Understanding The Full Scope: What Is Included In A Dental Cleaning?

What’s included in a dental cleaning?

A dental cleaning goes beyond just a bright smile! It involves a comprehensive exam, plaque and tartar removal, polishing, flossing, and potentially a fluoride treatment. Regular cleanings help prevent gum disease and can even benefit your overall health.

In the recent Global Oral Health Status report published by the World Health Organization, it is found that a whopping 3.5 billion people suffer from oral diseases. That is around 45% of the world’s population! (1)

Sadly, as per Dr Tedros Adhanom Ghebreyesus, WHO Director-General, ‘Oral health has long been neglected in global health, but many oral diseases can be prevented and treated…’ Although there are many factors contributing to this – inadequate access to oral health facilities and socio-economic status – there is one factor that is often overlooked. In the report, the WHO pointed out that poor information regarding oral health is a major contributor to this dilemma. (1)

This is probably why, according to a recently published study by Steinvik, Svartdal, and Johnsen, there was a 29% delay in dental care among many. (2)

That’s what this reading is aiming to combat. With the right information about dental cleaning – what to expect before, during, and after the procedure – you can make better decisions about your oral health. But first, it’s important to understand why dental cleanings are important.

The importance of dental cleanings

Regular dental cleanings are more than just a way to achieve a brighter smile.  Plaque, a sticky film of bacteria that constantly forms on teeth, can harden into tartar if not removed through brushing and flossing.  This buildup irritates the gums, leading to gingivitis, the early stage of gum disease.  Left untreated, gingivitis can progress to periodontitis, a severe gum infection that damages the soft tissue and bone supporting the teeth.

Periodontal disease is the leading cause of tooth loss in adults, reported the National Health and Nutrition Examination Survey (NHANES). Early detection and treatment are crucial to prevent the disease from progressing and potentially impacting your overall health. (3)

Beyond tooth loss, experts from the Oral Health Foundation suggest a link between gum disease and other health problems, including heart disease, stroke, and diabetes. That’s why regular cleanings by a dental professional are essential, as they can help remove plaque and tartar buildup, prevent gum disease, and safeguard your oral and overall health. (4)

Aside from its overall health benefits, having your teeth cleaned also has its aesthetic benefits. After all, who doesn’t want a vibrant smile? That is what reputable services offering dental cleaning and cosmetic dentistry, like Grove City Dental, are trying to emphasize. And they are very passionate about their patients’ oral health.

In fact, when talking about their resident expert, Dr. Cory Layton, the reputable service provider said, ‘Dr. Layton enjoys cosmetic dentistry and restorative procedures and loves creating customized smile makeovers for their patients. Whether you need dental bonding for a chipped tooth or a full smile reconstruction that combines several restorative procedures, let us create a smile plan to get your smile from where it is to where you want it to be.’

So, if you want to enjoy the benefits of having excellent oral health, do not hesitate to get your teeth cleaned. On that note, what happens during a dental cleaning procedure? Read on.

What to expect during your cleaning

A dental cleaning is typically performed by a dental hygienist, a licensed professional trained in oral hygiene care. Here’s a breakdown of the different steps involved:

Examination

The dental cleaning process kicks off with a comprehensive examination that goes beyond just your teeth. The hygienist will meticulously examine your mouth, face, and neck for any signs of trouble.

In an interview with Forbes Health, Dianne Sefo, a clinical associate professor and chair of dental hygiene at NYU College of Dentistry, discussed the whole process. (5)

When it comes to the examination period, ‘This includes taking vitals (blood pressure, pulse, respiration, temperature), your health history, social history and dental history, an oral cancer screening, a head and neck examination, and the examination of your teeth and gums,’ says Sefo. (5)

To screen for oral cancer, they’ll check your mouth, tongue, throat, cheeks, and lips for abnormalities.  The examination also encompasses your head and neck, where they’ll feel for swollen lymph nodes or tenderness in your jaw.

Finally, they’ll closely inspect your teeth for decay, existing restorations like fillings or crowns, and your gums for any signs of inflammation, redness, or bleeding.

X-rays might also be part of this initial examination, but the frequency will be determined by your dentist based on your age, overall oral health, risk factors for dental diseases, and any existing symptoms.

Plaque and tartar removal

After the comprehensive examination, the hygienist will tackle the primary objective of dental cleaning: removing plaque and tartar buildup.

