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FAQs - Check-ups and examinations

If you are a new patient, if you have had a full set of x-rays taken within the past year, ask to have your x-rays transferred to your new dentist. If you have not had x-rays taken within a year, a full set of x-rays may be taken on your first visit. Depending on your health and oral health, you may only need x-rays once every year. Other people will require more frequent x-rays due to continued treatment, diet, oral hygiene, and/or health related issues. Consult with your dentist or hygienist and together come up with an x-ray schedule that is right for you.

The standard recommendation is to visit your dentist twice a year for check-ups and cleanings. This frequency level works well for most people, although some people with gum disease, a genetic predisposition for plaque build-up or cavities, or a weakened immune system might need to visit the dentist more frequently for optimal care.

Also, keep in mind that certain life events — particularly those that cause stress or illness — might cause changes in the mouth or the development of an infection, and might make more frequent visits to the dentist necessary. At the other extreme, people who have taken great care of their teeth and gums, and have gone years without any problems whatsoever might choose to lengthen the time between visits. Ask your dentist what visitation schedule works best for your state of dental health.

The three biggest reasons that most strongly support the twice-yearly visitation schedule are:

  • So that your dentist can check for problems that you might not see or feel
  • To allow your dentist to find early signs of decay (decay doesn’t become visible or cause pain until it reaches more advanced stages.)
  • To treat any other oral health problems found (generally, the earlier a problem is found, the more manageable it is.)

 

The following oral health care activities usually take place at the typical dental check-up visit:

  • Professionals who will treat you — Two oral health care professionals - your dentist and the dental hygienist – will likely see you. The hygienist will conduct an initial oral exam of your gums and teeth, document any changes in your overall health and medicine use, clean and polish your teeth, talk to you about caring for your teeth and gums, and answer any questions you might have about home care products. Your dentist will also conduct an oral exam of your mouth (for signs of oral cancer or other diseases), gums, and teeth; ask about changes in your overall health or medicine use; review the cleaning done by the hygienist; diagnose any oral health problems; and make treatment recommendations.
  • Cleaning — Although home-based tooth brushing and flossing help remove plaque, only a professional cleaning – provided by your dentist or dental hygienist – can thoroughly clean your teeth and remove the hardened plaque (called calculus or tartar) that builds up on teeth. Most hygienists use a series of metal hand instruments to clean your teeth. Some are using ultrasonic scalers, which provide deep cleaning above and below the gum line.
  • Polishing — After your teeth have been cleaned, they are polished to remove plaque and stains on the tooth surface. The polish contains an abrasive substance and fluoride, and is applied using a small rotating rubber cup or brush attached to the dental hand piece.
  • Prevention — Your hygienist might offer additional instructions for you to follow at home, based on the results of your exam. Don’t hesitate to ask your hygienist for instructions about brushing or flossing, or general care questions about your teeth and gums.
  • X-rays — X-rays might or might not be taken during your check up. Your dentist will consider your clinical examination, dental history, and risk for developing cavities in determining the frequency for X-rays.
  • Treatment recommendations — If any oral health problems are identified during your examination, your dentist will make recommendations for the best next steps. These might include referral to another oral health care specialist, additional diagnostic tests, or advice to return for restoration work or additional oral health care.

 

Your new dentist will want to become familiar with your oral health so that he or she can notice changes or problems more easily during future visits. First, however, even before assessing your oral health, your dentist will want to know more about your general health. Areas that he or she will address with you include:

  • Medical history/current medicines — Your dentist will want to know if you have been diagnosed with any diseases. It is important to tell your dentist all of your health issues, not just those you think relate to your mouth. Several diseases, diabetes for example, can increase the risk of periodontal disease or might require that your dentist use a different anaesthesia or take a different approach to treatments or prevention. Bring a list of all medicines you are currently taking and their dosages. Some medicines can cause dry mouth, which can increase your risk of cavities. Other important reasons why your dentist needs to know your medicines are so that he or she doesn’t prescribe a medicine that could interact with one you are already taking and to change the type of anaesthesia given, if necessary.
  • Current dental health — Don’t hesitate to tell your dentist if you think you have a new cavity, sensitive teeth, feel any lumps or bumps, or have any oral health concerns. By informing your dentist of any symptoms you might be experiencing, you might help him or her make an early diagnosis.
  • Dental fears — Let your dentist know if you have any fears about going to the dentist or receiving dental care. Dental treatments have changes drastically from years ago and so have pain management options. Your dentist will discuss ways to ease your fears, minimize pain, and make you feel more comfortable.