Return to the deal

Dr Shriver's La Jolla Smile Center - Village

$49 for Dental Checkup with Exam, X-Rays, Cleaning, and Take-Home Whitening Kit at La Jolla Smile Center ($888 Value)

The Fine Print

  • Expires 180 days after purchase.
  • Limit 1 per person, may buy 1 additional as a gift. Limit 1 per visit. Appointment required. New clients only. Not valid for those with periodontal disease. Consultation required; non-candidates will be refunded. Must use promotional value in 1 visit.
  • See the rules that apply to all deals.

Questions and Answers 2 questions

Commonly Asked Questions

Q:

Is the cleaning a full cleaning, or a polish? On one Groupon offer in the the past, the offer offer said, "cleaning" but when you go to them they say, "You need additional deep cleaning....which we can do for $150." Naturally, I was put-off and never went back. That defeats the puruspose of the special offer, would you say? I'm used to getting a full cleaning, scraping the tartar and getting under the gum line, tooth by tooth, topped off with a quick polish. That used to be called a "cleaning." Can you clarify your process and procedure? Thank you!

Robert S.  asked on  May 31, 2013

A:

Dear Robert , Thank you for bringing up this matter into attention. There is widespreads confusion in this area. I believe the solution lies in your own understanding of the difference between prophy/polish and scaling and root planing/deep cleaning. First, let's establish that prophy are for healthy mouths. Definition of dental prophylaxis by American Dental Association is performed on transtitional or permanent dentition which includes scaling and polishing procedures to remove coronal plaques, calculus, and stains. The key word is "coronal".All hygienists and dentists do subgingival scaling on many patients who have not been classified as periodontal patients. The reality is that patients who accumulates supragingiva calculus deposits invariably will have subgingival deposits as well.However, in the strickest sense of definition, a prophy/polish is a simple procedure on a patient that does not have significant subgingival deposits or periodontal pocketing.The typical prophy patient comes every six months exhibits excellent homecare, has healthy gingival tissues, does not bleed on gentle probing and has no pockets over 4 mm. Now let's examine the definition of scaling and root planing or deep cleaning. This is defined as a procedure involves instrumentation of the crown and root surfaces of the teeth to remove deposits and is therapeutic, not prophylactic, in nature. Root planing is the definitive procedure designed to remove plaque and calculus from these surfaces. It is indicated for patients with periodontal disease and is for the removal of the cementum and dentin that is rough and/or permeated by calculus or contaminated with toxins or microorganism. Some soft tissue removal occurs. Periodontal procedure for the most part ,subgingival in nature.Periodontal scaling requires more skill and expertise than prophylaxis procedures.Patients with periodontal disease, either active or inactive, bears the scars of the disease process - such as bone loss and pocketing - which is rarely generalized through out the mouth.Periodontal disease is a bacterial and/or viral proliferation of pathogens that overwhelms the host defenses and spurs the host's own immune system to initiate a breakdown of supporting tooth structures. Periodontal disease also is episodic in nature.Destructive episodes can occur unbeknownst to the patient and can be triggered by stress, disease or other systemic problems. We also know that periodontal disease is not "curable" disease, but it is controllable in most patients.Therefore when a patient has experienced periodontal disease in the past,we must be ever - vigilant to monitor for signs of active disease long after the disease has been brought under controlled through good periodontal therapy. Now there is another term called " periodontal maintenance". This is a procedure for patients who have completed periodontal treatment ( surgical and/ or non surgical periodontal therapies ) and in needs of removal of the bacterial flora from crevicular and pocket areas, scaling and polishing of the teeth, periodontal evaluation, and a review of the patient's plaque control efficiency.Typically an interval of three months between appointments results in an effective treatment schedule, bu this can vary depending upon the clinical judgement of the dentist. When new or recuring periodontal disease appear, additional diagnostic and treatment procedures must be considered. Periodic maintenance treatment following periodontal therapy is not synanomous with a prophylaxis. The goal of Scaling root planing or deep cleaning is to remove as much subgingival debris as possible and disrupt/destroy the bacterial proliferation.The goal in periodontal maintenance is to debride the sulcular areas of attached and non attached plaque pathogens.That being said, you are controlling the periodontal disease. I hope this information helps. Sincerely, Neni Shriver,DDS

neni s.  from  Merchant  replied on  May 31, 2013

Q:

Thant's a lot of detail, which is appreciated. However, I still don't know what to expect if I come for an exam and a "cleaning." Polishing my teeth is niot what I want. I wanted what dental hygenist always did before, over the years of my denatl experiences: Clean my teeth! It "cleaning" has become some kind of complex periodontal disease prevention serice costing hundreds of dollars (and I have been quoted thousands by one dentist....only to get a proper "cleaning" somewhere else from a dental hygienist with 20 years experience who said my teeth and gums looked great and that I did a great job flossing and brushing. Go figure! I'm just wondering which service you provide" A proper teeth cleaning treatment, or an exam and teeth polishing - and proposal for "deep cleaning" at a much higher cost?

