What Is Dental Deep Cleaning?

Teeth Stone ( Tartar ) Cleaning ( Detertrage ) – Curettage - Polishing

Tooth stone cleaning; is the process of removing tartar (calculus) formed on the tooth's surface and in the places where the tooth connects with the gingiva by a specialist dentist. Tartar formed on the gum and tooth line leads to gingivitis over time. If gingivitis is not treated, it brings many problems that can cause tooth loss. Since tartar, which has a hard and porous structure, continues to hold food and beverages, bacteria formation continues. This causes bad breath to the degree that disturbs the person and his environment. Cleaning the tartar is very important in ensuring oral hygiene by eliminating all these problems. In addition, tartar cleaning is one of the priority applications for our patients who want to have a smile design.

Tartar cleaning, detertraj, deep tooth cleaning, curettage and polishing applications are successfully performed in Dent Plaza Group dental clinic, one of the best clinics in Antalya. Our patients who want to have tartar cleaning, detertraj, deep tooth cleaning, curettage and polishing treatments can contact our dental clinic in Antalya for an appointment.

Why does calculus occur?

  • Dry mouth due to diabetes, old age, and some medications
  • Insufficient level of dental cleaning and oral care (brushing and flossing)
  • Receiving radiotherapy treatment in places close to the mouth, such as the head and neck
  • Smoking
  • The structure of saliva that accelerates the formation of tartar
  • Excessive consumption of foods containing sugar and carbohydrates
  • Absence of tooth-brushing habit
  • Not using dental floss

How to clean tartar in the easiest way? How is deep dental calculus cleaning done?

Tartar cleaning is not a treatment that can be done at home; on the contrary, it is a necessary procedure to be performed by specialist dentists in dental clinics. Those who clean calculus at home only brush their teeth regularly and adequately and use dental floss to prevent the formation of calculus. Teeth cleaning steps:

Examination: 

The dentist detects problems and the size of tartar by examining the teeth, gums, and mouth.

Tooth scaling – is the process of removing films or layers of deposited material on the tooth surface.

Hand-Held Manual Instruments: 

The dentist uses hand-held instruments such as calculus and curette to remove tartar from the tooth surface.

Devices Working with Sound Wave (Ultrasonic Instruments):

With the help of an ultrasonic device working with the sound wave, the moving tip loosens the tartar on the tooth surface, and thus the tartar is removed from the tooth more easily. The dentist uses pressurized water to avoid tartar residue on the tooth surface.

Brushing With Sand Toothpaste (Polishing):

After the dentist removes the tartar from the teeth, the patient will brush their teeth with sandy toothpaste and a strong electric brush. This method brushes the teeth and polishes them by polishing as well as deep cleaning.

  Using Dental Floss: The dentist also cleans the teeth of the patient with professional dental floss.

Fluoride treatment:

The dentist applies fluoride treatment as the last step. Fluoride, a foamy gel or paste poured into a mouthpiece, is placed on the patient's teeth. After waiting for one minute, it is rinsed, and thus the teeth are painted with fluoride varnish. This varnish hardens in the mouth and acts as a protection for teeth against cavities.

What is curettage? What is subgingival curettage

Curettage is the scraping process because the tartar moves under the gums. In this method, which is used to treat gingivitis caused by tartar, the gums and the part up to the tooth roots are cleaned. Dental curettage is a deep cleaning necessary to prevent problems that may occur in the roots of the teeth. In the gingival curettage procedure, local anesthesia is usually applied to the patient to clean the calculus from the gums. Curettage can be performed on both the upper and lower jaws. With dental curettage treatment, it is possible to prevent the progression of gingivitis. Symptoms such as bleeding and swelling in the periodontal pockets occur due to gingivitis caused by the progression of tartar on the line where the tooth and gingiva meet. Instead of calculus removal, a simpler procedure, it is necessary to apply curettage treatment, which is slightly more complicated.

How Is Curettage Performed?

  • The dentist performs an intraoral examination of the patient, and a roadmap is determined for curettage.
  • Before starting the dental curettage treatment, local anesthesia is applied to prevent the patient from feeling pain.
  • If the patient's gingivitis is advanced, a sharp cutting tool is inserted into the gingival pockets to remove the dead tissue with open curettage.
  • Dead or inflamed tissue is removed from the gums, and calculus is thoroughly cleaned.
  • Residues are removed by frequently rinsing the mouth with a sterile solution.
  • With the closed curettage method, mild gingivitis is caused by making small incisions in the gingival pockets of the patient, and the tartar is thoroughly cleaned.
  • Gums are straightened by suturing to prevent tartar and plaque from settling on the gums again.

