Deep Cleaning Teeth Or Dental Scaling

Deep Cleaning Teeth Or Dental Scaling

Table of Contents


Having beautiful white teeth creates positive effects on your face and makes your smile look more attractive.

If you don’t brush your teeth for a few days, a layer of food will sit on the tooth. This layer of mass is not often seen, but if it continues, the appearance of the tooth will turn yellow. In other words, the bacteria in the mouth break down food carbohydrates into acid. This acid mixes with leftover food particles and saliva to form plaque.

Dental plaque is a layer of sticky, colorless bacteria and sugary substances that stick to teeth and cause cavities, tooth decay, and gum disease.

Everyone usually needs a deep cleaning every six months. This period is shorter for those who are more prone to the formation of calculus and plaque on the teeth or who have undergone orthodontics. 

If you are one of those people who traditionally think that dental treatments are painful and therefore you avoid deep scaling, read the article “Is Deep Cleaning Teeth Painful?” With full knowledge, your desire to perform deep scaling will be increased. Of course, be careful that deep tooth scaling can be harmful if it is repeated too much.

It is better to know that in some situations, mass removal is done along with another method called Root Planting. In this method, the mass and bacteria on the root of the tooth are also cleaned. In this way, the risk of tooth decay is significantly reduced.

In order to prevent the spread of tooth decay, the article “How Can I Prevent The Spread Of Tooth Decay?” It will be the best guide.

Deep Cleaning Teeth tools

Ways to detect dental caries

Plaque is present in everyone’s teeth because the bacteria in the mouth are constantly growing and multiplying. These bacteria feed and grow from the food in the mouth and saliva; after eating, when the acid from plaque attacks the tooth, cavities are formed in the tooth. With the spread of acid attacks, tooth enamel breaks down and even leads to cavities.

If the mass is not removed, the gums and the areas around the teeth will be damaged and eventually lead to gingivitis. The symptoms of gingivitis are as follows:

  1. Red
  2. swelling
  3. bleeding gums

What is dental deep cleaning?

Teeth Deep Cleaning Teeth is often equivalent to scaling. Sometimes, this dental treatment is also called dental brosage. This treatment, which is a type of deep tooth cleaning, is one of the dental services that removes plaque and calculus (tartar) found above and below the gum line.

Dental plaque sometimes leads to gum disease. Although plaque constantly forms on the teeth, if they are not cleaned properly, the bacteria in them can cause gingivitis. When this happens, the gums discrete from the teeth, creating spaces called pockets. This is actually the same complication called receding gums. So if you are asking yourself, “Why are my gums receding?” This can be one of the reasons.

If you are suffering from this problem, we recommend to read the article “Treatment For Gum Recession: What Are Your Options?“.

After that, the plaque gets trapped in these envelopes, and it is not possible to remove it with a toothbrush. If left untreated, gum illness may cause bone and tooth loss.  

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Dental Deep Cleaning steps

In this section, we explain the steps of Deep Cleaning Teeth:

  • Initial examination

Before starting the Deep Cleaning Teeth process, the dentist will examine your teeth. He sees all the teeth with a small mirror so that there is no inflammation or other problems. Despite some issues, it is not possible to carry out a criminal investigation. Therefore, the doctor must be sure in this field.


  • Use of local anesthesia

Deep Cleaning Teeth and root planing require local anesthesia for pain control. In the first stage of this treatment, the dentist injects anesthesia into the person’s mouth and numbs the treated area. 

After about five minutes, the anesthesia takes effect, and the work can be started. During this time, you are awake and alert, but you will not feel any pain.

It should be noted that Deep Cleaning Teeth is an outpatient operation that is performed with the help of anesthesia if the gum condition is acute.


  • Removing plaque and tartar

At this stage, a scale remover is used to remove plaque and scale in:

  1. under the gums
  2. between the gums
  3. On the end of the tooth crown
  4. around the root of the tooth.

  Is used. You may hear a scraping sound, but don’t be alarmed because it’s a typical sound. The more plaque and tartar, the more time it takes to scrape a spot. 

Deep Cleaning Teeth is done either manually or with an ultrasonic tool such as the Cavitron dental scaler. Both techniques effectively remove hardened plaque and tartar. The Deep Cleaning Teeth tool is placed obliquely at a grade of 45 to 90 degrees to the tooth. 

