Which phase of dental therapy includes plaque control instruction and scaling?

Phase I therapy, also known as initial or active therapy, focuses on the control of periodontal disease and the establishment of proper oral hygiene practices. This phase is critical because it serves as the foundation for more advanced periodontal treatments, if necessary. During Phase I therapy, patients receive instructions on plaque control, which is essential for reducing the bacterial load in the oral cavity and preventing further periodontal tissue destruction.

Scaling is also a key component of this phase. It involves the removal of biofilm, calculus, and plaque from the tooth surface, especially below the gum line, to reduce inflammation and allow for the healing of the periodontal tissues. The combination of these interventions at this stage is aimed at halting the progression of periodontal disease and improving the patient’s periodontal health before determining if more invasive procedures are needed in later phases of therapy. The success of Phase I therapy lays the groundwork for maintaining periodontal health and can sometimes lead to the resolution of periodontal issues without further intervention.