This process, known as scaling, as per Sefo, can be accomplished through two methods. Manual scaling utilizes small instruments called scalers, reminiscent of tiny hooks, to scrape away tartar accumulated above the gumline. (5)

For more tenacious tartar, particularly below the gumline, ultrasonic cleaners come into play. These devices emit high-frequency sound waves that gently vibrate and break up the tartar, making it easier for the hygienist to remove it completely.

Polishing

In a blog post written for Healthline, Kristeen Cherney, PhD, emphasized that after removing the plaque and tartar, the hygienist will brush your teeth with a high-powered electrical toothbrush. (6)

While brushing, a special paste containing mild abrasives and fluoride is applied. The hygienist will then gently polish the surfaces of each tooth, removing any remaining plaque or surface stains caused by coffee, tea, wine, or smoking. As a result, it provides the following benefits.

• smoother teeth
• stain removal
• fluoride boost

While polishing is generally painless, some individuals might experience slight tooth sensitivity, especially if they have sensitive teeth or exposed dentin.  If you experience discomfort, let the hygienist know, and they can adjust the pressure or use a less abrasive paste. Also, as per Cherney, this can only be done safely twice a year. If overdone, it may wear down the enamel. (6)

Flossing

Brushing alone can’t reach all tooth surfaces, particularly the tight spaces between teeth. Food particles and plaque can easily get lodged between teeth, creating a breeding ground for bacteria. Flossing removes these particles and plaque, preventing gum disease and bad breath.

In the same blog post, Cherney highlighted that after the dental cleaning, the hygienist will provide proper flossing to ensure you’re effectively removing plaque between your teeth. This typically involves using a specific type of dental floss and gently curving it around each tooth to remove plaque and food particles without injuring the gums. (6)

Benefits of expert flossing

These are the benefits of having an expert floss your teeth:

• A hygienist can ensure you’re using the correct flossing technique to remove plaque effectively.
• The hygienist has the skill and dexterity to reach even the tightest spaces between your teeth, removing plaque that you might miss while flossing at home.
• The hygienist can offer personalized flossing recommendations based on your specific needs and answer any questions you might have about proper flossing techniques.

With their guidance, you are more informed on how to prevent any oral complication by simply flossing.

Fluoride treatment (optional)

A topical fluoride treatment is an additional step sometimes included in dental cleaning, particularly for individuals with a higher risk of cavities.

Fluoride is a mineral that strengthens tooth enamel and helps prevent cavities.  When applied topically to the teeth, fluoride remineralizes weakened enamel and makes teeth more resistant to decay.

While everyone benefits from fluoride, some individuals might be recommended for topical fluoride treatments more frequently. These include:

• Children and teenagers
• People with a history of cavities
• People with dry mouth
• People who consume a lot of sugary foods and drinks

Now, several types of topical fluoride treatments might be used during a dental cleaning, including:

• Fluoride varnish: A high-concentration fluoride varnish is painted onto the teeth and left to harden for a short time.
• Fluoride foam or gel: A flavored foam or gel containing fluoride is applied to a mouthpiece that you wear for a few minutes.
• Fluoridated rinse: In some cases, the hygienist might recommend using a fluoridated rinse at home as part of your daily oral hygiene routine.

Going back to Sefo’s interview, the expert revealed that the whole dental cleaning process ‘typically takes a little under an hour.’ The only difference is in the level of scaling needed. Some could take longer.

Additional considerations explained

The overall process of dental cleaning doesn’t just happen in between the clinic’s walls. Of course, there are other factors you need to consider. Here are each of them explained:

Frequency of cleanings

The recommended frequency of dental cleanings isn’t a one-size-fits-all approach.  Several factors influence how often you should schedule cleanings, and your dentist will determine the best interval for your individual needs.

In the Journal of Dental Research published by the American Dental Association (ADA), having your teeth cleaned every six months is ideal. (5)

This allows for regular removal of plaque and tartar buildup before it can progress into more serious problems.

However, if you have specific risk factors, more frequent cleanings might be necessary. These risk factors include:

• Gum disease: As the said journal suggests, individuals with gingivitis or periodontitis may require cleanings every three to four months to manage the disease and prevent further progression. (5)
• Dry mouth: Reduced saliva flow can accelerate plaque buildup, so those with dry mouth might benefit from more frequent cleanings.
• Certain medications: Some medications can cause dry mouth or increase susceptibility to cavities, necessitating more frequent cleanings.
• Smoking: Smoking weakens the immune system and increases the risk of gum disease, potentially requiring more frequent cleanings.

