My first three deep cleanings at the dentist were so painful that I did not return to continue treatment. My dentist scheduled the cleaning for several weeks, but I cannot get through them. The deep pockets in my teeth will not heal and my teeth are sensitive. My sister suggested that I ask for sedation, but I do not know what to ask for. And I hesitate to return to this dentist because I am not sure if it my gums and teeth are that bad or if the hygienist is rough. Anyway, I want to call a few dental offices and ask if they offer deep cleaning with sedation, but first I want to know what kind of sedation to ask for because if they do not offer it, I will have to keep looking. Thanks for your suggestions. – Claire from SC
Claire,
Thank you for your question. You have advanced gum disease that needs continuing care. Before your deep cleaning, you should get local anesthetic to prevent you from feeling pain. Although your gums are infected down to where the teeth and gums attach, the pain you describe sounds like something more than the cleaning is causing your pain.
Deep Dental Cleanings and Antibiotics
Sometimes deep cleaning can provoke an active infection and cause post-treatment pain. If your gum infection is aggressive, your dentist can do the following:
- Prescribe antibiotics for your treatment period
- Extend your treatment period to promote your comfort
- Offer sedation to relieve your anxiety
Second Opinion for Gum Disease and Deep Cleanings

Speak with your new dentist about sedation options
We recommend that you find another dentist experienced in treating gum disease. Or you can visit a periodontist (gum specialist). Explain your experiences with your dentist and your anxiety. The dentist or periodontist will explain your sedation options. But with local anesthesia and antibiotics, your will have a better experience.
Untreated gum disease can lead to tooth loss. Although you have had a traumatic experience, please do not delay treatment.
Steven Brooksher, DDS of Baton Rouge, sponsors this post