Before the cleaning begins, the dental professional will take a look at the entire mouth with a small mirror. This mirror is angled so that they can see all around the mouth, gums, and teeth. During this examination, they will look for signs of oral health concerns, such as inflamed gums, which may indicate gingivitis — the first stage of gum disease. Unless there are any problems detected, the examination and cleaning are taken care of by the dental professional without needing to consult anyone else.
The dental professional will use a scaler to remove any plaque or tartar that has built up on the surface of the teeth since the last dental examination. This is important because buildup can lead to tooth decay and cavities. A scaler is a special tool that looks like a hook. The dental professional uses it to remove the plaque on the teeth and around the gumline. It is normal to hear scraping sounds during the scaling. With regular brushing and flossing, scaling should not take too long.
After the dental professional has removed the plaque, they will use a gritty toothpaste and electric brush to smooth and polish the teeth. The brush may be noisy, but the brushing itself is unlikely to cause discomfort. The toothpaste has a gritty substance to help get rid of any leftover plaque that the scaling might have missed, and the paste itself will polish the teeth to protect them from the buildup of bacteria between checkups.
Flossing should be part of everyone’s regular at-home oral care routine. For people who do not floss regularly, there may be some discomfort during this part of the dental cleaning. The dental professional will use a thin piece of floss and glide it between each tooth to remove any plaque that might be present. They will likely ask how often the patient flosses and offer some suggestions for at-home care.
At the end of the dental cleaning, the patient will likely be asked to rinse with a special fluoride mouthwash. Mouthwash that contains fluoride is a useful addition to any oral hygiene routine. If the dentist recommends this fluoride treatment in the office and at home, it helps protect the teeth against the development of tooth decay. Like the scaler, toothpaste, and electric brush used during the cleaning, this treatment is extra powerful, but not harmful.
As long as they have followed the recommended at-home oral care guidelines, most people do not have issues with sensitive teeth. But if they do, they should let the dental professional know at the start of the appointment. If they are aware of the sensitivity, they can recommend ways to reduce the discomfort before, during, and after the cleaning. During the cleaning, they may check for areas of sensitivity to see if any issues should be addressed. They may also have additional recommendations for home care to make the next visit more comfortable.
A dental cleaning is a regular, routine cleaning that should be scheduled every six months to keep the mouth healthy and clear of harmful plaque. A deep cleaning, however, may be necessary for those who have not had a normal dental cleaning in some time. Deep cleaning is recommended when there are bacteria or tartar in pockets between the teeth and gums. These bacteria could lead to gum disease and, if not addressed, tooth loss.
Deep cleaning is also called scaling and root planing. While scaling removes buildup from around the gums, root planning goes deeper. During root planing, the dental professional will remove buildup from the surface of the tooth roots. It may take multiple deep cleanings over time to be completely successful.