Scale & Polish: Cost (NHS & Private), Procedure & FAQ (2024)

Our recommendations are independently selected and dentist-approved. We may earn a commission if you buy something. Why trust us?

Descaling, tooth cleaning, dental scraping…these are all a number of terms for what I would call a dental scale and polish.

As guidance is changing, there is now a move away from calling this procedure a “scale and polish”. The technical term is now “professional mechanical plaque removal” (PMPR). You might hear your dental professional use this name too.

Scaling and polishing is an important procedure in addition to your usual home cleaning routine, and may be recommended to aid the thorough cleaning you are doing at home.

The purpose is to help clean your gums and teeth, and there are different levels of cleaning available.

Depending on the extent of your calculus, staining or gum disease, your scaling and polishing may be completed by a dental hygienist, a dental therapist, a dentist, or a periodontist.

To find out the difference between these, read on, or click a link in the table below to jump to a particular section of this article.

In this article

  • What is a scale and polish?
  • Scale and polish before and after
  • How much does it cost?
  • How long does it take?
  • Does it whiten your teeth?
  • Is it safe to do your own at home?

What is a scale and polish?

The main aim of a scale and polish is a professional cleaning of the teeth and gums.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (1)

A traditional scale and polish is a dental procedure made up of two different procedures:

  • Scaling
    • This is the removal of plaque and calculus from the teeth and gums.
    • This can be completed using an ultrasonic scaler, hand scaling instruments, or other specialist scaling instruments such as a Piezon Scaler.
    • The main purpose of scaling is to disrupt the bacterial biofilm that develops on teeth and underneath the gums.
  • Polishing
    • This usually refers to the process of stain removal.
    • It is not normally considered to the therapeutic, i.e. an active treatment of disease.
    • Polishing does have a large amount of cosmetic value in the removal of unwanted marks on the teeth and around dental work such as fillings and crowns.
    • Polishing can be done using a small rubber polishing cup (attached to a special handpiece) and polishing paste, or even using a specialist device like AirFlow.

To summarise: the purpose is to disrupt and remove plaque and calculus from the tooth surface and under the gums. Hence the name professional mechanical plaque removal.

In 2018 Lamont et al undertook a review for the Cochrane Library entitled Routine scale and polish for periodontal health in adults and defined a “routine scale and polish” as:

“scaling or polishing, or both, of the crown and root surfaces of teeth to remove local irritational factors (plaque, calculus, debris and staining), which does not involve periodontal surgery or any form of adjunctive periodontal therapy such as the use of chemotherapeutic agents or root planing.”

Generally speaking there are two different levels of a scale and polish.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (2)

There is a “routine scale and polish” which is a relatively superficial and non-invasive cleaning. The main aim is the removal of calculus and surface stains from above the gum level, or even just underneath the gum level. This is usually sufficient for cosmetic purposes or mild gum disease (gingivitis).

There is also a deeper level of cleaning, which a dentist may refer to as root planing, root surface debridement, or subgingival cleaning.

This sort of scaling will remove calculus and bacteria from deeper below your gum levels. The main purpose of this is to improve the health of your gums if you have more advanced gum disease (periodontitis).

Routine cleaning is sufficient in the prevention and treatment of mild gum disease, whereas more advanced gum disease, or periodontitis, will require deeper cleaning.

In-house dentist Dr Gemma Wheeler explains:

“The easiest way to understand the two different types of scale and polish is that a ‘routine scale and polish’ is purely to improve the appearance of the teeth. Deeper cleaning, root surface debridement, really focuses on the health of your gums.”

What is gum disease?

Early gum disease, or gingivitis as it is technically known, is irritation within the gum. This may even progress to more advanced gum disease, known as periodontitis.

There is a whole article dedicated to gum disease here, where we go into a lot of detail about the causes of gum disease and how to treat it (spoiler, there is a lot you can do at home!).

But, in order to explain the benefits of a scale and polish it’s important to know what causes gum disease.

If you want the quick facts of the article without the explanation, the following bullet points are for you.

  • Gingivitis is inflammation of the gums caused by bacteria found in plaque.
  • If treated early enough it is a fully treatable and reversible condition.
  • Everyone is at risk of gingivitis, but some are at a higher risk.
  • Symptoms include red, swollen, and bleeding gums.
  • Treatment is usually professional cleaning, followed by a good oral hygiene routine.
  • Best investment you can make is in yourself by perfecting your brushing techniques.
  • If left untreated it can develop into periodontitis which can cause irreversible damage, including tooth loss.

If you can spare a few minutes though, it is well worth reading the entire article to get a full understanding of gum disease.

Gum disease is caused by bacteria on the teeth, which are not cleaned away well enough, and therefore get underneath the gums.

These bacteria, if they are not cleaned regularly, form what is known as a biofilm. This is a collection of bacteria, their waste, and food. On your teeth this can form a soft, sticky substance known as plaque.

This biofilm, or plaque, irritates the gums.


Initially the damage to the gums will just be within the top layer, and will be a layer of swollen and bleeding gums (inflammation).

This early gum disease is called gingivitis.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (3)

The research by Lamont et al tells us that a routine scale and polish will not in itself reverse this gum disease. It will, however, remove calculus to make it easier for you to clean at home (read on for more information about calculus).

This initial gingivitis can be reversed with good oral care at home.


But what happens if you don’t change your ways soon enough?

