What Happens During a Preventive Dental Cleaning (Prophy)
A preventive dental cleaning, often called a prophy, is designed to support oral health before disease develops. While many people think of it as “just a cleaning,” it is actually a structured visit that allows us to assess gum health, remove harmful biofilm, and help prevent cavities and gum disease from progressing. Understanding what happens during a preventive cleaning can help a patient feel more informed and comfortable during their visit.
Medical Review and Preventive Screening
A preventive cleaning begins with a focused medical review and screening process. This includes updating your medical history, reviewing medications and recent health changes, and recording vital signs when appropriate. An oral cancer screening is performed to carefully evaluate the tissues of the mouth, tongue, and throat for any abnormal changes. Diagnostic radiographs are taken when indicated based on individual risk and timing, allowing us to assess areas that cannot be seen visually. This medical information is documented and tracked over time to support early detection, continuity of care, and a comprehensive understanding of each patient’s overall health.
Dental Diagnostics and Inflammation Assessment
The next phase of a preventive cleaning focuses on detailed dental diagnostics. Teeth are evaluated for signs of decay, wear, erosion, and abrasion, along with changes that may indicate increased risk over time. Periodontal probing is performed at every preventive visit—not just once per year—to monitor gum health and detect early changes as soon as they occur. Inflammation and bleeding patterns are carefully mapped, and when needed, a multi-color disclosing solution is used to visualize plaque and calculus accumulation that may not be easily seen otherwise. This diagnostic approach allows trends to be tracked over time and helps guide personalized preventive care and target problem areas.
Biofilm Control & Oral Hygiene Support
After diagnostics are completed, we focus on thorough plaque and calculus removal to disrupt harmful biofilm that contributes to inflammation and decay. Using hand instruments, ultrasonic technology, or air polishing when appropriate, we carefully clean above and below the gumline while preserving healthy tooth structure and tissues. We also review personalized oral hygiene instructions, including brushing, flossing, and adjunct tools tailored to your individual risk factors. When indicated, a tongue prophylaxis is performed to reduce bacterial load, improve breath, and support a healthier oral microbiome overall.