Dental cleanings are a routine part of oral health maintenance, designed to remove plaque and calculus buildup that regular brushing and flossing cannot. While these procedures are generally safe and beneficial, many individuals report experiencing discomfort or a sensation that their dental hygienist is “too rough.” Understanding the reasons behind these feelings and distinguishing normal pressure from excessive force is important for a comfortable and effective cleaning. This article explores common sensations and provides guidance on addressing concerns.
Understanding the Sensations During a Cleaning
The primary objective of a dental cleaning is to meticulously remove plaque and calculus, also known as tartar, from tooth surfaces and below the gum line. Calculus is a hardened deposit that adheres firmly to teeth and requires mechanical force for its removal. This necessary force contributes directly to the sensations of pressure, scraping, or vibration felt during the procedure.
Healthy gum tissue can register pressure from the instruments used, even when no damage occurs. If gums are inflamed due to gingivitis, they can be particularly sensitive and prone to bleeding, making the cleaning feel more intense. Instruments commonly used include ultrasonic scalers, which utilize high-frequency vibrations to dislodge calculus, and manual hand scalers, which involve precise scraping motions.
Distinguishing Normal Discomfort from Excessive Force
During a dental cleaning, it is normal to experience a range of sensations, including localized pressure, a scraping feeling, or vibrations. These are often brief and intermittent, occurring as the hygienist removes stubborn deposits. Slight, transient gum bleeding is also common, particularly with pre-existing inflammation or when calculus is dislodged from beneath the gum line.
However, certain signs indicate excessive force. Persistent, sharp pain that does not quickly subside after the instrument is moved away is a red flag. Significant or prolonged bleeding beyond a few minutes post-procedure suggests undue pressure or trauma. Visible trauma, such as nicks or cuts on the gums or other soft tissues, clearly indicates excessive force.
Unusual soreness in the teeth or gums lasting more than 24 hours after the cleaning may signal too much force was used. Prolonged or excessive pressure can lead to undesirable outcomes like gum recession, where gum tissue pulls away from the tooth surface. It can also contribute to enamel abrasion or, in rare cases, irritate nerves within the teeth, causing prolonged sensitivity. Recognizing these distinct differences helps patients understand when to voice their concerns.
Addressing Concerns and Communicating with Your Dental Team
If you experience discomfort or suspect excessive force during a dental cleaning, it is important to communicate with your dental hygienist or dentist immediately. Waiting until the appointment is over makes it difficult for them to address your concerns effectively. Open dialogue during the procedure allows for real-time adjustments to improve your comfort.
When voicing your concerns, try to be specific about the sensation and its location. For instance, stating “I’m feeling a sharp pain here” while pointing to the area, or asking “Could you use a lighter touch?” can provide clear guidance. Dental professionals are trained to respond to patient feedback and can adjust their technique, offer a topical anesthetic, or provide short breaks if needed.
If concerns persist after the appointment, or if communication during the cleaning was not effective, you have follow-up options. Contact the dental office to discuss your experience with the dentist or office manager. This allows for a review of your concerns and helps ensure your future dental visits are as comfortable and effective as possible.