牙科小教室

Scaling FAQ: Must-Know Facts about Tartar Removal

dentist shows how to brush your teeth oral hygien 2025 01 07 22 14 13 utc 1

Scaling is an important step for maintaining oral health, but different types of scaling are suited to different needs. In general, dental clinics offer both regular and deep cleaning (scaling) services. So, what’s the difference? When should you choose deep cleaning? This article explains the details to help you choose the right cleaning method and prevent the onset and worsening ofperiodontal disease.

 

1. What is regular scaling?

Regular scaling mainly cleans tartar and plaque from the tooth surface. It is preventive care and is usually recommended every 6 months.

A. Steps of regular scaling

  1. Ultrasonic tartar removal: Using an ultrasonic scaler to loosen and remove tartar and plaque from the teeth.
  2. Polishing: If there are many stains/plaque, Ace Dental dentists will polish the teeth to make the surface smoother, reduce plaque attachment, and lower the risk of periodontal disease.
  3. Fluoride application (optional, extra charge): Helps strengthen enamel and reduce the risk of cavities.

B. Who is regular scaling for?

  • People with good oral health and no signs of periodontal disease.
  • Mainly for preventing tartar buildup and maintaining oral cleanliness.
  • Those with mild gingivitis but not yet severe periodontitis.

 

2. What is deep cleaning (deep scaling)?

When tartar builds up under the gums, it can lead to periodontal disease (gingivitis or periodontitis). Deep cleaning, also called periodontal therapy, is aimed at treating periodontal disease by removing tartar and bacteria below the gum line to prevent worsening inflammation.

A. Steps of deep cleaning

  • Subgingival scaling (deep cleaning): Special periodontal curettes are used to clean tartar and bacteria from the root surface under the gums, reducing the risk of periodontal disease progression.
  • Pocket irrigation: Antibacterial solutions are used to rinse periodontal pockets and reduce infection risk.
  • Root planing: The root surface is smoothed to prevent bacteria from re-adhering and reduce the risk of periodontal disease recurrence.
  • Follow-up and further treatment: Periodontal patients may require several deep cleanings and additional treatments (such as medication or surgery).

B. Who is deep cleaning for?

  • People with periodontal disease (e.g. red/swollen gums, bleeding, bad breath, or loose teeth).
  • Severe tartar buildup affecting gum health.
  • If your dentist finds deep pockets where regular scaling can’t remove all the tartar.
 Regular ScalingDeep Cleaning
PurposeRemoves tartar and plaque from tooth surfacesCleans tartar and bacteria deep under the gums and in periodontal pockets
Who it’s forHealthy mouths, preventive cleaningPeople with periodontal disease, gum inflammation, or deep pockets
Cleaning AreaTooth surfaces and gum marginsUnder the gums, in periodontal pockets, and root surfaces
Will it feel uncomfortable?Mild discomfort or sensitivity (usually tolerable)May be more uncomfortable; local anesthesia may be provided
FrequencyEvery 6 monthsDepends on severity; usually requires several sessions
Treatment TimeAbout 30–45 minutesMay take 1–2 hours, and may be scheduled in multiple sessions

 

patient of a dental clinic getting some water to r 2023 11 27 05 37 16 utc 1

3. Does scaling damage teeth?

 

Many people worry that scaling will damage their teeth. In fact, scaling does not harm teeth or enamel. On the contrary, it is crucial for keeping teeth healthy.Ace Dental dentists emphasize that proper scaling not only does not harm your teeth, but also helps prevent gum disease and improves appearance.

A. Common misconceptions

  • Myth 1: Scaling abrades the tooth surface 

  In reality, scaling targets only tartar and plaque, not enamel. Enamel is the hardest substance in the body, and the tools used in scaling do not damage it.  

  • Myth 2: Scaling causes tooth sensitivity

Sensitivity after scaling is usually due to previously covered surfaces or roots being exposed after tartar is removed. This sensitivity is temporary and usually disappears within a few days.

B. Benefits of scaling

  • Prevents periodontal disease, avoiding tooth mobility or loss. 
  • Improves appearance by removing surface stains.
  • Removes tartar, reducing the risk of gingivitis and bad breath.

