Hygiene Visits

shutterstock_278571245Routine hygienIST visits are a key part of preventative dental care.

Your professional dental cleaning will be performed by our courteous and knowledgeable registered Dental Hygienist Eva Piskor and Lucy Grimsey.

Our Hygiene appointments are 30, 45 or 60 minutes in duration. The time allocated is tailored to individual needs and preferences.

Direct Access Hygienist visits

Want to see the hygienist and not the dentist, no problem. We offer Direct Hygienist access, which means you can have your teeth cleaned without having to see a dentist (details below).

The first appointment with the hygienist under direct access will always be 45 minuted or if requested by the patient longer.

Routine Hygiene Costs:

(Cigna, Denplan and Boston House dental care plan patients can be eligible for discounts of up To 20%)

30 minutes £65 (with discount £52)

45 minutes £95 (with discount £76)

60 minutes £120 (with discount £96)

Costs related to periodontal patients are given on individual basis usually at the time of treatment planning.

We strive to make our costs as clear as possible : We don’t charge any extras or use a confusing menu system.

Airflow Cleaning System

The air flow system is great for removing deep and hard to get to stains, such as for smokers or heavy tea/coffee drinkers.

We use this system when appropriate and there is supplementary £24.00 charge for all airflow cleaning appointments.


Your cleaning appointments may include the following:

  • Removal of calculus (tartar): calculus is hardened plaque that accumulates on the tooth surface both above and below the gum line. Tartar can only be removed by special dental instruments.
  • Removal of plaque: plaque is a sticky colourless film consisting of living bacteria, food debris and saliva. Action of plaque can cause gum inflammation (gingivitis) and, in certain instances, the loss of the bone needed for the support of the tooth (periodontitis).
  • Teeth polishing: gentle tooth polishing removes stains and plaque and can help you enjoy that ‘just left the dentist feeling’.
  • Airflow Polishing System: this is a gentle and modern system which helps us to remove tough to get to stains. It is particularly useful for individuals who are smokers, eat and drink foods with colourants like tea, coffee and curries or have particularly crowded teeth making home tooth cleaning more difficult.
  • Oral hygiene instructions: these are steps and techniques which we will help you to develop and master. These home techniques will help you reduce the future risks of decay and gum disease and maintain a fresh clean mouth
  • Smoking cessation advice: We are very proud to have been able to help many of our patients to reduce or stop smoking. We are here to help and assist when our patients feel the time is appropriate.

Nervous patients, treatment with our hygienist

Some people say that they dislike having their teeth scaled more than treatment with a dentist. Please be assured that Eva and Lucy, our hygienists, are also very gentle and nice, and will use the most appropriate techniques to reduce any discomfort.

How much time would I need?

For routine hygiene visits we offer 3 appointment times of 30, 45 and 60 minutes duration.

30 minute appointments: Are appropriate for individuals whose oral hygiene is  good to moderate and who don’t need much instructions in oral hygiene techniques such as tooth brushing or inter-dental cleaning.

45 and 60 minute appointments: Are more suitable in the following circumstances:

1- Intensive oral hygiene instructions- tooth and or dietary advice.

2- Presence of tenacious deposits of calculus particularly below the gum level.

3- General or hard to get to staining. Mostly seen in smokers or heavy users of foods with colourants such as tea/coffee.

4- Patients with a history of or active periodontal disease, severe Gingivitis or high rates of dental decay.

5- Patients needing additional pain control through the administration of Local Anaesthesia.

6- patients who are at the start of complex dental treatments such as fixed orthodontic treatment or a full mouth reconstructions.

7- Direct Access Hygiene patients.

8- Hygiene with airflow.

How often do I need to be seen?

The interval for cleaning can vary between individuals and can be from 1,3,4,6, 9 and 12 months.These intervals are monitored and are reassessed regularly and are changed depending on the risk factors.

Individuals with good to moderate oral hygiene fall in the 6 to 12 monthly interval category. Your dentist and hygienist, in consultation with you, will help to draw up the appropriate time intervals.

Risk factors considered:

  • Speed at which plaque, staining, dental decay or gum (periodontal) disease can develop.
  • Existing or potential damage to the foundation bone around the teeth as a consequence of active or historic periodontal disease (gum disease).
  • Presence of medical conditions which can increase the risks of periodontal disease or dental decay such as diabetes or Sjogrens syndrome.
  • Presence of habits such as smoking.
  • Risk factors associated with the current condition of the teeth. Such as the number, position or extent of the existing restorations.

Hygienist Direct Access- No need to see the dentist

What is Direct Access?

Since 1 May 2013, Direct Access allows patients the option of seeing a registered hygienist or dental therapists without having to be seen by a dentist or needing a prescription from a dentist.

However only dentists can still carry out the full range of dental treatments, prescribe local anaesthesia and write prescription for medicines. Routine dental examinations with your dentist are the cornerstone of preventative dentistry.

Direct access hygiene visit are 45 minutes to 60 minutes in duration. This is to allow enough time for your hygienist to carry out the professionally required checks such as those for medical, dental and social history.

Patients should be aware that visiting the hygienist is not the same as having a dental exam with a dentist.

Direct Access consent:(see below)

1- treatment provided is periodontal management only and is not a substitute for the care provided by a dentist.

2- Hygienists can not diagnose oral conditions but can suggest an appropriate referral.

3- Boston House Dental Clinic will not provide compensation for lost restorations, broken or damaged teeth, infection or pain through treatment received through Direct access.

4- Hygienists can refuse to see a patient if they feel it is in their best interest and should instead see a general dentist.

5- As part of the patients ongoing care it is recommended that all patients see their dentist on a regular basis.

6- For patients with their own general dentist- The dentist will set limits for hygiene access without the need for routine examination. This will be a maximum of three years, but could be less depending on the persons individual treatment needs/ duty of care.

7- The first appointment with the hygienist will always be 45 minuted or if requested by the patient longer.

Benefits of dental Hygiene appointments:

During your regular dental visits, you will be advised to undertake dental cleaning. Poor oral hygiene can be a contributing factor to a multitude of both dental and medical problems. Attending your dentist regularly and undergoing professional cleaning is an essential component to good oral health.

You may be surprised to learn that some of the benefits of clean teeth extend far beyond your mouth too. Here are 5 of the benefits to your oral and physical health that regular professional cleaning will provide:

1. Prevent tooth loss

Gum disease begins with a build-up of plaque and can end in tooth loss. Plaque is a build-up of bacteria which happens to everyone but it does need to be cleaned off from around your gumline regularly to keep your gums in top condition. Your dentist will help remove the plaque to reduce the risk of losing your teeth or developing periodontal disease.

2. Prevent cavities

Alongside gum disease, plaque and cavities come hand in hand. Left to its own devices, plaque will attach to the enamel on your teeth and release acids which cause erosion and cavities. A good professional clean will help to rid your teeth from plaque.

3. Reduce staining

Dental cleaning will help to reduce or even remove staining on your teeth. Coffee, wine and tobacco are some of the most common causes of discolouration. A good clean will leave your teeth looking brighter and sometimes even whiter.

4. Improve your health

A healthy mouth reduces your risk of heart disease and stroke. The bacteria which is present in plaque can enter the bloodstream which increases the likelihood of these serious health conditions. Poor oral hygiene has also been linked to diabetes, infertility, heart disease, erectile dysfunction and even cancer.

5. Prevent bad breath

More often than not, when bad breath or halitosis is present it is due to an underlying dental problem. Regular, professional oral hygiene is crucial to preventing bad breat