Treatment
The main cause of the periodontal disease is the accumulation of bacterial plaque under the gum line. Plaque forms constantly and must be removed regularly to maintain oral health. Bacteria, meanwhile, results in tartar that inflames the gums and ultimately causes periodontal disease.

Periodontal scaling is a procedure to remove the build-up of tartar and plaque from the surface of the tooth root. After patients undergo local anesthetic, the periodontist scales the plaque and tartar from below the gum line using hand-held instruments or ultrasonic vibrating instruments.

If necessary, this procedure can be performed repeatedly, although the procedure is ineffective if patients do not look after their teeth with regular cleaning.