If you have any concerns, the Ace Dental dentist team will provide detailed examinations and advice to help you better understand your oral health status.

doctor hygienist holds model dentition with braces 2023 11 27 05 12 19 utc 1

4. How does tartar form?

 

Tartar forms through several stages, mainly due to plaque buildup and mineral deposits from saliva. If plaque is not removed in time, it gradually hardens into tartar. Once tartar forms, it cannot be removed with regular brushing or rinsing.Ace Dental dentists recommend regular professional scaling to thoroughly remove tartar and prevent further impact on oral health.

 

A. Plaque buildup  

Plaque is a colorless, sticky film of bacteria on tooth surfaces. After eating, especially sugary or starchy foods, bacteria feed and quickly form plaque. If not removed promptly, plaque attaches to tooth surfaces and gum margins.

 

B. The mineralization process  

If plaque is not removed for a long time, it combines with minerals in saliva (such as phosphate and calcium) and gradually hardens into tartar. This process takes about 24-72 hours, and once formed, tartar adheres firmly to the teeth.

 

C. Where does tartar form?

Tartar usually forms in these areas: 

  1. Gum margins: the most common place for tartar, especially on the tongue side.
  2. Under the gums: When gum health is impaired, tartar can form beneath the gums, increasing the risk of gum disease.  

D. Factors affecting tartar formation

  1. Oral hygiene: Irregular or insufficient brushing/flossing increases plaque and tartar risk.  
  2. Diet: High-sugar or high-carb diets feed plaque bacteria.  
  3. Saliva composition: People with higher mineral content in their saliva are more prone to tartar.  
  4. Smoking: Smokers’ plaque hardens more easily into tartar, which is usually darker.  
  5. Oral health: If you have gum disease or oral inflammation, tartar may form faster.  

5. The relationship between tartar and bad breath

Tartar not only affects appearance but is closely related to bad breath. If not removed, it acts as a breeding ground for bacteria, causing oral odor.Ace Dental dentists point out that tartar buildup is the root of many breath issues, and removing it promptly can help improve breath.

A. How tartar affects breath

  1. Bacterial growth: The rough surface of tartar harbors bacteria, which release foul odors. 
  2. Periodontal disease: Tartar can cause gum disease, leading to bleeding gums and worse breath.

B. Tips to prevent bad breath

  1. Regular scaling: Get professional cleaning every 6 months. 
  2. Brush and floss daily to maintain oral cleanliness.
  3. Avoid smoking and excessive coffee/tea, which promote tartar formation.

 

6. How to prevent tartar formation?

Although you can’t completely avoid tartar, simple oral care habits can effectively reduce its formation.

A. Daily oral care

  1. Proper brushing: At least twice daily, especially morning and night. 
  2. Use dental floss: Floss removes food debris and plaque from between teeth.
  3. Mouthwash: Use fluoride mouthwash to help reduce plaque buildup.

B. Balanced diet

  1. Reduce sugar intake to avoid rapid bacterial growth.  
  2. Eat more fiber-rich foods to help clean tooth surfaces.  

 

C. Regular dental checkups

The Ace Dental expert team recommends a dental exam and scaling every 6 months to detect and manage any oral problems early. 

 

7. Conclusion: Scale regularly to prevent gum disease!

 

Whether regular or deep scaling, removing tartar is vital for oral health. Ignoring tartar buildup can cause gum inflammation and even loose teeth. It’s recommended to have professional scaling every 6 months and to choose the right type as advised by your dentist.

If you’re unsure if you need deep cleaning, or want regular professional cleaning, feel free to contact the Ace Dental dental team. We’ll provide you with a professional checkup and a personalized treatment plan to help you achieve a healthy, beautiful smile!

Contact us anytime to book your scaling service!

