A dental exam checks your teeth, gums, bite, and the soft tissues inside your mouth. X-rays are recommended only when they can show something the dentist cannot see during the exam, so they are not automatically taken at every checkup.
If it has been a while since your last visit, you can start with what is bothering you now. Our office is in Delmar and serves patients from Albany and across the Capital Region.
A dental exam combines a review of your health and symptoms with a close look at your teeth, gums, bite, and mouth. The exact exam depends on whether you are a new patient, returning for a routine checkup, or coming in because something feels wrong.
A typical exam may include:
A new-patient exam is usually more comprehensive because the dentist is building a baseline. A periodic exam focuses more on what has changed since your previous visit.
The exam itself is separate from cleaning, X-rays, and treatment. Some services may happen during the same visit, but that depends on what you need and what is planned for the appointment.
Dental X-rays can reveal areas that are difficult or impossible to see during a visual exam. They may help the dentist evaluate decay between teeth, bone levels, tooth roots, developing teeth, and areas around existing dental work.
For example, an X-ray may help show:
X-rays do not replace the dental exam. The dentist looks at the images together with your symptoms, dental history, and what is seen in your mouth before discussing a diagnosis or next step.
The type of X-ray depends on what the dentist needs to evaluate. Each view shows a different part of the teeth, roots, or jaws.
|
X-ray type |
What it shows |
When it may be useful |
|
Bitewing |
Upper and lower back teeth in the same image, including the bone between them |
Checking for decay between teeth or comparing bone levels |
|
Periapical |
A tooth from the crown down to the root tip |
Looking more closely at pain, infection, or a possible root problem |
|
Panoramic |
A wide view of both jaws and surrounding structures |
Reviewing developing or impacted teeth, jaw structures, or broader treatment needs |
|
Cone-beam CT (CBCT) |
A three-dimensional view of bone and nearby structures |
Specific diagnostic or treatment-planning situations where a 3D view is needed |
A CBCT scan is not a routine part of a dental checkup. It is used when there is a specific reason for a three-dimensional image.
There is no single X-ray schedule that fits everyone. How often dental X-rays are taken depends on your symptoms, age, cavity risk, gum health, dental history, previous images, and whether a new image could change your care.
The dentist may consider:
If another dentist has taken recent X-rays, ask about transferring them before your visit. If the images are recent enough and show what the dentist needs to see, repeating them may not be necessary.
Dental X-rays use a small imaging area, and current dental guidance focuses on taking images only when they are clinically useful and limiting exposure to what is needed for the diagnosis.
Tell our dental team about recent X-rays, pregnancy, or any concerns about radiation before imaging is taken. That gives the dentist the information needed to decide whether an image is useful now or can wait.
Children do not automatically need X-rays at every dental visit. The decision depends on age, tooth development, cavity risk, symptoms, and what the dentist can see during the exam.
For younger patients, X-rays are considered as part of their overall pediatric dental care, so the dentist can look at both current concerns and how the teeth and jaws are developing over time. Parents can always ask what an image is meant to evaluate before it is taken.
Pregnancy does not automatically mean necessary dental imaging must be postponed. The decision depends on why the X-ray is needed and whether the information could affect care.
Tell the office about your pregnancy when scheduling or before the exam. The dentist can then review whether imaging is needed for the problem being evaluated or whether it can reasonably wait.
A first dental visit is mainly about understanding what is happening now and creating a clear plan. You can also bring up anxiety, sensory needs, cost concerns, or timing before any treatment decisions are made.
A typical visit may move through these steps:
If anxiety has made dental appointments difficult in the past, tell the dentist early in the visit. Depending on your needs and medical history, sedation dentistry may be one option to discuss.
No. A dental exam is used to evaluate your teeth, gums, bite, and mouth, while a cleaning removes plaque and hardened buildup from the teeth and along the gumline.
The two services may be scheduled together, but one does not automatically include the other. Gum measurements from the exam can also affect what type of cleaning is appropriate. If routine preventive cleaning is recommended, professional teeth cleaning removes buildup that brushing and flossing cannot fully reach.
The cost of a dental checkup depends on the type of exam, whether X-rays are needed, which images are taken, and whether recent records from another dentist can be used.
If you are paying without insurance, ask the office about:
Not every finding needs treatment right away. The dentist should explain what they see, how urgent it is, and whether it can be monitored.
Depending on the exam, the next step might be:
You can ask questions, compare your options, and decide what feels right before moving forward.
Our Delmar office at 4 Normanskill Blvd #401 serves patients from Albany and across the Capital Region.
If you have recent dental records or X-rays, ask whether the office would like them before your visit. When you’re ready, you can schedule a dental appointment online.
Yes. Cavities, gum problems, and other changes can develop before they cause pain. A routine exam can catch them earlier and determine whether anything needs treatment or monitoring.
Severe pain, swelling, a knocked-out tooth, uncontrolled bleeding, or signs of infection usually call for emergency dental care. For routine concerns or mild symptoms, a standard exam may be the better starting point.
Yes. Patients can still be seen without dental insurance. Review the current payment and insurance options or call the office for a self-pay estimate before booking.
Bring your medication list, insurance information if applicable, and recent dental records or X-rays if available. It also helps to mention any pain, sensitivity, or specific concerns when scheduling.
Yes. The dentist can look at your bite, jaw movement, tooth wear, and related symptoms. Ongoing discomfort or clicking may require a more focused jaw pain evaluation.
Yes. If one tooth hurts, feels sensitive, or has chipped, mention it when scheduling. The office may recommend a focused exam rather than a full routine checkup.
Yes. Bring your existing treatment plan, X-rays, and records if available. The dentist can evaluate the current condition and explain whether the recommended treatment or another option makes sense.