Dr. Kavita Swarup will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Dr. Kavita Swarup recommend scaling and root planing. In some cases, a local anesthesia may be used during the procedure.