Scaling is a type of Cleaning.  It removes plaque and tartar from the teeth at and slightly below the gumline.  Root planing smooths root surfaces.  Supportive tissues can then reattach to the tooth surfaces. A local anesthetic may be used as this procedure goes deeper than a standard cleaning.

A dental hygienist
often does scaling and root planing,
or local delivery of antibiotics
under your doctor’s supervision.

Antibiotics (local delivery)

To reduce bacteria causing your periodontal disease, you may be given antibiotics in pill form.  Or you may have antibiotic gels, fibers, or micropowders applied directly to the infected pocket. In some cases, an antibacterial mouth rinse is prescribed to help control plaque