During your dental cleaning, discuss your individual risk factors with your hygienist or dentist.  They can recommend the appropriate cleaning schedule to maintain optimal oral health.

Cost and insurance coverage

The cost of a dental cleaning can vary depending on several factors, including:

• Your location
• The dentist’s practice
• The complexity of the procedure

Dental insurance plans often cover routine dental cleanings, but coverage specifics can vary depending on your plan. According to the National Association of Dental Plans (NADP), all the preventative measures will be 100% covered, while basic treatments will be covered for around 60% to 80%, depending on your plan. (5)

It’s important to review your dental insurance plan documents. These documents will outline the specific preventive care coverage your plan offers, including cleanings. Also, if you have any questions about your cleaning coverage, don’t hesitate to contact your insurance provider directly for clarification.

By understanding your insurance coverage beforehand, you can avoid any unexpected costs associated with your dental cleaning.

Maintaining good oral hygiene between cleanings

Regular dental cleanings are a vital part of maintaining good oral health, but they’re not a replacement for your daily oral hygiene routine at home.

On another Healthline blog, Cherney discussed 11 best practices for keeping your teeth healthy. She highlighted that while brushing your teeth twice a day is a no-brainer, brushing your teeth before going to bed is just as important. (7)

 Proper brushing technique is crucial. Use gentle circular motions to clean all surfaces of your teeth, including the front, back, and chewing surfaces. Don’t forget to brush your tongue and cheeks to remove bacteria that can contribute to bad breath.

Also, Cherney noted the importance of treating flossing as important as brushing. It will help remove plaque and food particles from between your teeth, where brushing can’t reach. She quoted Jonathan Schwartz, DDS, saying, ‘It’s really a way to stimulate the gums, reduce plaque, and help lower inflammation in the area.’ There are different flossing techniques, so discuss the most effective method with your dentist or hygienist. (7)

Limit sugary drinks and foods like candy, cookies, and cakes. Sugar feeds the bacteria in plaque, accelerating their growth and increasing your risk of cavities. Opt for a balanced diet rich in fruits, vegetables, and whole grains.

In addition to cleanings, schedule regular dental checkups with your dentist, typically once or twice a year. These checkups allow for a more comprehensive examination of your teeth and gums. The dentist might also recommend X-rays or other screenings to detect any potential problems early on.

By following these essential oral hygiene practices at home, you can complement the benefits of your professional dental cleanings and maintain a healthy smile for years to come.

Preparing for your cleaning

Here are some tips to prepare for your dental cleaning:

• Brush and floss your teeth as usual before your appointment.

• Wear comfortable clothing.

• Arrive a few minutes early to complete any necessary paperwork.

If you have any dental anxiety, let your dentist or hygienist know beforehand. They can offer relaxation techniques or sedation options to make the experience more comfortable.

What to expect after your cleaning

Your teeth and gums might feel slightly sensitive after your cleaning, especially if you have gingivitis. This discomfort is usually temporary and can be managed with over-the-counter pain relievers.  The hygienist will provide post-cleaning instructions, which may include recommendations on brushing, flossing, and using mouthwash.

In conclusion

Understanding the full scope of dental cleaning empowers you to take an active role in your oral health.  Regular cleanings offer a wealth of benefits, from preventing gum disease and bad breath to potentially safeguarding your overall health.

By following the recommendations in this article and working with your dentist or hygienist, you can create a personalized oral care plan that keeps your smile bright and healthy for years to come.

References

1. “WHO highlights oral health neglect affecting nearly half of the world’s population”, Source: https://www.who.int/news/item/18-11-2022-who-highlights-oral-health-neglect-affecting-nearly-half-of-the-world-s-population

2. “Delay of Dental Care: An Exploratory Study of Procrastination, Dental Attendance, and Self-Reported Oral Health”, Source: https://www.mdpi.com/2304-6767/11/2/56

3. “Periodontal (Gum) Disease”, Source: https://www.nidcr.nih.gov/research/data-statistics/periodontal-disease

4. “Healthy gums and healthy body”, Source: https://www.dentalhealth.org/healthy-gums-and-healthy-body

5. “What Is Dental Cleaning? A Complete Guide”, Source: https://www.forbes.com/health/dental/what-is-dental-cleaning/

6. “What Happens During Your Professional Dental Cleaning”, Source: https://www.healthline.com/health/dental-oral-health/what-happens-during-a-tooth-cleaning

7. “11 Ways to Keep Your Teeth Healthy”, Source: https://www.healthline.com/health/dental-and-oral-health/best-practices-for-healthy-teeth