If you're scheduling a dental check-up as a new patient, it’s natural to feel curious about the appointment. A complete dental check-up is more than just a routine inspection; it’s a thorough evaluation that sets the foundation for your dental care journey. Here's a breakdown of what to expect so you can go into your visit feeling informed and at ease.

The video below shows a complete dental check-up at Innovadent Dental Clinic in London (a private practice).

Medical Health Review

Your dentist will begin by reviewing your medical history to understand your overall health. Certain medical conditions and medications can impact oral health, so sharing your full health background helps your dentist make safe and informed decisions about your care. This is often done using a form before attending your appointment.

Dental History

After the medical review, your dentist will discuss your dental history. They’ll ask about past dental work, treatments, and any concerns or discomfort you’ve had with your teeth or gums. This information helps them better understand your oral health background and plan for your care moving forward.

Your dentist will also discuss any current concerns or issues that you have.

Examination of the Head and Neck

Your dentist will conduct an examination of your head and neck to look for any abnormalities outside the mouth, such as swollen lymph nodes or unusual lumps. This is an essential step in identifying potential health issues beyond the oral cavity that might affect your overall wellness and also forms part of your mouth cancer screening.

Jaw Joint (TMJ) Examination

Many people experience jaw-related issues, such as clicking, pain, or limited movement. Your dentist will check your temporomandibular joint (TMJ) to make sure your jaw is functioning normally, which can prevent discomfort and headaches related to jaw misalignment.

Oral Cancer Screening

An oral cancer screening is a crucial part of any full dental check-up. Your dentist will carefully examine the inside of your mouth for any unusual sores, red or white patches, or other signs that might indicate early signs of oral cancer. Early detection is key to effective treatment, and this screening is a proactive step to ensure long-term oral health.

Teeth Charting

This is the bit where the dentist starts counting. Teeth charting involves documenting the current condition of each tooth. This comprehensive record helps track changes in your dental health over time, making it easier to spot issues like new cavities, fractures, or worn areas. Charting each tooth also helps your dentist identify specific areas that may need attention in the future.

Basic Periodontal Examination (BPE)

Your gums are an essential part of your oral health, so your dentist will perform a basic periodontal examination (BPE) to screen for gum disease. Using a small probe, they’ll check for gum inflammation, pocketing, and other signs that may indicate the early stages of gum disease. Catching gum disease early can help prevent more serious issues down the line.

X-Rays

X-rays are an invaluable tool to look beneath the surface for signs of decay, bone loss, and other issues not visible during a routine visual inspection. Depending on your needs, your dentist may take various types of X-rays to get a complete picture of your oral health.

Digital Scan (Optional)

Some dental practices offer digital scanning to create a precise, 3D record of your teeth. This scan can help detect changes in alignment, wear, or other conditions that may develop over time. While not every dentist provides this service, it’s a great tool for tracking your dental health in detail.

Digital scans also replace the need for taking impressions which many people do not like!

Photographs of Your Teeth (Optional)

Similarly, photographs of your teeth can provide a visual record, aiding in treatment planning and monitoring changes over time. This can be helpful if you have specific cosmetic concerns or are considering treatments like whitening, veneers, or orthodontics.

Discussion of Your Dental Condition

Once all assessments are complete, your dentist will sit down with you to discuss their findings. They’ll go over the condition of your teeth, gums, and overall oral health, making sure you understand each aspect. This discussion is your opportunity to ask questions, clarify any concerns, and gain insight into your dental health.

Personalised Treatment Plan

Finally, your dentist will provide a personalised treatment plan. This plan outlines any recommended treatments, from routine cleanings to restorative work, based on your unique needs. It’s a roadmap to achieving and maintaining a healthy smile, and your dentist will discuss the timing, costs, and benefits of each step.

Your dentist will then also advise you on when your next check-up should be, which is known as your ‘recall’ status. Not everyone needs a check-up every 6 months; your recall period will be personalised based on the condition of your teeth and oral health. It can range from 3 months to 2 years.

Your Check-Up, Your Questions

Remember, your dentist is there to make sure you’re comfortable and informed. They’ll answer any questions you have about your oral health, helping you understand the big picture of what’s going on with your mouth. It’s a great opportunity to discuss any specific concerns and to learn more about preventive care, so don’t hesitate to ask questions and get involved in your dental health journey.

By understanding the steps involved in a new patient check-up, you can feel confident in what to expect and make the most of this important first visit. Your smile and overall health are worth it!