The Process of a Dental Cleaning: What to Expect

Dental cleaning is an important part of oral healthcare that helps remove plaque and tartar buildup from your teeth. It is typically recommended every 6 months to keep your mouth healthy. While the goal of a cleaning is to prevent cavities and gum disease, the process can feel invasive for some. This article will provide a detailed overview of what happens during a routine dental cleaning so you know what to expect.

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When you arrive for your appointment, the dental hygienist or assistant will ask you to fill out any necessary paperwork and review your dental and medical history. They will ask questions about any changes since your last visit. They may also take vitals like blood pressure. After checking in, you will be shown back to the treatment room to await the hygienist.

The dentist will first do a thorough oral exam, checking for any new cavities, cracks, or problem areas. They will also feel your neck and jaw for signs of tenderness that could indicate dental issues. As part of the standard cleaning process, bitewing x-rays are often taken to detect any cavities between the teeth or under existing fillings that cannot be seen visually. X-rays are critical but only expose you to a very small amount of radiation.

Next, the hygienist will begin the scaling and root planing portion of the cleaning. Scaling uses an ultrasonic scaler or manual scraper to remove plaque, calculus (tartar), and stains from above and below the gumline. The root planing then smoothes rough root surfaces where bacteria can accumulate. For patients concerned about sensitivity, the hygienist can adjust the water pressure or use a slower technique. Polishing with a rubber cup or brush helps further smooth and shine your enamel. The hygienist will clean section by section, typically starting with back teeth.

In addition to cleaning, your hygienist may discuss and apply preventive treatments such as:

Dental Sealants: Thin plastic coatings applied to chewing surfaces of back teeth to protect from decay. They are very beneficial for children.

Fluoride Treatment: A gel or varnish applied to strengthen enamel and make it more resistant to acids. This helps prevent cavities.

Antimicrobial Mouthrinse: A specialized rinse used if you have signs of gingivitis to help reduce bacteria and control plaque and gum disease.

While some discomfort is normal, do not hesitate to ask the hygienist to pause or be gentler if you experience any sharp pain during scaling. They are there to help you feel at ease. Most cleanings take 30-60 minutes depending on your oral health needs. Communication is key to receiving the best care.

Once the cleaning is complete, the dentist may examine your mouth one more time to check for any areas needing follow up. You can expect some sensitivity, especially when eating or drinking something hot or cold, due to disturbed plaque bacteria. Brushing more gently and using a soft-bristled toothbrush for a few days can help. Sensitivity should go away within a couple days as long as you continue your regular homecare routine. Good oral hygiene between visits, including brushing twice per day and flossing daily, is important to maintain healthy gums and fresh breath.

In summary, dental cleaning is a routine but crucial part of oral healthcare that promotes dental and overall health through removal of plaque and prevention of decay and disease. With an understanding of the process involved and open communication with your hygienist, you can feel empowered and at ease during your next visit. Let the dental team know if you have any other questions! A clean mouth is a happy and healthy mouth.

Here are some relevant ADA dental procedure codes for a dental cleaning:

D1110 - Prophylaxis - Adult (cleaning for patients age 13 and older)

D1120 - Prophylaxis - Child (cleaning for patients age 12 and under)

D4910 - Periodontal maintenance (for patients with history of periodontal disease who need more frequent cleanings)

D4341 - Periodontal scaling and root planing - four or more teeth per quadrant (deep cleaning for patients with gum disease)

D4342 - Periodontal scaling and root planing - one to three teeth per quadrant (deep cleaning on a limited number of teeth)

D9110 - Palliative (emergency) treatment of dental pain - minor procedure (provided if pain is encountered during a cleaning)

D0330 - Panoramic radiographic image (code for a panoramic x-ray often taken at cleaning exams)

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