Maintaining good oral hygiene is crucial for overall health, and one of the dental procedures often recommended for preventing serious gum diseases is deep cleaning, also known as scaling and root planing. This procedure involves cleaning between the gums and teeth down to the roots, removing plaque and tartar buildup that regular cleaning cannot reach. While deep cleaning is an effective method for combating gum disease, it’s important to understand that it is not without its drawbacks.
For many individuals, the prospect of deep cleaning can be daunting due to potential discomfort and side effects. Pain during and after the procedure, risk of infection, and increased tooth sensitivity are among the concerns often raised by patients. Additionally, deep cleaning can lead to gum recession, which in turn can cause further dental issues. The financial burden of the procedure, coupled with recovery downtime, adds another layer of consideration.
Understanding the disadvantages of deep cleaning teeth is essential for making informed decisions about dental health. By exploring the potential risks and side effects, individuals can better weigh the benefits and drawbacks of this common dental procedure. This article will delve into the various disadvantages of deep cleaning teeth, providing a comprehensive overview of the issues patients may encounter.
What is a Deep Teeth Cleaning?
A deep tooth cleaning, also known as scaling and root planing, is a more extensive dental procedure compared to regular cleaning. While regular cleanings focus on removing plaque and tartar from the visible surfaces of teeth, deep cleanings target the areas below the gumline.
During a deep cleaning, the dentist or dental hygienist will use specialized instruments to scrape away plaque and calcified deposits from the tooth roots and gum pockets. This process helps eliminate harmful bacteria and toxins that contribute to gum disease.
Deep cleanings are typically recommended when a patient shows signs of advanced gum disease or periodontal disease, such as:
- Bleeding gums
- Swollen or inflamed gums
- Deep gum pockets around teeth
- Loose teeth
- Receding gums
By removing the buildup of plaque and tartar from the tooth roots and gum pockets, deep cleanings aim to halt the progression of gum disease and promote healing. However, as we’ll explore, this intensive procedure also carries certain risks and potential downsides.
#1. Nerve Damage Risk
One of the most concerning potential disadvantages of deep teeth cleanings is the risk of nerve damage. While rare, it is possible for the scaling and root planing involved in deep cleaning to cause irreversible damage to the nerves inside your teeth. This nerve damage can lead to permanent numbness, tingling sensations, or even significant pain in the affected teeth.
The primary reason nerve damage can occur is due to the aggressive nature of the deep cleaning process. As the dental professional scrapes and removes hardened tartar deposits from deep under the gum line, they operate extremely close to the tooth roots and nerves. If the scaling goes too deep, it can expose or even sever the delicate nerve endings within the tooth.
Certain factors can increase the risk, such as teeth with particularly deep periodontal pockets, curved or twisted roots, or teeth that have already experienced significant bone loss around the roots. Experienced dental professionals are trained to be cautious in these situations, but the risk can never be fully eliminated.
While permanent nerve damage is uncommon, occurring in only a small percentage of deep cleanings, it is still a potential consequence that patients should be aware of before undergoing this invasive procedure. Temporary nerve sensitivity or numbness following the cleaning is much more prevalent but usually resolves within a few weeks.
#2. Gum Recession
One of the primary disadvantages of deep teeth cleanings is the risk of gum recession. During the scaling process, dental professionals must aggressively scrape away plaque and tartar deposits from the tooth surfaces and beneath the gumline. This rigorous scraping action can inadvertently damage and strip away gum tissue, causing the gums to recede or pull back from the teeth.
If gum recession occurs, it can be difficult for the gums to reattach properly to the teeth after the cleaning. The exposed root surfaces then become susceptible to increased sensitivity, decay, and potential tooth loss over time if left untreated. Individuals who already have existing gum disease or have experienced previous gum recessions are at an even higher risk of further recession after a deep cleaning procedure.
It’s crucial to maintain excellent oral hygiene habits and attend regular dental checkups to monitor and address any signs of gum recession promptly. In some cases, gum grafting surgery may be recommended to restore the lost gum tissue and protect the exposed root surfaces.
