Deep Scaling
Thorough removal of plaque, tartar, and bacterial toxins from deep within the gum pockets.
- Reaches below the gumline
- Removes source of infection
- Uses specialized instruments
- Stops progression of disease
Treat active gum disease and prevent tooth loss with specialized periodontal care. Our deep cleanings remove infection from below the gumline, allowing your tissues to heal and reattach to your teeth.

When plaque and tartar build up below the gumline, it causes inflammation and infection known as periodontal (gum) disease. If left untreated, this infection destroys the bone supporting your teeth, leading to tooth loss. A standard cleaning cannot reach these deep infections.
A periodontal cleaning, also known as Scaling and Root Planing (SRP), is a specialized procedure that reaches deep into the periodontal pockets. At Carmel Family Dental, we carefully numb the area, remove the hidden tartar and bacteria, and smooth the tooth roots so your gums can heal and reattach.
Here is a simple overview of what to expect.
| Topic | What to Expect |
|---|---|
| Purpose | Treat active gum disease and stop bone loss |
| Clinical Name | Scaling and Root Planing (SRP) |
| Duration | Usually requires 2 visits (one side of the mouth per visit) |
| Anesthesia | Local anesthesia used; you will be completely numb |
| Recovery | Mild tenderness for 1-2 days |
| Follow-Up | Periodontal maintenance cleanings every 3-4 months |
| Insurance | Most PPO plans cover a significant percentage |
| Serving | Indianapolis, Carmel, Zionsville, Fishers, Westfield, Noblesville |
Tailored treatments to meet your specific goals.
Thorough removal of plaque, tartar, and bacterial toxins from deep within the gum pockets.
Smoothing the rough surfaces of the tooth roots where bacteria easily hide.
Placement of localized antibiotics directly into the gum pockets to kill remaining bacteria.
Ongoing specialized cleanings every 3-4 months to keep the disease from returning.
A consultation helps determine if this is the best path for your goals.
Patients whose gum pockets measure 4 millimeters or deeper during their exam.
Those whose gums consistently bleed when brushing, flossing, or during a dental exam.
Patients whose X-rays show the bone supporting their teeth is beginning to deteriorate.
Individuals with persistent halitosis caused by bacteria trapped deep below the gums.
Patients whose gums are pulling away from the teeth, exposing the sensitive tooth roots.
Patients with diabetes or heart disease, as gum disease can worsen these conditions.
No pressure and no rushing. We give you the information you need to decide thoughtfully.
We gently measure the depth of the pockets between your teeth and gums.
We examine digital X-rays to assess the bone levels supporting your teeth.
We explain the severity of your gum disease and show you exactly what is happening.
We outline the scaling and root planing procedure and answer all your questions.
We discuss local anesthesia and sedation options to ensure your complete comfort.
Deep cleanings are usually scheduled in two visits, treating half the mouth at a time.
Careful planning follows a predictable, patient-centered sequence.
We thoroughly numb the areas being treated so you feel no pain during the procedure.
An ultrasonic tool uses water and vibration to break up and flush out large tartar deposits.
Specialized hand instruments are used to meticulously clean deep into the periodontal pockets.
The rough surfaces of the tooth roots are smoothed to prevent bacteria from easily reattaching.
The pockets are flushed with an antimicrobial rinse, and localized antibiotics may be placed.
Your gums will begin to heal and tighten around the teeth. We will see you in a few weeks to check your progress.

The right choice depends on your specific needs.
| Feature | Deep Cleaning (SRP) | Healthy Adult Cleaning | Perio Maintenance |
|---|---|---|---|
| Clinical Name | ✓ Scaling & Root Planing | Prophylaxis | Periodontal Maintenance |
| Who It’s For | ✓ Patients with active gum disease | Patients with healthy gums | Patients who have had a deep cleaning |
| Depth | ✓ Deep into periodontal pockets | Above and slightly below gumline | Above and below gumline |
| Anesthesia | ✓ Local anesthesia required | None needed | Rarely needed |
| Frequency | ✓ One-time intensive treatment | Every 6 months | Every 3-4 months |
| Goal | ✓ Stop active infection & bone loss | Prevent disease | Maintain arrested disease |
Results depend on careful diagnosis, disciplined planning, and a team that respects your goals.
We use effective local anesthesia and gentle techniques so you feel no pain during treatment.
Our hygienists are highly trained in periodontal therapy, ensuring no tartar is left behind.
We show you your X-rays and pocket depths so you understand exactly why treatment is needed.
We utilize localized antibiotics and antimicrobial rinses to maximize healing.
We set you up on a specific maintenance schedule to ensure the disease does not return.
Patients appreciate our non-judgmental approach to treating advanced dental issues.
Our approach is designed around clear information and careful design.
I was terrified when they told me I needed a deep cleaning, but they numbed me up perfectly and I didn’t feel a thing. My gums stopped bleeding within a week.
I hadn’t been to the dentist in 10 years and had bad gum disease. They didn’t judge me at all. They just fixed the problem. My mouth feels so much healthier now.
The hygienist was so thorough and explained everything she was doing. The difference before and after the scaling and root planing is incredible.

Every treatment plan is developed with attention to health, function, and appearance.
Cosmetic & Restorative Dentistry
Dr. Stuart focuses on natural-looking cosmetic and restorative care that respects the character of each patient’s smile.
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Cosmetic Dentistry & Implants
Dr. Schraeder brings digital planning and detail-oriented craftsmanship to cosmetic treatment conversations and smile design.
Read Full Bio →Clear answers to common questions.
Our team can help you understand how your benefits and treatment options may apply.
We review available benefits before your care begins.
Our treatment coordinators help you understand the clinical sequence and timing.
Carmel Family Dental is conveniently located in Carmel, Indiana, and welcomes patients from throughout the greater Indianapolis area.
Schedule a cosmetic dentistry consultation at Carmel Family Dental. We will listen to your goals, review the health of your smile, and explain the appropriate options clearly.
13590 N Meridian St, Suite 200, Carmel, IN 46032 | Serving Indianapolis & Surrounding Areas