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The diagnosis determines the type of care

Regular cleaning vs. deep cleaning

“Regular cleaning” and “deep cleaning” are common phrases, but they describe care with different goals. A preventive cleaning supports health when disease does not require treatment below the gumline. Scaling and root planing treats selected sites affected by periodontal disease.

What a preventive cleaning does

A preventive visit removes plaque, calculus and stain as appropriate and supports ongoing home care. It is not a substitute for periodontal therapy when examination shows attachment loss, bone loss, deeper inflamed pockets or deposits that require treatment below the gumline.

What scaling and root planing does

Scaling and root planing is non-surgical periodontal treatment. The clinician removes plaque and calculus from diseased root surfaces below the gumline and smooths those surfaces as indicated. Local anesthetic may be used, and treatment may be divided by area.

Measurements support the recommendation

The decision should be based on periodontal measurements, bleeding, inflammation, attachment and bone support, deposits, symptoms, history and risk—not a label alone. Ask the clinician to show the findings and explain which areas need treatment.

Reevaluation shows how tissues responded

After non-surgical treatment, the clinician reassesses healing, home care, pocket depths, bleeding and other findings. Some sites may need additional treatment or specialist evaluation. A temporary reduction in inflammation does not remove the need for follow-up.

Periodontal maintenance is ongoing care

For a person with a history of periodontitis, periodontal maintenance is different from routine preventive cleaning. The interval is individualized according to disease, response, home care and risk. Regular measurement helps the team detect recurrence or progression.

Teeth and supporting tissues

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Use the diagnosis to choose the next step

Periodontal care continues beyond one visit

Ask how the proposed treatment, reevaluation and maintenance schedule respond to your measurements and risk factors.

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Your questions, answered

Can I choose a regular cleaning instead?

Ask the clinician to explain the diagnosis and alternatives. A preventive cleaning does not treat periodontal disease below the gumline.

Does “deep cleaning” mean surgery?

Usually the phrase refers to non-surgical scaling and root planing, but ask what exact procedure is being recommended.

Will I need periodontal maintenance forever?

The schedule depends on your diagnosis, response and ongoing risk. The treating clinician should reassess and explain the recommended interval.

Connected care

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Independent patient resources

General education does not replace the examination, diagnosis or recommendation of the treating clinician.