Deep scaling

Deep scaling, often referred to as deep cleaning, is a specialized dental hygiene procedure that is primarily indicated for patients with periodontitis – chronic inflammation of the tooth’s supporting structures. This inflammation affects not only the gums, but also the bone structures that hold the teeth in the jaw. If left untreated, it can lead to tooth loosening and loss.

Deep cleaning is a targeted and thorough procedure that is essential in the treatment of periodontitis. Its aim is to stop the progression of the disease, promote tissue regeneration, and preserve your own teeth for as long as possible. A properly performed procedure, combined with patient education and regular follow-up care, is the key to long-term oral health.

Why is regular cleaning not enough?

In healthy patients, tartar and biofilm are mainly removed above the gum line. However, in periodontal patients, the problem is deeper – pathogenic bacteria accumulate in periodontal pockets (cavities) under the gums, which cannot be reached by normal cleaning. In these areas, connective tissue fibers are destroyed and bone loss occurs. This is where deep scaling comes in.

How does deep scaling work?

We perform deep cleaning below the gum line – either manually using curettes or using ultrasound. The aim is to clean and smooth the root surface, remove tartar, biofilm, and infected cement. This process allows tissue healing and reduces inflammation.

We often perform the procedure in stages (for example, one jaw or the left/right side during one visit). When cleaning the entire jaw, we usually schedule two consecutive visits. We usually perform the procedure under local anesthesia to ensure patient comfort.

In some cases, we recommend microbiological testing (such as periodontal tests) and, if necessary, prescribe antibiotic therapy based on the findings.

What happens after treatment?

After deep scaling, patients commonly experience mild bleeding, tooth sensitivity, or gum irritation, which usually subsides within a few days. The healing process begins immediately after treatment, during which it is important for the patient to follow the recommended home hygiene routine as carefully as possible. This phase lasts 2-3 months and ends with a follow-up periodontal examination, during which we measure the depth of periodontal pockets and assess the healing of periodontal tissues. Based on the results of the treatment, we decide on the next steps.

Why is regular follow-up care important?

Deep scaling is only the first step in treating periodontitis. The disease is chronic in nature and requires long-term monitoring, regular check-ups, and maintenance hygiene (known as recall). Without consistent home care and professional supervision, the inflammation can quickly return.

our team

Meet our deep scaling specialists

Show all

Mgr. Valerie Burešová, MSc.

Head dental hygienist

Cliniq Dejvice

CLINIQ Chodov

Helena Horáková Řeháková, DiS. et DiS.

Dental hygienist

Cliniq Dlouhá

Anna Semerádová, DiS. et DiS

Dental hygienist

Cliniq Dejvice

Bc. Klára Čadová Měsíčková

Dental hygienist

Karolína Čermáková, DiS.

Dental hygienist

Cliniq Dejvice

Eliška Nešporová DiS.

Dental hygienist

Cliniq Dejvice

Bc. Pavla Holubová

Dental hygienist