Long term, the bacteria in the biofilm or plaque will spread beneath the gums. They can sit at the bottom of the pocket between the gum and the tooth. The waste they produce will cause damage to the bone holding the tooth in place, this is now a more severe gum disease known as periodontitis.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (4)

What is calculus?

I have already explained the plaque that develops on teeth and underneath the gums is made up of bacteria and their waste products.

If this is left untouched for 72 hours, for example by not brushing, the plaque can harden up. This process is called calcification.

That means it hardens into a pale yellow hard substance, stuck on the tooth. This is calculus, or sometimes called tartar.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (5)

Because calculus forms when your teeth aren’t cleaned properly, calculus is a good indicator as to where you are missing when cleaning your teeth. This will help a dental professional give you advice specific to you.

In house dentist Dr Gemma Wheeler explains:

“If you are consistently missing the same areas when cleaning, you will get a build up of calculus. These areas are not having bacteria removed from them and so are at increased risk of dental decay and gum disease.”

This calculus is impossible for you to remove at home, it is well and truly stuck to the tooth.

So do you really need it removed?

In itself the calculus is not a problem, but there are a few associated problems if you do not have it removed.

  • Without a hygiene appointment, you will not learn how to clean properly and the bacteria will affect the teeth and gums in those areas. Eventually this can cause tooth decay and gum disease.
  • Calculus is more sticky than your tooth. This means the bacteria that cause gum disease are more likely to stick to this than to your normal tooth. This can increase your risk of gum disease.
  • Calculus can also make it more difficult to clean your teeth and remove the bacteria causing gum disease. Leaving calculus may mean that you do not clean well enough to get rid of early gum disease (gingivitis).
  • Calculus can pick up stains easily, for example from tea, coffee, smoking or red wine. You may not like the appearance of these stains.

How do we get stains building up on our teeth?

Staining on teeth is a common occurrence.

It is possible to stain your teeth with dark food and drinks.

As we have already said, if you have a build up of calculus, this can stain more easily than your teeth.

Our article about yellow teeth talks a lot about staining and what causes them.

How does scaling help gum disease?

So we know that gum disease is caused by bacteria in the gums. For many people, effective daily cleaning at home will get rid of and also prevent the buildup of bacteria.

But some people are more prone to gum disease and calculus, and these people will benefit more from scaling. Those people include:

  • People who are more prone to the build up of calculus because of the mineral content in their saliva.
  • People who are more susceptible to the effects the bacteria have on the gum and the bone that holds the teeth in place. There is a well known genetic link with periodontal disease.
  • People simply do not have effective enough cleaning, although there may be reasons for this. This might include people with disabilities that affect how they hold their toothbrush, for example arthritis in their hands.
  • Some people who have teeth that are poorly aligned, or perhaps a wisdom tooth breaking through, may find these areas difficult to clean.

In all of these cases you may get areas that are prone to a build up of calculus which can only be removed with professional cleaning.

Scaling will remove the calculus which can harbour bacteria, and can also clean out bacteria from difficult to reach places between the gum.

There are two main methods for scaling:

  • Ultrasonic scaling – uses a special machine. Very high vibrations are used with a constant stream of water to physically remove bacteria and calculus, and flush out the gums.
  • Hand scaling – uses specialised hand instruments to physically remove the bacteria and calculus. There is no flow of water.

Scaling vs Root surface debridement

Routine scaling focuses mostly on the area above the gum line. This scaling and polishing will remove calculus and stains on the surface of your teeth. This is the treatment if you have only mild gum disease, although studies debate how effective it truly is when it comes to curing early gum disease by itself. In other words, cleaning better at home is actually more important.

Deeper cleaning, often called root surface debridement, will focus the cleaning below the gum level, in the gap between the gums and bone and tooth. This is the treatment if you have more advanced gum disease, periodontitis. This scaling will remove calculus and help flush out bacteria too.

The aim of root surface debridement is to reduce swelling in the gums, and the get the gums to follow the bone that has been lost around the teeth as a result of periodontal disease. If the gums do not shrink back, there will be a space, a pocket, for the bacteria to hide in and continue to damage the bone.

Scaling and Root Planning

In both cases, scaling can be completed with an ultrasonic scaler or hand instruments.

What is polishing?

Polishing is mostly a cosmetic procedure that focuses on the removal of stains from tooth surfaces and around dental work.

Some polishing can be important in removing rough patches from your teeth which can hide small amounts of bacteria. In some cases, fillings may need to be adjusted by your dentist to prevent future build up in such areas.

Polishing can be done in a number of ways. The simplest is the use of a rubber cup with what is called prophylaxis paste.

Newer technology, known as air polishing, is becoming ever popular as a technique to remove stains from teeth. This uses a mix of water and powder directed at the teeth to remove bacteria and stains.

AIRFLOW® VS Rubber cups

What happens when you have a scale and polish?

A scale and polish procedure is typically two separate parts to an appointment.

Depending on the current health of your teeth or gums, you may only have the scaling part done. This is because scaling is a therapeutic procedure. In other words, it is a treatment for the disease. In this case, scaling is the treatment for gingivitis and periodontitis.

Private scaling and polishing will often consist of both scaling and polishing.

NHS scaling and polishing will often be scaling only. That is because the NHS treats disease, and does not focus on cosmetic procedures such a stain removal.

What happens during the procedure?

During the appointment, the dentist, dental therapist or dental hygienist should do a number of things:

  • Explain why you need a scale and polish.
  • Give local anaesthetic injections, if you require them.
  • Scale the gums and teeth.
  • Polish the teeth (but not always).
  • Spend some time explaining how you can better care for your teeth and gums at home, including demonstrating brushing and interdental cleaning technique.

