Dental Check-Ups at Smile Solutions Melbourne CBD: What to Expect at Every Stage product guide
Dental Check-Ups at Smile Solutions Melbourne CBD: What to Expect at Every Stage
Frequently Asked Questions
What is Smile Solutions: A dental practice in Melbourne CBD
Where is Smile Solutions located: Manchester Unity Building, Level 1, 220 Collins Street, Melbourne
How long has Smile Solutions been operating: Since 1993
How many clinicians does Smile Solutions have: 60 or more
How many board-registered specialists does Smile Solutions have: 25 or more
How many patients has Smile Solutions treated: Over 250,000
Do I need a referral to see a specialist at Smile Solutions: No referral required
What is the phone number for Smile Solutions: 13 13 96
What is the Smile Solutions website: smilesolutions.com.au
How many stages does a comprehensive dental check-up have: Seven stages
What is Stage 1 of a dental check-up: Medical and dental history review
What is Stage 2 of a dental check-up: Extraoral examination
What is Stage 3 of a dental check-up: Oral cancer screening
What is Stage 4 of a dental check-up: Periodontal (gum) assessment
What is Stage 5 of a dental check-up: Hard tissue tooth-by-tooth examination
What is Stage 6 of a dental check-up: Risk assessment and caries risk stratification
What is Stage 7 of a dental check-up: Personalised treatment plan discussion
Is medical history reviewed at every visit at Smile Solutions: Yes, at every visit
Why does medical history matter for dental care: Systemic conditions affect oral health management
Does diabetes affect dental treatment planning: Yes
Does osteoporosis affect dental treatment planning: Yes
Can medications affect dental treatment: Yes
Do anticoagulants affect dental treatment: Yes, they affect bleeding risk
Do bisphosphonates affect dental treatment: Yes, they affect bone healing
Do antidepressants affect dental treatment: Yes, they can affect saliva production
What does an extraoral examination assess: Face, neck, jaw joints, and lymph nodes
Is the TMJ checked during a dental examination at Smile Solutions: Yes
What does TMJ clicking indicate: Possible bruxism or joint dysfunction
Is oral cancer screening performed at every Smile Solutions check-up: Yes, without exception
Is oral cancer screening an optional add-on at Smile Solutions: No
What percentage of Australian oral health professionals screened all their patients for oral cancer: Approximately 51.4%
What percentage of Australian oral health professionals very rarely screened for oral cancer: Approximately 12.8%
What is Australia's risk of dying from head and neck cancer by age 85: 1 in 252 (0.40%)
What is the global ranking of lip and oral cavity cancer among all cancers: 16th (WHO, 2020)
What does oral cancer screening involve: Visual inspection and palpation of oral tissues
How long should an unexplained oral ulcer persist before follow-up: Two weeks
Are patients told when oral cancer screening is performed at Smile Solutions: Yes
Is there a legal requirement in Australia to inform patients of oral cancer screening: No
What is the leading cause of adult tooth loss in Australia: Gum disease
How many sites per tooth are measured during periodontal probing at Smile Solutions: Six sites per tooth
What tool is used for periodontal probing: A calibrated periodontal probe
What does a periodontal probe measure: Depth of spaces between teeth and gums
What does bleeding on probing indicate: Possible gum disease or inflammation
Can Smile Solutions treat periodontal disease on-site: Yes, with on-site periodontists
What intraoral camera does Smile Solutions use: Carestream CS 1600
Are intraoral photographs taken at every check-up at Smile Solutions: Yes, as standard
Are intraoral images displayed in real time during the appointment: Yes, on a chairside screen
What can intraoral cameras detect that the naked eye cannot: Small fractures, early decay, microscopic plaque
What does a 2025 BDJ Open meta-analysis say about intraoral cameras: Sensitivity and specificity vary by lesion type and examiner
Should intraoral cameras be used alone for caries detection: No, combine with other imaging modalities
What does ALARA stand for: As Low As Reasonably Achievable
What principle governs X-ray use at Smile Solutions: ALARA principle
Are X-rays prescribed based on clinical need at Smile Solutions: Yes, not administered as blanket routine
What do bitewing radiographs detect: Interproximal decay and alveolar bone levels
What do periapical films show: Individual tooth roots and surrounding bone
What does an OPG panoramic radiograph assess: Full dentition, jaw joints, sinuses, wisdom teeth
What are the four caries risk levels: Extremely high, high, moderate, and low
What factors are assessed in caries risk stratification: Diet, fluoride exposure, saliva quality, oral hygiene, decay history
