Scaling and Polishing in Singapore

Scaling and polishing are dental procedures aimed at cleaning and maintaining oral health. They are often referred to as "teeth cleaning”. They are commonly done together during the same visit to maximize the effectiveness and longevity of the result.

These procedures are essential for maintaining good oral hygiene and preventing gum disease and tooth decay. Dentists typically perform scaling and polishing during regular dental check-ups or as part of professional dental cleaning. It can also be done in tandem with teeth whitening.

What is scaling?

It involves the removal of plaque, tartar (hardened plaque), and stains from the tooth surface, especially along the gum line and between teeth. This procedure is typically done using specialised dental tools such as scalers and ultrasonic instruments to scrape away these deposits.

Scaling can be done in a single visit or quadrant-wise depending on the severity of the case.

1. Full mouth scaling

   1. Scaling of both the upper and lower teeth.

   2. This is the most common method.

2. Single arch scaling

   1. Scaling of either the upper or lower teeth

   2. This may be done for cases of moderate to high severity where the patient might not be able to open their mouth for extended periods of time.

3. Localised scaling

   1. Scaling of a particular set of teeth.

   2. This is usually done during repeated visits as a form of targeted therapy.
   3. This might be done under topical or local anaesthesia to treat lesions such as gum boils and food pockets.

What is polishing?

After scaling, polishing is performed to smoothen and polish the tooth surfaces.

This helps remove residual stains and plaque that might have been missed during scaling. This also aids in removing surface irregularities that may easily trap food particles.

Polishing is usually done with a rotating brush or rubber cup attachment and a mildly abrasive polishing paste.

Air polishing is another method used to remove very stubborn stains. This involves mildly abrasive sand particles blasting at high speeds onto the surfaces of the affected teeth.

What is the price for scaling and polishing?

The cost can range from SGD 50 to SGD 250 or more, depending on various factors. Public institutions like polyclinics may charge less, but private clinics often have shorter waiting times.

Can I use MediSave/CHAS to pay for a dental check-up?

For scaling and polishing procedures, CHAS subsidies are available, ranging from $20 to $40, depending on the colour of your CHAS card. Additional details on CHAS subsidies can be found at https://www.chas.sg/chas-subsidies.

MediSave typically does not cover general dental treatments, such as dental check-ups, unless they involve surgical procedures deemed medically necessary. Non-surgical dental treatments, including routine check-ups, are not eligible for claims under the MediSave scheme.

How is scaling done?

Here is an overview of how dental scaling is typically done:

1. Assessment:
   1. The dentist or dental hygienist will first examine your teeth and gums to assess the extent of plaque and tartar buildup. They may use a dental mirror to see areas that are difficult to reach.
2. Ultrasonic scaling:
   1. An ultrasonic scaler may be used to remove larger pieces of tartar. This instrument uses vibrations and water flow to break down and flush away the tartar from the teeth. The ultrasonic scaler has a metal tip that vibrates at a high frequency, aiding in the removal of deposits.

3. Hand scaling:

   1. After the initial removal of larger deposits with the ultrasonic scaler, the dentist or dental hygienist may use hand scalers (hand instruments) to remove any remaining smaller pieces of tartar. These hand instruments come in various shapes and sizes to access different areas of the teeth Sometimes this step will be omitted if the practitioner is able to achieve the desired result with the ultrasonic scaler.

4. Root planing:

   1. In some cases, if there are deeper pockets of tartar or if there is evidence of gum disease, root planing may be performed. This involves smoothing the surfaces of the tooth roots to help the gums reattach to the teeth and reduce the risk of future plaque buildup. This step is optional and the practitioner may omit it if they deem it unnecessary for your situation.

5. Polishing:

   1. After scaling and root planing, the teeth are usually polished to remove any remaining stains and to make it more difficult for plaque to adhere to the tooth surfaces. Polishing is often done using a rotating rubber cup and a gritty polishing paste.

6. Fluoride treatment:

   1. In some cases, a fluoride treatment may be applied after scaling to strengthen the teeth and provide additional protection against decay.

Throughout the procedure, the dentist or dental hygienist will ensure your comfort and may use local anesthesia if necessary, especially if there are sensitive areas or if deep scaling is required. Dental scaling is typically a routine and well-tolerated procedure, and it plays a crucial role in maintaining oral health and preventing more serious dental issues.

Who may not be suitable for scaling and polishing?

While it is generally safe and effective, there are some situations where ultrasonic scaling (a machine that dentists used for scaling) may not be recommended:

1. Patients with certain medical conditions
   1. Individuals with certain medical conditions such as pacemakers or cardiac conditions might need to avoid ultrasonic scaling due to the vibrations interfering with their medical devices or conditions. In such cases, alternative scaling methods might be used.
2. Gag reflex
   1. Some patients have a strong gag reflex, which can be triggered by the vibrations and sensations of the ultrasonic scaler. In such cases, a different scaling method or alternative measures may be considered.