Abrasive teeth cleaning method vs AIRFLOW method

If you have more advanced gum disease they may also do a more detailed examination of your gums, to record if there are any pockets (gaps between the gum and the bone), if there is any bleeding from the gums, and if the teeth are loose at all.

In addition to the scaling and/or polishing, your dentist, dental hygienist, or dental therapist will also give you information about how to clean your teeth and gums better at home.

This is arguably the most important part of the procedure because with good home care you can avoid the calculus build up and eliminate the bacteria causing gum disease.

What happens after a scale and polish?

After the scale and polish you can carry about your normal day to day activities.

What is most important is that you make some changes to how you clean at home to ensure that your gums heal fully from the gum disease and to prevent further gum disease.

You may be booked in for a review, and depending on your dental professional’s preference this could be a couple of weeks later, 3-4 months later, or at your next checkup as recommended by your dentist. How soon it is will depend on how serious your gum disease is.

Scale and Polish Before & After

You can see some before and after photos of a patient treated by one of our in house dentists below:


Scale & Polish: Cost (NHS & Private), Procedure & FAQ (6)


Scale & Polish: Cost (NHS & Private), Procedure & FAQ (7)


Scale & Polish: Cost (NHS & Private), Procedure & FAQ (8)


Scale & Polish: Cost (NHS & Private), Procedure & FAQ (9)

Does a scale and polish hurt?

Some people complain that their teeth hurt after scale and polish – this may be because their gums are sore during the treatment or because they get sensitivity to cold afterwards.

In any case it is not normal for a scale and polish to hurt, so read on to find out more about what to expect.


Scaling can be completed using a powered scaling device, such as an ultrasonic scaler. For simple gingivitis and removal of a small amount of calculus, this should not hurt.

Some people find the sensation of an ultrasonic scaler uncomfortable, but not painful.

Scaling gums that have a lot of gum disease, and where a lot of cleaning is required underneath the gums, can be painful. If this is the case, your dental professional can offer local anaesthetic before the procedure.

Pain is caused when gums are already inflamed. If you are regularly cleaning sufficiently this will not happen.

Think of it this way, if you get a cut on your finger and it gets infected, it becomes swollen and red, and bleeds if you touch it. It obviously hurts when you try to touch the finger. But get rid of the infection, and you will have no problem.

The problem is the same with your gums. You fail to clean them and the bacteria gets underneath the gums causing them to become infected and swollen. Then when you clean them, it obviously hurts!

If you look after your gums regularly at home you will not get the build up of infection and cleaning will be a lot less uncomfortable.


If you have had scaling for severe gum disease (periodontitis) the gums can be tender afterwards, but this is usually better the next day.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (10)

There is a small chance of developing small local infections if you had severe gum disease, which may appear as small gum boils. With good cleaning at home these should go down within a few days.

Mouthwashes can help during this healing process.

In house dentist Dr Gemma Wheeler recommends:

“After treatment for gum disease I advise my patients to avoid chlorhexidine containing mouthwashes, such a Corsodyl. This is because of the links with staining, taste disturbances, and interactions with toothpaste. Instead, I recommend the use of Ultradex or Colgate Peroxyl for a few days. Hot salty mouthwashes – a cup of warm water out of kettle with a spoonful of salt, rinsed for a minute and then spat out, is also great relief for discomfort after cleaning, and it can be used as much as you like.”

Teeth which had a lot of calculus removed may become sensitive after a professional clean. This is because the tooth surfaces were previously coated and could not feel the hot or cold. Using a sensitive toothpaste should help reduce this.

Any discomfort or toothache that lasts for more than a few days should be checked out by a dentist.

How to avoid pain during cleaning

You can take some simple steps to try and reduce any discomfort you usually experience during cleaning.

Firstly, looking after your gums at home, so that there is no inflammation will help. Reducing the level of infection in the gums by brushing effectively twice a day, and daily interdental cleaning, will reduce the discomfort you feel during the cleaning.

If you are struggling to do this at home in the lead up to your appointment, it may help to take painkillers about an hour before your appointment. If you are able to take them, anti-inflammatories such as ibuprofen are effective, as is paracetamol. It is best to avoid aspirin as this increases the chance of bleeding as it thins the blood.

You may normally get sensitivity to cold water. If this is the case, scaling with an ultrasonic can be sensitive for you. You can reduce this sensitivity by using a special sensitivity toothpaste for a couple of weeks in the lead up to your scaling. Examples include Sensodyne, Colgate Sensitive Pro Relief. These are especially effective if you simply rub them onto the teeth last thing at night without rinsing afterwards.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (11)

How long does a scale and polish take?

How long a scale and polish takes depends on a number of things:

  • Whether it is NHS or Private
    • A private appointment with a hygienist will usually be charged by time, and this is often 15-20 minute appointments, which will also include any discussions you have. This is usually sufficient for a superficial scaling, but possibly not the polishing.
    • An NHS appointment will provide all the care you need for one price. The appointment will usually only be offered for more advanced gum disease (read on to find out why) and will usually be between 15 and 30 minutes per appointment. Again, this includes time for any discussions.
  • How much calculus there is
    • Obviously, if there is more calculus it will take longer to remove. Calculus that has been there for a long time can also be more stubborn to remove.
  • How much staining there is
    • Some stains are more stubborn to remove, such as those caused by smoking or Corsodyl (or chlorhexidine containing) mouthwash.
  • How severe your gum disease is
    • Mild gum disease (gingivitis) with a small amount of calculus will not take long for a scale and polish, and is easily completed in a 15 minute appointment.
    • Advanced gum disease (periodontitis) will take longer for treatment. It may not even be completed all in one appointment, especially if you need local anaesthetic for the cleaning. You may need two or even three 30 minute appointments, maybe even longer.