#3. Infection Potential
A deep teeth cleaning involves intensive scraping below the gumline to remove hardened plaque and tartar buildup. This aggressive procedure creates open wounds and areas of exposed tooth and bone. While the mouth is home to many bacteria already, the newly created wounds from a deep cleaning increase the risk of developing an infection, especially for those with compromised immune systems.
For patients with conditions like HIV/AIDS, uncontrolled diabetes, or those undergoing cancer treatment, a deep cleaning can potentially introduce harmful bacteria into the bloodstream. These individuals have a higher susceptibility to oral infections that can spread and become serious health risks. Even for generally healthy people, a deep cleaning requires strict adherence to preventative oral care to avoid infections in the days and weeks after the procedure.
Dentists will likely prescribe antibiotics and antimicrobial mouthwashes to use before and after the deep cleaning. Patients must also be diligent about gently brushing, flossing, and rinsing to keep the areas clean as they heal. Any signs of increasing pain, swelling, fever, or pus formation require immediate attention, as these could indicate a developing infection that needs prompt treatment. Allowing plaque and food debris to accumulate in the open wounds dramatically raises the infection risk.
#4. Discomfort and Pain
One of the primary disadvantages of deep teeth cleanings is the significant discomfort and pain that patients often experience during and after the procedure. Unlike regular dental cleanings that focus on the visible surfaces of teeth, deep cleanings involve aggressive scraping below the gum line to remove hardened tartar deposits. This invasive process can be quite painful, especially for those with sensitive gums or pre-existing gum inflammation.
During the cleaning itself, patients may feel intense pressure, aching, and sharp pains as the dental instruments scrape along the root surfaces. Numbing agents can help mitigate some of the discomfort, but the procedure is inherently uncomfortable due to the depth and intensity of the cleaning.
After the deep cleaning, patients can expect to experience throbbing, soreness, and heightened tooth sensitivity that can last for several days or even weeks. The gums may feel swollen and tender to the touch and bleed easily during this recovery period. Over-the-counter pain medication can provide relief, but many patients report significant discomfort when chewing, drinking hot or cold beverages, and even brushing their teeth.
The level of post-procedure pain and recovery time can vary depending on the extent of the cleaning and the individual’s pain tolerance. However, it is generally accepted that deep cleanings cause substantially more discomfort than regular dental cleanings, which are relatively quick and minimally invasive. Patients should be prepared for this temporary but often intense period of pain and sensitivity following a deep cleaning.
#5. Higher Costs
Deep teeth cleanings, also known as scaling and root planing, are a more extensive and time-consuming procedure compared to regular dental cleanings. As a result, they often come with a higher price tag. While a routine cleaning may cost between $75 to $200, a deep cleaning can range from $200 to $1,000 or more, depending on the extent of the work needed and the geographical location.
One of the primary reasons for the higher cost is the increased time and effort required by the dental professionals. Deep cleanings involve meticulously cleaning not only the visible surfaces of the teeth but also below the gum line, where plaque and tartar have accumulated. This process is more labor-intensive and may require multiple visits to complete.
Another factor contributing to the higher cost is the use of specialized instruments and techniques. Dental professionals may employ ultrasonic scalers, which use high-frequency vibrations to remove stubborn deposits, or hand scalers for precise cleaning in hard-to-reach areas.
It’s important to note that dental insurance coverage for deep cleanings can vary significantly. While many plans cover a portion of the cost, some may have limitations or require higher out-of-pocket expenses. Patients should review their dental insurance policies carefully and discuss coverage details with their provider before undergoing the procedure.
In some cases, dental offices may offer payment plans or financing options to help make deep cleanings more affordable for patients. However, it’s crucial to weigh the potential benefits against the higher costs and consider alternative treatment options or preventative measures to maintain good oral health.
#6. Risks for Specific Groups
Deep teeth cleanings can pose higher risks for certain individuals with underlying health conditions or compromised immune systems. Pregnant women, people with diabetes, smokers, and those undergoing cancer treatment are among the groups that may face elevated risks from this invasive dental procedure.
For pregnant women, the potential introduction of bacteria into the bloodstream during deep cleaning could theoretically lead to pregnancy complications, though research on this is limited. Dentists may recommend postponing elective deep cleanings until after pregnancy.
