Difference between Scaling and Curettage

There is some confusion about the difference between scaling/ polishing and curettage or root planning in Pune. The difference of scaling and curettage is given below:

Scaling
Scaling is basically the process to remove the dental tartar from the surface of the teeth.
Instruments used: Scaler
Scaler is used to remove the tartar or plaque attached on the surface of the teeth. Extrinsic stains are also removed by Scaling. No anesthesia is used in this procedure. World class dental clinic is best clinic in Pune for this procedure.

Indications of scaling
• Anyone who has gum disease or periodontal disease
• Patients who are susceptible to tooth decay
• Before orthodontic procedure
• Before fluoride application
• Before going for teeth extraction
• Before teeth whitening procedure
Contra-indications of scaling
• Tooth sensitivity
• Patient with cystic fibrosis
• Asthmatic patients
• Patients with cardiac pacemakers
• Patients with communicable disease
Use of scaling
• Prevents gingival recession
• Prevents early tooth loss
• It helps maintain good breath
• It Removes stains
• Prevents tooth decay

Curettage
Curettage also called as root planning is the process of smoothening the root surfaces and removing any infected tooth structure.
Basic Technique with the curette
Instruments used in curettage are
Gracey curettes
Universal curettes
Isolation and anesthetize
Local infiltration is given to anesthetize the selected isolated area.
Insertion and curettage
Sharp Gracey or Universal curettage is inserted with the cutting edge against the tissue so as to engage the inner lining of pocket wall and junctional epithelium.

Indication of curettage
• Oedematous and inflamed tissues
• Shallow Pockets
• Supra Bony Pockets
• Progressive attachment or alveolar bone loss
• Increased levels of pathogenic micro-organisms
• As part of initial preparation prior to open surgical procedure in an attempt to achieve tissue quality that can be handled easily
Contra-indication of curettage
• Pockets exceed mucogingival junction
• Lack of keratinized tissue
• Osseous defects must be treated
• Hyperplastic tissue
• Close root proximity
• Function involvement
• Probing depth of 3mm or less
Advantages of curettage
• Improved root visualization
• Minimal Gingival trauma
• No loss of keratinized gingiva
• Complete removal of sulcular epithelium and epithelial attachment

World class dental clinic in Pune provides the best treatment for teeth cleaning or Scaling polishing, we also have specialist for procedures like curettage or root planning if required. Visit us at bestorthodontistbracespune.in to know more .