Scaling involves the physical removal of hardened plaque and calculus from teeth and the pockets around teeth. Even with great at home oral care, plaque still adheres to teeth and requires regular removal with dental instruments in order to allow optimal tissue health. During this appointment the hygienist will also take note of the depths of pockets around teeth, mobile teeth, recession levels and general health of the tissues supporting the teeth. Based on this you will receive recommendations on how best to keep your teeth and gums clean at home and what hygiene schedule works best for you and your mouth.