Patients with periodontitis can have their teeth scaled when they are in pain because scaling is one of the more basic treatments for periodontal disease. Scaling, also known as supragingival scaling, is an operation that removes tartar and plaque from the gums by means of ultrasound and a manual scaler, and it is the most basic operation to maintain periodontal health. In addition to scaling, periodontitis also requires further subgingival scaling to remove the tartar from under the gums. If supragingival scaling combined with subgingival scraping is still not effective, it is necessary to combine it with root planing and periodontal surgery to try to bring periodontitis to a halt. For periodontitis it should be noted that most patients with periodontitis do not have significant pain, but periodontitis can cause greater discomfort to the patient or the patient may experience itchy gums. Once a patient with periodontitis is in pain, it is recommended that he or she first visit a dental professional.