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General Dentistry

General dentistry is best defined simply: it’s the art or profession of a dentist, covering the everyday care that keeps your teeth, gums, and mouth healthy, including cleanings, exams, fillings, crowns, and bridges, along with the diagnostic work that catches problems before they become emergencies. The category traces back to dentistry’s separation from general surgery in the 18th century, when French surgeon Pierre Fauchard, still remembered today as the “father of modern dentistry,” published the first text to treat oral care as its own discipline.

Most patients spend far more time in general dentistry than in any specialty office, since routine checkups and preventive care make up the bulk of dental visits over a lifetime. At Center for Dental Health La Jolla, Dr. Sandhya Hegde, D.D.S., B.D.S., leads a team built around that idea, combining hands-on exams with modern diagnostic tools to catch decay, gum disease, and wear before they turn into bigger problems.

Meet the Doctor

Dr. Sandhya Hegde, D.D.S., B.D.S., leads Center for Dental Health La Jolla with a focus on the connection between oral health and whole-body wellbeing. She’s supported by a specialist team that includes periodontist Dr. Gary Sigafoos, endodontist Dr. Haris Lakisic, oral surgeon Dr. Thomas Brislin, and orthodontist Dr. Abraham Tang. That range means routine checkups and fillings can move seamlessly into more advanced restorative or surgical care without leaving the practice. Read more on our full Meet the Doctor page.

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Services That Keep Your Smile on Track

Here’s what a visit to Center for Dental Health La Jolla typically covers, each service aimed at keeping your teeth functional, comfortable, and healthy for the long run.

Teeth Cleanings

Professional cleanings remove the plaque and tartar buildup that brushing and flossing can’t fully reach, especially along and below the gumline. Routine dental hygiene care twice a year helps prevent both cavities and early gum disease, catching buildup before it hardens into something only a dental hygienist can remove. Regular cleanings also give your dentist a chance to spot small problems during an exam most patients wouldn’t notice on their own.

Oral Cancer Screening

Every routine exam includes a visual and physical check of your mouth, tongue, and throat for early signs of oral cancer. These screenings take just a few minutes but can catch abnormalities long before symptoms appear, when treatment options are most effective. Early detection is the single biggest factor in a positive outcome, which is why this step is never skipped, even during a standard cleaning visit.

Dental Fillings

Fillings restore a tooth after decay has been removed, sealing the area to prevent bacteria from spreading further into the tooth. Tooth-colored composite fillings blend naturally with your smile, unlike older metal fillings that stand out when you talk or laugh. You can see how fillings work in more detail on our patient education page. Getting a filling early, while the cavity is still small, usually means a faster appointment and a more conservative repair.

Crowns and Bridges

A crown covers a tooth that’s too damaged or weakened for a filling to repair, restoring its strength and shape fully. Bridges replace one or more missing teeth by anchoring a replacement tooth to the healthy teeth on either side of the gap. Both restorations are custom-made to match your bite and the appearance of your surrounding teeth.

Dentures

Dentures replace some or all of your natural teeth with a removable appliance custom-fitted to your mouth. Partial dentures fill gaps left by several missing teeth, while full dentures replace an entire arch when most or all natural teeth are gone. Modern dentures are built for a natural look and a secure, comfortable fit during everyday eating and speaking.

Dental X-Rays

Digital imaging lets your dentist see beneath the surface of your teeth and gums, spotting decay, bone loss, or infection that isn’t visible during a visual exam. Combined with our intraoral camera, we can also track how wisdom teeth are developing and whether a tooth’s roots show any signs of trouble. Digital imaging uses significantly less radiation than older film X-rays, making it a routine and low-risk part of your visit.

Conditions, Symptoms, and Pain

Tooth decay, gum disease, cracked teeth, and missing teeth are among the most common oral health problems adults face. Decay that begins in one tooth can spread to neighboring teeth, and gum disease can advance before a person notices any symptoms, eventually reaching the bone that supports teeth. Roughly 1 in 4 adults aged 20 to 64 currently has untreated tooth decay, which is why routine evaluation matters even when nothing hurts yet.

General dentistry addresses these conditions through diagnostic checkups, fillings for decay, crowns for teeth too compromised for a filling, and bridges that replace missing teeth and prevent shifting in the surrounding dentition.

Patients often first notice temperature sensitivity, a dull ache, discoloration on a tooth’s surface, swollen or bleeding gums, or discomfort when biting down, signs covered in more depth on our page about how you’ll know if you have a cavity. These are exactly the conditions general dentistry is designed to evaluate and treat.