If you struggle with scaling and polishing, you could ask for multiple short appointments to make it more comfortable for you.

Who can do a scale and polish?

As I have mentioned a few times, a number of people are able to complete a scale and polish for you.

A dentist can complete the scale and polish on the NHS or Privately. You would normally need a checkup first.

A dental therapist and a dental hygienist are both qualified to do a scale and polish. Often this is privately, although some dental practices do have NHS dental therapists and dental hygienists. On the NHS you must have a checkup first.

In 2013 the law changed so that you can now see a dental hygienist or a dental therapist without seeing a dentist first. This is known as “direct access”, and means that you can have a scale and polish without having a dental check up. At the time of writing, this is only possible for private treatment as NHS rules state that for NHS treatment you must see a dentist first. A direct access appointment will also often incur an extra charge compared to a normal scale and polish appointment with a dentist.

Why it’s important to have a regular scale and polish

Not everyone needs a regular scale and polish. The purpose of a scale and polish is to help your cleaning at home if you have early gum disease, and to treat advanced gum disease.

If you clean your teeth well enough at home, you should not need a scale and polish.

A recent review by the Cochrane Oral Health Group advises that a routine scale and polish doesn’t actually reduce the signs of early gum disease (gingivitis) such as bleeding, but it does result in a reduction in the amount of calculus build up.

What they are saying is that a routine scale alone does not treat gingivitis.

So what are the advantages of routine scaling?

  • Feels good – patients like the feel of a professional clean.
  • Removal of calculus – makes it easier for you to clean at home and prevents a hiding place for more bacteria.
  • Increases motivation for home care – by providing a professional clean, some patients may be more motivated to make changes at home. The appointment time also gives time for a dental professional to give tailored advice specific to the individual so that they can cure gingivitis at home.

It is worth noting that that this only applies to a “routine scale and polish”. This evidence is not the same for deeper cleaning, also known as root planing or root surface debridement. The use of deeper gum cleaning is instrumental in treating advanced gum disease, periodontitis.

The British Society of Periodontology recommends the use of root surface debridement for periodontal disease in their Good Practitioners Guide to Periodontology. The evidence for the use of root surface debridement is overwhelming, but it is worth bearing in mind

“results are only achieved along with patient co-operation, particularly with good home care”

So in the case of advanced gum disease, regular cleaning is beneficial, but only if you make some changes at home!

There are, however, some small groups who will particularly benefit from regular cleaning in addition to their home care, in order to reduce risks to their general health. This includes:

  • Pregnant mothers who are more prone to gum disease, especially gingival epulis.
  • Diabetic patients – where poor glucose control is linked to gum disease and vice versa.
  • Patients with heart disease – some patients who have had heart surgery are at increased risk of infections around the heart unless they take control of gum disease.

Who can’t have a scale and polish?

Dental scaling and polishing is safe for almost everyone. But there are some people who need to take care.

Some patients with pacemakers fitted can’t have cleaning with an ultrasonic scaler. It is important you tell your dentist, hygienist or therapist of any medical conditions or procedures you have.

Patients taking blood thinners are more prone to bleeding gums during scaling. Whilst this does not mean that you cannot have a scaling and polishing, it is something to be aware of so that you are not shocked if there is a lot of blood.

Scaling and polishing may not be offered on the NHS to patients who do not improve their cleaning at home. The most important factor for successful gum treatment is the cleaning you do at home. If you are unable to make changes at home you may not be able to having NHS treatment for gum disease, which includes scaling.

Dental polishing should also be used with care, as Sawei et al explain, and because of it’s abrasive nature it should be avoided in people with:

  • Dental decay.
  • Tooth wear.
  • Dental hypersensitivity.
  • Hypomineralisation of teeth.

Can a scale and polish damage teeth?

If done incorrectly, scaling can damage the gums and cause gum recession.

This is different from successful root surface debridement where gum recession is the aim of treatment. This is because the aim of root surface debridement is to reduce swelling in the gums, and the get the gums to follow the bone that has been lost around the teeth as a result of periodontal disease. If the gums do not shrink back, there will be a space, a pocket, for the bacteria to hide in and continue to damage the bone.

Scaling can also dislodge fillings and caps or crowns. This will only happen if the fillings or crowns were faulty or loose anyway. A dentist or dental therapist may be able to fix this straight away, or you may have to come back another time for permanent treatment. A dental hygienist will need to book you in with a dentist or dental therapist to fix such problems.

As I previously mentioned, polishing is abrasive and can remove the outermost layer of enamel. If done correctly this does not cause serious harm. But if done incorrectly it could cause irreversible damage and sensitivity.

Scale and polish costs

NHS Costs

As we have explained, scaling is a useful tool in the treatment of more advanced gum disease (periodontitis), and can help cure the disease when changes are also made at home. NHS UK states:

“The NHS will provide any clinically necessary treatment needed to keep your mouth, teeth and gums healthy and free of pain.”

This means scaling for the treatment of disease is included, and

“more complex treatment for gum problems may be charged within a Band 2 course of treatment.”

