Comprehensive Dental Hygiene

Get your routine check-up and a professional teeth cleaning.

Routine Hygiene Wellness

Improve your daily brushing and flossing with Cramer Dentistry.

Daily brushing and flossing remove a great deal of the plaque and bacteria that accumulates on your teeth, but it’s nearly impossible to remove it all on your own.

Your dental hygienist can be your partner in achieving good oral health and visiting the dentist at least twice a year for a professional cleaning can prevent tooth decay and periodontal (gum) disease. Our dentist may recommend more frequent visits based on the condition of your teeth and gums.

What to expect at your check-up appointment:

  • Visual evaluation of teeth, face, jaw and neck

  • Digital images to check for cavities and other possible problems

  • Gum disease evaluation

  • Professional teeth cleaning and fluoride treatment

  • Screening for oral cancer

How Can We Help?

We provide a range of services to help with your hygiene and overall health. Please select an option:

Request an appointment

Caring for Your Smile

Here is what is included in your typical hygiene appointment.
A woman smiling while lying in the dental hygiene chair and looking at the dentist

Visual & Gum Disease Evaluation

During the evaluation, your Tumwater dentist will check for cracked, broken, or decayed teeth as well as looking for any abnormal areas on your cheeks, gums, tongue, and roof of the mouth.

Since gum disease affects almost 50% of adults in the U.S. (Center for Disease Control), we perform a comprehensive assessment during your exam to check for any signs of periodontal disease.

When addressed in the early stages, periodontal disease is easily controlled and possibly reversible. Since gum disease exhibits minimal symptoms until it is significantly advanced, it is important to be evaluated for early stages of the disease. Conservative, early intervention is best and our team will assist you in choosing the best treatment options for your condition.

Dr. Stephanie Oh showing a woman a digital image of her teeth

Digital Imaging

The dentist may recommend digital x-rays and photographs to help identify problem areas in your mouth. The type of images may vary based on your particular situation, but a full jaw x-ray, called a panoramic x-ray will give the dentist a comprehensive view of all the structures in your mouth as well as your jaw joint and your sinuses.

Digital 3D imaging may be appropriate in your situation to determine exact positioning of your teeth.

Your dentist may also use a special digital camera to take close up pictures of your teeth or gums. This will help them identify and monitor any areas of concern. We also use intraoral cameras to provide live images of while we examine your smile.

Dr. Stephanie Oh showing a woman a digital image of her teeth
A young woman smiling while looking up while wearing yellow

Fluoride Treatment

Cavity Prevention

The American Dental Association (ADA) recommends fluoride treatments based on your risk for developing cavities. Our team evaluates if your risk for cavities is low, moderate, or high, based on criteria outlined by the ADA.

Most individuals with low risk are offered a fluoride treatment twice a year.

Moderate risk individuals are offered fluoride twice a year as well as a take-home fluoride product to help reduce the chance of them getting another cavity.

Individuals with a high risk for cavities may be offered fluoride treatment more than twice a year, a take-home fluoride product, as well as an antimicrobial rinse to reduce the cavity-causing bacteria.

A mature woman smiling while sitting in a blue dentist chair and wearing dental hygiene bib

Professional Teeth Cleaning

All of our hygienists are well trained to perform a thorough teeth cleaning. Our team removes the plaque and tartar from your teeth and then polishes them to remove stains and smooth the tooth surface. In addition to hand-held hygiene techniques used by our skilled hygienists, ultrasonic devices deliver targeted treatments to hard to reach areas. These devices deliver ultrasonic vibrations to crush and move calcified deposits of calculus.

A mature woman smiling while sitting in a blue dentist chair and wearing dental hygiene bib
A female patient smiling as the dentist checks her mouth with a dental hygiene mirror

Oral Cancer Screening

Development of oral cancer is on the rise. When detected in the early stages, most oral cancers respond very favorably to treatment. The risk of developing oral cancer increases five times with smoking, two and half times with excessive alcohol use and thirty-two times in the presence of a persistent HPV (Human Papilloma Virus) infection.

The dentist will look over all the tissue in your mouth, including your tongue, lips, and cheeks, checking for anything abnormal. She will also feel for any unusual lumps or bumps and make recommendations for follow up if necessary. We also have the ability to do a salivary screening to check for an active HPV infection. Recommendations for reducing your risk of developing oral cancer include regular screenings and possible lifestyle changes.