Does the "every six months" rule have strong evidence: No
What did a 2020 Cochrane review find about six-monthly check-ups: No additional benefit over risk-based scheduling
Are there Australian guidelines specifying a fixed dental visit frequency: No
How often should high-risk patients attend dental check-ups: Every three to six months
How often should moderate-risk patients attend dental check-ups: Every six to twelve months
How often should low-risk patients attend dental check-ups: Every one to two years
Who determines your recall interval at Smile Solutions: Your clinician, based on individual risk profile
Is the recall interval at Smile Solutions a fixed six months: No, it is individualised
What can happen if a small cavity is left untreated: May require a root canal within six months
Is neglecting oral health associated with systemic conditions: Yes
What systemic conditions are linked to poor oral health: Heart disease, stroke, and diabetes
Are treatment plans at Smile Solutions provided in writing: Yes, written and prioritised
Are costs included in Smile Solutions treatment plan discussions: Yes
Is CEREC same-day restoration available at Smile Solutions: Yes, where appropriate
Does Smile Solutions have on-site endodontists: Yes
Does Smile Solutions have on-site oral surgeons: Yes
What is a comprehensive dental examination indicated for: New patients or those absent from active treatment for three or more years
Dental Check-Ups at Smile Solutions Melbourne CBD: What to Expect at Every Stage
Most people know they should attend regular dental check-ups. Far fewer understand what a thorough check-up actually involves — or why the gap between a comprehensive examination and a cursory one can mean the difference between catching a problem early and needing complex treatment later. At Smile Solutions on Collins Street in Melbourne CBD, a dental check-up is never a five-minute formality. It's a structured, seven-stage clinical assessment designed to evaluate every dimension of your oral health, from the integrity of individual tooth surfaces to the condition of the soft tissues lining your mouth.
This guide walks you through every stage of a comprehensive dental examination at Smile Solutions: what happens, why it happens, and what the clinical evidence says about each step. Whether you're a new patient or a returning one, understanding what best-practice care looks like helps you hold any practice to a higher standard.
Why a Dental Check-Up Is Far More Than a "Look in Your Mouth"
There's a common misconception that a dental check-up is a quick visual inspection followed by a clean. A regular oral health check-up involves a dentist or oral health practitioner examining the teeth, gums, and surrounding structures of the mouth, helping to identify signs of tooth decay or gum disease, as well as any changes to soft tissues. In a high-standard practice, though, the scope goes considerably further.
A comprehensive examination applies to new patients, established patients who have had a significant change in health conditions, or established patients who have been absent from active treatment for three or more years. It constitutes a thorough evaluation and recording of the extraoral and intraoral hard and soft tissues.
At Smile Solutions, every check-up is built on this comprehensive model. Your clinical team, which includes general dentists supported by on-site specialists in endodontics, periodontics, oral surgery, and more, approaches each appointment as a full diagnostic event. This is what clinical excellence looks like in practice.
Stage 1: Medical and Dental History Review
Before any clinical examination begins, your dentist will review or update your medical and dental history. This is not administrative box-ticking. In a new patient examination protocol, comprehensive knowledge of the patient's medical history is of paramount importance, as it may have a major impact on treatment planning, and should be recorded on a dental chart before starting the examination.
Systemic conditions including diabetes, cardiovascular disease, osteoporosis, and immunosuppression all have direct implications for oral health management. Medications, from anticoagulants to bisphosphonates to antidepressants, can affect everything from bleeding risk to bone healing to saliva production. At Smile Solutions, this history is reviewed at every visit, not just the first one.
Medical history should be revisited at regular intervals before the commencement of the dental examination — it's an ongoing clinical responsibility, not a one-time intake form.
Your presenting concern, whether you have one or not, is also recorded at this stage. Patients who attend without a specific complaint are, in many ways, the most important to examine carefully, because subclinical disease produces no symptoms until it is advanced.
