Scaling & root planing is usually completed in two appointments, half the mouth at a time. A local anesthetic will be used to allow the hygienist to get deep below the gum line and clean the pockets while still ensuring that the patient is comfortable. The bone loss creates periodontal pockets that are too deep to clean by routine oral hygiene methods. A standard one-hour routine cleaning does not allow enough time to effectively clean deep pockets. Visit here for more information ➖https://www.riverplaceperiodontics.com/scaling-and-root-planing/