Dental Scaling

How is Teeth Scaling Performed?

 

The teeth scaling process is typically done in two ways:

 

 

Using an Ultrasonic Device

 In this method, the dentist uses a device called an ultrasonic scaler, which generates high-frequency sound waves. These waves break up and detach tartar and plaque from the surface of the teeth. This method is particularly effective for removing hard and resistant tartar.

Using Manual Instruments

 In this method, the dentist uses specific manual tools known as "curettes" or "scalers" to manually remove tartar and plaque from the teeth. This method is especially suitable for individuals who have less tartar buildup and softer deposits.

Steps of Teeth Scaling

 The scaling process generally occurs in several stages, including:

1. Initial Examination
    The dentist first examines your teeth to determine the extent of scaling needed and also checks the condition of your gums and the overall health of your teeth.
   
   
2. Use of Ultrasonic Device
    Using ultrasonic devices, which typically have vibrating tips, soft tartar and plaque are removed from the teeth. These devices usually produce a distinct sound that causes the tartar to vibrate and detach.
   
   
3. Use of Manual Instruments
    For more precise scaling and cleaning of more sensitive areas, manual tools are used. These tools are commonly employed in areas that the ultrasonic device cannot reach.
   
   
4. Polishing the Teeth
    After the scaling process is completed, the teeth are polished using tools, usually soft brushes, to smooth and shine the surface of the teeth. This stage also helps prevent the rapid return of tartar.
   
   
5. Final Examination
    At the end, the dentist examines the teeth and gums to ensure that all tartar has been removed.
   
   

 

 

When Do We Need Teeth Scaling?

Teeth scaling is typically needed in the following conditions. Pay attention to these signs to know when it’s time to visit the dentist for scaling:

1. Formation of Plaque and Tartar
    One of the main reasons for needing teeth scaling is the buildup of plaque and tartar, which are caused by food particles and bacteria remaining in the mouth. These deposits gradually accumulate on the teeth, and if not removed, they can lead to gum inflammation, bleeding, and even gum infections and periodontitis. This condition not only affects the appearance of the teeth but also threatens the overall health of your mouth and teeth.
   
   
2. Gum Bleeding
    A common sign that scaling is needed is bleeding gums when brushing your teeth. This bleeding is usually due to gum inflammation caused by the tartar that has accumulated on the teeth and gums over time. If not treated, this can develop into more advanced conditions such as periodontitis, which can result in tooth loss.
   
   
3. Bad Breath (Halitosis)
    The buildup of tartar and plaque in the mouth can lead to bad breath. This problem is usually caused by bacterial activity on the plaques and food particles left in the mouth, which produce an unpleasant odor. Teeth scaling can help eliminate this bad breath, improving breath quality and boosting an individual's confidence.
   
   
4. Tooth Discoloration
    Another sign that scaling may be needed is the discoloration of the teeth due to the buildup of stains from food, drinks, and even smoking. Teeth scaling can remove these stains and restore the teeth to their natural, white color. This not only enhances appearance but also increases the confidence of individuals.
   
   
5. Tooth Pain and Sensitivity
    Tooth sensitivity to cold or hot foods and drinks is another common sign that scaling is required. This sensitivity is caused by the accumulation of tartar and plaque on the gums and teeth, which can irritate the gums and tooth nerves. In such cases, scaling can help alleviate this sensitivity and reduce the associated dental problems.
   
   

 

 

What are the Benefits of Teeth Scaling?

Teeth scaling, in addition to preventing gum diseases, offers several other benefits. The advantages of teeth scaling include:

• Prevention of Gum Diseases: Scaling removes plaques and tartar, preventing gum inflammation and infection (gingivitis), as well as more advanced gum diseases.
  
  
• Elimination of Bad Breath: One of the most important benefits of teeth scaling is the elimination of bad breath, which is caused by the accumulation of plaques and bacteria.
  
  
• Improvement of Tooth Health: Scaling can help prevent tooth decay and the formation of cavities.
  
  
• Enhancement of Tooth Appearance: After scaling, teeth typically appear brighter and whiter, as stains caused by food and beverages are removed.
  
  
• Maintaining Overall Health: Oral health issues can affect other parts of the body. Teeth scaling helps in preventing heart problems, diabetes, and other health conditions.
  
  

 

What are the Side Effects of Teeth Scaling?

Although teeth scaling is a safe and effective procedure, it may cause temporary side effects in some individuals. These side effects may include:

• Tooth Sensitivity: After scaling, teeth may become temporarily sensitive. This sensitivity typically resolves after a few days.
  
  
• Gum Pain and Bleeding: After scaling, gums may bleed a little or feel sore, but this is usually temporary and improves within a few days.
  