There are in fact two different charges for a scale and polish on the NHS. Unless you belong to one of the groups who are exempt and are entitled to free NHS treatment, you will need to pay for your checkup and treatments.

Costs for a routine scale and polish

A “routine scale and polish” would be

  • England – Band 1 £23.80 (including checkup and any necessary radiographs)
  • Wales – Band 1 £14.70 (including checkup and any necessary radiographs)
  • Scotland – £11.40 (from, there are variations between patients and this does not normally include any other treatment)
  • Northern Ireland – £10.86 (from, there are variations between patients and this does not normally include any other treatment)

But as explained above, an NHS dentist only needs to provide treatment that is clinically necessary, and there is no evidence to support that routine scale and polish alone reduces the signs of early gum disease. In practice, this means that you are unlikely to be entitled to an NHS routine scale and polish as part of your regular NHS checkup.

This is a good thing! A dentist refusing an NHS scale and polish means that you do not have any serious disease (although you may benefit from advice on how to clean better at home).

If you like the feel of the cleaning and still want it, you will need to pay privately for this, as the NHS UK site explains “If your dentist says a scale and polish is not clinically necessary but you want one anyway, you will have to pay for it privately.”

Costs for root surface debridement

If you have more advanced gum disease, periodontitis, professional mechanical plaque removal (a scale and polish) is clinically needed to treat this disease, however it is only effective in combination with good cleaning techniques at home. An NHS dentist can offer this treatment, and the charges would be:

  • England – Band 2 £65.20 (including checkup, any necessary radiographs and any other required Band 2 treatment such as fillings)
  • Wales – Band 2 £47.00 (including checkup, any necessary radiographs and any other required Band 2 treatment such as fillings)
  • Scotland – £27.68 – £57.08 (from, there are variations between patients and this does not normally include any other treatment)
  • Northern Ireland – from £10.86 (from, there are variations between patients and this does not normally include any other treatment)

To summarise, a basic scale and polish is generally a Band 1 with an NHS dentist, but your dentist could justify that it is not clinically indicated if your early gum disease will be improved by you simply improving your cleaning at home.

If you need a scale and polish on the NHS, this is almost always going to be a Band 2 treatment.

Root surface debridement as treatment for periodontitis is clinically justified on the NHS, and can be provided by an NHS dentist (or hygienist or therapist if available), generally under a Band 2 course of treatment.

There has been a long standing expectation that patients are entitled to an NHS scale and polish. The problem is that, even with advanced disease, the professional cleaning part will not be effective unless you make changes to the way you clean at home.

The British Society of Periodontology and NHS Business Service Authority have now released guidance for dental professionals to clarify the charging for NHS periodontology services.

With the new system, you will be assessed to be either an “engaging” or “non-engaging” patient. This is assessed by your dental professional and takes into account bleeding levels, plaque levels, and how much you want to change your cleaning to improve your health.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (12)

Your dental professional will help you to make the changes at home.

As the new guidance explains “There is a robust evidence base that undertaking time-consuming subgingival PMPR (root surface debridement) in patients with poor plaque control is ineffective and fails.”

You will no longer be able to have an unlimited number of NHS gum treatments if you are a “non-engaging” patient and cannot reduce plaque levels at home. You will be able to pay privately if you still wish to have a scale and polish though. If your cleaning at home improves then you will become entitled to NHS appointments once again.

The purpose of these changes is to try and alleviate the pressure on NHS dental services. Providing treatment to patients which will not be successful is not the most effective use of the limited resources available

Private Costs

There are a few reasons why you might pay privately for scale and polish. These include if:

  • you do not have access to an NHS dentist.
  • you want a scale and polish but your NHS dentist has said it is not clinically necessary.
  • you have had previous NHS scale and polish appointments which have not resolved you disease, but you have been assessed as a “non-engaging” patient so no longer qualify for NHS treatments.
  • You want aesthetic or cosmetic treatment such as the removal of stains.

The cost of a scale and polish private will vary depending on your location and who completes the treatment.

Private treatment will normally be charged per appointment length, and in some cases you may need a double appointment or even longer for your treatment.

Pay as you go prices vary but expect to pay between £30 and £50 per 15 minute appointment time with a hygienist. These costs are more if you choose to have the treatment with a dentist, or if you choose to have direct treatment with a hygienist without having an appointment with a dentist beforehand.

On some private payment plans a routine scale and polish may well be included in your monthly rate.

Are there alternatives to a scale and polish?

Scaling is important to improve your gum health, and is one of the few options available for treatment that is known to work for the treatment of periodontitis.

That said, successful gingivitis and periodontitis treatment must include good home care.

Other treatments may be used alongside scaling to treat more advanced gum disease, such as antibiotics placed underneath the gum.

When it comes to stain removal however, there are a number of other options available.

Instead of traditional polishing with a rubber cup and paste you could consider air polishing treatment.

AirFlow is a specific treatment that uses very fine particles to help remove plaque, calculus and stains, and I go into more detail about what to expect in an article dedicated to air polishing.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (13)

Is it safe to do your own scale and polish at home?

By the very definition of a scale and polish, with it being a professional clean of the gums and teeth, there is no real DIY scale and polish alternative.

Some shops do sell at-home scale and polish kits, which can include something that looks similar to a hand scaling instrument used at a dental practice.

I have tested such products (see the review here), and I strongly recommend against using them. Professionals at Colgate also agree on the dangers of home cleaning!

Firstly, when used incorrectly, the sharp instruments can do serious damage to your gums. You may even cause accidental damage to the soft tissues of your tongue, lips or cheeks.

