CLEANINGS: For most patients, basic cleanings are necessary twice per year to remove tartar and debris, which is impossible to remove at home. During this appointment, both the hygienist and doctor will examine your teeth, gums and entire mouth for evidence of decay, broken fillings, gum disease and oral cancer. This is your best resource to keep your mouth in optimal shape for years to come. Gum disease alone has been linked to a variety of problems including heart disease and low-birth weight babies.