New patients receive a comprehensive examination which includes a screening for oral cancer, gum and bone disease, blood pressure, and systemic disorders. A routine oral exam is performed on established patients to determine any changes in dental and health status since the previous visit.

Your gum tissue is measured with a fine instrument ruler to calibrate in millimeters pocket depth between the tooth and the connective gum tissue around the tooth. Pocket depths more than 4 millimeters could indicate disease and infection. The deeper the pocket, the greater the extent plaque bacteria collects and infection in gum disease develop.

X-rays are taken as needed.

Tooth scaling and root planing occur as needed.

Routine cleanings also include a professional polishing (Prophy) that removes only the soft sticky plaque that is above the gum line.

Tooth scaling removes plaque, tartar and hard crusty calculus deposits, which are loaded with bacteria. Sub-gingival tooth scaling is necessary when plaque and tartar are detected below the gum line. After scaling the tooth roots may need to be planed to smooth the root surface. Soft tissue will re-attach itself to a smooth tooth surface. Your dentist may also recommend medications to help control infection, pain,or to encourage healing.