Stage 2: Extraoral Examination — The Check-Up That Begins Before the Dentist Looks in Your Mouth
A genuinely thorough check-up includes an extraoral examination: a systematic assessment of the face, neck, jaw joints, and lymph nodes before the intraoral examination begins.
This includes a comprehensive examination of the head and neck and oral cavity, skin integrity, swallowing ability, and assessment of the temporomandibular joints.
Your dentist will palpate the neck and jaw areas to detect any lumps, swelling, or tenderness, which could indicate underlying issues where early identification matters for prompt treatment.
At Smile Solutions, this extraoral assessment also incorporates a check of the temporomandibular joint (TMJ) for clicking, crepitus, or deviation on opening — early indicators of bruxism or joint dysfunction that may warrant a personalised occlusal splint (see our guide on Custom Mouthguards and Dental Splints: Protecting Teeth from Sport, Grinding, and Sleep Apnoea).
Stage 3: Oral Cancer Screening — The Most Consequential Two Minutes in Dentistry
Oral cancer screening is the component of a dental check-up you're least likely to know is happening, and one of the most clinically important steps your dentist takes on your behalf.
In 2020, the World Health Organisation ranked lip and oral cavity cancer 16th among all cancers; including oropharyngeal cancers, oral cancer ranks 13th most common worldwide, with incidence and mortality rates higher in men than in women. In Australia, the Australian Institute for Health and Welfare estimated that in 2022, an Australian had a 1 in 252 (0.40%) risk of dying from head and neck cancer by the age of 85.
The Australian Dental Association is explicit on this point: screening for oral cancer should be part of any oral examination, and preventive programmes encouraging oral cancer screening and risk minimisation are actively advocated. Inspection for oral cancer should include direct visualisation and palpation of the mucosa of the oral cavity and external lip, as well as palpation of the head and neck lymph nodes, and should occur annually as part of a comprehensive examination.
Despite this, research from the Melbourne Dental School at the University of Melbourne found a significant gap between policy and practice: whilst 95.2% of oral health professionals agreed that oral cancer screening should be routinely performed, only around 51.4% screened all their patients in practice, and another 12.8% "very rarely" conducted screening examinations.
At Smile Solutions, oral cancer screening is performed at every comprehensive check-up without exception — not as an optional add-on. The examination involves systematic visual inspection and palpation of the lips, labial mucosa, buccal mucosa, hard and soft palate, floor of mouth, tongue (dorsal, ventral, and lateral borders), and oropharynx. Any suspicious lesion, an unexplained ulcer persisting beyond two weeks, a white or red patch, or an indurated lump, is documented and followed up with appropriate referral.
In Australia, there is no legal requirement to advise patients that oral cancer screening is being performed as part of a routine examination. At Smile Solutions, you are told clearly when screening is taking place and what your clinician is looking for, because informed patients are better partners in their own care.
Stage 4: Periodontal (Gum) Assessment — Probing the Invisible
Gum disease is the leading cause of adult tooth loss in Australia, yet its early stages frequently cause minimal discomfort and remain invisible to the patient. A rigorous check-up includes a formal periodontal assessment at every visit.
Periodontal examinations evaluate the health of your gums, checking for signs of inflammation, bleeding, or recession. Your dentist measures the depth of the spaces between your teeth and gums, known as periodontal pockets, where deeper pockets can indicate gum disease. Monitoring these measurements over time allows your clinical team to track changes with real precision.
At Smile Solutions, this involves a calibrated periodontal probe used to record pocket depths at six sites per tooth across the full dentition. Bleeding on probing, suppuration, furcation involvement, and mobility are also documented, creating a baseline that allows your team to detect deterioration before it becomes irreversible.
A comprehensive periodontal evaluation is indicated for patients showing signs or symptoms of periodontal disease and for patients with risk factors such as smoking or diabetes, including evaluation of periodontal conditions, probing and charting, an evaluation for oral cancer, and the recording of the patient's medical and dental history and general health assessment.
