Identity Smile Bespoke Dentistry London | Smile Makeover | Porcelain Veneers


Cleaning & Deep Cleaning

The right daily care routine and regular visits to a dental office for professional teeth cleanings are crucial elements of an effective prevention program.

Identity Smile Bespoke Dentistry London | Smile Makeover | Porcelain Veneers

About This Treatment

Real prevention is a cooperative effort between you and your dentist. At the Identity Clinic we take the time to educate our patients on how to keep good oral health. 

A full prevention program includes regular dental exams, cleanings, and x-rays. When necessary, sealants and fluoride can also be effective prevention aids that help protect and preserve the teeth.

At your cleaning appointment, we will visually examine your teeth to identify any signs of disease. The cleaning will target the spaces between the teeth and gum line. Each tooth will be cleaned using special instruments and a cleaning agent to remove all bacteria, plaque, and tartar. The dentist will also polish the surface of the tooth during this appointment. We will discuss how to improve your oral hygiene with routine brushing and flossing based on the cleaning. Dental x-rays may also be taken following the cleaning to provide more detailed information about the health of the tooth roots and jaw bones.

Periodontal cleanings: Gum Disease and Gum therapy 

Periodontal cleanings are the type of cleanings needed if a patient shows gum disease, gingivitis or dental bone loss.

What is Gum Disease and how is it treated?

Gum disease or periodontal disease can initiate the breakdown of the bone around the teeth, the gums to recede and the tooth roots to become exposed.

This makes teeth more susceptible to damage and decay. 

Untreated gum disease or gum recession can make you at risk for:

  • Tooth loss
  • Root decay
  • Sensitivity
  • Loose teeth

Gum disease is caused by the build-up of unwanted bacteria around the teeth. This build-up is called plaque. In the event of poor oral hygiene, plaque accumulates and the amount of unwanted bacteria found in that plaque can lead to a variety of gum issues, including bad breath, gum damage, inflammation and loss of the bone surrounding the teeth and giving it support.

Over time, this can cause the gums to pull away from the teeth, form extra spaces between the teeth and the gums which are called periodontal pockets. These pockets will trap plaque and bacteria over time. When the bacteria accumulates deep in the pockets, it becomes impossible to remove it with normal brushing. This is when deep cleaning is needed. If left untreated, gum disease can lead to bone and tooth loss.   Early detection of gum disease is therefore vital to limit the damage and bacteria build-up from beneath the gumline.

How is gum disease treated? By deep cleaning or what dentists call periodontal treatment. A Periodontal cleaning is done by scaling and root planing. 

  • Scaling is the process of removing the plaque and tartar from both above and below the gumline – all the way down to the bottom of the pocket. Periodontal pockets are the spaces surrounding the teeth and located under the gums.These pockets can become filled with bacteria.
  • Root Planing is done after scaling, by smoothing out the roots’ surface of teeth in order to help gums reattach to the teeth.

Root planing and scaling is generally performed using local anesthesia to reduce discomfort. Special manual instruments, called scalers, are used to reach below the gums to remove the bacteria, plaque, and tartar (calculus) to restore the health of the gum tissues and teeth. Once the cleaning is complete and the debris has been removed, a special antibiotic can be placed to treat the areas that are more difficult to reach and to protect them against further progression of the disease.

Here are the different Types of Periodontal Treatments:

  • Deep Cleaning
    If you have the early signs of gum disease, such as gingivitis, then our specialist periodontist will begin by cleaning your teeth thoroughly. This process is known as scaling and root planing and begins with a deep clean using gritty toothpaste and specialist instruments called scalers. This will remove bacteria and tartar (calculus) from below the gum line. Extensive scaling may be required if gingivitis has developed into periodontitis. You may need a local anaesthetic injected into your gums to block the feeling, although you will remain conscious during the treatment.
  • Periodontal Gum Surgery
    In the case where  your gum disease is severe, the gum tissue may require more extensive repair work. 
  • Antibiotics and Other Medications
    Medications may be prescribed in conjunction with a deep cleaning treatment. Antibiotics, alone, are not considered an effective way of treating periodontitis but are still used in severe cases of gum disease. In some instances, medications may be administered to reduce the need for surgery over a longer period of time. 
  • Medicated Mouthwash
    Our specialist periodontist may recommend using an antiseptic mouthwash to incorporate into your daily routine to ensure the healing of inflamed gums.


Dr. Germain is the only dentist I’d see in London. She is incredibly proficient and efficient in her treatment and can so easily explain her work to the patient’s understanding. Have gone in for a routine check up and received an immaculate repair in the same amount of time. Not just an amazing dentist but a beautifully kind human being as well.

-Google Reviews

Frequently Asked Questions

How is Periodontal Disease Treated?

