Dale W. Madsen D.D.S.

(530) 343-1081


Even with regular teeth cleanings, some people develop more plaque and tartar than others, depending on a variety of factors.


The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by the dentist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.


When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth”). In periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.



Scaling and Root Planing is one of the most effective ways to treat gum disease before it becomes severe. This procedure cleans between the gums and the teeth down to the roots. We use a local anesthetic to numb your gums and the roots of your teeth.

Some teeth may require the use of an ultrasonic tool for the planing and scaling. 

Following this procedure, we recommend the patient comes in every 3 months for a cleaning and irrigation of the teeth and gums, called a 'periodontal maintenance'.