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Procedures · Cleanings & Prevention

Cleanings & Prevention

Preventing dental disease starts at home with good oral hygiene and a balanced diet, and is continued in the office through the work of your dentist and hygienist to promote, restore, and maintain your oral health.

Prevention also means regular exams, cleanings, and X-rays — alongside fluoride and sealants where helpful. Done well, prevention helps you avoid serious and costly dental problems and is the surest path to a healthy, confident, beautiful smile.

Hygiene appointment at Piedmont Dental By Design6 cleanings & prevention procedures
i. — Your six-month visit

What a hygiene appointment covers

One appointment, four jobs. Between them they catch the two diseases that cost teeth — decay and gum disease — while both are still small.

StepWhat it involves
ExamA full examination including decay detection, a gum-disease evaluation and an oral cancer screening.
CleaningTartar and plaque removed by a registered dental hygienist, then a polish to lift surface stain.
FluorideA topical application that strengthens enamel against decay — applied twice a year for children, and for adults at higher risk.
Home care planWhat to change between visits: brushing twice daily, flossing daily, and the technique and tools that suit your mouth.
ii. — Why it is worth it

Prevention is the cheapest dentistry there is

Decay and gum disease are painless early on. Every step you delay moves the same tooth into a more expensive column — these are the ranges published on our own treatment pages.

Caught early

An exam and a cleaning

  • Every six monthsDecay found small is a filling at $200–$400. Gum disease found early is reversed with cleaning and better home care.
  • Usually your best-covered benefitMost dental plans include two cleanings and exams a year.
Left too long

Restoration, not prevention

  • Crown — $1,200–$1,800Once decay or a fracture leaves too little sound tooth for a filling.
  • Implant — $4,000–$6,000Once the tooth is lost altogether, plus months of healing before the final tooth goes on.
iii. — Common questions

Frequently asked questions

How often should I come in for a cleaning?

Every six months for most people. That cadence is what lets us catch decay and gum disease while they are still small and inexpensive to treat. If you have active gum disease you will be on a different, more frequent schedule — that is periodontal maintenance rather than a routine cleaning, and we will tell you which one you are on and why.

What actually happens at a hygiene visit?

Four things. A registered dental hygienist removes the tartar and plaque that brushing cannot reach, then polishes to lift surface stain. The dentist examines the teeth for decay, evaluates the gums, and carries out an oral cancer screening. Where it is useful we apply fluoride. Then we talk through what to change at home before the next visit.

My teeth feel fine. Do I still need to come?

Yes — and that is rather the point of prevention. Decay and gum disease are both painless in their early stages; by the time a tooth hurts, the cheap fix has usually passed. A filling costs $200–$400. Once a tooth needs a crown that becomes $1,200–$1,800, and a tooth lost entirely becomes an implant at $4,000–$6,000. The exam is what keeps you at the first number.

Does insurance cover cleanings?

Most dental plans cover two cleanings and exams a year, and preventive care is usually the best-covered part of any plan. We accept most dental insurance as an out-of-network provider and will submit a pre-treatment estimate so you know your share before the appointment.

Is a professional cleaning different from brushing well at home?

They do different jobs and you need both. Brushing and flossing control plaque daily, which is the part only you can do. But once plaque hardens into tartar it bonds to the tooth and no toothbrush will shift it — that requires instruments and a hygienist. Good home care means less tartar to remove; it does not replace the removal.

— Trusted in the East Bay —

2024 & 2025

Best Esthetic Dentist

Voted Best of the East Bay

2025

Best Dental Practice

Voted Best of the East Bay

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4.9 / 5

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From 350+ verified patients

30 years

Serving the East Bay

Three decades of preventative, cosmetic & restorative care

iii. — Visit

Take a tour, or schedule your visit.

Experience the practice first-hand. Send us a message, or call us during open hours — most weeks we have same-week availability.

Address1331 Grand Ave, Piedmont, CA 94610
HoursMon & Wed 7–5 · Tue & Thu 7–3