Teeth and root surfaces are scraped and cleaned in a vertical, rotary, or horizontal motion. Using the laser teeth whitening method is also a new method that helps brighten the teeth by 10%.

Related: “Do Teeth Become Weak After Whitening?


  • Route planning 

Dentin, cementum, enamel, and dental pulp are the four main components of the tooth. If periodontitis persists, it can damage cementum, dentin, or both. Root planing is a process that helps to smooth uneven surfaces and remove subgingival bacteria. During root planing, the dentist deeply cleans the area below the gums to remove plaque and tartar from the roots of the teeth (where the bones are affected by the infection).

This process thoroughly removes the cementum (the calcified layer that shells the root of the tooth). Also, sometimes root planing involves removing a tiny layer from the dentine surface; Dentin is the second layer of the tooth that is under the tooth enamel.


  • Cleaning teeth with a solid electric toothbrush

After the teeth have been thoroughly cleaned and all tartar and plaque have been removed, the dentist will clean your teeth with a powerful electric toothbrush. To destroy the remaining bacteria. Then, he applies some pressure on the gum to ensure that the gum tissue grows accurately. At this stage, you will also hear the sound of teeth grinding. 

It may seem a little scary, but there is no problem, and this is done to clean the teeth deeply and remove plaque. A type of toothpaste is used in dental Deep Cleaning, which has a smell and taste similar to ordinary toothpaste.


  • Specialized flossing

It is true that you can prevent a lot of plaque and tartar by flossing at home, but professional flossing is the best way to remove plaque. 

The dentist can take a good look at all parts of your mouth and clean between the teeth. Sometimes, some masses become hard in such a way that they may cause the gums to bleed, even with a soft and ordinary toothbrush. The dentist can remove these crimes with specialized flossing.


  • Wash

After doing these things, you should wash your mouth. Usually, the dentist will give you liquid fluoride to get rid of any contamination.


  • Fluoride therapy

The last step is fluoride therapy. This step will protect your teeth from decay for several months. The gel used at this stage may have a unique flavor, or the doctor may even ask you what flavor you prefer. Then, he puts a sticky paste or gel on your tooth. Usually, this substance should be left on the teeth for one minute. Then, your mouth is rinsed. 

Fluoride varnish may also be used. This material hardens in contact with saliva. As a result, you can eat or drink immediately after doing this. So there is no need to wait for several hours.

teeth cleaning process

When should Dental deep cleaning be done?

If you have chronic symptoms of periodontal disease, your dentist will recommend dental Deep Cleaning or brushing of the teeth and roots. Chronic periodontal disease happens when bacteria in plaque cause the gums to separate from your teeth.

This problem causes a gap between your teeth and gums ( Receding gum ). The same space will be filled with more bacteria. You also cannot clean this area with normal brushing or flossing. 

Maybe you ask yourself “How To Reverse Receding Gums Naturally?” In response, I must say that yes, you can sometimes treat it naturally, but I suggest that go to the dentist to clean the hard parts so that dental Deep Cleaning can be done. If this case is not treated, the following problems may occur:

  1. Bone and tissue loss
  2. Tooth loss
  3. Loose teeth
  4. Shifting teeth

Chronic periodontal disease usually occurs for the following reasons:

  1. Poor dental hygiene
  2. smoking
  3. Hormonal changes
  4. old age
  5. Inappropriate feeding
  6. family history
  7. Other medical conditions


In addition to creating a deep gap between the gums and teeth, this disease has other symptoms:

  1. bleeding gums
  2. Inflamed, red, or tender gums
  3. Bad Breath
  4. Displacement of permanent teeth
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How often do you need dental Deep Cleaning?

How often you need dental Deep Cleaning or brushing depends on the health of your teeth and gums. Normally, most healthy patients need dental Deep Cleaning every six months. How often this treatment is repeated depends on how fast deposits form in your mouth. In some patients, deposits are formed relatively quickly (every 3-4 months).

Excessive dental Deep Cleaning in people with very thin and weak tooth enamel, worn surfaces, or crown fluorosis may lead to exacerbation of these defects. In this situation, the dentist recommends that you perform this treatment at longer intervals, maintain good oral hygiene, and visit for periodic examinations to prevent the collection of plaque on your teeth.


