How to Know If You Need a Deep Cleaning

Early Signs and Silent Symptoms

Gum health is the foundation of a strong, beautiful smile. While routine cleanings maintain healthy gums, some patients need a deep cleaning—also called scaling and root planing—to treat gum disease.

What Is a Deep Cleaning?

A deep cleaning removes plaque, tartar, and bacteria beneath the gumline and smooths the roots to help the gums heal. It is the standard treatment for gum disease, especially when there is inflammation, infection, or early bone loss.

Why a Regular Cleaning Cannot Be Done

A regular cleaning (prophylaxis) is for healthy gums only. It focuses on cleaning above the gumline.

When gum disease is present:

• Bacteria and tartar are below the gumline, where regular cleanings cannot reach.

• Deep pockets trap bacterial buildup that cannot be removed with standard tools.

• A regular cleaning would leave the infection untreated, allowing the disease to progress.

• Dental standards of care do not permit a standard cleaning when periodontal disease is diagnosed, because it is not considered adequate treatment.

Gum Disease Often Has Silent Symptoms

One of the most important things to know is that gum disease can develop with very subtle or even no noticeable symptoms, especially in its early stages. Many patients feel fine and experience no pain, even while bacteria are damaging the gums and bone.

Signs You Might Need a Deep Cleaning

Even though gum disease can be silent, certain signs should raise concern:

1. Bleeding Gums

Bleeding during brushing or flossing is often an early indicator of gum inflammation.

2. Red, Swollen, or Tender Gums

Healthy gums are pink and firm. Puffiness or soreness suggests infection beneath the surface.

3. Persistent Bad Breath

Chronic bad breath often stems from bacteria hiding under the gumline.

4. Gum Recession

If your gums appear to be pulling away from your teeth, inflammation may be weakening the tissue.

5. Deep Periodontal Pockets

Your dentist measures the space between your teeth and gums:

• 1–3 mm: normal

• 4+ mm: may require a deep cleaning

  
  

6. Bone Loss on X-Rays

If X-rays show bone loss, gum disease is progressing and needs immediate attention.

How to Determine If You Need One

At VanSmileDesign, your evaluation includes:

• Measuring gum pocket depths

• Screening for inflammation or recession

• Digital X-rays to assess bone levels

• Reviewing symptoms and hygiene habits

Why You Shouldn’t Wait

Gum disease doesn’t improve on its own. Without treatment, it can cause bone loss, tooth mobility, and eventually tooth loss. A deep cleaning helps stop the disease from progressing and supports long-term gum health.

Concerned You May Need a Deep Cleaning?

If you’ve noticed any of the signs above—or even if you feel no symptoms at all—schedule an evaluation with VanSmileDesign. Our team provides gentle, effective periodontal care to restore your gums and protect your smile.