Scaling is typically performed by a dentist or hygienist using a special tool called a scaler. There are two main types of scalers: manual and ultrasonic.

• Manual scalers are hand-held instruments that are used to scrape plaque and tartar from the teeth.
• Ultrasonic scalers use high-frequency vibrations to loosen plaque and tartar, which is then washed away with a water spray.

Scaling is usually a painless procedure, but your dentist or hygienist may use a topical anesthetic if you have sensitive gums.

Who needs scaling?
Scaling is recommended for everyone, but it is especially important for people with gum disease. Gum disease is a common infection of the gums that can lead to tooth loss. Other people who may benefit from scaling include:

• People with diabetes
• People who smoke or use tobacco products
• People with dry mouth
• People with certain medical conditions, such as heart disease and HIV/AIDS

How often should you have scaling?
The frequency of scaling will depend on your individual needs. If you have healthy gums, you may only need scaling once a year. However, if you have gum disease, you may need scaling more often. What to expect during a scaling procedure During a scaling procedure, your dentist or hygienist will use a scaler to remove plaque and tartar from your teeth, including below the gum line. They may also use a polisher to smooth out the surfaces of your teeth and remove any remaining stains. Scaling may take anywhere from 30 minutes to an hour, depending on the severity of your plaque and tartar buildup.
Aftercare
After a scaling procedure, your gums may be slightly tender or swollen. This is normal and should subside within a few days. You may also experience some sensitivity to hot and cold foods and drinks. This is also normal and should improve within a few weeks. To help your gums heal, it is important to practice good oral hygiene. Brush your teeth twice a day for two minutes each time, and floss once a day. You should also avoid smoking and tobacco use. If you have any concerns about your gums after scaling, please contact your dentist.