Ways to prevent dental caries

You cannot prevent the formation of plaque, but by following simple tips, you can prevent the development of plaque and, subsequently, gum disease. or even more you will be able to Cure Swollen Gums naturally. These points are as follows:

  1. Brushing teeth: at least two times a day. By doing this, the plaques will be removed from the entire surface of your teeth. Sometimes it happens that despite regular brushing, your teeth still get rotten. In this situation, reading the article “What Is The Cause Of Tooth Decay Despite Brushing? Demystifying” will be a good guide for you.
  2. Using dental floss: with this, the particles in the spaces between the teeth, under the gums, and areas that cannot be cleaned with a toothbrush will also be removed.
  3. Limit the consumption of sugary and starchy substances
  4. Regular examination of the teeth
  5. Benefits of dental Deep Cleaning


Dental Deep Cleaning is more than cleaning the surface of the teeth. This method involves deep cleaning the teeth to level the root of the tooth, which also helps to heal gum diseases. In cases where there is a risk of tooth loss, and chronic gum disease has damaged the tooth, dental Deep Cleaning has many benefits and can improve the person.

Prevention of tooth decay: Accumulation of plaque and calculus on the tooth can cause calculus, which remains harder and longer on the tooth and causes damage to tooth enamel and decay. So, the first and most important benefit of dental Deep Cleaning is preventing caries.

Related: “Nip It In The Bud/ How To Cure My Tooth Decay In Its Early Stage?

Prevention of gum diseases and tooth root protection: Accumulation of tooth mass and plaques in the lower part of the gums can also cause infection and damage to this oral tissue. As a result of the infection of the gum tissue and its degeneration, the root of the tooth that is placed in the gum is also damaged, and in the end, this may lead to the loss of the tooth. dental Deep Cleaning is an efficient way to prevent these horrible events!

Eliminating bad breath and strengthening the shine of teeth. The cloudy screen of plaques and scales has taken away the shine and beauty from the teeth and caused bad breath, which can be easily removed by Deep Cleaning teeth.

Saving life and financial costs. With the early treatment of gum and tooth problems, the need for gum surgery, nerve extraction, and such costly procedures is reduced. Therefore, life costs (pain and complications) and, of course, money are saved.

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Frequently asked questions

What happens if we don’t scale the teeth?

Accumulation of dirt and pollution on the surface of the teeth causes this debris to accumulate over time, and the health of our teeth and gums is endangered. When calculus is not removed, and the calculus remains on the tooth for a long time, the bone supporting the tooth and the gums begin to degenerate, and this will cause the teeth to loosen and decay. 

In addition, neglecting the removal of plaques causes the colors to become darker and give an ugly appearance to our teeth.


What happens if we don’t scale the teeth?

Accumulation of dirt and pollution on the surface of the teeth causes this debris to accumulate over time, and the health of our teeth and gums is endangered. When calculus is not removed, and the calculus remains on the tooth for a long time, the bone supporting the tooth and the gums begin to degenerate, and this will cause the teeth to loosen and decay. In addition, neglecting the removal of plaques causes the colors to become darker and give an ugly appearance to our teeth.


Is dental Deep Cleaning allowed for children?

Removing dental plaque in children can help prevent tooth decay, gum disease, and the health of the child’s mouth and teeth, and is a suitable method for the health of children’s teeth.


Is dental Deep Cleaning allowed during pregnancy?

In response to the question of whether dental Deep Cleaning is harmful during pregnancy or not, we must say that oral and dental hygiene is very important during pregnancy. dental Deep Cleaning is a safe way to remove plaque and contamination on the teeth, which you can also do during pregnancy.


When you need dental Deep Cleaning, it usually means you’ve neglected to take care of your teeth in the first place. By not brushing and flossing annually, you are allowing the problem to develop into periodontal disease, so preventative measures are essential. Also, remember that dental Deep Cleaning and polishing may be needed more than once, and each cleans a different part of your teeth.


