Dr Anupam Sinha
BDS, MDS - Orthodontics
- Delhi State Dental Council registration number A-6723 (2015).
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Deep Cleaning in Greater Kailash 1, Delhi
Deep cleaning, also called scaling and root planing, removes plaque and hard deposits from the roots of the teeth below the gum, where a brush cannot reach. At Orion Dental Clinic, a dentist in Greater Kailash 1 (GK 1), South Delhi, this page explains who needs it, how it is done, what a European guideline recommends and advises against, how smoking and diabetes affect it, and what can go wrong, in plain language.
Treatment is planned by Dr Anupam Sinha (BDS, MDS) and Dr Natalia DeSilva (BDS, MDS). If your gums are very sore and swollen, or a tooth feels loose, call us. Ask as many questions as you need.
- Antibiotics are not recommended as a routine add-on to cleaning below the gum 2
- Not routine
- Smokers improved less than non-smokers after non-surgical treatment, so stopping helps 3
- Smokers
- Deep cleaning was followed by lower blood sugar markers in people with type 2 diabetes, in 9 trials 5
- Diabetes
These statements come from NHS patient information, a European clinical guideline and systematic reviews, listed at the end of the page. Your dentist will explain what applies to your own mouth.
Medically reviewed by Dr Anupam Sinha, BDS, MDS - Orthodontics, .
Quick answer
Deep cleaning at Orion Dental Clinic in Greater Kailash 1, Delhi removes plaque and hard deposits from the roots below the gum, for teeth with pockets or lost support. Dr Anupam Sinha and Dr Natalia DeSilva plan it after an examination. It is recommended for gum disease, and routine antibiotics and most add-ons are not.
01 Overview
What is deep cleaning, and how does it work in Greater Kailash 1, Delhi?
Deep cleaning, or scaling and root planing, removes plaque and hard deposits called calculus from the root surfaces below the gum line. The European guideline calls it subgingival instrumentation, and it is the second step in treating periodontitis. Its aim is to control the bacteria and deposits beneath the gum.2 The NHS lists deep cleaning under the gums among the treatments for serious gum disease.1
The guideline strongly recommends it to reduce pocket depth, gum inflammation and the number of diseased sites.2 It is used for teeth with loss of support or pockets, and not for teeth with healthy gums.2 Deposits above the gum, which a scale and polish removes, are dealt with at the first step.2
Deep cleaning is not a one-off fix. After the gums have healed, the dentist re-examines them, and the aim is no pockets of more than 4 mm with bleeding and none of 6 mm or more. If that is not reached, a third step is considered.2 Our page on gum disease treatment explains the whole plan.
Deep cleaning treats the roots below the gum, and the checking afterwards tells you whether it has worked.
02 Candidacy
Who needs deep cleaning in Greater Kailash 1, Delhi?
Deep cleaning is for teeth with pockets or loss of support, and the dentist decides after measuring them.
When deep cleaning is usually advised
When another plan may be needed
Deep cleaning is aimed at teeth with pockets, and the dentist measures them first.
03 Options
Which deep cleaning options are there in Greater Kailash 1?
The guideline compares instruments, how the cleaning is split up, and the add-ons that are sometimes offered.
Hand or powered instruments for deep cleaning
The guideline recommends cleaning below the gum with hand instruments, powered sonic or ultrasonic instruments, or a mix of both, based on four trials.2
Strong recommendation 2
Bleeding that comes before any deep cleaning is explained on our bleeding gums page.
| Hand or powered | Quarter or full-mouth | Add-ons | |
|---|---|---|---|
| What it involves | Instruments cleaning the root below the gum 2 | Four visits, or the whole mouth within 24 hours 2 | Antibiotics, lasers, gels and other extras 2 |
| What the research found | Both types work 2 | Similar results at six months or more 2 | Routine antibiotics not recommended; lasers not advised 2 |
| Main limit | Needs skill and time | May tire you or take several visits | Little evidence of benefit 2 |
The instruments and the schedule matter less than doing the cleaning thoroughly and checking the result.
04 Procedure
How is deep cleaning done, step by step?
Every case is individual, so your steps may differ. This is the usual order, based on the European guideline.2
Deep cleaning is a series of steps with a re-check, and the re-check decides what comes next.
Examination before deep cleaning
The dentist measures the pockets around every tooth with a probe, checks for bleeding, takes X-rays where needed and asks about smoking, diabetes and your medicines.
Planning the scaling and root planing
You agree the plan, including whether the work is done by quarter of the mouth over several visits or all at once, and whether the area will be numbed.
