We monitor our appointment requests several times a day and will usually reply within one business day during
open hours.
Dr. Karl Smith
Periodontics & Dental Implants
2500 N. Van Dorn St.
Suite 128
Alexandria VA 22302
(703) 894-4867
601 Post Office Rd.
Suite 1-B
Waldorf MD 20602
(301) 638-4867
Scaling

Root Planing
The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.
The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. Smith may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for Dr. Smith to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.