Hand scaling
Feather-light curettes for shallow pockets, pregnancy-safe visits and guests sensitive to vibration.
EMS AirFlow® • Vector Paro® • Guided biofilm therapy
Scaling that erases calculus and keeps gums calm
Watch plaque transform into calculus, gingivitis and bone loss through immersive animations, then learn the proven rituals our hygienists coach so every stage stays under control.
- 45 min
- average guided biofilm therapy session
- 4 modes
- of ultrasonic modulation for gentle pockets
- 24/7
- coach-led hygiene reminders after treatment
Ultrasonic
Piezo and magnetostrictive tips cavitate 25k–50k times each second to shatter calculus gently.
Root planing
Glass-smooth roots with laser sanitisation so inflamed gums can reattach and stay firm.
Instrumentation matrix
Three scaling approaches tailored to your gum biology
We combine diagnostic plaque disclosing with periodontal charting to decide which instrumentation protects your enamel and roots while leaving gums calm.
Hand scaling
Graceys and sickles glide below the gumline with micro-motions. Ideal for shallow pockets, pregnant patients and those with sensitivity to ultrasonic vibration.
- Site-specific Gracey curettes mapped to each tooth surface
- Warm chlorhexidine irrigation soothes inflamed tissue
- Zero aerosol technique for medically compromised guests
Ultrasonic scaling
Piezo and magnetostrictive tips vibrate 25,000–50,000 times per second, creating micro-bubbles that implode and lift calculus without gouging tooth surfaces.
- Controlled cavitation wraps around crown and root
- Heated AirFlow® powder polishes biofilm after scaling
- Power modulation for implants, braces and gum recession
Scaling & root planing
Once calculus creeps onto root surfaces, we combine ultrasonic debridement with hand planing to leave roots glassy-smooth so gums can reattach and inflammation quietens.
- Perio-charted pockets treated quadrant by quadrant
- Locally delivered antibiotics for stubborn bacteria
- Re-evaluation at 6 weeks with bleeding score tracker
Comfort architecture
Comfort-first scaling protocols
Every visit is engineered so the only thing you feel is relief. We pair localised anaesthesia, soft-tissue lasers and coaching to make calculus removal feel spa-like.
- 01 Biofilm disclosure & gum score charting with intraoral camera walkthrough
- 02 Tailored desensitising gel + warm water line to block zingers
- 03 Ultrasonic or hand instrumentation with high-volume evacuation
- 04 Glycine/AirFlow® powder polishing for stain and biofilm removal
- 05 Laser pocket sanitisation & chlorhexidine/ozone rinse when indicated
- 06 Personalised hygiene rehearsal with mirror coaching & take-home plan
Warm water line
Desensitise
Ultrasonic glide
AirFlow polish
Hygiene coaching
Disease progression timeline
From plaque to tooth loss — every stage animated
See how sticky film hardens and marches deeper into your gums. Each animation reveals what we watch for chairside and how daily habits can reverse or halt the damage.
1. Plaque film (0–24 hours)
Invisible matrix of bacteria and food sugars coats teeth minutes after brushing. Brushing twice daily and tongue cleaning disrupts this soft layer easily.
Action: Two-minute brushing, flossing or water flossing and fluoride toothpaste.
2. Calculus crust (24–72 hours)
Minerals from saliva lock plaque into a rock-hard crust, especially near ducts. Only professional scaling can detach these barnacle-like deposits.
Action: Ultrasonic scaling every 6 months; focus on gumline sweeps with interdental brushes.
3. Gingivitis (1–2 weeks)
Gums swell, bleed on brushing and look fiery. The inflammation is still reversible — remove calculus and adopt meticulous hygiene and the redness fades.
Action: Professional cleaning + chlorhexidine rinse for 7 days and switch to soft-bristle brushing.
4. Early periodontitis (1–3 months)
Pockets deepen to 4–5 mm and bone starts to recede. Root planing and locally delivered antimicrobials stop bacteria from colonising the pocket.
Action: Quadrant root planing, laser disinfection and 3-month recall.
