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Signs You Need a Deep Dental Cleaning

Illustration of a patient with gum disease receiving a deep cleaning at the dentist

Do You Need a Deep Dental Cleaning?

Many people associate routine dental visits with clean teeth and cavity prevention, but regular dental care plays an equally important role in protecting your gums. Healthy gums are the foundation of a healthy smile, and when gum disease develops, more advanced treatment may be needed to restore oral health. One of the most effective treatments for periodontal disease is a deep cleaning, also known as scaling and root planing.

Understanding the difference between a routine dental cleaning and a deep cleaning can help you recognize when additional care may be necessary to protect your teeth and gums.

Quick Summary

  • Routine cleanings help maintain healthy teeth and gums.
  • Deep cleanings are used to treat gum disease below the gumline.
  • Periodontal disease can be caused by several factors, including plaque buildup and tobacco use.
  • Common symptoms include bleeding gums, bad breath, and gum recession.
  • Early treatment can help prevent tooth loss and other oral health complications.
  • A dental examination can determine whether a deep cleaning is necessary.

Routine Cleanings vs. Deep Cleanings

Routine dental cleanings are designed to remove plaque, tartar, and surface stains from the visible areas of your teeth. These preventive appointments help reduce the risk of cavities and gum disease while keeping your smile looking and feeling its best.

However, when gum disease develops, a routine cleaning may not be enough to address the problem. Bacteria and tartar can accumulate beneath the gumline, creating pockets where infection can thrive. In these situations, a deep cleaning may be recommended.

A deep cleaning involves two important steps:

Scaling

During scaling, plaque and hardened tartar are carefully removed from both above and below the gumline. This helps eliminate the bacteria responsible for inflammation and infection.

Root Planing

After scaling, the tooth roots are smoothed to help the gums heal and reattach more securely to the teeth. This process also makes it more difficult for bacteria to accumulate in the future.

Deep cleanings are often an effective way to manage gum disease and prevent it from progressing into a more serious condition.

What Causes Gum Disease?

Periodontal disease, commonly known as gum disease, develops when plaque and bacteria build up around the teeth and gums. Without proper removal, this buildup can irritate the gum tissue and trigger inflammation.

While poor oral hygiene is one of the most common causes, several other factors can increase the risk of developing gum disease, including:

  • Smoking or using tobacco products
  • Certain medications that affect saliva production
  • Hormonal changes during pregnancy
  • Diabetes and other systemic health conditions
  • A family history of gum disease
  • Chronic stress and poor nutrition

Because multiple factors can contribute to periodontal disease, even individuals who brush and floss regularly may still develop gum-related issues.

Signs You May Need a Deep Cleaning

Gum disease often develops gradually, and symptoms may be easy to overlook in the early stages. If left untreated, however, it can lead to gum recession, bone loss, and even tooth loss.

Common signs that may indicate the need for a deep cleaning include:

  • Persistent bad breath
  • Red, swollen, or tender gums
  • Gums that bleed when brushing or flossing
  • Receding gums
  • Sensitive or loose teeth
  • Pain when chewing
  • Changes in the way your teeth fit together

If you notice any of these symptoms, it is important to schedule a dental evaluation as soon as possible.

Protect Your Oral Health with Early Treatment

The earlier gum disease is detected, the easier it is to treat. Patients with mild gum inflammation, known as gingivitis, may only require a professional cleaning and improvements to their daily oral hygiene routine. More advanced cases often benefit from deep cleaning treatment to remove harmful bacteria and restore gum health.

Regular dental visits remain one of the best ways to protect your teeth and gums. If you have noticed changes in your oral health or are experiencing symptoms of gum disease, a dental professional can evaluate your condition and recommend the most appropriate treatment to help keep your smile healthy for years to come.

Deep cleaning image from Authority Dental under CC 2.0

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Andrew Callender

Andrew Callender

Regional Director of Operations

Andrew Callender was born and raised in Denver, Colorado, and serves as one of our Regional Directors of Operations at CarolinasDentist, focusing on our Western NC and Charlotte regions. He joined the leadership team in 2025 and earned his degree from Western Colorado University. Andrew brings over 12 years of experience in dentistry, including more than 10 years of progressive leadership in healthcare operations and three years serving as a Regional Director of Operations. He relocated to North Carolina in 2023 and has quickly made an impact across the region.

Andrew is passionate about delivering outstanding patient care through operational excellence. He is committed to fostering an environment that aligns with CarolinasDentist’s values and culture while leveraging diverse perspectives and experiences to support team success and growth. His leadership style is rooted in collaboration, consistency, and continuous improvement.

Outside of work, Andrew enjoys spending time with his wife and their four children. He’s an avid golfer and also enjoys walking his lab, Harper—making the most of his time outdoors with family and fresh air.

Nate Bunyak

Nate Bunyak

Regional Director of Operations

Nate Bunyak brings a little bit of Pittsburgh grit and a whole lot of energy to everything he does. He is one of the Regional Director of Operations at CarolinasDentist focusing on our Triangle region, joining the team in 2026. Originally from Pittsburgh, PA, Nate graduated from Indiana University of Pennsylvania (IUP) with a degree in Marketing and Management—and has been putting both to work ever since. Three years ago, he traded in steel city winters for North Carolina sunshine—and hasn’t looked back.

When he’s not working, Nate is all about family life with his wife, Melissa, and their three kids—Bryce, Molly, and Connor. Whether cheering on their activities, exploring the outdoors, or simply embracing the joyful chaos of a busy household, he makes the most of every moment with his family.

An avid hiker and nature enthusiast, Nate loves adventures that combine fresh air, beautiful views, and lasting memories. That same adventurous, positive spirit carries into his work—he’s driven, all-in, and always ready to take on what’s next.

Jenna Holland

Jenna Holland

Regional Hygiene Director

Jenna Holland is a Fayetteville native and serves as Regional Hygiene Director, joining the leadership team in 2026. She began her career with CarolinasDentist in June 2016 as a dental hygienist in the Fayetteville office after graduating from Fayetteville Technical Community College. Over the years, she has grown within the organization, building strong relationships with both patients and team members while staying rooted in her passion for patient care.

Jenna is deeply committed to promoting overall well-being through oral health and believes in the powerful connection between a healthy smile and a healthy body. In her leadership role, she especially loves mentoring and coaching hygienists, helping them grow in confidence, strengthen their clinical skills, and develop into exceptional providers. She takes pride in supporting her team and fostering an environment of continuous learning and encouragement.

Her best advice for patients is simple: stay consistent with routine check-ups and cleanings to maintain optimal health. Outside of the office, Jenna enjoys traveling—especially to warm, tropical destinations—and is engaged to her high school sweetheart, adding a personal touch to her passion for caring for others.