Root Surface Debridement

Contact us today to restore and heal your smile

  • Non-Surgical
  • Deep cleaning
  • Eradication of gum disease

Root surface debridement involves the careful removal of deposits of calculus and plaque from the root surface. When healthy, the gum surrounding the tooth will fit tightly with a small space between measuring 1-3mm.

When gum disease takes hold around the root of the tooth, you may require a root surface debridement to provide a deep clean and disinfection of the damaged area.

In active gum disease, this space becomes bigger and forms a pocket where bacteria, plaque and calculus can build up. This causes the surrounding gum to become inflamed and lead to gum disease. If the gum disease is severe it can lead to bone loss and eventually tooth loss, as there is a lack of support from the surrounding structures.

Root Surface Debridement at the Neem Tree

This treatment is performed using an ultrasonic device and hand instruments to remove bacteria and toxins from the root of the tooth. Depending on how severe the infection is, you may also require antimicrobial medication.

We use local anaesthetic to ensure that the procedure is as comfortable and painless as possible.

Contact us today to find out more about our Root Surface Debridement services from our practices in Esher, Surrey or Wandsworth, South West London.

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Fee Guide


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from £600
from £425
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from £425 per hour
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Learn more about root surface debridement

what is the root surface debridement procedure?

The aim of root surface debridement is to get deep into the periodontal pocket to clean the root surface and remove bacterial toxins. The procedure is carried out under local anaesthesia for patient comfort with hand instruments and an ultrasonic device. It can be carried out in one or more appointments depending on severity. In some cases the procedure may be followed by adjunctive therapy which involves local delivery of antimicrobials.

How effective is the procedure?

This procedure is very effective if you are able to maintain a good level of oral hygiene and have regular periodontal maintenance.

Are there any side effects to the treatment?

Your gums may be sore for up to 3-4 days after the procedure. You may also notice a small amount of gum shrinkage and sensitivity. This is only temporary and will only last a few weeks.

What is the long term success of this treatment?

For many patients, deep cleaning is sufficient to control diseases. However, success is dependent on many factors such as patient compliance with oral hygiene, tooth and root anatomy and disease severity from the start.



Antimicrobials are drugs that kill or stop the growth of microorganisms such as bacteria.


Calculus (or tartar) is a hardened form of plaque that occurs when plaque is not removed properly.

Periodontal pocket

A periodontal pocket forms when the gums recede and pull away from the tooth to form a small gap, or pocket.


Plaque is the sticky, pale yellow or colourless film that appears on your teeth. Plaque is filled with bacteria and causes tooth decay.