Lasers In Dentistry

Taking your dental care into the modern age.

Lasers have been used in dentistry for several years and provide additional benefits when combined with regular cleanings or therapy for gum disease. There are two specific procedures performed by the hygienists in our offices that can reduce your risk of gum disease or provide improved healing if gum therapy is indicated.

Laser Bacterial Reduction

Also known as "Laser Decontamination".

A man wearing a blue shirt sitting in the dentist's chair while smiling

A procedure in which thermal, light energy is emitted through a small, fiber optic tip between the teeth and the gums. This energy is used to vaporize the harmful bacteria at or below the gum-line called biofilms.

Biofilms have been shown to be directly related to an increased risk of developing gum disease, a serious infection affecting the supporting bone. During your hygiene appointment, the hygienist will disrupt the biofilm to reduce the risk or severity of periodontal disease, but cannot eliminate the bacteria without the use of the laser. Destroying the bacteria will reduce inflammation in the gum tissue, and keep your gums healthier between visits.

  • Are there any side effects, and how does it feel?

    There are no known side effects to laser decontamination. Most patients do not report any sensation during or after the use of the laser. Occasionally, patients will describe a warm, tingling sensation felt during the procedure. Laser decontamination takes approximately 5-10 minutes to complete, and the entire mouth is treated at one time.

  • How does it kill the bacteria? Does it kill good bacteria?

    The laser uses light energy that is absorbed into the pigmented cell walls of the harmful bacteria, vaporizing them. The bacteria in our mouths that do not contribute to inflammation typically lack pigment in their cell walls and thus are not affected in the same way.

  • Why am I just now hearing about the laser for my appointment?

    Dental professionals now have access to this technology by using a laser specifically designed to treat the gums. Due to the advances in the production of these dental lasers, our office now has the availability to offer laser decontamination. We are happy to treat our patients with an elevated level of care that is not only supported by years of research but also affordable.

  • How often should the laser be done?

    Although the laser kills millions of harmful bacteria at your hygiene appointment, the bacteria will begin to multiply again over time, and will eventually be back to their original levels in a few months. For this reason, we recommend laser decontamination be included every time you see your hygienist.

    For some patients with a history of periodontal treatment, that is every 3 months. You may be thinking to yourself, “If the bacteria just grow back, what’s the point?”. One of the most important factors in obtaining optimal oral health and control of periodontal disease is your body’s ability to fight off these harmful bacteria. It is true that we are unable to kill the bacteria forever with a single use of the laser, but if it is completed at each appointment, we are able to keep them at a constant lower level, giving your immune system the chance to keep your body healthier.

Laser Assisted Periodontal Therapy

A young woman smiling while sitting in the dentist's chair and wearing bib

Laser Assisted Periodontal Therapy is a procedure in which thermal, light energy is emitted through a small, fiber optic tip between the teeth and the gums. This energy vaporizes the harmful bacteria at or below the gum-line and removes the infection.

Active periodontal disease is a result of this bacterial infection causing a breakdown of the gums and bone surrounding the teeth. Typically the infected, diseased tissue is removed with a procedure called curettage during gum therapy. It is a non-surgical, conservative procedure performed by your dental hygienist, using a local anesthetic.

Research shows that incorporating the use of the laser into gum therapy procedures “can produce an earlier and greater improvement in gingival health”, and “these applications can be used to improve periodontal wound healing”. The thermal energy produced by the diode laser stimulates circulation and formation of collagen fibers while reducing inflammation and bleeding.