 

其他文章

【敏感牙齒點算?】牙齒敏感酸痛急救、預防與治療攻略

牙齒遇冷熱便酸痛?認識敏感牙齒的常見表現 飲用冰水、熱湯,或進食酸甜食物時,牙齒是否曾突然出現短暫而尖銳的酸痛?這類不適通常在刺激消失後逐漸減退,是牙齒敏感的常見表現。如果症狀反覆出現、持續時間延長或逐漸加劇,便應進一步了解原因。 這種情況通常稱為「牙本質敏感」(Dentin Hypersensitivity)。牙齒敏感本身未必代表嚴重問題,但持續或反覆出現的敏感,可能與牙齦退縮、牙齒磨損、蛀牙或牙齒裂紋等問題有關。本文會講解敏感牙齒的常見原因、暫時舒緩方法、日常護理及治療選擇,並說明甚麼情況需要接受牙醫檢查。 敏感牙齒應如何處理?3個暫時舒緩方法 當牙齒突然因冷熱或酸甜刺激而感到酸痛,可以先從日常習慣入手,減少對敏感牙齒的刺激。不過,如果疼痛持續或反覆出現,仍需要找出真正原因。 使用抗敏牙膏 抗敏牙膏是處理牙齒敏感其中一種常見的日常護理方法。不同產品含有不同活性成分,例如硝酸鉀或含氟化亞錫等,可以透過減低牙齒對刺激的反應,或減少刺激傳遞,從而舒緩敏感。 使用時應按照產品說明每日刷牙。部分抗敏牙膏需要持續使用一段時間,敏感程度才會逐漸降低,並不是使用一次便能立即消除酸痛。 部分抗敏牙膏可按產品指示直接塗於敏感位置。由於不同產品的成分及使用方法有所不同,應以包裝說明或牙醫建議為準。 暫時減少冷熱及酸性刺激 牙齒敏感期間,可暫時減少冷、熱及酸性飲食帶來的刺激: 避免極端溫度:暫時避免進食過冷或過熱的食物,以減少溫度變化引起的牙齒不適。 減少酸性飲食:汽水、果汁、檸檬水及含醋食品等酸性飲食,可能增加琺瑯質受侵蝕的風險,令牙齒更容易受到刺激。 如果進食酸性食物或飲品後感到不適,可以先用清水漱口,減少酸性物質在牙齒表面停留的時間。避免在進食酸性食物後立即大力刷牙,以免增加牙齒表面的磨損。 改用溫和的刷牙方式 刷牙並不是越大力越乾淨。長期使用過大力度刷牙,尤其配合較硬的牙刷,可能增加牙齒磨損及牙齦退縮的風險,令牙本質或牙根暴露,從而加重敏感。 建議更換為軟毛牙刷,以輕柔力度打圈清潔牙齒及牙齦邊緣,同時配合含氟牙膏,維持基本的口腔清潔。 敏感牙齒的6個常見原因及情況