For patients with active periodontal disease, Smile Solutions' on-site periodontists can be engaged without an external referral, a genuine advantage for Melbourne CBD patients managing complex schedules (see our guide on Gum Disease Explained: Recognising Gingivitis and Periodontitis Before They Cause Permanent Damage).
Stage 5: Hard Tissue Examination — Tooth-by-Tooth Assessment
The tooth-by-tooth examination is where your dentist assesses each tooth surface for decay, cracks, wear, and the integrity of existing restorations. At Smile Solutions, this is performed with direct visual inspection, tactile probing, intraoral photography, and digital radiography — an approach that leaves very little to chance.
Intraoral Photography
Intraoral camera technology reveals details that the human eye or traditional dental mirrors cannot catch: small fractures, early-stage decay in tight spaces between teeth, microscopic plaque buildup, and subtle signs of gum inflammation.
The images are saved digitally as part of your permanent dental record, creating a visual timeline that allows your dentist to track changes from visit to visit and monitor how treatments are working.
At Smile Solutions, intraoral photographs are taken with the Carestream CS 1600 intraoral camera as standard. These high-definition images are displayed on a chairside screen in real time, so you can see exactly what your dentist sees. This transparency matters: seeing tangible evidence of plaque buildup or early gum disease tends to be more motivating than being told about it, and many patients report that visual proof makes them more committed to better home care and regular check-ups.
From a diagnostic standpoint, a 2025 systematic review and meta-analysis published in BDJ Open confirmed that intraoral cameras and intraoral scanners show variation in sensitivity and specificity depending on lesion type, lesion location, and examiner-dependent factors, which is why combining imaging modalities matters rather than relying on any single tool.
Intraoral Radiographs (X-Rays)
Digital radiographs remain indispensable for detecting pathology invisible to direct vision: interproximal decay between teeth, bone loss beneath the gumline, periapical pathology, and the status of tooth roots and supporting structures.
At Smile Solutions, X-rays are prescribed based on your individual clinical need, not administered as a blanket routine, consistent with Australian guidelines and the ALARA principle (As Low As Reasonably Achievable).
Bitewing radiographs are the standard for detecting interproximal decay and assessing alveolar bone levels. Periapical films provide detail of individual tooth roots and surrounding bone. For new patients or those with complex histories, an OPG (orthopantomogram) panoramic radiograph may be indicated to assess the full dentition, jaw joints, sinuses, and developing wisdom teeth. Digital imaging at Smile Solutions uses significantly lower radiation doses than conventional film.
For a detailed breakdown of each imaging modality, what it detects, and how often each type is clinically indicated, see our companion guide: Dental X-Rays and Intraoral Imaging: What Each Type Reveals and How Often You Actually Need Them.
Stage 6: Risk Assessment and Caries Risk Stratification
A best-practice check-up doesn't simply identify existing disease — it assesses your risk of future disease and uses that to personalise your recall schedule and preventive care. This is what genuinely comprehensive dentistry looks like.
Risk assessment is a qualitative and quantitative evaluation based on health history and clinical assessment, providing your clinician with the information needed to develop strategies for preventing or limiting disease and promoting health, with the level of risk identified and documented as extremely high, high, moderate, or low.
At Smile Solutions, caries risk assessment considers diet, fluoride exposure, saliva quality and quantity, oral hygiene effectiveness, history of decay, and the presence of high-risk restorations. This assessment directly informs whether fissure sealants, fluoride varnish, or dietary counselling should be recommended for you (see our guide on How to Prevent Tooth Decay and Cavities: A Practical Home-Care and In-Clinic Prevention Guide).
Stage 7: Personalised Treatment Plan Discussion
The final stage of your check-up is the treatment planning discussion, where all findings from the examination, imaging, and risk assessment are brought together into a clear, prioritised plan you can understand and consent to with confidence.
After history and comprehensive dental examination, a provisional diagnosis is made, which can only be confirmed after special tests and investigations. In patients with multiple dental complaints, there may be more than one definitive diagnosis — for example, dental caries and periodontal disease — and treatment planning should focus initially on relieving the patient's presenting complaint, which is usually pain.
