Perio Scaling

which is most effective? in which case it is necessary to make a serious scaling or periodontal scaling?

Gross level is normally without being numb. It is mainly done to remove large pieces of tartar above or slightly below the gumline. This often happens before climbing Perio scaling and root planing. Scaling and root planing is performed when there is too much tartar below the gumline to remove without being numb. The procedure is done when one has not been cleaned for years or they have periodontal disease. Perio scaling or scaling and root planing is more effective.