Secondly, such instruments bought in a shop and used at home are not sterile. You could, unknowingly, bring harmful bacteria into your mouth and underneath your gums which could cause an infection.

Finally, without proper technique you may cause damage to dental work in your mouth such as fillings and caps. This could be very costly to repair when seeing a dentist.

I cannot stress this enough, please see a professional for removal of calculus and stains.

Does a scale and polish whiten your teeth?

A scale and polish can remove the stains that have built up on your teeth.

A scale and polish will not change the overall colour of your teeth.

If you want to lighten the overall colour of your teeth, the only option is professional tooth whitening.

To find out about tooth whitening, see our whitening hub page.


What is dental scaling?

Dental scaling is a professional cleaning of the teeth and/or gums to remove the plaque and calculus that cause dental decay and gum disease.

What is the difference between scaling and root surface debridement/planing?

Routine scaling is a superficial cleaning of the teeth to remove plaque, calculus and stains, whereas root surface debridement (or root planing) focuses the care underneath the gum level. Routine scaling treats minor gingivitis and staining, root surface debridement treats periodontitis.

What is dental polishing?

Dental polishing is the use of special paste and rubber cup, or the use of a powder-water mix, to remove surface plaque and stains from your teeth.

What is airflow?

AirFlow is a brand of air polishing. These use special handpieces to direct a mix of water and powder at the teeth to remove plaque and staining.

Why do dentists recommend a scale and polish?

Scaling will remove the bacteria contained in plaque that causes gum disease and dental decay. This will prevent and treat periodontitis (advanced gum disease).

Polishing will remove surface stains to improve the appearance of your teeth.

Will scaling hurt?

A routine scale and polish should not hurt at all. Root surface debridement can be uncomfortable and so can be completed under local anesthetic.

Who can I see to have dental scaling done?

Dental scaling can only be completed by a qualified dental professional. In the UK it can be done by a dentist, a dental therapist, or a dental hygienist.

How often should I have a scale and polish?

How often a scale and polish is done will depend on the severity of your disease and how well you can clean your teeth at home.

Will and scale and polish whiten my teeth?

No. A scale and polish will remove stains from the tooth surface but will not lighten the overall colour of your teeth.

Why can’t I have a scale and polish on the NHS?

If you do not have advanced gum disease, periodontitis, you will not qualify for a routine scale and polish of the teeth. This is because the NHS will only provide treatment that is clinically necessary. For mild gum disease, gingivitis, the evidence indicates that a routine scale and polish does not get rid of the disease, but better home care does.

Scale & Polish: Cost (NHS & Private), Procedure & FAQ (2024)


How much is a scale and polish UK private? ›

Private Treatment Fees
Examination & Diagnosis:From:Saving
Scale & Polish – Dentist£46.00
Scale & Polish – Hygienist£52.00
Scale & Polish – Hygienist Plan-C£52.00£10.40
Scale & Polish – Extensive£78.00£15.60
30 more rows

Is a scale and polish free on the NHS? ›

Scale and polish

If your dentist says scaling is clinically required, this is available on the NHS. This can be provided by a hygienist or dental therapist. A simple scaling is included in a Band 1 course of treatment, but more complex treatment for gum problems may be charged within a Band 2 course of treatment.

Is a scale and polish included in NHS check up? ›

NHS dental charges

Covers an examination, diagnosis and advice. If necessary, it also includes X-rays, a scale and polish (if clinically needed), and planning for further treatment.

Is NHS dentist cheaper than private? ›

NHS dental care is subsidised by the government. This means that some of the cost of looking after your teeth has already been paid for you by the government. As a result, your NHS treatment is less expensive for you than it would have otherwise been.

How long should a scale and polish take? ›

A scale and polish will provide the best means of cleaning your teeth. It is performed by either your dentist of your hygienist and usually takes no longer than a 40-minute appointment.

Can you mix NHS and private dental treatment? ›

NHS patients can choose a private treatment option if they wish without it affecting their NHS status. Patients are able to mix treatment options and have NHS and private work the same course of treatment.

Does a scale and polish remove brown stains? ›

The process for Airflow dental treatment

Teeth that used to be white are tarnished by brown stains that can't be removed by a toothbrush or standard scale and polish. But with Airflow teeth and coffee stain removal, one treatment can remove any plaque and discolouration that those habits have left behind.

Is a deep clean the same as a scale and polish? ›

Whilst a scale and polish is a non invasive treatment, a deep clean is anything but. Patients should be under no illusion that this is a very different treatment from that provided by the hygienist and should not be taken to mean simply a more thorough cleaning. Another name by which it is known is 'root scaling'.

Will a scale and polish remove stains? ›

In addition to saving teeth and gums, the scale and polish procedure is also used to remove teeth stains.

Does a scale and polish make your teeth whiter? ›

Does scaling and polishing whiten teeth? Yes. A scale and polish is not primarily designed to whiten the teeth, as that is what teeth whitening treatments are for. With that said however, a scale and polish will in fact leave the teeth looking smooth, shiny, and whiter after the treatment.

Can a scale and polish damage your teeth? ›

Scaling is an invasive procedure and has been associated with a number of negative side effects including damage to tooth surfaces and tooth sensitivity.

How often should you have a scale and polish? ›

We recommend that all patients have this procedure every six months, or more frequently if you are in a higher risk group, such as if you are a diabetic or a smoker.

