Scaling & Root Planing Post-Operative Care Instructions

Congratulations on completing your scaling and root planing treatment! This deep cleaning procedure is an important step in treating gum disease and maintaining your oral health. Dr. Olaes and our team at Carmel Mountain Dentist are here to support your recovery with these detailed aftercare instructions.

What to Expect

Scaling and root planing is a thorough cleaning that removes bacteria, plaque, and tartar from below your gum line. It's normal to experience some sensitivity and mild discomfort as your gums begin to heal and reattach to your teeth. Your gums may feel tender and appear slightly swollen or red for the first few days.

You might also notice some bleeding when brushing or flossing during the first week. This is completely normal as your gums adjust and heal. Many patients report that their gums feel "tighter" against their teeth as the inflammation reduces. The healing process allows your gums to become healthier and more resistant to future bacterial buildup.

The benefits of this treatment will become more noticeable over the next few weeks. You may experience fresher breath, reduced gum bleeding, and an overall cleaner feeling in your mouth. Remember, this procedure is an investment in preventing more serious gum disease and protecting your long-term oral health.

Immediately After Your Procedure

For the first 24 hours:

• Avoid hot foods and beverages that could irritate your sensitive gums
• Do not use tobacco products or alcohol, as they can delay healing
• Eat soft, cool foods and chew on the opposite side of your mouth if possible
• If local anesthesia was used, be careful not to bite your cheek, lip, or tongue while numb
• Apply ice packs to the outside of your face for 15-20 minutes at a time if you experience swelling
• Rest and avoid strenuous activities for the remainder of the day

Important: Do not rinse vigorously, use a straw, or spit forcefully for the first 24 hours. These actions can disturb the healing process and increase bleeding.

Pain Management

Mild to moderate discomfort is normal after scaling and root planing. Here's how to manage any discomfort:

Over-the-counter pain relief:

• Take ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) as directed on the package
• Ibuprofen is particularly effective because it reduces both pain and inflammation
• Begin taking pain medication before the numbness wears off for better comfort

Natural pain relief:

• Apply a cold compress to your face for 15-20 minutes at a time during the first day
• After 24 hours, switch to warm salt water rinses (1/2 teaspoon salt in 8 oz warm water)
• Avoid extremely hot or cold foods that may trigger sensitivity

Prescribed medication:

• If Dr. Olaes prescribed pain medication or antibiotics, take them exactly as directed
• Complete the full course of any prescribed antibiotics, even if you feel better

Eating and Drinking

Your diet plays a crucial role in your healing process. Follow these guidelines:

For the first 24-48 hours:

• Stick to soft, cool foods like yogurt, smoothies, mashed potatoes, or soup (let it cool first)
• Avoid crunchy, spicy, or acidic foods that could irritate your gums
• Stay away from extremely hot or cold foods and drinks
• Drink plenty of room temperature or cool water to stay hydrated

For the first week:

• Gradually introduce firmer foods as your comfort allows
• Chew carefully and avoid the treated areas when possible
• Continue avoiding very hot, spicy, or acidic foods
• Limit sugary snacks and drinks that can feed harmful bacteria

Foods that promote healing:

• Protein-rich foods like eggs, fish, and lean meats
• Vitamin C-rich foods such as oranges, strawberries, and bell peppers
• Calcium-rich dairy products or alternatives
• Anti-inflammatory foods like leafy greens and berries

Oral Hygiene

Maintaining proper oral hygiene is essential for healing, but you'll need to be gentle:

For the first 24 hours:

• Do not brush or floss the treated areas
• Rinse gently with plain water if needed
• You may brush and floss other areas of your mouth normally

Starting day 2:

• Resume gentle brushing with a soft-bristled toothbrush
• Use small, circular motions rather than aggressive scrubbing
• You may notice some bleeding - this is normal and should decrease each day
• Begin flossing gently, but don't force the floss if areas are too tender

Mouth rinses:

• After 24 hours, rinse 2-3 times daily with warm salt water (1/2 teaspoon salt in 8 oz water)
• If prescribed an antimicrobial mouth rinse, use it exactly as directed
• Avoid alcohol-based mouthwashes during the first week as they may cause irritation

Activity Restrictions

Allowing your body to rest and heal is important for optimal recovery:

First 24-48 hours:

• Avoid strenuous exercise, heavy lifting, or activities that increase blood pressure
• Get plenty of rest and sleep with your head slightly elevated
• Avoid bending over or lying flat immediately after the procedure

First week:

• You can gradually return to light activities as you feel comfortable
• Avoid contact sports or activities where you might injure your mouth
• If you feel dizzy or weak, take additional rest

Returning to normal activities:

• Most patients can return to normal activities within 2-3 days
• Listen to your body and don't push yourself too hard too soon

Warning Signs - When to Call Us

Contact Carmel Mountain Dentist at (858) 487-4683 immediately if you experience:

• Severe, worsening pain that doesn't respond to medication
• Excessive bleeding that doesn't stop with gentle pressure
• Swelling that gets worse after the second day
• Signs of infection: fever, chills, or foul-tasting discharge
• Severe sensitivity to hot or cold that persists beyond a few days
• Numbness that doesn't improve within 4-6 hours after treatment
• Allergic reaction to any prescribed medications (rash, difficulty breathing, swelling)
• Persistent bad taste in your mouth despite good oral hygiene

Remember, we're always here to address your concerns. It's better to call and check than to worry unnecessarily.

Recovery Timeline

Days 1-2: Peak discomfort and sensitivity. Focus on rest, gentle care, and following all instructions.

Days 3-5: Discomfort should decrease noticeably. You can gradually return to normal activities and diet.

Week 1: Gum tenderness should be minimal. Continue gentle oral hygiene and avoid irritating foods.

Weeks 2-4: Your gums should feel much better and appear healthier. You may notice reduced bleeding and fresher breath.

4-6 weeks: Full healing typically occurs. Your gums should be pink, firm, and healthy-looking.

3-month follow-up: Dr. Olaes will evaluate your healing and determine if additional treatment is needed.

Tips for Faster Healing

Follow these best practices to optimize your recovery:

• Stay hydrated - Drink plenty of water to help your body heal
• Don't skip meals - Proper nutrition supports healing
• Take prescribed medications as directed, don't skip doses
• Keep your follow-up appointments - Regular monitoring ensures proper healing
• Avoid tobacco and alcohol - These significantly slow the healing process
• Manage stress - High stress can impair your immune system and slow healing
• Get adequate sleep - Your body heals best when well-rested
• Be patient - Healing takes time, and rushing the process can cause setbacks
• Maintain good oral hygiene - Even gentle cleaning is better than neglecting your teeth and gums

Questions?

Your comfort and successful recovery are our top priorities. The team at Carmel Mountain Dentist has over 25 years of experience helping patients heal properly after periodontal treatment.

If you have any concerns during your recovery, please don't hesitate to contact us. Call Carmel Mountain Dentist at (858) 487-4683. We're here to help ensure your recovery goes smoothly.

Remember, following these instructions carefully will help you achieve the best possible results from your scaling and root planing treatment. Your commitment to proper aftercare is an investment in your long-term oral health!