Home cleaning first
You learn to remove plaque at home, because the same advice is needed through every step of treatment.2
Cleaning above the gum
Plaque and deposits above the gum are removed, and anything that holds plaque is dealt with.2
Cleaning the roots below the gum
Hand or powered instruments remove plaque and hard deposits from the root surfaces, and the roots are smoothed.2
Healing and re-checking
After the gums have healed, the dentist measures the pockets again to see whether treatment has worked.2
Supportive care, or a third step
If the aims are reached, you join regular supportive care. If pockets remain, repeated cleaning, surgery or a referral may be considered.12
05 Aftercare
After deep cleaning in Greater Kailash 1: home care and recovery
Your dentist will give you written instructions, and those come first. The home care basics are from the NHS.1
The first days
If the area was numbed, take care not to bite your cheek or lip until the feeling returns. The gums may be tender, and teeth may feel sensitive for a time. Tell your dentist if this is severe.
Brushing and cleaning between teeth
Brush with fluoride toothpaste at least twice a day, spitting without rinsing, and clean between your teeth every day with floss or interdental brushes.1
Gum changes
As swelling goes down, the gums can shrink back, which can make the teeth look longer. Ask your dentist what to expect for your mouth.
When to call us
Call the clinic on 098115 01995 if bleeding is heavy or does not stop, if your gums become very swollen or painful, if a tooth becomes loose, or if you develop a fever or a painful swelling on the gum. If you have trouble breathing or swallowing, or swelling that spreads across your face or neck, call 112 or go to a hospital emergency department.
Clean carefully, keep your visits and avoid smoking, because the benefit depends on what you do afterwards.
06 Limits and risks
When is deep cleaning not enough or not the right choice?
Deep cleaning is the recommended second step, but it does not always finish the job. These are situations where more or something different is needed:
- Pockets that remain after the gums have healed.
- Healthy gums, where a routine clean is enough.
- Smoking that continues.
- Diabetes that is not controlled.
- Teeth that are too loose or damaged to keep.
In these cases further cleaning, gum surgery, help to stop smoking, a diabetes review or taking out a tooth may be needed.
Risks and complications
Smokers respond less. In 17 studies, smokers had 0.33 mm less pocket depth reduction and 0.20 mm less attachment gain than non-smokers.3 Stopping smoking seemed to add benefit in two studies, but the evidence base was limited.4
Add-ons are not routine. The guideline does not recommend routine antibiotics with deep cleaning, and it suggests against lasers and photodynamic therapy as adjuncts, and against probiotics.2 Locally placed chlorhexidine or antibiotics may be considered, but the evidence had a high risk of bias.2
Diabetes matters. In 9 trials, deep cleaning lowered HbA1c in people with type 2 diabetes, so blood sugar control and gum treatment go together.5
The effect can wear off. Deep cleaning is only part of the plan, and without home cleaning and supportive visits, pockets can return.2
A good plan names these limits before treatment starts and sets out the visits that follow it.
07 Your visit
What happens at your first deep cleaning appointment?
At your first visit, a dentist at Orion Dental Clinic asks about your gums, such as bleeding, swelling, bad breath or loose teeth, and how you clean your teeth. You are asked about your health, medicines, smoking and diabetes.
The dentist examines your gums, measures the pockets around the teeth and takes X-rays where needed. You then talk through whether deep cleaning is needed, how it would be carried out, how many visits it might take, what the risks are and what the alternatives are, and you can ask any question before work starts.
The first visit is for measurements and a plan, and nothing is done until you agree.
08 Why this clinic
Why choose Orion Dental Clinic for deep cleaning in Greater Kailash 1?
You meet the doctors who plan your treatment, and you can ask them how they would carry it out and re-check it.
Dr Natalia DeSilva
BDS, MDS - Oral Medicine and Radiology
- Delhi State Dental Council registration number A 11417 (2013), and Karnataka State Dental Council A-13203 (2003).
Doctors you can ask
Dr Anupam Sinha and Dr Natalia DeSilva see patients with gum problems, and patients mention scaling and cleaning at the clinic in their reviews.
Imaging on site
Imaging is available at the clinic, so the X-rays used to see the bone around the teeth can be taken there.
Explanations as you go
Patients describe in reviews that the doctors explain what they are doing during check-ups and cleaning.
Ask how many visits your cleaning would take and when you would be re-checked.
09 Reviews
Patient reviews of Orion Dental Clinic in Greater Kailash 1
“I was at Orion Dental clinic for teeth cleaning and polishing. No waiting times and extremely friendly and amazing doctors and staff. Highly recommended. Will be back again next time 👍”
“Extremely through and very gentle doctors!! Did a wonderful job with my daughters braces and my teeth cleaning too..thanks”
“Had a great experience with Dr. Natalia and Dr. Anupam as well as the rest of the staff. Everybody is very professional and sweet.”
10 Visit us
Deep cleaning clinic in Greater Kailash 1 (GK 1), Delhi: location and hours
Mon to Sat, 9:30 am to 8:00 pm
Orion Dental Clinic Basement, E 75, Greater Kailash-1,Greater Kailash Enclave I
New Delhi, Delhi 110048
098115 01995
| Monday to Saturday | 9:30 am to 8:00 pm |
|---|---|
| Sunday | Closed |
If you are looking for deep cleaning in Greater Kailash or nearby, Orion Dental Clinic is in the basement of E 75, Greater Kailash Enclave 1 (GK 1), opposite Anubhav Play School, with the entrance at Gate 1, so call or message us on WhatsApp to book an appointment and use the map for directions. More about the clinic: dentist in Greater Kailash.
