If you are diagnosed with severe periodontitis, your dentist may refer you to a periodontist for the deep cleaning. This is a dentist who specializes in gum disease. [3] X Research source

Any heart problem that puts you at risk for endocarditis such as HIV, damaged heart valves, or a congenital heart defect Any disease or problems with your immune system Recently undergone surgery Implants, such as an artificial hip or heart valve [5] X Research source A history of smoking

If your mouth is numbed, you should not eat until the numbness wears away, as you might accidentally bite yourself. You do not need anesthetic, although it is typically recommended. If you are uncomfortable with the use of anesthetics, you can ask your dentist if you may skip it.

Bleeding will usually stop after a day or two, although some tenderness and soreness may last for up to a week. Call your dentist if you notice bleeding after two days.

Sometimes, instead of prescribing you a pill, your dentist will insert medicine directly into your gums. If they do this, avoid eating for twelve hours after the procedure, and do not floss for a week. You may also need to avoid tough, hard, chewy, or sticky foods.

This second visit may happen a few weeks or months after the procedure.

Quitting smoking can also help reduce gum problems. You should visit your dentist at least once or twice a year for cleanings and check-ups. Your dentist can continue to check the depth of your gum pockets to make sure that the disease is not progressing.