Is it better to go to a private dentist or NHS? ›

Private treatment will always give you the best possible functional but also cosmetic result. You are able to have private appointments at anytime a practice is open including. Private treatment gives us complete freedom to provide the very highest standard of treatment and materials.

Is dental treatment free for over 60 in UK? ›

If you're aged 60 and over, you get free: NHS prescriptions. NHS sight tests. NHS dental check-ups in Scotland or Wales.

Why are dentists not taking NHS patients? ›

The shortage of dental treatment is caused by a mixture of factors. Too few new dentists are being trained, according to Dr Nigel Carter, CEO of the Oral Health Foundation. He added that Brexit, coronavirus, and dentists' dissatisfaction with NHS contracts have also contributed to the shortage.

What happens during scale and polish? ›

A scale and polish can be done by your dentist or hygienist. The first 'scrape' stage removes the deposits of plaque and tartar. Often an ultrasound scraper is used first to get rid of the bulk of the tartar, followed by specialised hand held instruments to scrape away any stubborn remains.

What do you do after scale and polish? ›

5 Expert Tips to Care for Your Teeth after Root Scaling or...
  1. Brush Gently. Moderate. ...
  2. Use Wax-Coated Floss. The teeth should be flossed at least twice per day using a wax-coated floss. ...
  3. Soothe the Gums with Warm Salt Water. ...
  4. Limit Snacks. ...
  5. Stay on Track with Dental Appointments.

When is a scale and polish clinically necessary? ›

If you have a build up of calcified plaque, otherwise known as tartar build up, you will need a scale and polish. This will remove the plaque and tartar below the gum line. If your dentist finds further problems, they will recommend the next steps you will need to take.

Can you go back to NHS dentist after private? ›

If you're changing from a private to NHS dentist, your new dentist will need you to fill out a registration form, usually on your first visit, which will give them all of the information they need to request your dental records from your last private dentist.

Is private better than NHS? ›

Due to this, many are left wondering “are private hospitals better than the NHS?” However, this is simply untrue. The standard of care and expertise a patient can expect from an NHS or private hospital is exactly the same.

Can a dentist refuse NHS treatment? ›

It is against the rules for a dentist to refuse a specific treatment, such as root canal work, on the NHS, but then offer to do it privately.

How painful is a scale and polish? ›

Does the scale and polish procedure hurt? No, the scale and polish procedure shouldn't hurt, but you may feel some unusual sensations in your mouth. This might include a scraping sensation or a tickling feeling in your gums. A numbing gel can be used if you are very nervous about any dental pain.

How can I whiten old yellow teeth? ›

Whitening yellowing teeth can be achieved through the use of bleaching trays or whitening toothpaste. Most whitening toothpaste brands have low-concentration bleach in them. This approach can work but takes an extended period of time to show a change in the color of your teeth.

Why are my teeth turning brown at the gum line? ›

Tooth Decay and Tartar

Brown spots, patches or lines on your teeth could be a sign of poor oral health. Tooth decay and cavities can look like brown stains, and when plaque hardens, it forms a yellow or brown substance called tartar, which lies along the gum line.

How long do gums take to heal after scaling? ›

You may notice some sensitivity to hot and cold (and sometimes sweets) for up to six weeks duration. This is a normal course of healing. You should begin to notice a definite improvement in sensitivity within two weeks.

How much is a deep cleaning at the dentist UK? ›

A standard clean is covered by Band 1 at £23.80. A more thorough deep clean is shifted up to Band 2 (£65.20).

Do dentists try to upsell? ›

They try to upsell you on caps or crowns.

"It's always better to conserve tooth structure rather than be aggressive and drill down the tooth with a cap unless it is absolutely necessary."

Does a scale and polish remove plaque? ›

A scale and polish is a great way to keep your teeth and gums healthy. It removes tartar and plaque build ups and leaves your teeth feeling fresh and clean. However, there are more than a few benefits from receiving a scale and polish.

Does a scale and polish remove enamel? ›

The scaling and polishing done by a certified dental hygienist does not have any detrimental effect to your teeth's enamel. The main work of a dental hygienist is to perform professional teeth cleaning on a patient.

Why are my teeth sensitive after a scale and polish? ›

Why Are My Teeth Sensitive After A Cleaning? Teeth sensitivity happens when the dentin, which is the layer beneath your enamel, becomes exposed due to receding gums. Remember—your roots don't have enamel to protect them, so anything that comes in contact with them may cause sensitivity, like dental tools.

How long does a scale and polish take UK? ›

The process of scale and polish does not take more than an hour to be completed and you should repeat this process as often as you can. It is best you visit a dentist for your scale and polish, instead of scale and polish teeth at home.

Do you need to polish teeth after scaling? ›

Though not absolutely necessary, polishing teeth after scaling does help to remove stains and remove bacteria from tooth roots that the normal scaling procedure could not reach and remove. Everyone should undergo the polishing procedure because even regular brushing cannot prevent tartar build up.

Can scaling remove yellow stains? ›

Intrinsic Stains

Cannot be removed by scaling or polishing.

How many times should I scale my teeth? ›

As a general rule of thumb, people with healthy teeth and gums usually need a scale and clean about every six months. If you've struggled with gum disease in the past, your visits are more likely 3-4 months apart.

How often should scaling of teeth be done? ›

Individuals with healthy teeth and gums only need a regular dental checkup and cleaning twice a year; however, depending on the severity of your periodontitis, your dentist may recommend scaling and root planing, also known as a deep cleaning, at least twice a year or more.

