In some dental offices, a dentist may have a hygiene department that includes a staff of hygienists. In PENNSYLVANIA, a licensed dental hygienist has the dentist examine the patient first. That is to check for any problems that the patient may have and needs to be evaluated by a specialist. The dentist will come in after the hygienist has completed cleaning the patient's teeth and reminding them how to floss correctly and brush correctly daily. He will listen to what findings the hygienist has concerns about then checks the patient's mouth. Some dental offices have a hygienist and the dentist will clean the patient"s teeth. Some dentists like to see how the patient's are doing with the care of their teeth. A lapse in daily home care can lead to serious health problems beyond your mouth and teeth. Blood vessels below your lower teeth and above your upper teeth carry gum disease bacteria throughout your body. Gum disease in your mouth sends bacteria down your throat every time you swallow. And bacteria in your mouth may enter your VASCULATURE through the thin membranes under your tongue. This process of bacteria entering your blood vessels is a slow process. But by continuing home care neglect, the patient is providing a continuous flow of gum disease bacteria into the vascular system. It is a slow process. Remember plaque, is a sticky mass of bacteria that forms every day and if not removed by daily correct flossing and brushing will crystallize in 24 to 48 hours. This is a process that is slowly but ULTIMATELY flowing through your blood vessels entering your organs and possibly causing disease. GUM DISEASE IS CONTROLLED WITH DAILY CORRECT HOME CARE. THERE IS NO CURE FOR GUM DISEASE!!!!