Dental curettage and root planing is the basis of the treatment of inflamed gums because there is no health if the calcified deposits (tartar) that accumulate on the teeth over time are not removed. Tartar can be located on the gum but it is often also located below the gum and out of sight. The call subgingival tartarIt is the most dangerous because it is the one closest to the bone and responsible for destroying the supporting bone of the teeth and molars.
DENTAL CURING will be the procedure necessary to remove the calculus deposited on the tooth.
RADICULAR CURING, is the same procedure but performed under the crown and is often a blind procedure because we try to remove the tartar that cannot be seen, because it is under the gum and is in what we call the periodontal pocket.
RADICULAR SMOOTHING is the indispensable complement to dental curettage and Root Curettage because although curettage removes calculus, it requires smoothing to remove the bacterial toxins that remain impregnated in the root of the tooth so that the tooth surface is biologically acceptable to the gum and can reattach to the tooth after the cleaning procedure and heal.
Dental curettage and dental scaling should not be considered as different procedures, but as procedures performed simultaneously and the difference between them is due to the intensity of the movement. Curettage is more intense and requires more force to dislodge the calculus. Root planing, on the other hand, is a gentler movement that aims to achieve a highly polished root surface.
THE OBJECTIVES OF RADICULAR TREATMENT AND SMOOTHING are:
1.- Elimination of the layer of periodontal bacteria and dental calculus. The bacterial flora that will be deposited on the tooth after curettage will be different and will be made up of beneficial bacteria.
2.- To transform inflamed, bleeding, oozing gums with periodontal pockets into healthy, firm gums.
3.- Reduction of deep periodontal pockets into shallower ones.
4. To create a root surface compatible with the restoration of healthy connective tissue and a gingival epithelium well attached to the tooth.
For this purpose, sharp CURETAS are used and then the teeth are polished with a rubber cup.