How long does teeth scaling take? ›

How long does teeth scaling take? Generally, the teeth scaling process can be completed in a single visit. In this visit, the process will take around 1 hour to complete. However, if there is more plaque development then it can take 2 around hours to complete.

How often should seniors have their teeth cleaned? ›

Routine dental care is important—no matter the age or stage. So, if your loved one requires elderly dental care, they should be seen at least twice a year.

Can you descale your own teeth? ›

Clean using Baking soda– A mixture of baking soda and salt is an effective home remedy for dental calculus removal. Brushing your teeth with baking soda and salt softens the calculus, making it easy to remove. The mixture should smoothly be scrubbed on the teeth by using a toothbrush.

Does scaling hurt? ›

The short answer is no, the procedure is not painful. You will experience discomfort upon completion but the actual process can be completed with the administration of a local anesthetic to the soft tissue to minimize any unpleasant feelings during the process.

How much does a hygienist appointment cost UK? ›

Private treatment varies from practice to practice and also different areas of the country, but expect to pay somewhere in the region of £40 to £60 for a dental hygienist.

How much do dentures cost privately UK? ›

In a private clinic

£500 to £700 is the lowest charge. These cleaning dentures have average quality and don't offer aesthetically pleasing looks. £900 to £1250 for mid-range full set dentures. £1500 to £2500 for premium-range full set dentures.

Can you do a scale and polish at home? ›

Performing a DIY 'scale and polish' must never be done. Such cleaning must only ever be carried out by a professional (I don't even scale my own teeth!) The instruments that hygienists use are specialised medical instruments and it takes training to learn how to use them safely and effectively.

What does a scale and polish do? ›

A scale and polish is basically the procedure used to professionally clean your teeth and gums. Plaque and tartar build up around your teeth, which cannot be removed by brushing alone.

Do Over 60s get free dental treatment UK? ›

Dental treatment is free if you or your partner receive any of these benefits: Guarantee credit part of Pension Credit. Income Support. Income-related Employment and Support Allowance.

Do pensioners pay for dental treatment UK? ›

You're entitled to free NHS dental treatment if you or your partner gets either: Pension Credit Guarantee Credit. Pension Credit Guarantee Credit with Savings Credit.

What is the difference between NHS crowns and private crowns? ›

The only major difference between NHS crown treatment and private treatment is the waiting times. With NHS dental charges, there is typically a long waiting list for certain dental procedures, the main reason being it's cheaper than opting for private treatment.

Is there a difference between NHS dentures and private? ›

The main difference between getting dentures on the NHS and privately is the cost. Private dental treatment prices are generally higher than the NHS equivalent. The price accounts for a lot of differences between the two treatment routes including: Time spent taking initial dental impressions.

How much is a full set of porcelain dentures? ›

A basic set of full dentures might cost anywhere from $600 – $1,500, midrange quality dentures might cost between $1,500 – $3,000, and a premium set could be $3500 – $15,000. However, dentures have the ability to change your life, making them a worthwhile investment.

Which denture goes in first top or bottom? ›

Your natural teeth are supported beneath your gum tissue. However, dentures rest on top of your gums. They should suction to your top gum line and float above your bottom gum line. Over time, your mouth and tongue muscles will hold your bottom dentures into place.

Which toothpaste can remove plaque? ›

If you want a toothpaste that fights plaque, Colgate Total is a great option. It fights plaque for up to 12 hours. The formula is very effective at fighting gingivitis. Best of all, there are different types of Colgate Total that provide the same plaque-fighting ability while accomplishing other things.

Does a scale and polish remove brown stains? ›

The process for Airflow dental treatment

Teeth that used to be white are tarnished by brown stains that can't be removed by a toothbrush or standard scale and polish. But with Airflow teeth and coffee stain removal, one treatment can remove any plaque and discolouration that those habits have left behind.

Will a scale and polish remove stains? ›

In addition to saving teeth and gums, the scale and polish procedure is also used to remove teeth stains.

Is scaling and polishing painful? ›

Is scaling and polishing painful? While you may feel some scraping sensations, scaling and polishing usually causes little to no pain. Some discomfort or sensitivity may be felt in deep cleaning which can be controlled with topical anesthetic cream or local anesthesia that numb the gums and tooth roots.

How often should you scale and polish your teeth? ›

To keep your teeth their glossy best, Linhart recommends a cleaning that includes scaling and polishing “every 6 months,” with one caveat. “No two patients are the same. For those who accumulate buildup faster, have periodontal issues, or periodontal disease, we may recommend polishing up to every 2 months.”

Is a scale and polish necessary? ›

This procedure is very beneficial and painless, and as the build-up of plaque and tartar can only be properly removed by your dentist or hygienist, it is essential that you get a scale and polish if recommended to you.

Top Articles
Latest Posts
Article information

Author: Frankie Dare

Last Updated:

Views: 5282

Rating: 4.2 / 5 (73 voted)

Reviews: 80% of readers found this page helpful

Author information

Name: Frankie Dare

Birthday: 2000-01-27

Address: Suite 313 45115 Caridad Freeway, Port Barabaraville, MS 66713

Phone: +3769542039359

Job: Sales Manager

Hobby: Baton twirling, Stand-up comedy, Leather crafting, Rugby, tabletop games, Jigsaw puzzles, Air sports

Introduction: My name is Frankie Dare, I am a funny, beautiful, proud, fair, pleasant, cheerful, enthusiastic person who loves writing and wants to share my knowledge and understanding with you.