11 Travelling patients
Visiting Delhi and needing deep cleaning?
Cleaning below the gum by quarter of the mouth, or the whole mouth within 24 hours, gave similar results in the guideline's review,2 so a full deep clean can fit a short stay. The re-check after the gums have healed is a separate step, so tell us how long you can stay and who could do it for you at home.
You can read about how dental tourism in Delhi works.
A deep clean can be done in a short stay, but the re-check needs a plan for afterwards.
12 Questions
Deep cleaning questions patients ask in Greater Kailash 1
What is deep cleaning?
Removal of plaque and hard deposits from the root surfaces below the gum, also called scaling and root planing. The European guideline calls it subgingival instrumentation.2
Who needs deep cleaning?
People with gum pockets or loss of support. The NHS lists deep cleaning under the gums among the treatments for serious gum disease.1
Is deep cleaning different from a scale and polish?
Yes. A scale and polish removes deposits above the gum, and deep cleaning treats the roots below it in teeth with pockets.2
Does deep cleaning work?
How many visits does it take?
It can be done by quarter of the mouth over several visits or all at once within 24 hours, with similar results.2 Your dentist will give you a plan.
Do I need antibiotics?
Usually not. The guideline does not recommend routine antibiotics as an add-on to deep cleaning, though they may be considered for specific patients.2
Does smoking matter?
What happens after deep cleaning?
The gums heal and are re-checked. If the aims are met, you join supportive care, and if pockets remain, a third step is considered.2
Where can I find deep cleaning near me in South Delhi?
Orion Dental Clinic is a deep cleaning clinic in Greater Kailash 1 (GK 1), in the basement of E 75, Greater Kailash Enclave 1, opposite Anubhav Play School, with the entrance at Gate 1. Patients come for deep cleaning in Greater Kailash from Kailash Colony, CR Park, Nehru Place, Lajpat Nagar, Defence Colony and South Extension. Call or message us on WhatsApp to book an appointment.
13 Second opinion
Been told you need a deep clean, or not sure whether you do?
A consultation shows how deep the pockets around your teeth are, whether cleaning below the gum is needed and how many visits it would take. Bring any earlier X-rays or reports. The dentist will explain what you can do at home to protect the result. Call us or message us on WhatsApp; there is no form to fill in.
14 Related
Related treatments and guides
Treating gum disease
Read this for the whole stepwise plan, of which deep cleaning is the second step.
Bleeding Gums Treatment
Read this for the early signs and what you can do at home.
Dental implants
Read this if a tooth has been lost to gum disease.
Patient guides
Gingivitis: Symptoms, Causes and Treatment
What gingivitis is, how to recognise it, why it happens, how it is treated and how to stop it turning into periodontitis, with the evidence behind each step.
Teeth Scaling and Polishing: What to Know
What a scale and polish involves, what the research says about its benefits, how it differs from deep cleaning and how often you may need one.
Periodontitis: Symptoms, Causes and Treatment
What periodontitis is, how it differs from gingivitis, the signs to watch for, risk factors such as smoking and diabetes, and how the stepwise treatment works.
Sources (5)
- NHS website. Gum disease (patient information). Page review date 20 April 2026. www.nhs.uk/conditions/gum-disease/
- Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, Sculean A, Tonetti MS, on behalf of the EFP Workshop Participants and Methodological Consultants. Treatment of stage I-III periodontitis: the EFP S3 level clinical practice guideline. Journal of Clinical Periodontology, 2020;47(Suppl 22):4-60. pubmed.ncbi.nlm.nih.gov/32383274/
- Chang J, Meng HW, Lalla E, Lee CT. The impact of smoking on non-surgical periodontal therapy: a systematic review and meta-analysis. Journal of Clinical Periodontology, 2021;48(1):60-75. pubmed.ncbi.nlm.nih.gov/33022758/
- Chambrone L, Preshaw PM, Rosa EF, Heasman PA, Romito GA, Pannuti CM, Tu YK. Effects of smoking cessation on the outcomes of non-surgical periodontal therapy: a systematic review and individual patient data meta-analysis. Journal of Clinical Periodontology, 2013;40(6):607-615. pubmed.ncbi.nlm.nih.gov/23590649/
- Baeza M, Morales A, Cisterna C, Cavalla F, Jara G, Isamitt Y, Pino P, Gamonal J. Effect of periodontal treatment in patients with periodontitis and diabetes: systematic review and meta-analysis. Journal of Applied Oral Science, 2020;28:e20190248. pubmed.ncbi.nlm.nih.gov/31939522/
This page is general information, not a diagnosis or a substitute for an examination, and results vary between patients.