There is more than one type of dental procedure that may be casually referred to as a cleaning. For example, there is a regular cleaning & then there is what is referred to a deep cleaning. It’s important to understand that there is a big difference between these procedures & implications that each of these procedures have when it comes to your oral health.

Regular Cleaning or Prophylaxis

A regular teeth cleaning, which is called prophylaxis by dental professionals, is what most people think of when they think of going to the dentist for a checkup. Prophylaxis involves removing plaque, calculus & stains from teeth. (Plaque is a sticky substance that builds up on teeth as a byproduct of bacteria feasting on the food you eat. Calculus, also known as tartar, occurs when plaque & minerals in your mouth harden.) A dental hygienist or a dentist uses a specialized cleaning device, called an ultrasonic scaler, to remove plaque & calculus. This cleaning occurs only on the visible part of the tooth, known as a the crown.

Regular teeth cleaning is only recommended for patients who have generally good oral health & do not suffer from bone loss or gum problems (bleeding, recession, infection, etc.)

Scaling & Root Planing or Deep Cleanings

Root planing is a procedure that involves removing tartar, bacteria, toxic deposits from the root of a tooth, all the way down to where gum & bone meet. While it is sometimes casually referred to as a “deep cleaning”, you should know that this treatment is quite different from prophylaxis. This procedure is required as a treatment for periodontal disease or periodontitis (commonly called gum disease, though it also affects the bone).

Many people can have periodontal disease & not even know it. Symptoms of the disease include bleeding gums, bad breath, teeth that look longer due to recessed gums, & swollen or red gums. However, many people do not notice any symptoms at all. That’s why it may come as a surprise when your dentist recommends scaling & root planing instead of a regular cleaning. It’s important to understand that this procedure is vital to getting periodontal disease under control & avoid future tooth loss, though other procedures including surgery may be required to treat the disease.

Periodontal Maintenance

Once you have been diagnosed with periodontal disease & have undergone scaling & root planing, periodontal maintenance is what you can think of as taking the place of prophylaxis in your dental care routine. Rather than just addressing the just crowns of your teeth as in prophylaxis, periodontal maintenance also cares for your tooth roots, gums & bone. In other words, think of it as cleaning & maintenance for the tissues affected by your periodontal disease. The frequency of your periodontal maintenance appointments depends on your individual oral health condition & will be determined by your dentist.

Over time, plaque (a thick, bacteria-filled film) and tartar (a hard calcium-based build-up) can build up on your teeth & eventually lead to tooth decay. While regular brushing & flossing at home can help prevent this buildup, it can’t necessarily remove it. That’s why going to your dentist for a professional cleaning is so important.

Even if you have impeccable home oral hygiene habits (you floss & brush for at least two minutes twice daily, or even after every meal), there is still work for your dental hygienist to do at your teeth cleaning appointment to help prevent tooth decay. The cleaning you get at the dentist is a more thorough cleaning that you can get at home, even if you’re a brushing & flossing superstar.

If left on your teeth, icky buildups of plaque & tartar create an ideal habitat for bacteria to thrive. Allowing bacteria to stay on your teeth & near your gums can lead to both tooth decay & gum disease, both of which can cause you to lose your teeth (not to mention the pain & expenses). Bacteria have a harder time sticking to smooth, clean teeth than rough or fuzzy-feeling teeth with plaque & tartar on them.

Plus, having a professional teeth cleaning at the dentist means that you have a head start on keeping your teeth clean. Rather than battling potentially years of buildup (if you haven’t been to the dentist in a while), getting your teeth cleaned regularly means your get a clean start every six months & it will be that much easier to get a smooth, shiny smile at home between dental visits.

Best of all, cleanings can save you money in the long run. Most insured patients don’t pay anything out of pocket for their cleanings, so it’s essentially free. Plus, if you catch problems early or have the opportunity to prevent them you could eliminate the need for more expensive procedures to restore damage from tooth decay or gum disease in the future.