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During a typical checkup your dentist or dental hygienist will remove the plaque and tartar (plaque that builds up and hardens on the tooth surface and can only be removed with professional cleaning) from above and below the gum line of all teeth. ... Dental cleanings are not a treatment for active gum disease. Depending on situation of gums dentist will guide you for deep gum curretage or flap surgery. All procedures are performed under local anaesthesia which makes it comfortable to patients.