Periodontic Services

Dental Deep Cleaning in Bel Air, MD: Treating Gum Disease Before It Gets Worse

A regular cleaning removes plaque and tartar from the surface of your teeth above the gumline. A deep cleaning, formally known as scaling and root planing, goes below it. If you have been told you have gum disease or that your gum pockets are too deep, scaling and root planing is the standard first-line treatment to stop the infection and stabilize your periodontal health.

Frequently Asked Questions About Dental Deep Cleaning

Is a deep cleaning painful?

No. The area is fully numbed with local anesthesia before any treatment begins. You may feel pressure and vibration from the instruments but should feel no sharp pain. Some sensitivity and mild soreness afterward for a few days is normal.

How many visits does a deep cleaning take?

Most patients complete their deep cleaning in two appointments, one for each side of the mouth. Some patients prefer to split it into four quadrant appointments. Dr. Englander will recommend the approach that makes the most sense for your case.

Will my gums go back to normal after a deep cleaning?

Gum disease causes permanent bone loss that cannot be regenerated without surgical intervention. However, a deep cleaning stops the progression and allows the gum tissue to heal and restabilize. Consistent periodontal maintenance keeps the disease controlled.

Does insurance cover deep cleaning?

Yes. Most dental insurance plans cover scaling and root planing as a necessary periodontal treatment, typically at 50 to 80 percent after your deductible. Our team will confirm your benefits before scheduling.

How often will I need deep cleanings after the initial treatment?

Once you have completed your initial scaling and root planing, most patients transition to periodontal maintenance visits every three to four months rather than additional deep cleanings. Whether further scaling is needed at maintenance visits depends on how well the gums have healed and how well plaque is being controlled at home.

Healthier Gums

Healthier Gums

Stop disease in its tracks

What Is Scaling and Root Planing and How Is It Different from a Regular Cleaning?

A routine cleaning, called prophylaxis, is a preventive procedure for patients with healthy gums. It removes the buildup of plaque and calculus from tooth surfaces at and just below the gumline. Scaling and root planing is a therapeutic procedure for patients with active gum disease. Scaling removes the hardened bacterial deposits from deep within the gum pockets. Root planing then smooths the root surfaces of the teeth, which removes bacterial toxins that have embedded into the root and makes it harder for bacteria to reattach. Together they eliminate the source of infection and allow the gums to heal and reattach to the teeth.

How Do I Know If I Need a Deep Cleaning?

At every comprehensive exam, Dr. Englander measures the depth of the pockets between your teeth and gums using a small periodontal probe. Healthy pockets measure one to three millimeters. Pockets of four millimeters or more indicate the presence of gum disease and may require a deep cleaning, especially if there is visible tartar buildup below the gumline, bleeding when probing, or bone loss visible on X-rays. Other signs include gums that bleed easily, persistent bad breath, gum recession, or loose teeth.

What Happens During a Deep Cleaning Appointment?

Scaling and root planing is typically divided into two appointments, treating one side of the mouth at each visit. Dr. Englander numbs the entire area thoroughly with local anesthesia before starting. Using hand scalers and an ultrasonic scaling device, he works systematically around each tooth, removing calculus deposits from deep within the pockets and smoothing the root surfaces. Each quadrant takes about an hour. After the procedure you may experience some tenderness and sensitivity for a few days, which is normal as the gums begin to heal.

What Happens After a Deep Cleaning?

After your deep cleaning, Dr. Englander will schedule a follow-up appointment six to eight weeks later to measure your pockets again and assess how well the gums have responded. In many cases, the gum tissue tightens, bleeding decreases, and pocket depths reduce as the infection clears. Patients who have had gum disease are placed on a periodontal maintenance schedule, typically every three to four months, rather than the standard six-month routine cleaning. This more frequent schedule is necessary to control the disease long-term and prevent it from returning.

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    Dr. Joshua Englander, DDS

    Page written and reviewed by:

    Dr. Joshua Englander, DDS

    Doctor of Dental Surgery · Elevated Smiles Dentistry, Bel Air, MD · Last reviewed: July 2026