Description

When scaling is performed on teeth with more stains and deposits, the dental cleaning procedure involves several focused steps to effectively remove both hardened tartar (calculus) and stubborn stains caused by substances like coffee, tea, tobacco, and other pigments.​ Procedure for Scaling with Heavy Stains and Deposits Ultrasonic Scaling: Specialized ultrasonic scalers use vibrations and a water spray to break down and flush away heavy deposits of plaque and tartar that have mineralized on the tooth surfaces and below the gum line.​​ Hand Scaling: After ultrasonic scaling, manual scalers are used by the dentist or hygienist to meticulously remove remaining deposits and focus on areas difficult to reach with ultrasonic tools.​ Polishing: Polishing follows scaling to smooth the enamel surfaces and remove residual superficial stains. This process uses a rubber cup and prophylaxis paste to impart shine and make it harder for new deposits to stick.​ Selective Polishing: In some cases, selective polishing is done only on tooth areas with visible stains that scaling cannot remove fully, minimizing enamel abrasion while maximizing stain removal.​ Additional Treatments: If stains or discoloration persist after thorough scaling and polishing, treatments like professional teeth whitening or bleaching might be recommended.​ Patient Considerations and Care Scaling of heavily stained teeth might cause mild temporary sensitivity, especially if gums have receded or heavy calculus was present.​ Proper post-scaling care involves avoiding staining foods and drinks for 24-48 hours and maintaining good oral hygiene to prevent rapid re-accumulation of plaque and tartar.​ Regular dental visits every 6 months are crucial to manage and prevent heavy staining and tartar buildup over time.​ In summary, scaling with more stains and deposits requires a combination of ultrasonic and hand scaling followed by polishing to restore tooth cleanliness, appearance, and gum health. Persistent or intrinsic stains may require further cosmetic procedures beyond cleaning