What happens at your first visit.
We reserve about 90 minutes. Here is how that time is spent, in order, so that none of it is a surprise.
The visit, in order.
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Before you arrive
Forms come to you online, so your time with us is spent on care, not paperwork.
- Online intake forms before arrival
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A room of your own
Clinical photos, then radiographs and an iTero digital scan of your bite and alignment.
- Clinical photographs
- Radiographs
- iTero digital scan
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The conversation
Medical history, diet, habits — understanding you comes before treating you.
- Full history conversation
- Airway & bruxism assessment
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The examination
An in-depth exam and oral cancer screening, alongside a review of everything gathered so far.
- Oral cancer screening
- Airway & bruxism assessment
- Comprehensive clinical examination
- Radiograph review
- Bone levels, decay between and underneath the teeth, and other changes that do not show on the surface.
- Digital scan review
- Where the teeth sit, including crowding, rotation and spacing, and how your bite comes together.
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Seeing it for yourself
Your plaque, live under the microscope.
- Live phase contrast microscopy
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Your plan, together
A personalized plan shaped around your goals, with time for your questions.
- Personalized plan
The airway assessment appears twice on purpose. The sleep screeners you filled out online are reviewed during the conversation, and the airway itself is looked at during the exam.
Before you come in
No clipboard in the waiting room. Once the appointment is set, the paperwork comes to you online, which is what protects the ninety minutes from turning into an hour of forms.
When you schedule as a new patient, your intake forms include the two validated sleep screeners clinicians use: the Epworth Sleepiness Scale and STOP-BANG. You fill them out online before you arrive, we score them, and we go through the results with you at your visit.
If online forms are difficult
If filling out forms online is difficult, or you would simply rather use paper, tell us when you call and we will email them to you to print and bring with you. Technology should not be the thing standing between you and an appointment.
What to bring
Photo ID, your insurance card, a list of your medications, and your nightguard or retainer if you wear one. Ideally your insurance details reach us with the online paperwork beforehand, but bring the card either way.
If you have had x-rays somewhere else
Send them over, or tell us where you were seen and we'll request them. If they were taken in the last six months we'll review them as part of your visit. We'll still take our own if they aren't of diagnostic quality or don't give us the full picture.
Is this visit a cleaning?
Not at this visit. The first appointment is a full evaluation, and we want the whole picture before booking your hygiene visit, because what your gums need depends on what we find. Your cleaning gets scheduled once we have it.
If you are nervous, or bringing someone who is
Gently. Just tell us when you call: a slower pace, extra time, and nitrous oxide comfort are all available. Patients with special needs are welcome at their own pace.
We see all ages, from kids to grandparents. If the visit needs to be shaped around someone in particular, the phone is the best place to start, because a real person answers it. There is more on how we approach this on our special needs dentistry page.
Insurance and payment
We accept all PPO plans. No insurance? Club BU membership starts at $1.50 a day and includes 20% off treatment, and flexible financing is available through Cherry.
What the visit costs depends on your insurance. That is the other reason the paperwork matters: when your details reach us ahead of the appointment, our front desk has time to review your plan, so the estimate you get in the office is an accurate one rather than a guess.
What happens after
At the interval your biology actually needs, not a default six months. Your bacterial profile and gum health set the rhythm, and we'll recommend yours after your first visit.
If what we see under the microscope suggests it is warranted, we can go further with comprehensive salivary pathogen testing. That is explained on the bacterial and salivary testing page, along with what the microscope can and cannot establish on its own.
If you were sent to us by a physician or another clinician, we report what we find back to them with your consent. That side of the practice is described on our page for physicians and providers.
Why this much time
The mouth is one of the few places where chronic inflammation can be found, looked at directly, and treated. That is the reason the first visit is built around understanding rather than a quick check, and it is the thread running through everything else on this site.
Ready when you are.
No pressure, no phone tree. Ask us anything before you book.
Find us in Pleasant Hill.
401 Gregory Lane, Suite 218 Pleasant Hill, CA 94523 (925) 687-0343- Mon
- 8am–5pm
- Tue–Thu
- 9am–5pm
- Fri
- 9am–2pm
- Sat–Sun
- Emergencies only
Serving Pleasant Hill, Walnut Creek, Concord, Martinez, Lafayette & nearby communities · Get directions