At Smile Solutions, treatment plans are presented with full transparency: the clinical rationale for each recommended treatment, the materials and techniques involved (including where CEREC same-day restorations are appropriate), estimated costs, and the consequences of deferring treatment. You are informed and supported, not pressured. For patients managing dental anxiety, this stage is particularly important — see our guide on Dental Anxiety at the Dentist: Evidence-Based Strategies to Manage Fear and Stay in Control.
How Often Should You Have a Dental Check-Up? The Evidence-Based Answer
The "every six months" rule is deeply embedded in public consciousness, but the evidence is more nuanced than that.
A 2020 Cochrane review found strong evidence that six-monthly check-ups did not offer any additional benefit in preventing tooth decay or gum bleeding compared to risk-based scheduling, where dental practitioners set the time between check-ups based on the individual's risk of dental disease.
There are currently no Australian or WHO guidelines specifying a fixed frequency for dental visits. The national evidence-based recommendation is that everyone has different oral health needs and risk levels, which should be reflected in the frequency of check-ups.
In practice, this means:
- High-risk patients (active gum disease, high caries rate, smoking, diabetes, immunosuppression, active orthodontic treatment): every three to six months.
- Moderate-risk patients (history of decay or gum disease, now stable): every six to twelve months.
- Low-risk patients (excellent oral hygiene, low-sugar diet, no history of dental disease): every one to two years.
Regular check-ups matter even when you feel well and have no tooth pain. Attending every six to twelve months can prevent problems before they become painful, costly, or difficult to treat.
At Smile Solutions, your recall interval is determined by your clinician at the conclusion of each check-up, based on your current risk profile, not a default calendar setting.
What Separates a Thorough Check-Up from a Basic One
| Feature | Basic Check-Up | Comprehensive Check-Up (Smile Solutions) |
|---|---|---|
| Medical history review | At first visit only | Updated every visit |
| Extraoral examination | Rarely performed | Systematic: TMJ, lymph nodes, skin |
| Oral cancer screening | Inconsistent | Every visit, documented |
| Periodontal probing | Spot-check | Full-mouth charting, 6 sites/tooth |
| Intraoral photography | Not included | Standard at every visit |
| Digital radiographs | Generic schedule | Clinically indicated, ALARA-compliant |
| Caries risk assessment | Not performed | Formal stratification |
| Treatment plan discussion | Verbal only | Written, prioritised, costed |
| Recall interval | Fixed 6 months | Individualised by risk profile |
Why Early Detection Saves You Time and Money
The financial and clinical case for regular, thorough check-ups is straightforward. Most people don't realise how quickly dental problems can escalate — a tiny cavity that could be treated with a small filling today might require a root canal in six months if left untreated.
Early detection through visual examination allows your dentist to identify cavities before they penetrate deep into the tooth structure. When decay is caught at its earliest stages, treatment is less invasive, faster, and significantly more affordable.
The same logic applies to gum disease, oral cancer, and cracked teeth. Neglecting regular check-ups increases your chance of developing dental diseases, and poor oral health is associated with systemic conditions including heart disease, stroke, and diabetes. Oral cancer, in particular, may go undetected entirely without regular screening.
For Melbourne CBD professionals who find it difficult to prioritise dental appointments, this cost-of-delay calculation is worth taking seriously. See our guide on General Dentistry for CBD Workers and City Commuters: How to Fit Dental Care Into a Busy Melbourne Schedule for practical strategies on integrating check-ups into your workday.
Key Takeaways
- A comprehensive check-up has seven distinct stages, each with a specific clinical purpose: medical history review, extraoral examination, oral cancer screening, periodontal assessment, hard tissue examination (with intraoral photography and digital X-rays), risk assessment, and treatment plan discussion.
- Oral cancer screening should be performed at every check-up, yet research from the University of Melbourne's Melbourne Dental School found that fewer than half of Australian oral health professionals screened all of their patients — making your choice of practice genuinely critical.
- The "every six months" rule is not evidence-based for all patients. A 2020 Cochrane review found no additional benefit from fixed six-monthly intervals over risk-based scheduling. Your recall interval should reflect your individual risk profile.
- Intraoral photography is a diagnostic standard, not a luxury. High-definition intraoral camera images detect fractures, early decay, and gum changes invisible to the naked eye, and create a visual baseline for longitudinal monitoring.