3. Dental restorations

   1. Ultrasonic scalers might not be suitable for certain dental restorations such as crowns, veneers, or dental implants, as the vibrations could potentially damage these restorations, or the bonding materials used.

4. Periodontal sensitivity

   1. In cases where a patient has extreme sensitivity or severe periodontal issues, the vibrations from the ultrasonic scaler might cause discomfort or exacerbate the condition.

Before any dental procedure, including scaling, it is crucial to inform your dentist about any medical conditions, medications, or concerns to ensure the most suitable and safe treatment plan for your oral health. Your dentist can discuss alternative scaling methods or precautions to take based on your specific situation.

What to avoid after scaling and polishing?

Following a dental scaling and polishing procedure, it is important to take proper measures and allow the gums to heal properly. Here are some care tips after scaling and polishing:

1. Refrain from eating or drinking for at least 30 minutes after the procedure to allow the treated areas to settle and heal. Avoid hot or spicy foods initially, as they might cause discomfort.
2. Rinse your mouth gently with a medicated mouthwash or warm salt water twice a day, especially after meals. This helps reduce swelling and keeps the area clean.
3. If your dentist has prescribed any medications or mouth rinses, make sure to use them as directed for the prescribed duration.
4. Use a soft-bristled toothbrush and brush gently in a circular motion to avoid irritation.
5. If you smoke, try to avoid it for at least 24 hours post-scaling. Smoking can slow down the healing process and increase the risk of complications.
6. Some sensitivity or mild discomfort after scaling is normal. You might experience slight sensitivity to hot or cold temperatures. If the sensitivity persists or worsens, inform your dentist.
7. Drink plenty of water to keep your mouth hydrated and aid in the healing process.
8. If your dentist recommends a follow-up visit, make sure to attend it. Regular dental check-ups are essential for maintaining oral health.

Remember, everyone's healing process varies, so if you have any concerns or experience unusual symptoms after scaling, don't hesitate to contact your dentist for guidance and reassurance. Following these care tips can help promote healing and prevent complications after a scaling procedure.

FAQ

How often should I have dental scaling and polishing?

It is generally recommended to have a dental cleaning, including scaling and polishing, every six months as part of routine preventive care. However, the frequency may vary depending on individual oral health needs. Your dentist will provide personalised recommendations.

Is dental scaling painful?

Dental scaling is usually not painful. The dentist or dental hygienist will use local anesthesia if necessary, especially if deep scaling or root planing is required. Some individuals may experience mild discomfort or sensitivity, but this is typically temporary.

How long does the dental scaling and polishing procedure take?

The duration of the procedure can vary depending on the extent of plaque and tartar buildup, the number of teeth involved, and whether additional treatments like root planing are needed. On average, it may take 30 minutes to an hour.

Can I eat or drink after dental scaling and polishing?

It's generally recommended to avoid eating or drinking for at least 30 minutes after the procedure to allow any fluoride treatment to take effect and for the teeth to remain clean.

Are there any side effects after dental scaling and polishing?

Some individuals may experience mild sensitivity, especially to hot or cold temperatures, after dental scaling. This sensitivity is usually temporary. If you have concerns, it's important to discuss them with your dentist.

Does dental scaling damage the enamel of the teeth?

No, dental scaling is performed by trained professionals using appropriate tools, and it is designed to remove harmful plaque and tartar without causing damage to the enamel when done properly.

How can I maintain the results of dental scaling and polishing at home?

Maintaining good oral hygiene practices at home is crucial. This includes regular brushing, flossing, and using an antiseptic mouthwash. Your dentist may also provide specific recommendations based on your oral health.

Can pregnant women undergo dental scaling and polishing?

Yes, dental scaling and polishing are generally safe for pregnant women. However, it's important to inform your dentist about your pregnancy so that they can take any necessary precautions.

Does dental insurance cover the cost of scaling and polishing?

Many dental insurance plans cover preventive dental procedures, including scaling and polishing. It's advisable to check with your insurance provider to understand the coverage details and any out-of-pocket expenses.

Is scaling and polishing necessary?

Yes, scaling and polishing are essential components of routine dental care, and they play a crucial role in maintaining good oral health. It removes plaque and tartar from the surfaces of the teeth and helps prevent gum disease, cavities and reduces bad breath.

Does scaling and polishing whiten the teeth?

Scaling and polishing primarily focus on removing dental plaque, tartar, and surface stains from the teeth, and while they can contribute to a brighter smile, they are not procedures specifically designed for teeth whitening.

Remember to consult with your dentist for personalised advice and to address any specific concerns you may have about dental scaling and polishing. Regular dental check-ups are essential for maintaining optimal oral health.