
Dr. Yola Kovalenko
تُعد د. يولا كوفالينكا من الكفاءات الطبية المتميزة في مجال طب الأسنان. تخرجت من جامعة لوغانسك الطبية الحكومية عام 2007، وكانت ضمن أوائل خمسة طلاب على دفعتها، وه…
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Calculus (tartar) is plaque that remained on the teeth until it calcified and hardened, so brushing and flossing can no longer remove it. Dental scaling removes this deposit from tooth surfaces and from below the gum line using hand instruments or an ultrasonic device, then polishes the surfaces to slow plaque re-accumulation. This is not a cosmetic procedure as often assumed. Calculus is a rough, porous surface on which bacteria multiply right at the gum margin, producing chronic inflammation that begins with redness, bleeding on brushing and bad breath. If it persists, **it can progress to periodontitis, which destroys the bone supporting the tooth** — and that loss does not return with cleaning, because it is structural damage. Regular scaling is what breaks the chain before that stage. Many patients misunderstand scaling and therefore delay it, believing it “widens the gaps between teeth” or “makes teeth sensitive”. In reality the gaps and sensitivity existed behind the calculus that was filling them, and the calculus was worsening gum loss, not protecting against it. Sensitivity after scaling is usually temporary and eases within days. Also important: scaling **does not whiten teeth**. It removes deposits and surface staining so the tooth’s natural shade shows — anyone wanting a lighter shade needs whitening, which is a different procedure. Scaling frequency is individual: roughly every six months for healthy mouths, and more often with rapid accumulation, smoking, diabetes, orthodontic appliances, or a history of gum disease.
Gum colour and bleeding are examined, periodontal pocket depths measured and tooth mobility assessed, to decide whether supragingival scaling suffices or subgingival deep cleaning is needed.
Visible deposit on tooth surfaces is removed with an ultrasonic scaler under water spray, or with hand instruments in delicate areas.
If pockets are deep, calculus is removed from within them and root surfaces smoothed, sometimes over several sessions and under local anaesthesia for comfort.
Surfaces are polished to reduce roughness so plaque accumulates more slowly, and fluoride may be applied to strengthen enamel and reduce sensitivity.
The patient is coached in correct brushing and use of floss or interdental brushes, and the next appointment is set according to how fast calculus accumulates for them.
Tell your dentist about chronic conditions and medications, especially blood thinners (inflamed gums bleed more), diabetes because it affects gum health and healing, and any prosthetic heart valve or condition requiring prophylactic antibiotics beforehand — important information not to forget. Mention a cardiac pacemaker, as certain scaling devices are discussed in that situation. Report tooth sensitivity if present. Do not expect whitening — if a lighter shade is your goal, ask about whitening as a separate procedure.
Expect cold sensitivity and gum tenderness for a day or two, and slight bleeding on brushing that eases as inflammation settles. Use toothpaste for sensitive teeth if sensitivity appears, with a soft brush and gentle strokes. Do not stop brushing because of bleeding — stopping increases inflammation and bleeding, while gentle persistence is what stops it. Use floss or interdental brushes daily, since professional cleaning complements rather than replaces daily cleaning. Avoid heavily staining drinks on the first day after polishing. **Contact your dentist if gum bleeding persists beyond a week, if increasing pain, swelling, pus or an abscess appears, if any tooth becomes looser, or if severe sensitivity lasts more than two weeks.**
30–60 minutes for routine scaling; deep cleaning is done over several sessions

تُعد د. يولا كوفالينكا من الكفاءات الطبية المتميزة في مجال طب الأسنان. تخرجت من جامعة لوغانسك الطبية الحكومية عام 2007، وكانت ضمن أوائل خمسة طلاب على دفعتها، وه…

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