were not used correctly, causing scratches on the teeth.. But by a skilled and experienced therapist and someone who knows how to use their treatment devices, there is absolutely no need to worry and these devices are safe and will not cause damage to the teeth unless they are used by therapists without sufficient knowledge. take.
I hope that I have been able to provide the necessary information related to the necessity of scaling, related to dental sensitivity after scaling and how to manage and resolve it, about whether it is painful or not or does not require anesthesia in the majority of patients during the scaling process, and also I would like to share with you the popular thinking about criminal injuries, which now with the correct training given to therapists, this thinking is now wrong and has been related to the past decades..
We hope that you follow your oral hygiene protocols, which include the correct methods of brushing and flossing and sometimes using water jets..
According to genetics, type of saliva, diet, level of oral and dental hygiene and geographical location, the need for screening between 6 month to year 1 There will be burden in humans. Periodic dental checkups are necessary and appropriate for this purpose. If this article was of interest to you and added to your information and made you make better decisions about your oral health, please share it with your family, friends and loved ones..
Sincerely, Dr. Hossein Borjian
✔️Surgeon-Dentist-Implantologist
✔️specialized dental laser fellowship from the University of Genoa
Mastership in cosmetic dentistry from New York University
Doctorate in Dentistry from Isfahan National University
✔️ International speaker and author of the book A Decade with Laser Dentistry
✔️ Founder of Pishgam Dental Institute of Najm
✔️ and specialized dental laser center in Najm
