A deep cleaning, formally known as Scaling and Root Planing (SRP), is a non-surgical procedure used to treat periodontal disease. This treatment involves removing bacterial plaque and hardened tartar from the tooth surfaces and beneath the gumline to the root level. The goal is to remove the source of infection, allowing the gum tissue to heal and potentially reattach to the tooth root. Since this procedure often occurs under local anesthesia, the gums will be sensitive afterward, requiring careful, temporary adjustments to one’s usual hygiene routine.
Immediate Brushing Guidelines
It is recommended to wait before brushing the treated area immediately following the procedure. Dentists often advise holding off on brushing the specific treated sites for several hours, or until the local anesthetic has completely worn off. This initial rest period helps prevent trauma to the gums while they are numb and beginning the initial phase of clotting and healing.
The immediate goal is protecting the newly treated tissue, not aggressive cleaning. You may be advised to wait up to 24 hours before resuming brushing in the localized area, though careful brushing can sometimes begin the same day with a soft brush. When you resume brushing, it must be performed with an extremely gentle, feather-light touch, especially near the gumline. Minor bleeding may be noticed during this initial post-procedure brushing, which is a normal part of the tissue healing process.
Modified Brushing and Cleaning Techniques
After the initial rest period, maintaining meticulous oral hygiene is essential, though the technique must be modified. Patients should switch immediately to a soft or extra-soft bristled toothbrush to minimize irritation to the healing gums. The brushing motion should be slow and deliberate, using gentle circular strokes. Focus on cleaning the tooth surfaces without applying significant pressure to the gum tissue.
The goal is to remove new plaque formation without dislodging the healing tissue. It is important to continue brushing at least twice a day, even if the gums feel sore or tender. Using a desensitizing toothpaste can help alleviate the temporary sensitivity to hot, cold, or sweet foods that often follows the procedure. Patients should avoid abrasive toothpastes, such as those containing whitening agents, which can contribute to post-procedure sensitivity.
Reintroducing interdental cleaning, such as flossing, requires more caution than brushing. While some dentists recommend waiting 24 hours, many suggest waiting 48 hours or longer, sometimes up to three to five days, until sensitivity subsides. When flossing is reintroduced, it should be done gently, slowly gliding the floss between teeth rather than snapping it. If traditional flossing is too uncomfortable, using a water flosser or a wax-coated floss may be a gentler alternative during recovery.
Essential Complementary Aftercare
Rinsing protocols are important for promoting healing and keeping the mouth clean. Starting about 24 hours after the procedure, rinsing with a warm salt-water solution several times a day can help soothe the gums and reduce swelling. This rinse is typically made by dissolving about half a teaspoon of salt in eight ounces of warm water.
If prescribed, an antiseptic mouth rinse should be used exactly as directed to control bacteria while the gums are healing. It is important to avoid aggressive swishing, spitting, or using a straw for the first day, as suction can disrupt the formation of protective blood clots. Tobacco products, including smoking and vaping, should be avoided for at least 24 to 48 hours, as they interfere with the natural healing process.
Pain and discomfort management supports the ability to maintain oral hygiene. Over-the-counter pain relievers like ibuprofen or acetaminophen can be taken to manage tenderness and ensure comfort, making gentle brushing easier. Additionally, stick to a soft diet for the first 24 to 48 hours, avoiding hard, crunchy, spicy, or hot foods. This prevents physical irritation and reduces the risk of food particles lodging in the treated areas.