Periodontal disease often often presents with signs and symptoms, while in its early stages, that respond well to non-surgical therapy, such as Scaling and Root Planning. These procedures encompass the total cleaning of root surfaces below the gums, in order to remove buildup, bacteria, and tartar in the pocket, in addition to toxins. Nitrous oxide analgesia can also be used in order to alleviate apprehension, in addition to a local anesthetic for overall patient comfort.