Advantages of Curettage

Curettage treatment has many advantages. The main ones are:

  • Inflamed and dead tissue formed in the periodontal pockets of the gums is cleaned from the mouth.
  • It stops the progression of gingivitis and prevents the jawbone from melting.
  • Periodontitis (gingival recession) formation is prevented.
  • Oral, dental, and gingival health is preserved.
  • Tooth loss is prevented.

Is a Dental Deep Cleaning Ever Really Necessary?

Deep teeth cleaning is necessary when you have a considerable accumulation of bacterial and tartar growth on the surfaces of your teeth. When pockets form due to gum disease, bacteria and tartar will start to occupy those spaces. If not cleaned, periodontal disease and ultimately tooth loss could happen.

Considerations After Curettage

  • Heavy physical activities should not be done on the first day after curettage.
  • No smoking during the first 48 hours.
  • Not drinking alcohol because it slows healing.
  • Avoid extremely hot and cold or spicy foods and drinks.
  • Pressure should not be applied to the gums.
  • Relaxing drugs such as ibuprofen or acetaminophen should be taken.
  • Chewing should not be done for a while with the teeth in the curettage area.
  • Softer foods such as soup or puree should be preferred.
  • Mouth should be gargled with warm salt water three times a day.
  • On the first day, the area treated with curettage should be brushed very lightly.
  • Use of dental floss should be started after 2-3 days.
  • Examination should be done at intervals that the dentist deems appropriate.

What is Detertrage Polishing (Tooth Polish)? Polishing teeth cleaning?

The question of what dental polishing or dental polishing is a curious subject. Tooth cleaning procedures applied within the scope of dental health are applied in two stages tartar cleaning and tooth polishing. The Detertrage Polishing process is done after the tartar (tartar) is completely cleaned from the teeth. This process, which the dentist performs in 15-20 minutes by passing over the teeth one by one with the help of an electric brush (polishing brush) and polishing toothpaste, is also called tooth polish. Thanks to this process, the stains caused by tartar are cleaned, and the teeth are whitened; they are freed from stains and regain their natural color. In addition, the micro-scratches that occur on the teeth while the dentist cleans the tartar are treated by the polishing process. Therefore, as the scratches are closed, plaque and bacteria cannot adhere to them. Thus, the risk of tartar formation is prevented.

Is It Necessary To Have Tooth Polish? What Does Polishing Do?

Although calculus cleaning removes tartar on the teeth, it is not enough. In the hustle and bustle of daily life, sometimes the teeth are either not brushed or cleaned. For this reason, it is seen that calculus will be formed again in the future in those who have dental calculus cleaning. Therefore, the polishing process on the teeth smoothes the surface of the teeth and prevents the accumulation of bacteria and tartar on the tooth surfaces. Therefore, tooth decay is prevented.

Polishing procedure in tartar cleaning makes the teeth look brighter and more vivid. You will have healthy and robust teeth. It greatly reduces bad breath as it prevents bacterial accumulation.

Do Dental Deep Cleanings Hurt?

Because deep cleanings are much more in-depth and extend farther down the gum line than normal treatments, they may experience a little soreness or distress. To provide a pleasant experience throughout deep cleaning, your dentist usually anaesthetizes the procedure area before it is performed. Once anesthesia is applied, you may experience some tingling and sensation , however, you will not experience any significant distress during the treatment.

Frequently Asked Questions (calculus, polishing, curettage)

Tooth cleaning prices vary according to the procedures performed before the dental cleaning (if any), the size of the cleaning, the quality of the materials used, and the location of the hospital. It is necessary to be examined by a specialist physician to learn the prices of calculus cleaning.

Teeth cleaning is an easy process that takes an average of 30 minutes. However, this period varies according to the thickness and amount of tartar. Cleaning the calculus usually ends in one session, but in cases with problems such as gingivitis, this period may be longer.

There is no need for injection, ie local anesthesia while cleaning the calculus. The dentist cleans the tartar with hand tools (scaling) or ultrasonic devices according to the thickness of the calculus. There is no pain during this procedure.

After calculus (tartar) cleaning, sensitivity occurs in the teeth and gums. Therefore, very hot and cold foods and drinks should be avoided for a while (this period varies according to the depth of the tartar. At least one day should be paid attention to). Tea, coffee, cola, etc., cause discoloration on the teeth for at least 2 hours after teeth cleaning. Foods should not be consumed and should be reduced in the following process. Also, tobacco products such as cigarettes should not be used. More attention should be paid to brushing and flossing.