閱讀全文

小朋友倒及牙要箍牙嗎?家長必知倒及牙矯正選擇

當家長發現小朋友咬合時,下排門牙位於上排門牙前方,甚至出現「下包上」的情況,難免會疑惑:這只是換牙期間的暫時現象,還是代表小朋友有倒及牙?到底需不需要接受兒童牙齒矯正? 倒及牙,俗稱「地包天」或「反咬」,除了可能影響牙齒排列及外觀,部分情況亦可能與牙齒咬合及顎骨發育有關。由於兒童正處於牙齒及顎骨發育階段,倒及牙的成因、嚴重程度及適合的處理方法都可能有所不同。 本文將深入解析倒及牙的常見成因、可能帶來的影響及矯正方法,讓家長更了解小朋友出現倒及牙後何時應尋求專業牙科評估,以及如何掌握合適的兒童牙齒矯正時機。由 Ace Dental 專業牙醫團隊 為您解答疑惑。 甚麼是倒及牙?小朋友為甚麼會出現倒及牙? 倒及牙是指小朋友咬合時,下排前牙咬在上排前牙的前方。正常情況下,上排前牙應該稍微位於下排前牙的前方;如果情況相反,便可能屬於倒及牙。 小朋友出現倒及牙的原因各有不同,常見因素包括: 遺傳因素:如果父母或其他近親有倒及牙或顎骨生長異常,小朋友出現類似咬合問題的機會可能較高。 顎骨生長差異:如果上顎發育相對不足,或下顎向前生長較明顯,都可能令上下顎的咬合關係出現差異。 牙齒萌出及排列問題:小朋友在換牙期間,如果乳齒未能正常脫落,或恆齒萌出的位置及方向不理想,都可能令前牙出現反咬。 口腔習慣及肌肉功能因素:部分口腔習慣,以及舌頭位置或吞嚥方式等因素,可能影響牙齒排列及咬合發展。 倒及牙的情況可以只涉及一兩隻前牙,也可能涉及較多牙齒。不同小朋友的情況不盡相同,因此需要由牙醫檢查,才能了解是牙齒位置問題,還是與上下顎的生長及咬合關係有關。 小朋友正處於牙齒及顎骨發育階段,倒及牙的情況亦可能隨着成長而有所變化。因此,家長平日可以多留意小朋友的咬合及牙齒排列,如發現異常,建議及早尋求牙醫評估。 兒童倒及牙有哪些常見表現? 家長平日可以留意小朋友的牙齒排列及咬合情況,如果出現以下跡象,可以考慮安排牙科檢查: 下巴較為突出:從側面觀察時,下巴可能看起來較為突出。不過,單靠面部外觀並不能判斷小朋友是否有倒及牙。 下排前牙咬在上排前牙前方:小朋友咬合時,可以看到下排門牙位於上排門牙前方,是家長較容易察覺的倒及牙表現。 咬東西時出現異常:部分小朋友可能在咀嚼食物時感到不方便,或較難有效咬斷及咀嚼某些較硬或有韌度的食物。 牙齒排列不整齊:倒及牙有時會同時伴隨牙齒擁擠、錯位或排列不整齊,令日常清潔較為困難。 部分小朋友的倒及牙程度較輕,平時外觀未必容易察覺,可能要在咬合時才會發現。因此,即使問題看起來不嚴重,如家長對小朋友的咬合有疑慮,亦可以安排牙醫檢查。 需要留意的是,以上表現只能作為家長日常觀察的參考,並不能單靠外觀或其中一項症狀判斷倒及牙。 小朋友倒及牙不處理會怎樣? 小朋友的牙齒及顎骨仍在發育,倒及牙是否需要處理,以及延遲處理可能帶來甚麼影響,會視乎倒及牙的成因、程度及小朋友的生長發育情況而定。 部分倒及牙如果持續存在,可能帶來以下影響: 牙齒磨損:咬合關係異常可能令部分牙齒承受不正常的咬合力量,長期下來或增加牙齒磨損的機會。 咬合及咀嚼功能受影響:部分小朋友可能因為牙齒咬合不理想,令咀嚼食物時較為不方便。 牙齒清潔較困難:如果倒及牙同時伴隨牙齒擁擠或排列不整齊,部分位置可能較難清潔,從而增加蛀牙及牙齦問題的風險。 顎骨生長及面部輪廓:如果倒及牙與上下顎生長差異有關,隨着小朋友成長,咬合及顎骨關係可能有所變化,部分個案的面部輪廓亦可能變得較為明顯。 心理及自信心:如果牙齒排列或面部輪廓問題較為明顯,部分小朋友可能會對自己的外觀感到介意,影響自信心。 不過,並不是所有倒及牙的小朋友都會出現上述問題。倒及牙的實際影響需要根據個別情況判斷,因此家長不必因為發現倒及牙便過度擔心。 小朋友倒及牙一定要箍牙嗎? 家長常問:「倒及牙一定要箍牙嗎?」其實,並非所有倒及牙都需要立即接受矯正。牙醫會根據小朋友的年齡、牙齒排列、咬合情況及顎骨發展,判斷是適合觀察,還是需要進一步治療。 一般而言,倒及牙可能主要涉及牙齒位置、下顎在咬合時向前移動的情況,或上下顎的生長差異。不同類型的倒及牙,處理方法亦有所不同: 倒及牙類型 常見情況 一般處理方向 輕微牙性問題...

