Scaling & GumSurgery



It is a natural routine process for a thin invisible sticky film to form on teeth every time we eat anything and is called plaque. Plaque is easily and effectively removed with routine oral hygiene procedures of brushing and flossing which is very essential as plaque houses numerous bacteria responsible for dental decay and gum problems.


Calculus is the hardened form of plaque present both above and below the gumline. Unlike plaque calculus is visible with yellow to brown to greenish stains. It is hard enough to injure your gums and bleeding from gums results on slightest trauma, even on brushing. Prolonged irritation is responsible for serious gum diseases from lowering of gumline to pocket formation around the tooth with bone loss and eventual loosening and loss of teeth.

Gum disease and recession




SCALING is a procedure done by a dentist or dental hygienist to remove all the stains, calculus and plaque present over the teeth with special instruments like ultrasonic scalers. It is very safe and does not harm the tooth in any way, on the contrary a smooth tooth surface free from plaque and calculus is ideal for gum reattachment. Professional scaling and polishing at least once a year is the secret for healthy gums and teeth.


How can plaque formation be prevented?

  • Brush your teeth at least twice a day with a soft, rounded-tip bristled toothbrush. Pay particular attention to the space where the gums and teeth meet. Use toothpaste that contains fluoride.
  • Floss between teeth at least once a day to remove food particles and bacteria.
  • See your dentist or oral hygienist every 6 months for a check-up and teeth cleaning.
  • Ask your dentist if a dental sealant is appropriate for you. Dental sealants are a thin, plastic coating that is painted on the chewing surfaces of teeth to protect them from cavities and decay.
  • Eat a balanced diet and limit the number of between-meal snacks. If you need a snack, choose nutritious foods such as plain yogurt, cheese, fruit, or raw vegetables.



The Consequence of Periodontal Infection

The end results of periodontal disease include loss of the tight attachment of the gum and periodontal tissues to the teeth. This detachment, results from chronic inflammation as described above. Breakdown ultimately causes bone and periodontal tissue destruction giving rise to different patterns and shapes of bony defects which surgical treatment aims to regenerate and repair.


The purpose of periodontal surgery is to treat deformities and tissue loss created by the disease process. This is accomplished by eliminating “pockets” of diseased tissue; regenerating and reconstructing gum and periodontal tissue attachment to the teeth and generally to provide an environment more conducive to daily oral hygiene and professional maintenance care.

We at cosmo laser dental do periodontal surgery with the help of dental diode laser as most of the periodontal pocket can be eliminated by dental laser treatment. Where bone loss has occurred then bone grafting surgery can also be done after thorough curettage.


Gingival enlargement, exactly means an increase in the size of the gingiva. It can be caused by number of factors including:

  • Inflammatory enlargement
  • Drug induced enlargement
  • Systemic causes like in pregnancy, puberty and some granulomatous diseases.

We at cosmo laser dental do systematic treatment and if gingival surgery is required it is very well done with dental diode laser.

Intraoral photograph just after surgical
A excision of excess gingival tissue

Postoperative photograph after 1 week