Dental Hygiene and Periodontics with our Hygienist/Therapist

At Siana Dental we are passionate about preventive care. We want to empower our patients to live a healthy life with a stunning smile.

Through ongoing education, care and consultation we will work together to guide you with an effective home oral hygiene routine and provide regular check-up appointments to help keep your teeth and gums healthy.

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Meet Tara

Dental Hygienist and Therapist

Tara Mackenzie

Diploma of Oral Health (Dental Hygiene and Therapy)

Tara started her dental career as a dental nurse and decided to further her study’s in oral health therapy. Tara graduated from Melbourne University as an Oral Health Therapist in 2006 (as the Dux of her class) and Dental Hygiene in 2007.

Tara is known for her gentle and caring nature. She is highly professional and knowledgeable. Tara treats her patients as if they are family members. She believes the power of positive, informative and stress- free environment makes her patients feel at ease. She especially has a charming nature when treating children making them feel at ease in the chair.

Your dental hygiene appointment with our hygienist/therapist.

A dental hygiene appointment involves a thorough clean from our gentle and attentive dental hygienist. During this appointment, your gums will be cleared of plaque, tartar and surface stains. We will also assess your gums for gingivitis or gum disease, and you will be screened for other diseases such as oral cancer.


At your regular check-up visits (usually every six months), we will comprehensively examine your mouth. This will include checking your teeth, current restorations, jaw, soft tissue and a full assessment of your smile to monitor your entire oral health. Digital radiographs (x-rays) may be recommended during this visit. A very important oral cancer screening examination is also conducted on all of our patients at this time. Although rare, early detection of oral cancer is a big key to successful management of the disease.

Frequently Asked Questions

What is gum disease?

Gum disease or periodontal disease is a chronic inflammation and infection of the gums and surrounding tissue. It is the major cause of about 70 percent of adult tooth loss, affecting three out of four persons at some point in their life.

What causes gum disease?

Bacterial plaque – a sticky, colourless film that constantly forms on the teeth – is recognised as the primary cause of gum disease. Specific periodontal diseases may be associated with specific bacterial types. If plaque isn’t removed each day by brushing and flossing, it hardens into a rough, porous substance called calculus (also known as tartar).Toxins produced by bacteria in plaque and tartar irritate the gums. These toxins cause the breakdown of the fibres that hold the gums tightly to the teeth, creating periodontal pockets which fill with even more toxins and bacteria. As the disease progresses, pockets extend deeper and the bacteria migrates downwards until the bone that holds the tooth in place is destroyed. The tooth eventually will fall out, become abscessed or require extraction.

Are there other factors?

Genetics are also a factor, as are lifestyle choices. A diet low in nutrients can diminish the body’s ability to fight infection. Smokers have more irritation to gum tissues than non-tobacco users, while stress can also affect the ability to ward off disease. Diseases that interfere with the body’s immune system, such as diabetes, leukemia and AIDS, may worsen the condition of the gums. In patients with uncontrolled diabetes, where the body is more prone to infection, gum disease is more severe or harder to control.

What are the warning signs of gum disease?

Signs include red, swollen or tender gums, bleeding while brushing or flossing, gums that pull away from teeth, loose or separating teeth, pus between the gum and tooth, persistent bad breath, change in the way teeth fit together when the patient bites, and a change in the fit of partial dentures. While patients are advised to check for the warning signs, there might not be any discomfort until the disease has spread to a point where the tooth is not salvageable. That’s why patients are advised to get frequent dental exams.

How do you prevent gum disease?

Removing plaque through daily brushing, flossing and professional cleaning is the best way to minimise your risk. Your dentist or hygienist will design a personalised program of home oral care to meet your needs.

What does periodontal treatment involve?

In the early stages, most treatment involves periodontal therapy. This involves removing plaque and calculus around the teeth and smoothing the root surfaces. These measures will in most cases of early and moderate gum disease achieve a satisfactory result. More advanced cases may require surgical treatment, which involves removing the hardened plaque build-up and re-contouring the damaged bone. Regular maintenance is usually necessary.

Meet Dr Max Patel

Dr Max has over 20 years of experience in dentistry and has undertaken advanced training in Implant Surgery, Intravenous Sedation, Cosmetic Dentistry, Invisalign and Oral Surgery. He can answer any questions you may have regarding our services, or any other oral health issues you may have.

Any Questions? Ask Our Dentist!