Deep dental cleaning in Argüelles, Madrid: when and why you need it

Many people confuse a standard dental cleaning (prophylaxis) with a deep dental cleaning (subgingival scaling). They are two different procedures with different goals.

The key difference

A standard cleaning works above the gum: it removes visible tartar and plaque. It is a preventive maintenance procedure.

A deep cleaning also works below the gum line, in the periodontal pockets where the bacteria responsible for periodontitis accumulate.

When do you need a deep cleaning?

Signs that may indicate it is needed:

• Bleeding gums when brushing or spontaneously
• Red, swollen gums or gums that pull away from the tooth
• Subgingival tartar visible on X-rays
• Periodontal pockets deeper than 4mm on probing
• Persistent bad breath despite proper hygiene

The process at Debod Dental Clinic

A deep cleaning is usually carried out over two sessions, treating half the mouth at each visit:

1. Local anaesthetic optional for greater comfort.
2. Subgingival ultrasonics: Ultrasonic instruments with a specific tip for working below the gum.
3. Periodontal curettes: For precise root planing.
4. Chlorhexidine irrigation: Disinfection of the pockets.

Does a deep cleaning hurt?

With appropriate local anaesthetic, the procedure is completely comfortable. There may be some sensitivity in the following days, which is easily managed with anti-inflammatories.

Results to expect

In the weeks following treatment, the gums:

• Regain a pink colour and a firmer appearance
• Bleed less or stop bleeding
• Move "closer" to the tooth (reduction of the pockets)

A periodontal re-evaluation is scheduled at 6-8 weeks to assess the response to treatment and decide whether any additional step is needed.