A checkup is a cleaning, an exam and a conversation
It is for adults and school-age children, and it is where most visits start.
The hygienist cleans your teeth. The dentist examines your teeth, gums and bite, and tells you what she sees. If you want it, we also look at how you breathe and sleep, and tell you when that is a question for your physician.

What happens
About an hour for a first visit.
- 01
Step 1: A talk
What worries you, and anything that has changed since your last visit.
- 02
Step 2: The cleaning
Plaque and tartar are removed from your teeth, above and just below the gum line.
- 03
Step 3: The exam
The dentist checks teeth, gums and bite, and X-rays only when she needs them.
- 04
Step 4: The plan
What looks fine, what to watch and what needs treatment, with a written estimate for that.
Comfort, choices and care
Comfort
Most cleanings need no numbing. Tell us if your gums are tender, and raise a hand any time for a break.
Other options
How often you come in depends on your mouth. The dentist sets it with you, and some people need a deeper cleaning first.
Risks and after-care
Gums can be tender or bleed for a day. We tell you what to expect and what to do if it lasts.
How it's billed
Many dental plans pay toward checkups and cleanings. We send the claim for you, and you get an itemized receipt.
How fees work
Questions about checkups
How often do I need X-rays?
The dentist decides from your teeth and history. Some people need them every year, some less often.
What is a deep cleaning?
It cleans below the gum line, one section of your mouth at a time, when the gums have pulled away from the teeth. The dentist tells you if you need one and why.
Do you see children?
Dr. Galvan sees school-age children for checkups and cleanings. Oral appliances for sleep apnea are for adults only.
Provided by a general dentist
Dr. Dayanara Galvan, DDS, general dentist, licensed in Washington.