  
• Gum Inflammation and Swelling: In some individuals, the gums may experience temporary inflammation and swelling after scaling.
  
  

 

Does Teeth Scaling Cause Tooth Damage or Thinning?

In response to the question of whether teeth scaling can damage or thin the teeth, the idea that scaling harms teeth is completely incorrect. In fact, scaling itself does not damage the teeth and is aimed at maintaining their health.

Some individuals may feel that their teeth are more sensitive after scaling due to the removal of tartar and plaque, but this sensation is temporary and does not cause harm to the teeth.

 

 

Who Cannot Undergo Teeth Scaling?

Although teeth scaling is a beneficial procedure for maintaining oral health and is recommended for most people, especially those with plaque and tartar buildup, in certain medical or dental conditions, this procedure may be postponed or not performed at all. Here are the conditions under which individuals may not be able to undergo scaling:

1. People with Advanced Gum Problems
    If the gums are affected by advanced diseases such as periodontitis, scaling may not be effective and could even cause further damage to the gums. In such cases, special treatments such as gum therapy or even gum surgery must be done first to reduce inflammation and infection. Once these conditions are treated, scaling may be appropriate and effective.
   
   
2. People with Certain Medical Conditions
    Certain medical conditions may pose risks or complications during the scaling process. For example, individuals with heart disease, particularly those with artificial heart valves or other issues like high blood pressure, may need to consult with a physician before undergoing scaling. Additionally, people with diabetes should be cautious of potential complications, as this condition can reduce the body’s ability to fight infections and prolong healing. In these cases, it is advisable to consult a doctor first to take the necessary preventive measures.
   
   
3. Pregnant Women
    During pregnancy, especially in the first trimester, a doctor may recommend postponing teeth scaling until after pregnancy. This is due to hormonal changes that occur during pregnancy, which can make the gums more sensitive and prone to inflammation. Additionally, some anesthetics or medications used during scaling may not be safe during pregnancy. However, if there is an urgent need for scaling, it may be possible to perform the procedure later in the pregnancy after consultation with both the doctor and dentist.
   
   
4. People Who Have Had Cosmetic Dental Procedures
    People who have recently undergone cosmetic dental treatments like veneers, composites, etc., may need special care, particularly around these treatments. Scaling in these individuals may damage the cosmetic coverings of the teeth or even ruin the aesthetic appearance of the teeth.
   
   
5. People with Severe Tooth Sensitivity
    In some individuals, the teeth are highly sensitive, and even regular cleaning can cause pain or discomfort. If the sensitivity is extreme, scaling may cause increased pain and inflammation. For these individuals, the dentist may use other methods, such as desensitizing treatments, or apply local anesthesia to minimize pain and discomfort during the procedure.
   
   
6. People on Blood Thinning Medications
    Individuals who take blood thinners such as warfarin or aspirin may experience increased bleeding during the scaling procedure. This bleeding can lead to serious complications in the healing process. Therefore, these individuals should consult their doctor before undergoing scaling and, if necessary, temporarily stop their medications.

 

 

Cost of Teeth Scaling

The cost of teeth scaling in Iran in 2025 varies depending on several factors. Generally, the cost of this service ranges from 1,500,000 to 2,000,000 Iranian Toman for both jaws. The factors that influence the cost of teeth scaling include:

• Amount of Tartar and Plaque: The more tartar and plaque present on the teeth, the more time and effort are required to clean them, which can increase the cost.
  
  
• Dentist's Expertise and Experience: Dentists with higher levels of expertise and experience may charge higher fees.
  
  
• Type of Techniques Used: Advanced methods such as ultrasonic scaling or laser treatments may cost more.
  
  
• Geographical Location of the Clinic: The cost of teeth scaling in large cities like Tehran is generally higher than in smaller towns.
  
  
• Insurance Coverage: Some insurance plans may cover part of the scaling cost, but in many cases, these expenses are paid privately.
  
  

 

Post-Scaling Care

After scaling, specific care is necessary to ensure the teeth heal properly:

• Brushing and Flossing: Regular brushing and flossing are very important to prevent the rapid return of tartar.
  
  
• Avoiding Irritating Foods: After scaling, avoid hot or cold foods and drinks to prevent tooth sensitivity.
  
  
• Using Mouthwash: Using antiseptic mouthwashes helps prevent gum inflammation and bad breath.
  
  
• Follow-up Visits to the Dentist: It is recommended to visit the dentist regularly to monitor the health of your teeth and gums.
  
  

 

 

In conclusion, teeth scaling is an essential treatment for maintaining the health of your teeth and gums, and it should be performed regularly. This process helps clean teeth from tartar and plaque and offers many benefits, including the prevention of gum diseases, improvement in the appearance of teeth, and prevention of bad breath.