Recognizing the Problem

Many oral health conditions develop silently. Tooth decay, for example, doesn’t always produce pain in its earliest stages: NIH’s National Institute of Dental and Craniofacial Research confirms that “in early tooth decay, there are not usually any symptoms,” and decay caught this early can often be reversed rather than restored.

A cavity small enough for a filling may cause no discomfort until it’s grown large enough to need a crown, or until decay reaches the nerve and root canal treatment becomes necessary. Gum disease follows a similar pattern, progressing from mild inflammation to bone loss with little pain, which is why our team explains how the gums become infected during routine exams.

Routine checkups are designed to close that gap. Clinical exams and diagnostic imaging let a dentist detect decay, cracking, bone changes, and soft tissue issues that patients can’t identify through symptoms alone, the kind of findings our team walks through on our page about what the dentist sees when they find a cavity.

When should you seek a professional?

Professional evaluation is appropriate any time you notice new sensitivity, visible damage, gum changes, or difficulty chewing, regardless of whether it hurts. A tooth that feels fine but shows cracking or discoloration can still be at risk for fracture or decay progression, worth knowing if you’ve wondered whether certain people are more at risk for cavities.

A 2024 systematic review in BDJ Open found that “regular dental attendance was associated with having less dental caries experience, fewer missing teeth and better oral health-related quality of life.” Regular evaluation is the most reliable way to catch conditions while a filling still solves them, rather than a crown, bridge, or oral surgery.

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Prevention and Hygiene Education

Most conditions general dentistry treats are preventable with consistent daily habits. Brushing twice daily with fluoride toothpaste and flossing once a day remove plaque that contributes to both decay and gum disease, confirmed by the ADA as the evidence-supported baseline. Limiting sugar intake also reduces the acid exposure that wears down enamel, a topic covered on our page about how to prevent cavities.

Home habits only go so far, which is why professional dental hygiene care plays such a large role too. We walk through exactly what that looks like, and how we tailor it to your gum health, below.

Popular Home Remedies

Patients often encounter at-home approaches marketed as alternatives to professional care. Oil pulling, swishing oil in the mouth for an extended period, is the most widely circulated, promoted as a way to reduce bacteria and improve gum health, and interest has grown alongside a documented rise in preference for natural dentifrices among young adults.

Activated charcoal is marketed as a natural whitening agent, hydrogen peroxide rinses are used to manage sensitivity or staining, and clove oil is a long-standing remedy for temporary pain relief. All three are cheap, widely available, and appealing between dental visits.

What the Research Says

Clinical research on these remedies consistently finds a gap between perception and efficacy. A 2025 in vitro study found that “the use of toothpaste with activated charcoal increases the roughness and abrasion of tooth enamel,” the opposite of what patients want. Oil pulling fares no better: a meta-analysis of nine randomized trials found “no significant difference” in plaque or gingival index scores.

Hydrogen peroxide at higher-than-professional concentrations can produce measurable changes to healthy oral tissue, even over a short two-week trial. Clove oil’s eugenol is used topically to treat toothache as a temporary numbing agent, but it doesn’t treat the underlying cause of dental pain.

None substitute for the clinical intervention a deep cleaning, filling, or crown provides when indicated. If you’re unsure which approach fits your case, our page on choosing the best dental material for your teeth is a good place to start.

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Cost and Insurance

The cost of general dentistry services depends on the type of treatment, the materials involved, and the clinical complexity of an individual case. Routine services like checkups and cleanings fall at the lower end of the cost range and are covered at least partially by most dental insurance plans. Restorative services like fillings, crowns, and bridges involve more materials and chair time, which is reflected in their cost.

Industry Average Pricing

The figures below reflect industry averages drawn from national dental cost surveys and insurance reporting data. These numbers are provided for general reference only and don’t represent the specific pricing at any dental office. Guardian’s cost-of-procedures resource, citing the 2024 Synchrony Average Procedural Cost Study, puts the average dental cleaning and exam at roughly $203 nationally, consistent with a broader range of about $50 to $200 without insurance.

Tooth-colored fillings generally range from $90 to $300 per tooth depending on size and location. Dental crowns range from approximately $1,000 to $1,800 per tooth, and dental bridges, which span one or more missing teeth, typically range from $2,500 to $6,000 depending on the number of units involved. Root canal treatment, when indicated before crown placement, adds to the overall cost of restoring a tooth. The ADA’s Health Policy Institute separately confirms that national dental spending reached $189 billion in 2024. Contact the team directly to verify current rates and payment options that apply to your situation.

