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Periodontology

Scaling & Root Planing: Instruments, Technique & Healing

NEET MDSINI-CET MDSINBDE

This high-yield revision note on Scaling & Root Planing: Instruments, Technique & Healing covers everything examiners typically test under Periodontology — structured as quick-reference tables, clinical correlations, mnemonics and previous-year-style high-yield points. It's built for last-mile revision before NEET MDS, INI-CET MDS and INBDE, so you can scan it in minutes instead of re-reading a whole textbook chapter.

AspectDetail
ScalingRemoval of supragingival and subgingival plaque/calculus from the tooth surface; does not intentionally remove cementum
Root planingRemoval of residual embedded calculus and necrotic/contaminated cementum to produce a smooth, hard root surface
Hand instrumentsSickle scalers (supragingival use); Curettes - Universal (e.g. Columbia, Barnhart - two cutting edges, usable in multiple areas) vs Gracey curettes (area-specific, single cutting edge, blade offset 60-70° to the shank)
Gracey curette area assignment1-2, 3-4: anteriors; 5-6: anteriors + premolars; 7-8, 9-10: posterior facial/lingual surfaces; 11-12: posterior mesial surfaces; 13-14: posterior distal surfaces
Ultrasonic/sonic scalersMagnetostrictive and piezoelectric types; useful for gross calculus removal and biofilm disruption
Healing after conventional SRPPredominantly via formation of a LONG JUNCTIONAL EPITHELIUM (not true new connective tissue attachment/regeneration) in most cases
Mnemonic: "Universal curette = Universal use (multiple sites); Gracey curette = Gracefully specific (one area each)."
HY: Healing following conventional scaling and root planing occurs mainly through formation of a LONG JUNCTIONAL EPITHELIUM rather than true regeneration/new connective tissue attachment - a repeatedly tested concept that distinguishes SRP outcomes from those of regenerative periodontal surgery.
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