A deep dental cleaning, formally known as scaling and root planing, is a common procedure used to treat gum disease, or periodontitis. After the treatment, many patients wonder about the immediate care routine, particularly whether they can brush their teeth. Following the specific instructions from your dental professional is the best way to ensure proper healing and the success of the procedure. Maintaining a modified, gentle hygiene routine is an important part of the recovery process.
Understanding Deep Cleaning and Initial Sensitivity
Deep cleaning is a non-surgical procedure that extends beyond a routine dental cleaning to address the areas below the gumline. This process involves scaling, which removes hardened plaque and tartar, and root planing, which smooths the root surfaces. This promotes tissue healing and helps the gums reattach, halting the progression of gum disease.
The manipulation of the gum tissues and the removal of calculus can leave the gums and teeth temporarily tender and inflamed. This temporary sensitivity, often to cold temperatures or air, is a normal response to the treatment. Altered instructions for immediate oral hygiene aim to maintain cleanliness without causing trauma to the healing tissues. This discomfort usually subsides within a day or two.
Immediate Post-Procedure Brushing Guidelines
The question of when to resume brushing is often based on the level of initial sensitivity and the specific instructions given by the dental office. A common recommendation is to wait approximately 2–4 hours after the procedure, or until the local anesthesia has completely worn off. This waiting period prevents accidental injury to the tongue, cheek, or gums while they are still numb.
When you resume brushing, the technique must be gentle, particularly around the treated areas. Switch to a soft-bristled or extra-soft toothbrush to minimize irritation to the sensitive gum tissue. Use light, circular, or gentle sweeping motions to clean the surfaces of your teeth and the gumline. Aggressive brushing can disrupt the initial healing process and should be avoided for several days.
Comprehensive Oral Care Beyond Brushing
Caring for your mouth after a deep cleaning involves several other important steps beyond just brushing. Rinsing with warm salt water is recommended to soothe the tissues and promote healing. The mixture is typically a half teaspoon of salt dissolved in eight ounces of warm water, used several times a day for the first few days. Your dental professional may also prescribe an antimicrobial or medicated mouth rinse, such as one containing chlorhexidine, to further reduce bacteria and inflammation.
Flossing and Habits
Flossing should generally be avoided in the treated areas for a short period to allow the gums to begin healing without disruption. Most guidelines suggest waiting at least 24 to 48 hours before reintroducing floss into your routine. When you begin flossing again, use a very gentle motion, slowly gliding the floss into the spaces. Refraining from all tobacco products and alcohol for at least 24 to 48 hours is advised, as both can interfere with the body’s ability to heal.
Dietary Modifications
Dietary modifications are necessary, focusing on soft, lukewarm foods for the first 24 to 48 hours. Avoid foods that can irritate the treated sites:
- Hard, crunchy foods like nuts and chips.
- Sticky foods such as caramel.
- Spicy or acidic items like citrus fruits and tomatoes.