- Early detection is the most cost-effective dental strategy. A small filling costs a fraction of a root canal; a monitored suspicious lesion costs a fraction of treating advanced oral cancer.
Conclusion
A dental check-up at Smile Solutions Melbourne CBD is a seven-stage clinical examination grounded in current evidence and delivered with the full diagnostic capability of a multi-specialist practice. From the oral cancer screening that many practices skip, to the intraoral photography that creates a longitudinal visual record of your oral health, every component of your examination serves a specific clinical purpose.
Understanding what a best-practice check-up involves is itself a form of preventive care. It helps you ask the right questions, recognise when a practice is cutting corners, and appreciate why attending regularly — at a frequency appropriate to your individual risk profile — is one of the most cost-effective health decisions you can make.
Smile Solutions has been delivering dental care from Melbourne's CBD since 1993. If it's time to book your next comprehensive check-up, or if you've never had a truly thorough one, we'd welcome you to our heritage home at the Manchester Unity Building on Collins Street. Call 13 13 96 or visit smilesolutions.com.au to arrange your consultation.
For a complete picture of the general dental services available at Smile Solutions, explore the other guides in this series: Professional Dental Cleans & Hygienist Appointments, Tooth Fillings in Melbourne CBD, Gum Disease Explained, and How to Choose a General Dentist in Melbourne CBD: 10 Criteria That Separate Good Practices from Great Ones.
Smile Solutions has been providing general dental care from Melbourne's CBD since 1993. Located at the Manchester Unity Building, Level 1, 220 Collins Street, Smile Solutions brings together 60+ clinicians — including 25+ board-registered specialists — who have cared for over 250,000 patients. No referral is required to book a specialist appointment. Call 13 13 96 or visit smilesolutions.com.au to arrange your general dental consultation.
References
Australian Dental Association. "Policy Statement 6.10 – Oral Cancer." Australian Dental Association, 2022. https://ada.org.au/policy-statement-6-10-oral-cancer
Mariño R, Haresaku S, McGrath R, Bailey D, Mccullough M, Musolino R, Kim B, Chinnassamy A, Morgan M. "Oral Cancer Screening Practices of Oral Health Professionals in Australia." BMC Oral Health, 2017;17(1):151. https://doi.org/10.1186/s12903-017-0439-5
Frydrych AM, Slack-Smith LM, Park G. "Dental Attendance of Oral and Oropharyngeal Cancer Patients in a Public Hospital in Western Australia." Australian Dental Journal, 2011;56(3). https://doi.org/10.1111/j.1834-7819.2011.01343.x
Nguyen T, Tadakamadla S. "Do You Really Need a Dental Check-Up and Clean Every 6 Months?" The Conversation / Deakin Institute for Health Transformation, 2026. https://theconversation.com/do-you-really-need-a-dental-check-up-and-clean-every-6-months-263259
Moharrami M, et al. "Detecting Dental Caries on Oral Photographs Using Artificial Intelligence: A Systematic Review." Oral Diseases, 2024. https://doi.org/10.1111/odi.14659
Angelone F, et al. "Comparison of the Accuracy of Intraoral Scanners, Intraoral Cameras, Radiographs, and Histological Methods for the Diagnosis of Dental Caries: A Systematic Review and Meta-Analysis." BDJ Open, 2025. https://www.nature.com/articles/s41405-025-00345-5
Healthdirect Australia. "Dental Check-Up." Healthdirect, Australian Government. https://www.healthdirect.gov.au/dental-check-up
Dental Board of Australia. "Standards for Clinical Dental Practice, Revised 2025." Dental Board of Australia, 2025. https://www.dentalboard.gov.au/
Nagi R, et al. "Effect of Different Frequencies of Dental Visits on Dental Caries and Periodontal Disease: A Scoping Review." PMC / National Library of Medicine, 2023. https://pmc.ncbi.nlm.nih.gov/articles/PMC10572504/
Farah CS, Simanovic B, Dost F. "Oral Cancer in Australia 1982–2008: A Growing Need for Opportunistic Screening and Prevention." Australian Dental Journal, 2014;59:349–359. https://doi.org/10.1111/adj.12198
Label Facts Summary
Disclaimer: All facts and statements below are general information sourced from publicly stated practice and clinical data, not professional advice. Consult a qualified dental or medical professional for guidance specific to your circumstances.