People with diabetes often have impaired healing abilities and a higher susceptibility to infections. The open wounds created during deep cleaning increase the risk of oral infections that could spread further in diabetic patients with uncontrolled blood sugar levels.
Smokers commonly suffer from gum disease and recession, putting them at greater risk for further gum damage and delayed healing after aggressive scraping below the gumline during deep cleanings.
Cancer patients undergoing chemotherapy or radiation have weakened immune defenses, making them more vulnerable to infections stemming from the open wounds caused by deep cleaning procedures. Their dentist may advise postponing deep cleanings until treatment is complete.
For these higher-risk groups, dentists must carefully weigh the benefits of deep cleaning against the potential complications. More frequent regular cleanings, improved at-home oral care, and antimicrobial rinses may be recommended alternatives to avoid the invasive deep cleaning procedure.
Weighing the Pros and Cons
When considering deep teeth cleaning, it’s crucial to weigh the potential benefits against the risks and downsides. On the one hand, this procedure can effectively remove stubborn plaque and tartar buildup that regular cleanings cannot address, potentially preventing or treating gum disease. However, as discussed, deep cleanings also carry risks like nerve damage, gum recession, infection, and significant discomfort.
Before committing to a deep cleaning, it’s wise to explore alternative options first. Improving your at-home oral hygiene routine with thorough brushing, flossing, and using antimicrobial rinses may help reduce plaque and prevent the need for intensive cleanings. Scheduling regular dental cleanings every 3-6 months can also help maintain good oral health and catch any issues early.
If you do have considerable buildup or signs of gum disease, your dentist may still recommend a deep cleaning. In this case, carefully discuss your specific risk factors, such as gum recession, immune system issues, or nerve sensitivity. Your dentist can advise if the benefits of the procedure outweigh the potential downsides for your situation.
Ultimately, making an informed decision involves understanding both the pros and cons of deep cleanings, as well as exploring alternative options that may be less invasive or risky. Open communication with your dental professional is key to determining the best course of action for your long-term oral health.
At-Home Care Alternatives
If you’re looking to avoid the potential downsides of deep teeth cleanings, improving your at-home oral hygiene routine may be a viable alternative. Diligent brushing and flossing can help remove plaque and prevent the buildup of tartar that leads to gum disease. Using interdental brushes or floss picks can also help clean those hard-to-reach spaces between teeth.
For added cleaning power, consider incorporating a Waterpik or other water flosser into your regimen. The pressurized streams of water can effectively dislodge food particles and disrupt bacterial colonies hiding below the gumline.
Antimicrobial rinses and gels containing ingredients like chlorhexidine or essential oils can also help reduce harmful oral bacteria levels. These products can be used as an adjunct to brushing and flossing for an extra bacteria-fighting boost.
Making consistent efforts to improve your daily oral hygiene habits may allow you to avoid or delay the need for deep cleanings. However, be sure to consult with your dentist, as they can best evaluate your situation and make personalized recommendations.
FAQs
Conclusion
Key disadvantages of deep cleaning teeth include the possibility of nerve damage, gum recession, infection, significant discomfort and pain, and higher costs compared to regular cleanings. While rare, nerve damage from the deep scraping below the gumline can cause permanent numbness or sensitivity. Gum recession is also a concern, as the aggressive cleaning may prevent the gums from properly reattaching to the teeth.
For those with compromised immune systems, the open wounds created during the cleaning increase the risk of bacterial infection. Most patients can expect throbbing, soreness, and heightened tooth sensitivity for several days after the procedure. And with deep cleanings being more complex, they often come with higher out-of-pocket costs.
It’s crucial to weigh these risks against the potential benefits carefully and have an open discussion with your dentist about your specific situation. Be sure you understand why deep cleaning is recommended for you and what alternatives may be available, such as improved at-home oral care, antimicrobial products, or more frequent regular cleanings.
Ultimately, being an informed patient is key when it comes to deep teeth cleanings. Don’t hesitate to ask questions, voice concerns, and make the decision that feels right for preserving your long-term dental health and comfort level.
Beth is Cloudmineinc’s senior health editor and a certified personal trainer. She has over 10 years experience as a science journalist and is the author of two books. She deadlifts over 315 lbs.