Common Insurance Providers

The list below reflects insurance providers commonly accepted across general dentistry practices in the United States, based on industry surveys and insurance reporting data. This list is provided as a general reference and doesn’t guarantee that any specific provider is accepted at the practice. A national dental insurance market analysis identifies Delta Dental, MetLife, Cigna, Aetna, Guardian, United Concordia, Ameritas, and Principal Financial Group among the leading dental insurance carriers, alongside Humana Dental and BlueCross BlueShield Dental. Contact the team directly to confirm which plans are currently accepted.

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How We Approach Your Gum and Tooth Care

Checking Your Gum and Tooth Health

Every hygiene visit starts with a close look at your gums, teeth, and the bone that supports them. Dr. Hegde or your hygienist measures gum pocket depth, checks for bleeding or recession, and looks for early signs of plaque and tartar buildup, the same signs covered in more depth on our dental hygiene and periodontal health page. This exam tells us exactly where your mouth stands before any cleaning begins.

Building a Cleaning Plan Around Your Mouth

Once we know what’s going on, we decide what kind of cleaning your mouth actually needs. A routine cleaning works for healthy gums with normal buildup, while early or active gum disease calls for a deeper cleaning that targets bacterial deposits below the gumline and the root surfaces where infection takes hold, similar to the periodontitis treatment our specialist team provides for more advanced cases. This decision is clinical, not based on a fixed schedule applied to every patient.

Cleaning, Scaling, and Root Planing

Your cleaning removes plaque and tartar from the surface of your teeth, along and below the gumline. If deeper cleaning is needed, root planing smooths the root surfaces so bacteria have a harder time reattaching. Most patients feel little to no discomfort, and we’ll walk you through each step as we go.

Keeping Buildup and Sensitivity in Check

After your cleaning, we’ll go over the habits that keep your results from slipping between visits, the same daily routine covered on our how to prevent cavities page. Sticking with that routine is what keeps buildup and gum irritation from coming right back. If you notice new sensitivity or bleeding before your next visit, don’t wait it out. Contact us, and we’ll take a look.

Monitoring Your Gum Health Over Time

Gum health changes gradually, which is why we track your numbers from one visit to the next rather than treating each cleaning as a fresh start. Most patients return every six months, though a history of gum disease or heavier buildup may call for visits every three to four months. Consistent monitoring is what catches problems while they’re still simple to treat.

Your next cleaning is overdue? Let’s Fix That

Six months goes by faster than most patients expect, and that gap is exactly when small problems turn into bigger ones. If it’s been a while since your last cleaning, or something’s been bothering you that you’ve been putting off, reach out to Dr. Sandhya Hegde’s team at Center for Dental Health La Jolla or call 858.546.0100. You’ll find more from our patients on Facebook and Instagram in the meantime.

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FAQs

What is general dentistry?

General dentistry is the branch of dentistry most patients rely on day to day, focused on prevention, diagnosis, and routine restorative work rather than one specific area of the mouth. It’s where checkups, cleanings, fillings, and early-stage problems get caught and treated before they need a specialist. Think of it as your first stop for almost any dental concern, with more involved cases referred out when needed.

Does general dentistry include extractions?

Yes, general dentists routinely perform simple extractions, such as removing a badly decayed, loose, or broken tooth that can’t be saved with a filling or crown. More complex cases, like impacted wisdom teeth or extractions requiring bone removal, are usually referred to an oral surgeon for safety. Your dentist will explain during your exam which category your specific case falls into and what to expect.

When is general anesthesia used in dentistry?

General anesthesia is reserved for more involved procedures, extensive oral surgery, or patients who can’t tolerate treatment while conscious due to anxiety or special needs. Most general dentistry work, like fillings or cleanings, only requires local anesthesia or milder options like nitrous oxide or oral conscious sedation. When general anesthesia is appropriate, it’s administered by a qualified provider and typically discussed well ahead of your appointment.

Are shade guides used in general dentistry?

Yes, shade guides help your dentist match fillings, crowns, and other restorations to the natural color of your surrounding teeth, tooth by tooth. Our team walks you through this decision on our dental material fact sheet. This step ensures a repaired tooth blends in rather than standing out when you talk, smile, or take a photo. Shade matching is a standard part of nearly any visible restoration, from a simple filling to a full crown.

Does general dentistry do braces?

No, braces and other teeth-straightening treatments generally fall under orthodontics rather than general dentistry. A general dentist can screen for alignment or bite issues during a routine exam and refer you to an orthodontist for options like clear aligners or traditional braces if treatment is needed. Some general practices offer limited orthodontic options in-house, but a specialist typically handles more involved cases.

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