5. Advanced periodontitis (6+ months)
Bone loss exceeds 30%, teeth loosen and abscesses may form. Guided tissue regeneration and regenerative biomaterials are needed to salvage support.
Action: Periodontal surgery, splinting, systemic evaluation for diabetes/smoking.
6. Tooth loss cascade
Untreated infection ends in tooth mobility and extraction. Adjacent teeth drift, bite collapses and chewing suffers — making rehabilitation complex and costly.
Action: Replacement planning with implants or bridges, strict hygiene to protect remaining teeth.
Why scaling matters
How poor oral hygiene damages every tooth surface
Calculus is more than cosmetic. Its rough surface harbours acid-producing bacteria that etch enamel, inflame gums and attack bone.
- Cavities: Plaque acids drop pH below 5.5 and leach minerals, creating chalky white spots that progress to cavitations if not neutralised.
- Gingivitis: Toxins from calculus irritate gums, triggering bleeding and puffiness that signals early infection.
- Periodontitis: Chronic inflammation melts away supporting bone, creating 5–8 mm pockets harbouring anaerobic bacteria.
- Bone loss: As bone recedes, teeth loosen. Left untreated, entire tooth roots are exposed leading to hypersensitivity and eventual loss.
Daily defence
Daily oral hygiene playbook — 24 hours of protection
Small rituals stacked through the day interrupt plaque every time it tries to rebuild. Follow this clock to stay calculus-free.
- 6:30 AM Brush with fluoride toothpaste + clean tongue. Use circular strokes aimed at the gumline for 2 minutes.
- 6:35 AM Floss or use a water flosser to sweep interdental spaces, especially behind lower incisors where calculus forms first.
- 2:00 PM Rinse with plain water or xylitol mouth spray after meals to neutralise acids and dislodge loose debris.
- 5:00 PM Snack smart: crunchy veggies or cheese that stimulates saliva and buffers acids.
- 9:30 PM Brush again using a soft brush; follow with interdental brushes for braces, implants or bridges.
- 9:35 PM Use 10 ml alcohol-free mouth rinse or doctor-prescribed chlorhexidine (short courses only).
- Weekly Use disclosing tablets to visualise missed areas; photograph progress to review with our hygienist.
- Quarterly Schedule professional maintenance if you have braces, implants, diabetes or gum disease.
Stay calculus-free
Keep calculus away with personalised coaching
Scaling resets your mouth; habits keep it that way. Our hygienists design micro-habits that plug into your day.
Smart recall scheduling
We map your bleeding score and pocket depth to a recall frequency — 3 months for high risk, 6 months for maintenance, 12 months only when gums are consistently healthy.
Tool upgrades
Electric brushes with pressure sensors, water flossers, interdental brushes and tongue scrapers are matched to your dexterity and dental work.
Coaching follow-ups
WhatsApp nudges, video refreshers and in-clinic rehearsals ensure techniques stick. You get before/after disclosures to celebrate progress.
Nutrition tuning
Swap sugary, sticky snacks for fibrous foods; add green tea, probiotics and vitamin C for gum resilience. Diabetics receive sugar log integration with our recall app.
Need to know
Scaling & hygiene FAQ
Answers to the questions patients and referring dentists bring up most often.
Does scaling weaken teeth or cause gaps?
No. Scaling removes calculus that was occupying space. Teeth may feel freer because swollen gums shrink back to their healthy contour — revealing the real spacing.
How often should I get professional scaling?
Most adults benefit from a 6-month interval. Smokers, diabetics, orthodontic patients or those with gum disease should come every 3–4 months.
Is ultrasonic scaling safe for implants and braces?
Yes. We use implant-safe plastic tips and adjust power to avoid scratching prosthetic surfaces while still blasting away biofilm.
Will bleeding stop immediately?
You may notice mild bleeding for 24–48 hours as gums heal. With improved hygiene, the tissue tightens and bleeding disappears by your 1-week review.
Ready when you are
Feel that glassy, just-polished finish
Book your scaling or periodontal therapy with Dr. Dhiwakaran and the Noble hygiene team. We’ll record your baseline and walk you through the daily playbook.