424 S. Main Street Suite H I J
Orange, CA 92868

Mon: 8:00AM - 6:00PM

Tue: 10:00AM - 7:00PM

Wed: 8:00AM - 7:00PM

Thu: 8:00AM - 5:00PM

Fri: 7:00AM - 3:00PM

Sat - Sun: Closed

What others had to say

4 stars Verified customer

My latest appt. went ok. Back in 2 weeks

1 stars Customer since 2013

Not Everyone Needs a Deep Teeth Cleaning

Don't Be This Guy

I was talking to this guy, we will call him Rich, and during conversation

I revealed I was a dental hygienist. This always makes things

interesting; either people immediately stop smiling or go on to share a

couple dental experiences, traumas or problems. Rich went on to state

that it was time for a"deep cleaning", it had been a while. Since that

statement struck me as odd, I asked what he meant, how did he know.

Periodontal disease is defined as a chronic bacterial infection that

results in the loss of connective tissue and bone, depleting attachment to

the tooth.

According to www.Perio.org, "Toxins produced by the bacteria in plaque

irritate the gums. The toxins stimulate a chronic inflammatory response in

which the body in essence turns on itself, and the tissues and bone that

support the teeth are broken down and destroyed. Gums separate from the

teeth, forming pockets (spaces between the teeth and gums) that become

infected. As the disease progresses, the pockets deepen and more gum

tissue and bone are destroyed. Often, this destructive process has very

mild symptoms. Eventually, teeth can become loose and may have to be


It's this loss of attachment and inflammation of the gums that help

dictate a need for deep cleanings. Nothing else. If you don't have

pockets, gum infections or periodontal problems, then there is nothing to

deep clean.

He went on to say, that a few years back, he hadn't used up any of his

dental insurance and that the dentist thought it was a good idea to get a

"deep cleaning". I asked him if he had a history of gum infections or

periodontal disease and he said no.

A typical deep cleaning aka scaling and root planning aka quadrant therapy

aka non-surgical periodontal therapy procedure is indicated when a patient

presents with gingivitis, deep pocket depths exceeding 4-5mm, neglected

hygiene, and, sub and supragingival bacterial deposits. Multiple

appointments are usually needed accompanied with the use of local

anesthetic for comfort.

Any area with pocket depths of 5mm and higher cannot be accessed with a

toothbrush or floss. As a result, deep cleanings are done to remove

plaque, tartar and bacteria from the pocket where the patient can't get.

This helps arrest the progression of the disease. When the deposits are

removed and the tooth structure is clean it promotes tissue reattachment

and reduces the inflammation. This allows the patient a better chance at

keeping the disease at bay. Periodontal disease is not curable, just

maintainable. If it goes untreated, the patient risks loosing their teeth

and other complications.

Anyway, as his story continued and not to my surprise, after enduring

needless treatment the insurance denied his claim. Apparently there was no

evidence of a need for the "deep cleaning" and paid about $1000.00 out of

pocket. Hopefully after my explanation he realized that a "deep cleaning"

is a specific procedure to help people with periodontal problems, not just

a really thorough cleaning.

5 stars Customer since 2009

I went in for Xrays, check up and a cleaning and they did a great job and I was in and out in no time.

They did a great job of consulting me on other work I need done at a later date.

4 stars Verified customer

Went in for my gum lengthening which went well. Only got shocked once! Also received temporary crown and build up. The temp stayed on. Dr. Nasr was patient.

2 stars Verified customer

Ask for full explanations of procedures and what to expect when you leave the dentist. Especially since they're closed on the weekends if you have a Friday appointment and something goes wrong.

1 stars Verified customer

This place makes me very upset!

1 stars Customer since 1997

Why am I getting this email? Due to an emergence I missed my appointment but waill resschedule.

5 stars Customer since 2001

As always, I received exceptional service from Dr. Nguyen and staff. Besides my regular x-rays and cleaning he bonded a tooth that needed repair without making me come back for another appointment. The office staff is always so congenial and efficient.

Gentle Dental Orange replied:

Ms. Vargo,

We appreciate your review and look forward to your next visit.

5 stars Customer since 2012

very nice people, gentle ,caring service

5 stars


Dr. Alkatib

Jose #2

Pablo Rodriguez

very professional