Robert S.  asked on  May 31, 2013

A:

Hi Robert, If you have a regular dental cleaning every six months, I really doubt you have significant tartar unless your oral hygiene is very poor. I am not going to assume you will need a deep cleaning just because other dentist said so The prophy that we will do on our patient will involve removal of stains, tartar supra gingiva / above gum line and some at the gum line. So basically your teeth will look cleaner, whiter. If there is evidence that not only you have lots of tartar under the gum line but also receded gum which expose the root that is an indication for deep cleaning. We will still clean your teeth but we don't take care of pockets that was created by those tartar under the gum line. It's not noticeable easily, but it should be detected with periodontal probe ( remember when your hygienist or dentist poke your gum?) Dr.Shriver

neni s.  from  Merchant  replied on  May 31, 2013

More Questions and Answers

Q:

Thant's a lot of detail, which is appreciated. However, I still don't know what to expect if I come for an exam and a "cleaning." Polishing my teeth is niot what I want. I wanted what dental hygenist always did before, over the years of my denatl experiences: Clean my teeth! It "cleaning" has become some kind of complex periodontal disease prevention serice costing hundreds of dollars (and I have been quoted thousands by one dentist....only to get a proper "cleaning" somewhere else from a dental hygienist with 20 years experience who said my teeth and gums looked great and that I did a great job flossing and brushing. Go figure! I'm just wondering which service you provide" A proper teeth cleaning treatment, or an exam and teeth polishing - and proposal for "deep cleaning" at a much higher cost?

Robert S.  asked on  May 31, 2013

A:

Hi Robert, If you have a regular dental cleaning every six months, I really doubt you have significant tartar unless your oral hygiene is very poor. I am not going to assume you will need a deep cleaning just because other dentist said so The prophy that we will do on our patient will involve removal of stains, tartar supra gingiva / above gum line and some at the gum line. So basically your teeth will look cleaner, whiter. If there is evidence that not only you have lots of tartar under the gum line but also receded gum which expose the root that is an indication for deep cleaning. We will still clean your teeth but we don't take care of pockets that was created by those tartar under the gum line. It's not noticeable easily, but it should be detected with periodontal probe ( remember when your hygienist or dentist poke your gum?) Dr.Shriver

neni s.  from  Merchant  replied on  May 31, 2013

Q:

Is the cleaning a full cleaning, or a polish? On one Groupon offer in the the past, the offer offer said, "cleaning" but when you go to them they say, "You need additional deep cleaning....which we can do for $150." Naturally, I was put-off and never went back. That defeats the puruspose of the special offer, would you say? I'm used to getting a full cleaning, scraping the tartar and getting under the gum line, tooth by tooth, topped off with a quick polish. That used to be called a "cleaning." Can you clarify your process and procedure? Thank you!

Robert S.  asked on  May 31, 2013

A:

Dear Robert , Thank you for bringing up this matter into attention. There is widespreads confusion in this area. I believe the solution lies in your own understanding of the difference between prophy/polish and scaling and root planing/deep cleaning. First, let's establish that prophy are for healthy mouths. Definition of dental prophylaxis by American Dental Association is performed on transtitional or permanent dentition which includes scaling and polishing procedures to remove coronal plaques, calculus, and stains. The key word is "coronal".All hygienists and dentists do subgingival scaling on many patients who have not been classified as periodontal patients. The reality is that patients who accumulates supragingiva calculus deposits invariably will have subgingival deposits as well.However, in the strickest sense of definition, a prophy/polish is a simple procedure on a patient that does not have significant subgingival deposits or periodontal pocketing.The typical prophy patient comes every six months exhibits excellent homecare, has healthy gingival tissues, does not bleed on gentle probing and has no pockets over 4 mm. Now let's examine the definition of scaling and root planing or deep cleaning. This is defined as a procedure involves instrumentation of the crown and root surfaces of the teeth to remove deposits and is therapeutic, not prophylactic, in nature. Root planing is the definitive procedure designed to remove plaque and calculus from these surfaces. It is indicated for patients with periodontal disease and is for the removal of the cementum and dentin that is rough and/or permeated by calculus or contaminated with toxins or microorganism. Some soft tissue removal occurs. Periodontal procedure for the most part ,subgingival in nature.Periodontal scaling requires more skill and expertise than prophylaxis procedures.Patients with periodontal disease, either active or inactive, bears the scars of the disease process - such as bone loss and pocketing - which is rarely generalized through out the mouth.Periodontal disease is a bacterial and/or viral proliferation of pathogens that overwhelms the host defenses and spurs the host's own immune system to initiate a breakdown of supporting tooth structures. Periodontal disease also is episodic in nature.Destructive episodes can occur unbeknownst to the patient and can be triggered by stress, disease or other systemic problems. We also know that periodontal disease is not "curable" disease, but it is controllable in most patients.Therefore when a patient has experienced periodontal disease in the past,we must be ever - vigilant to monitor for signs of active disease long after the disease has been brought under controlled through good periodontal therapy. Now there is another term called " periodontal maintenance". This is a procedure for patients who have completed periodontal treatment ( surgical and/ or non surgical periodontal therapies ) and in needs of removal of the bacterial flora from crevicular and pocket areas, scaling and polishing of the teeth, periodontal evaluation, and a review of the patient's plaque control efficiency.Typically an interval of three months between appointments results in an effective treatment schedule, bu this can vary depending upon the clinical judgement of the dentist. When new or recuring periodontal disease appear, additional diagnostic and treatment procedures must be considered. Periodic maintenance treatment following periodontal therapy is not synanomous with a prophylaxis. The goal of Scaling root planing or deep cleaning is to remove as much subgingival debris as possible and disrupt/destroy the bacterial proliferation.The goal in periodontal maintenance is to debride the sulcular areas of attached and non attached plaque pathogens.That being said, you are controlling the periodontal disease. I hope this information helps. Sincerely, Neni Shriver,DDS

neni s.  from  Merchant  replied on  May 31, 2013

1 - 2 of 2 questions

Grouber