Scaling and root planning often consists of a fine ultrasonic tip being placed between the tooth and gum tissue. This is done to remove any plaque and calculus buildup below the gum line. Once the deposits have been removed, the surface of the root is smoothed. This procedure keeps the area clean and allows the periodontal ligaments to reattach. We may recommend an antibiotic or prescription mouth rinse to help control the bacteria that cause periodontal disease. You can expect to be very comfortable during this procedure and there is rarely any pain following the procedure.