Signs You May Need a Deep Cleaning (and Why You Shouldn’t Ignore Them)

Not all dental cleanings are the same. While brushing, flossing, and routine cleanings are essential, they can’t always address what’s happening below the gumline.

If your gums feel irritated or your mouth just doesn’t feel right, you may need a deep cleaning, also called scaling and root planing.

At Smiles One in Pittsburgh, deep cleanings are used to treat early gum disease, protect bone health, and help prevent more serious dental problems. Here are the most common signs it may be time to consider one.

Your gums bleed when you brush or floss

Occasional bleeding can happen, but frequent bleeding is not normal. If you regularly notice blood when brushing or flossing, it’s often a sign of gingivitis or early periodontal disease.

A deep cleaning removes bacteria and tartar from below the gumline, which helps reduce inflammation and allows the gums to heal.

You’ve been told you have “pockets” around your teeth

During your exam, we measure the space between your teeth and gums. Healthy gums usually measure 1–3mm. When pockets are deeper, bacteria can settle in areas your toothbrush can’t reach.

Deep cleanings are often recommended to stop further damage and help prevent bone loss.

Bad breath that doesn’t go away

Persistent bad breath is not always related to food or oral hygiene habits. Bacteria trapped beneath the gums release toxins that cause odor, and mouthwash alone won’t fix the source.

Removing bacteria at the root level is often the only way to resolve chronic bad breath tied to gum disease.

Your gums look swollen, red, or feel tender

Healthy gums should be firm and light pink. Swollen, dark red, or tender gums are signs of inflammation.

A deep cleaning helps calm irritation and gives your gums a chance to reattach and heal.

You haven’t had a dental cleaning in over a year

Sometimes there are no obvious symptoms. Skipping regular visits gives plaque time to harden into tartar and move below the gums.

If it’s been a while since your last cleaning, a deep cleaning may be recommended to get your oral health back on track.

What Happens During a Deep Cleaning?

A deep cleaning goes beyond a standard polish and typically includes:

• Scaling to remove plaque and tartar from below the gumline
• Root planing to smooth tooth roots and help gums reattach
• Localized antibiotics, when needed
• Follow-up visits to monitor healing and gum health

Treatment is usually completed over two visits. Numbing is often used to keep you comfortable throughout the process.

Why Early Treatment Matters

Gum disease does not just affect your mouth. It has been linked to heart disease, diabetes, and other health conditions.

Addressing symptoms early helps preserve your teeth, protect your overall health, and reduce the need for more invasive treatment later.

Ready to Talk About Your Gum Health?

If you’ve noticed any of these signs, or if something just feels off, we’re here to help. Deep cleanings are a common and effective way to stop gum disease before it progresses.

Request an appointment with the Smiles One team in Pittsburgh and take the next step toward healthier gums and a healthier smile.

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