At Identity Clinic, gum disease treatment is carried out by our specialist periodontist who is qualified in the treatment and care of conditions such as periodontal disease ( gum disease). He will perform a detailed assessment and a plan to address your periodontal disease.
The next step is to discuss the process of how to cure your gum disease effectively. If caught in the early stages, the treatment will involve a procedure called scaling and root planing. This requires a method of removing the plaque and calculus from around the teeth to decrease the pockets /spaces that have developed around them. A deep clean and smoothing of the root surface follows. This simple course will help aid the teeth back to health.
However, more advanced cases require a more detailed treatment. This can involve surgical treatment and/or medication depending on what is deemed the best course in how to treat the gum disease.

How do I know I have gum disease?

If your gums bleed when you brush or floss; or you feel some soreness,
you then might have a periodontal disease.
Periodontal disease is often undiagnosed because it is not painful. Yet it affects millions of people. It can have serious consequences such as tooth loss or gum recessions.

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Client Reviews

Highly recommend Dr Germain and her colleagues. Not only she has a great personality, she makes sure that the BEST job is provided and the patient is happy with her job. Best experience I had in a dental practice.
Maryam Javidan
Maryam Javidan
Dr Germain did my orthodontist work. She has done a tremendous job and was really attentive to answering my numerous questions.
She was also available to deal with my queries even out of office hours.
I highly recommend dr German for anyone looking for a truly caring and qualified dentist.
Grégoire Pennec
Grégoire Pennec
My experience with Dr. Germain has been nothing short of a pleasure. The attention to care and comfort is second to none and it’s a genuine joy to go to the dentist when being seen by Dr. Germain. She has taken her time inside and outside of our normal appointments to ensure that I am getting the treatment that I need to be confident about my teeth and oral hygiene. Superb knowledge and facilities, top tier professionalism but also a reassuring and friendly presence - couldn’t recommend her more highly.
Ryan Couch
Ryan Couch
Dr. Alexandra is the best dentist you can find in London! I contacted her for an emergency and I got an appointment within 1 hour! She is not only an amazing doctor but also a lovely person. I would definitely recommend her.
Benedetta Bisetto
Benedetta Bisetto
I was very nervous going to the dentist after too many years avoiding it. Dr. Germain was amazing! Professional but down to earth, she was able to put me at ease. Setting up appointments with her assistant, Chloe has been a breeze and very client-centric. Definitely recommend!
Saul Palomera
Saul Palomera
Dr. Germain is the best dentist I’ve ever had. She is incredibly thorough, uses the latest technology, and is totally present and focused during visits. I actually look forward to cleanings with her! The relaxing music and overall environment help. :) I recommend her enthusiastically!
Sonia Miranda Tekle
Sonia Miranda Tekle
Dr Germain has literally changed my life for the better! Thanks to her amazing meticulous work, she was able to conduct the best smile makeover for me.

I’m over the moon with my new smile!
Sam EA
Sam EA
Yay! Finally found a good dentist in London. Dr. Germain does all the right checks (lymph-nodes, tongue and mouth check, jaw, etc) and her cleaning is the best I've had in London. She doesn't waste time trying to upsell you on things (this can be common in the US) but she'll answer all your questions and provide an opinion on options and cost and leave it with you -- which is great. Definitely my primary dentist now.
Excellent dentist with a wonderful sense of humor, patient-focused, available and sympathetic. I had total confidence visiting the office multiple times during the pandemic. She has a very good associated periodontist. If you are looking for an American-style dentist I highly recommend Dr. Germain. She is also experienced with US dental insurance forms.
Robin Abrams
Robin Abrams
Dr. Germain is an OUTSTANDING dentist! She exceeded my expectations in delivering the highest quality results and a smile that brings me so much confidence. She is professional, thorough, efficient and cares about me as a patient. She's proactive and checks in post-dental work to make sure all is going smoothly; I couldn't recommend her enough! She has made visits to the dentist much more positive than any other dentist!
Georgina Fitzpatrick
Georgina Fitzpatrick
Dr. Germain is incredible about seeing the whole picture, made the biggest difference to my face, teeth and I’m incredulous more dentists are NOT like her but wow! I am LUCKY to have found her. She is incredibly tenacious about getting results you are happy with. Her ethics are second to none. The people she co-ordinates with are incredible. Her team are wonderful. She works for you. I now have my gum lines fixed, a set of straight, all natural looking teeth (I showed her my picture before accident so I look like me again!) and my whole face looks fresh. Taken years of me. I can smile!!!
Akashia LondonTalent
Akashia LondonTalent
Dr Germain is an excellent dentist and a lovely, warm and caring person. She is highly knowledgeable and skilled and takes the time to fully explain everything she does so that you feel comfortable and informed as the patient. As a Canadian, I previously had avoided dentists in the UK, preferring to wait until I returned to Canada several times a year to go to a dentist I trusted. I searched long and hard for a dentist I felt confident in in London, and I am so happy to have found an excellent dentist in Dr Germain. I would highly recommend her!
Hayley Jones
Hayley Jones
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