Expert Insight from Marielaina Perrone, DDS in Green Valley, Henderson NV
Gum health plays a critical role in overall oral wellness, yet periodontal (gum) disease remains one of the most common and often overlooked conditions in adult patients. Left untreated, it can lead to tooth loss, bone deterioration, and even affect systemic health. One of the most important non-surgical treatments available for managing gum disease is known as a deep cleaning, or scaling and root planing.
But what exactly is a deep cleaning—and why might a patient need a deep cleaning in Henderson, NV?
To help clarify, we spoke with Dr. Marielaina Perrone, DDS, a respected family and cosmetic dentist with more than two decades of experience in managing periodontal conditions.
Understanding the Stages of Gum Disease In Henderson NV
Gum disease is typically categorized into three progressive stages, each requiring a different level of treatment:
1. Gingivitis (Early Stage)
Gingivitis is the mildest and only reversible form of gum disease. It is characterized by inflammation, bleeding gums, and plaque buildup at the gumline.
“Gingivitis is very common, and with consistent home care and routine dental cleanings, it can be completely reversed,” explains Dr. Perrone.
2. Mild to Moderate Periodontitis
At this stage, inflammation extends deeper into the supporting structures of the teeth. Patients may experience gum recession, pocket formation between the teeth and gums, and early bone loss.
“This is where we begin to see structural damage,” says Dr. Perrone. “A regular cleaning is no longer sufficient—scaling and root planing becomes necessary.”
3. Advanced Periodontitis
In its most severe form, gum disease results in deep periodontal pockets, significant bone loss, loose teeth, and even tooth loss.
“At this point, aggressive treatment is required to stabilize the condition, and ongoing periodontal maintenance is crucial,” Dr. Perrone adds.
What Is a Deep Cleaning?
A deep cleaning, also called scaling and root planing (SRP), is a non-surgical procedure designed to treat gum disease below the gumline. It involves two primary steps:
Scaling: Removal of plaque, tartar (calculus), and bacterial toxins from tooth surfaces both above and below the gumline.
Root Planing: Smoothing the root surfaces to discourage future buildup and encourage gum tissue reattachment.
“This procedure targets the source of the infection deep under the gums and helps restore healthy gum tissue,” explains Dr. Perrone.
A deep cleaning is often performed under local anesthesia and may be completed over one or more appointments, depending on the extent of the condition.
Why Is a Deep Cleaning Necessary?
Once gum disease has progressed past the gingivitis stage, a standard dental cleaning is no longer effective. Plaque and calculus have hardened beneath the gums and must be carefully removed to halt the progression of the disease.
“A deep cleaning is a proactive approach to prevent tooth and bone loss,” says Dr. Perrone. “It removes the root cause of inflammation and gives the tissues a chance to heal.”
Left untreated, moderate to severe periodontal disease can lead to irreversible damage and, ultimately, tooth loss.
What to Expect After the Procedure
Patients may experience mild soreness or sensitivity for a few days following scaling and root planing. Dr. Perrone often recommends antimicrobial rinses or topical medications to aid healing and reduce bacterial regrowth.
“In many cases, patients notice reduced bleeding, tighter gum tissue, and improved oral comfort within a few weeks,” she notes.
Follow-up is essential. A re-evaluation is typically scheduled 4–6 weeks later to assess healing and determine the next steps.
The Role of Periodontal Maintenance
After a deep cleaning, patients with periodontitis are placed on a periodontal maintenance schedule, typically every 3 to 4 months, instead of the standard 6-month cleanings.
“Periodontal maintenance helps manage the chronic nature of gum disease,” Dr. Perrone explains. “It’s not a one-time fix. Gum disease requires ongoing monitoring and care to keep it under control.”
Maintenance visits may include:
Removal of plaque and tartar above and below the gumline
Assessment of bone levels
Application of localized antimicrobial agents if needed
This tailored program helps prevent disease recurrence and protects the investment made in earlier treatments.
How to Prevent the Need for a Deep Cleaning
While deep cleanings are effective, prevention is always preferable. Dr. Perrone emphasizes daily habits that can significantly reduce the risk of gum disease:
Brush twice daily with fluoride toothpaste
Floss at least once a day
Use an antimicrobial mouthwash if recommended
Avoid smoking or vaping
Visit the dentist for regular cleanings and exams
“Early detection is everything,” Dr. Perrone says. “If we catch gum disease in its earliest stages, we can prevent the need for more invasive procedures.”
Final Thoughts
A deep cleaning is a vital step in treating gum disease once it has progressed beyond the early stages. While it won’t regenerate bone or cure advanced periodontitis, it plays a crucial role in halting the disease, promoting healing, and protecting your teeth from further damage.
As Dr. Perrone concludes: “Scaling and root planing is about restoring health and stability to the foundation of your smile. With the right care and follow-up, patients can maintain excellent gum health for years to come.”
About Dr. Marielaina Perrone, DDS Dr. Marielaina Perrone is a highly experienced general and cosmetic dentist in Henderson, NV, offering advanced care in periodontal therapy, smile makeovers, dental implants, and facial aesthetics. With over 20 years of expertise, she is dedicated to providing personalized, minimally invasive treatment that supports lifelong oral health.
