Scaling and Root Planing

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5-star reviews from satisfied customers

Periodontal Disease (gum disease) is a bacterial infection of the gums and bone surrounding a tooth.  When plaque (bacteria) is not controlled by Brushing, Flossing and Routine Preventive Cleanings, it begins to harden on the tooth creating Tartar or Calculus.  As time goes on, the gingival (gum) tissue becomes inflamed and bone loss occurs.  If left untreated, Periodontal Disease can destroy the gum and bone surrounding a tooth, causing it to become loose.  In the worst case, a tooth, which may otherwise be healthy, may need to be extracted due to Periodontal Disease.  Another important reason to stay clear of Periodontal Disease is that is has also been shown to contribute to other serious medical conditions.

Without removing the cause of the infection, the body is unable to overpower or defeat the disease process on its own.  The plaque (bacteria) must be removed for the area to have a chance of healing. Depending on the severity of the case, there are two accepted treatment paths.

Scaling & Root Planing

To remove the hard Calculus layer of bacteria from below the gum line, Scaling & Root Planing (SRP) is required. Scaling & Root Planing (SRP) is when the Doctor or skilled Hygienist goes deep below the gum line with hand-held scalers and UltraSonic Instruments to remove the bacterial growth in the deep pockets around the tooth.  It is typically done under local anesthesia for the patient’s comfort.

scaling root planing
Scaling: Removing the upper level of infected calculus.

scaling root planing
Root Planing: Smoothing the root, making it difficult for bacteria to reattach.


Depending on the severity of the case and the tolerance level of the patient, SRP can be done over four appointments, one section of the mouth at a time, or in two appointments, completing one half of the mouth per visit.  Once a section is complete, Periodontal Pocket Depths are taken to get true depth measurements of the clean pockets around the tooth.  If a pocket measures greater than 5 mm, Arestin is placed to aid in healing.  Arestin is a medicated powder containing Minocycline (a tetracycline derivative), which prevents plaque bacteria from developing and allows deep periodontal pockets to heal.  The patient will be given Oral Hygiene Instructions to help improve their Home Care, and a Philips SoniCare Toothbrush will be recommended.  Sonicare cleans the tooth with an ultrasonic wave, helping to remove plaque build-up below the gum-line better than an ordinary hand-held brush.  After all 4 sections of SRP are completed, the patient will be placed on a 3 month Periodontal Maintenance Recall, where additional cleaning will be done and the healing process of the periodontal pockets will be checked.

Real Patient Reviews

Real Patient Reviews

I have been going to this practice for several years now. I seemingly never have to wait when I arrive at the office and they are all very professional. Dr. Hartlieb and Dr. Ching have been terrific. In addition to doing great dental work, each has a great rapport with their patients. All of their assistants have been top notch as well.

- Neil H.

I recently met with Dr. Ching to have some dental work done, and had an exceptional experience at this office! I usually hate going to the dentist, but this experience was different–this office is hands-down, THE nicest dental facilitiy I have ever seen.

- Shaun F.

This dental office is something I haven’t seen before. I had many past dental experiences at other dental offices (unfortunately not good) and finally I found Chicago Beautiful Smiles. Dr. Hartlieb had helped me restore my teeth to a beautiful smile.

- Natasa R.

I am a loyal patient for over (yikes!) 20 years because I appreciate the time, skill and patience of the entire team. As proof of my gratitude, I live in the city and reverse commute every six months for my appointment.

- Dennis H.

Dr. Hartlieb is by far the best dentist I have ever been to. He has transformed my smile into something of beauty. In fact, many people comment on how beautiful my teeth are who do not even know that I have had major dental work performed. I used to never want to smile that large before, but now I smile as big as possible when photographed.

- Fran L.

I always have a great experience when I go to Chicago Beautiful Smiles. The staff is amazing and Dr. Hartlieb and Dr. Ching are extremely knowledgeable and friendly. The facility is incredible and I feel like I’m being treated with the best technology in the dental industry. Go to Chicago Beautiful Smiles for a consultation and I guarantee you will go back time and time again. It does not get any better in the Chicago area.

- Antonio S.

I had a great experience with Dr. Ching – very professional and thorough in his craft. I had been seeing my previous dentist for the past 15 years; however, I am ready to make the permanent switch to Chicago Beautiful Smiles. Dr. Ching is great at explaining the procedures he was performing and made my visit comfortable.

- Brian M.

Our Location

2601 Compass Rd. Suite 100
Glenview, IL 60026

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