The most common and most likely answer to this crossword clue is the 4 plus 10 letter word ORAL HYGIENISTS
I've seen this crossword clue in The Guardian
O
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Buddy explains!
The straight part
We know that "scale: that’s what they do" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case scale: that’s what they do = oral hygienists.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.