Okay, here’s the expanded question: Who typically performs routine teeth cleanings, like scaling and polishing to remove plaque and tartar, and what are the specific roles of dentists versus dental hygienists in the process of maintaining a patient’s oral hygiene, including providing preventative care instructions?
Answer
Dental hygienists typically perform teeth cleanings.
Dental hygienists are licensed oral health professionals who specialize in preventative dental care. Their scope of practice includes:
- Removing plaque and tartar: They use specialized instruments such as scalers, curettes, and ultrasonic devices to remove accumulated plaque and tartar (calculus) from above and below the gum line.
- Polishing teeth: After scaling, they polish the teeth to remove surface stains and create a smooth surface that is less susceptible to plaque accumulation.
- Applying fluoride: They apply fluoride treatments (gels, foams, or varnishes) to help strengthen tooth enamel and prevent cavities.
- Dental Sealants: Application of dental sealants to prevent tooth decay in areas where it is more likely.
- Oral Hygiene Instruction: Dental hygienists educate patients on proper oral hygiene techniques, including brushing, flossing, and the use of other oral hygiene aids. They may also provide personalized recommendations based on the patient’s individual needs.
- Oral cancer screenings: They perform oral cancer screenings to detect any suspicious lesions or abnormalities.
- Taking dental X-rays: In many jurisdictions, they are qualified to take dental X-rays to aid in the diagnosis of dental problems.
- Periodontal Maintenance: They play a key role in the maintenance and management of periodontal (gum) disease.
While dentists also perform some of the above procedures or could, in a general practice setting, it’s usually the dental hygienist who is responsible for the bulk of the preventative hygiene work. Dentists typically focus on diagnosing dental conditions, developing treatment plans, and performing more complex procedures such as fillings, root canals, extractions, and crown and bridge work.
However, the exact division of labor may vary depending on the dental practice and the specific needs of the patient. In some cases, a dentist may perform a cleaning, especially during a patient’s initial examination or if a patient has a complex dental condition.