Verified Label Facts
Practice Identity & Contact
- Practice name: Smile Solutions
- Practice type: Dental practice
- Location: Manchester Unity Building, Level 1, 220 Collins Street, Melbourne CBD
- Phone: 13 13 96
- Website: smilesolutions.com.au
- Year established: 1993
Practice Scale
- Clinicians: 60 or more
- Board-registered specialists: 25 or more
- Patients treated: Over 250,000
- Referral requirement: None required to see a specialist
Examination Structure
- Number of check-up stages: Seven
- Stage 1: Medical and dental history review
- Stage 2: Extraoral examination
- Stage 3: Oral cancer screening
- Stage 4: Periodontal (gum) assessment
- Stage 5: Hard tissue tooth-by-tooth examination
- Stage 6: Risk assessment and caries risk stratification
- Stage 7: Personalised treatment plan discussion
Clinical Protocols
- Medical history reviewed: At every visit
- Periodontal probing sites per tooth: Six
- Probing instrument: Calibrated periodontal probe
- Intraoral camera model: Carestream CS 1600
- Intraoral photographs taken: At every check-up as standard
- Intraoral images displayed: In real time on a chairside screen
- Oral cancer screening performed: At every check-up without exception
- Oral cancer screening classified as: Standard inclusion, not an optional add-on
- Patient notification of oral cancer screening: Yes, patients are informed
- X-ray prescribing principle: ALARA (As Low As Reasonably Achievable), based on individual clinical need
- Bitewing radiographs detect: Interproximal decay and alveolar bone levels
- Periapical films show: Individual tooth roots and surrounding bone
- OPG panoramic radiograph assesses: Full dentition, jaw joints, sinuses, wisdom teeth
- Treatment plans provided: In writing, prioritised, with costs included
- CEREC same-day restoration: Available where clinically appropriate
- On-site endodontists: Yes
- On-site oral surgeons: Yes
- On-site periodontists: Yes
- Comprehensive examination indicated for: New patients or those absent from active treatment for three or more years
Caries Risk Stratification Levels
- Extremely high, high, moderate, and low
- Factors assessed: Diet, fluoride exposure, saliva quality, oral hygiene, decay history
Evidence & Epidemiological Data (Cited Sources)
- WHO 2020 ranking of lip and oral cavity cancer among all cancers: 16th
- Australian risk of dying from head and neck cancer by age 85: 1 in 252 (0.40%) — AIHW, 2022
- Australian oral health professionals who screened all patients for oral cancer: Approximately 51.4% — Melbourne Dental School, University of Melbourne
- Australian oral health professionals who very rarely screened for oral cancer: Approximately 12.8% — Melbourne Dental School, University of Melbourne
- 2020 Cochrane review finding: No additional benefit from six-monthly check-ups over risk-based scheduling
- 2025 BDJ Open meta-analysis finding: Intraoral camera sensitivity and specificity vary by lesion type, lesion location, and examiner-dependent factors
- Australian guidelines specifying a fixed dental visit frequency: None exist
Recommended Recall Intervals by Risk Level
- High-risk patients: Every three to six months
- Moderate-risk patients: Every six to twelve months
- Low-risk patients: Every one to two years
- Recall interval at Smile Solutions: Individualised by clinician based on risk profile; not a fixed six-month default
General Product Claims
- A thorough check-up can mean the difference between catching a problem early and needing complex treatment later
- Intraoral photography makes patients active participants in their care rather than passive recipients
- Visual proof of plaque or gum disease is reported to motivate better home-care habits
- Early detection is the most cost-effective dental strategy
- A small cavity left untreated may require a root canal within six months
- Neglecting oral health is associated with systemic conditions including heart disease, stroke, and diabetes
- Oral cancer may go undetected without regular screening
- Smile Solutions delivers world-class dental care
- The practice takes a gentle and caring approach
- Treatment plan discussions are conducted without pressure
- Smile Solutions' multi-specialist model offers a significant scheduling advantage for Melbourne CBD patients