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Deep cleaning involves gum scaling and root planing . Deep cleanings usually take place over two or more visits and involve gum scaling and root planing. Each visit can take 1 to 2 hours.. The traditional first step in periodontal therapy involves eliminating subgingival biofilm and calculus to resolve periodontal inflammation. Success requires effective self-care and thorough subgingival debridement, including scaling and root planing (SRP), that may need to be repeated over time.

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A literature search for randomized controlled clinical trials (RCTs) evaluating scaling and root planing versus laser therapy alone or laser therapy plus scaling and root planning, with or without surgical access, in the treatment of patients with moderate to severe periodontitis was conducted using the MEDLINE, EMBASE, and CENTRAL databases.. Teeth scaling is a deep dental cleaning that is often performed along with root planing. These procedures help clean bacteria from below the gum line and help gums grow back along the base of teeth.