Periodontal Deep Cleanings in South Philadelphia

A periodontal deep cleaning — clinically known as scaling and root planing — is the cornerstone non-surgical treatment for gum disease. While a standard cleaning removes plaque and tartar from above and at the gumline, a deep cleaning goes further: it cleans the root surfaces below the gumline where periodontal bacteria have taken hold. The goal is to remove the source of infection, allow the gum tissue to heal, and stop the progression of gum disease.

At Pera Dentistry & Aesthetics, we approach deep cleanings with the same care and attention to patient comfort as every other procedure. Local anesthesia ensures you’re comfortable throughout, and we take the time to explain exactly what we’re doing and why.

Why Deep Cleanings Are Necessary

When gum disease advances past the early stage of gingivitis, bacteria spread below the gumline into the pockets between the teeth and gums. Standard cleaning instruments can’t reach these areas effectively. Without treatment, the bacteria continue to destroy the bone and connective tissue supporting the teeth — eventually leading to tooth loss.

A deep cleaning disrupts this process by thoroughly removing bacterial deposits from the root surfaces and creating an environment where the gum tissue can begin to heal and reattach.

What Happens During a Deep Cleaning

The treatment area is numbed with local anesthesia for complete comfort
Scaling: specialized instruments remove plaque and tartar from above and below the gumline
Root planing: the root surfaces are smoothed to remove roughness that harbors bacteria and to encourage gum reattachment
The area is irrigated to flush out bacterial debris
Antibiotic therapy may be placed directly in the pockets in some cases
Loosening of teeth in severe cases

What to Expect After a Deep Cleaning

Some soreness, sensitivity, and minor gum swelling in the treated areas is normal for several days after a deep cleaning. Over-the-counter pain relievers and saltwater rinses can help manage discomfort. Sensitivity to hot and cold foods may also increase temporarily as the gums begin to recede slightly to a healthier position.

We schedule a follow-up appointment four to eight weeks after your deep cleaning to evaluate how the gum tissue has responded to treatment and measure any changes in pocket depths.

After the Deep Cleaning: Periodontal Maintenance

Completing a deep cleaning is not the end of periodontal treatment — it’s the beginning of an ongoing management program. Patients with a history of gum disease require more frequent professional care, typically every three to four months, to prevent reinfection and monitor the long-term health of the gum tissue and bone.

Your home care routine is equally important. Thorough brushing twice daily, daily flossing or interdental cleaning, and consistent professional care together are the most effective way to keep gum disease under control.

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Frequently Asked Questions About Periodontal Deep Cleanings

How do I know if I need a deep cleaning vs. a regular cleaning?

The key indicator is the depth of the pockets between your teeth and gums, which we measure during every routine exam. Healthy pockets measure 1 to 3 millimeters. Pockets of 4 millimeters or deeper suggest that bacteria have established themselves below the gumline, and a deep cleaning is typically recommended. Bone loss visible on X-rays is another important indicator.

How long does a deep cleaning take?

We typically treat one side of the mouth per appointment, with each session taking about 60 to 90 minutes under local anesthesia. Most patients complete the full deep cleaning in two appointments spaced one to two weeks apart.

Will my gums go back to normal after a deep cleaning?

Gum tissue that is inflamed due to gum disease will often improve significantly after a deep cleaning and improved home care — pockets can reduce in depth, and bleeding on probing typically decreases. However, bone loss that has already occurred cannot be regenerated without surgical intervention in most cases. The goal of non-surgical treatment is to halt progression and create a stable, maintainable environment.

Can I eat normally after a deep cleaning?

We recommend sticking to soft, cool foods for the first day or two after treatment and avoiding anything very hot, spicy, or hard that might irritate the treated tissue. By the following day, most patients can resume a normal diet. We’ll give you specific post-treatment instructions at your appointment.

Does insurance cover deep cleanings?

Yes, most dental insurance plans cover periodontal deep cleanings as a basic or major restorative benefit, typically at 70% to 80% after your deductible. Coverage is usually tied to documented clinical evidence of gum disease — pocket depth measurements, bone loss on X-rays, or other clinical findings. We’ll review your specific benefits and provide a clear cost estimate before treatment begins.

Ready to restore your smile?

Located at 1627 S Broad St, South Philadelphia. Coming soon to Haddonfield, NJ. If you’ve been told you have gum disease, don’t delay — earlier treatment leads to better outcomes.