The process of subgingival scaling entails cleaning the tooth surface of calculus. This calculus is seen on the root cementum surface or the enamel (crown). Root planing is the process of removing calculus from the surface of the root cementum. The goal of suggingival scaling in conjunction with root planing is to remove any dental deposits (calculus, dental plaque, and necrotic cementum) that irritate the gingiva from the root surface. This will result in gingival retraction and inflammation reduction as well as the elimination of the periodontal pocket. The removal of supra- and subgingival calculus is accomplished with hoe scalers. The instruments can be used with both vertical and horizontal procedures, and they are appropriate for concave root surfaces and deep, tiny pockets.
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