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Dental scaling of teethWithout proper cleaning and dental visits plaque and tartar build up in the mouth and collect at an area just below the gum line called the sulcus. Eventually this buildup will cause the gums to move away from the teeth forming pockets in the mouth. These pockets fill with even more plaque. This buildup can lead to periodontal or gum disease. The amount of times you will need to return to your dentist depends on how widespread your case of periodontis or gum disease is.