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Author and specialist

Dr. Majid Zahrabi,


  • Board Certified Neurosurgeon
  • DHA certificate holder
  • Plantation certificate holder, France
  • Certified holder of Discogol, France
  • A pioneer in the non-surgical treatment of disc herniation in the Middle East and CIS countries.
  • Under the training and coaching of Professor Jacques Theron (founder of Discogel Therapy) since 2008
  • More than 400 successful cervical and 1300 lumbar discogel injections
  • Trained and certified several neurosurgeons and spine surgeons in the Middle East and CIS countries for the treatment of Discogel
  • Strong belief in patient-centered care planning and participation
  • Neurosurgeon and spine surgeon at Imam Khomeini and Amir Mazandarani Hospital, Sari, Iran, with more than 430 surgeries annually, 2000-2011
  • Neurosurgeon and spine surgeon at Farmaniyeh, Nikan and Yas Sepid Hospital, Tehran, Iran, with more than 400 surgeries annually, 2011-2012
  • Neurosurgeon at Iranian Hospital, Dubai, 2022-2023
  • Since 2015, he has been working as a reference doctor for the treatment of intervertebral disc herniation with Discogel and has trained many doctors of spine-related specialties in various countries of the Middle East and CIS in person/practically and online.



  • Individual training sessions under the direct supervision of Professor Jacques Theron in Discogel treatment, 2008-2020
  • Training sessions under the supervision of Professor Thierry Boye on spinal implants, 2007
  • Participation and presentation in several national and international medical and neuro-spinal conferences
  • Board certificate by Iran Neurosurgery Board, 2001
  • Neurosurgery assistant training course, Isfahan University of Medical Sciences, Isfahan, Iran, 1996-2001 (In 2001, he graduated from Isfahan University of Medical Sciences with the first rank in the country.
  • His thesis the titled:The Application of human amniotic membrane in repair of dura matter in dogs.” ( It was happening for the first time in the world. )
  • General medical education, Tabriz University of Medical Sciences, Tabriz, Iran, 1984-1993


Published books:

  • CT scan of the brain for doctors
  • Etiology and treatment of painful spine disorders
  • Atlas of diagnosis, prevention, and treatment of spine disorders
  • The most common mistakes in the treatment of spinal disorders
  • Reading brain CT scan in simple language (3rd place in the book of the year)
  • Treatment of head and spine injuries

Publications and articles:

  • Bacteriostatic and bactericidal effects of DISCOGEL® (https://www.researchgate.net/)
  • Muscle recovery, reduction of pain, and improvement of movement strategies in patients with lumbar discopathy after injection of Discogel.
  • The article on the initial results of the treatment of intervertebral disc herniation with discogel injection, which won the second-best poster rank at the Pan Arab International Congress of Interventional Radiology (March 14-16, 2015) and was accepted for presentation at the Chicago Pain Congress.
  • The use of human amniotic membrane in dura mater repair in dogs, a study for the first time in the world.



  • Annual Congress of Physiotherapists of Iran, 2019
  • Chicago International Pain Congress, 2019
  • Iran International Pain Management Congress, 2018
  • Annual Congress of Physiotherapists of Iran, 2018
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Armenia for orthopedic specialists and neurosurgeons, 2017
  • First Live Workshop and Seminar on Minimally Invasive Disc Therapy (DISCON), 2017
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Azerbaijan for orthopedic specialists and neurosurgeons, 2016
  • Seminar of Iranian official managers, 2016
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Tajikistan for orthopedic specialists and neurosurgeons, 2016
  • International Neurological Intervention Congress in Iran, 2014
  • Educational seminar for nurses on treatment approaches for head and spine trauma, 2014
  • Educational seminar for general practitioners on treatment approaches for head and spine trauma, 2014
  • Speech at the Retraining Seminar for General Practitioners and Specialists in Dubai (Discon) in 2017
  • Speech in the internal retraining courses of Irani Hospital, Dubai
  • Holding lecture sessions and practical workshops on the treatment of intervertebral disc herniation with discogel injection in Azerbaijan, Tajikistan, Ukraine, Oman, and Armenia during the years 2015 to 2021.
  • Giving a lecture and holding a practical workshop for neurosurgeons in Vietnam at Ho Chi Minh City University in 2023

Dr. Majid Zohrabi started treating his patients in Dubai in 2022 and continues his activities in private medical centers in the UAE.