閱讀全文

【智慧齒蛀牙】補牙還是剝牙?一文看清如何處理智慧齒

刷牙時發現最入面的智慧齒出現黑點,甚至隱隱作痛,究竟應該補牙保留,還是索性剝走?這或許是許多人在牙科診所最常糾結的問題。由於智慧齒(第三大臼齒)位於口腔最深處,日常清潔極其困難,蛀牙風險遠高於其他牙齒;而其獨特的生長位置亦令治療選擇比一般蛀牙更複雜。更嚴重的是,若處理不當,蛀牙不僅會持續惡化,還可能蔓延至鄰近的第二大臼齒,甚至引發更廣泛的口腔問題,因此面對智慧齒蛀牙時,及早釐清應補牙還是剝牙,才是長遠之計。 本文由才緻牙醫團隊整理,為你詳細解析智慧齒蛀牙的成因及症狀,選擇補牙與剝牙的準則及日常預防方法,及早正確處理,避免蛀壞鄰牙、引發發炎,告別智慧齒煩惱。 智慧齒為何特別容易蛀牙? 智慧齒是口腔內最後萌出的牙齒,同時也是最難清潔的區域。由於它位於口腔最深處,普通牙刷的刷頭往往難以觸及,更遑論以牙線或牙縫刷清理鄰牙之間的縫隙;再加上不少人的智慧齒呈「阻生」或「半阻生」狀態,被牙齦部分覆蓋而形成天然凹槽,令食物殘渣與細菌特別容易藏匿其中。 這些位置幾乎無法徹底清潔,牙菌膜長期積聚,脫礦作用持續進行,蛀蝕便在不知不覺間發生,往往要到患者感到明顯疼痛時,才發現早已蛀出較深的蛀洞。 智慧齒蛀牙有甚麼症狀? 早期蛀牙通常沒有明顯感覺,但隨着病變加深,患者可能會發現以下症狀: 智慧齒蛀牙一定要剝牙嗎?補牙 vs 剝牙全解析 是否需要剝牙,並非一概而論,而是取決於蛀蝕程度、牙齒位置及患者是否能進行有效清潔,這些都必須由專業牙醫進行評估。 可考慮補牙的情況 若蛀牙範圍相對較小,未傷及牙髓,且智慧齒生長位置端正,能夠與對向牙齒良好咬合,同時患者具備足夠的清潔能力以預防再次蛀牙,牙醫可能會建議補牙以保留天然牙齒。 建議剝牙的情況 大多數情況下,牙醫會傾向建議剝除智慧齒,原因包括: 補牙 vs 剝牙 比較表 比較項目補牙剝智慧齒適用情況蛀蝕輕微、位置端正、清潔容易阻生、反覆發炎、深層蛀蝕、影響鄰牙療程時間約 30-45 分鐘約 30-60 分鐘(視複雜度而定)復發風險若清潔不當,極易二次蛀牙無風險(牙齒已移除)後續影響需每日嚴格清潔短暫復原期,長遠對口腔健康更有利 智慧齒蛀牙可以不理會嗎? 拖延治療不僅不會讓問題消失,反而會導致病情惡化: 剝智慧齒的流程、風險與復原 若經牙醫評估後決定剝除智慧齒,不少患者都會擔心手術是否複雜、過程會否疼痛。其實剝智慧齒屬於常見的小手術,只要交由專業牙醫團隊處理,整個過程安全且受控,一般可分為以下三個階段。 Step 1:術前評估 牙醫會先透過 X 光或全景片,仔細評估智慧齒的牙根形狀、生長角度、深度,以及與下顎神經線的距離,藉此判斷手術的難度與風險,並制定最合適的剝牙方案。若智慧齒屬阻生或牙根貼近神經,牙醫亦會在術前向你詳細解釋,讓你安心。 Step 2:局部麻醉與手術 手術會在局部麻醉下進行,過程中患者不會感到劇烈痛楚,只會感覺到輕微推力。牙醫會因應牙齒的生長狀態,於必要時切開牙齦或修整牙骨,甚至將牙齒分割後逐塊取出,以減少對周邊組織的創傷。一般手術約需 30 至 60 分鐘。...

閱讀全文