A young woman smiling while sitting in the dentist's chair and wearing bib
Went in because I needed a crown... not fun but the team their made my time there very comfortable, even got to watch a movie and was offered a pillow & blanket! Super team! Thank you!
Nicole & Calvin E.
Nicole & Calvin E.
17:33 01 Jun 20
I had not had a cleaning in 5 or 6 years because I was at university and didn’t have dental coverage. My teeth were BAD with lots of tartar, and Sara did a very thorough job and took extra time out of her day to make sure they were in the best shape. She was very kind and made sure I was as comfortable as possible, and gave me some good advice to keep my overall treatment cost to a minimum. A very positive and non-judgemental experience, not really what I’m used to at the dentist. I would recommend this place to anyone!
Jeanette J.
Jeanette J.
23:36 06 Mar 20
I’m so thankful for Adam Cramer. I came to him in tears because my former dentist completely destroyed my bite, giving me periodic migraines and causing my teeth to shift in my mouth. He was kind and caring and set about to restore my bite. I’ll be forever grateful to him, his terrific assistants (especially Leslie) and his friendly and efficient front desk personnel. I highly recommend this office.
Chris White T.
Chris White T.
06:43 12 Nov 19
Clean office with friendly and professional staff. They are very straight forward and will allow you to consider your options for treatment without being pushy. The dental hygienist and dentist I saw were both awesome and listened really well. The receptionists were welcoming. I highly recommend this place if you've been looking for a dental office that's not just out for money.
Mojave D.
Mojave D.
04:30 10 Oct 19
Dr. Cramer and Staff are the best! We have ages 2-45 that see this dentist and the whole office is remarkable with us all. The office front end staff goes above and beyond each visit, our dental hygienist make real connections and remember activities are kids are involved with, they never shame us or perform work that is unnecessary AND they have a great orthodontist program - we couldn't be happier with this dental practice!!!
Kerri J.
Kerri J.
17:33 05 Jul 19
I have had 2 visits now one for me and one for my 2 yrs old son who knocked a tooth loose. And I am so glad I found these guys. They are quick and friendly and worked fast on my son so he was excited to be there and the assistant I had was friendly and efficient. The front desk went through my insurance and talked to me about pricing before asking to schedule everything so I knew what was coming.Highly recommend this office
Courtney T.
Courtney T.
20:35 05 Jun 19
The staff is very welcoming and friendly. I have dental anxiety and their good attitudes take the edge off my nervousness. I teased them about the affects of laughing gas because they are always smiling.
Marcy H.
Marcy H.
18:01 25 Apr 19
My experiences the past few years have been excellent at this office .The front desk is courteous and always greets you with a smile coming or going. The hygienists are personable and do their jobs well! I've had to make two emergency appointments to have crowns (done years ago at other offices) cemented back on. I truly appreciate the ability of the office to fit me in quickly and treat me with kindness. I highly recommed this office!
Amanda K.
Amanda K.
22:47 16 Feb 19
Cramer dentistry is amazing! From the second you walk in the door you are greeted by a professional friendly front desk staff. The hygienists really take the time to address your needs and concerns... Dr Cramer came highly recommended from our pediatric dentist. He is kind and caring and gives you very detailed information about the care of your teeth! His practice is fantastic and we wouldn’t use anyone else!
Dina B.
Dina B.
00:02 05 Feb 19
Nothing but professional! I am so happy I found them. If you’re looking for a great dental experience from the office staff, hygienist; love my Deanne 🥰 to dentist give them a call. You won’t be disappointed!
Robin T.
Robin T.
02:22 02 Feb 19
My entire family has gone here for years & they are the best! My children have never seen another dentist & we are so pleased with the care they receive!
Jessica P.
Jessica P.
04:19 05 Dec 18
I have been going here for years and love it. I recently brought my 1 year old in for his first appointment and everyone was so fantastic with him! My husband is planning on switching over to Cramer and Bond Dentistry as well.
Kaylene G.
Kaylene G.
01:44 05 Dec 18
Wow...I called today and got an appt today after explaining my situation. The folks at Cramer and Bond always go beyond to provide great customer service and a friendly atmosphere. So glad we transferred our care to them.
Jacque G.
Jacque G.
22:39 04 Dec 18
Once again I have to rate Cramer &Bond as The Best! The staff is outstanding and the office uses top of the line technology to keep our teeth healthy. Well done guys!!
Elizabeth T.
Elizabeth T.
17:13 04 Dec 18
The office and staff are BEYOND amazing!! They were so helpful during my emergency needs and were absolutely fantastic with my children. They loved Rex the dog during their visits.....just a fantastic dentist!!!
Brooke T.
Brooke T.
20:46 26 Nov 18
They have superior customer service from the minute you check in through your entire visit including rescheduling and billing. It's one terrific team of professionals who care. Dr. Cramer and the folks are simply the best of the best. 5 stars!!
George M.
George M.
03:15 28 Oct 18
Best Denistry office in town. Always extremely clean, high tech equipment, and even a trained compassiante dog to help with childrens anxieties!! Staff is very professional!
Cindy Blyle - R.
Cindy Blyle - R.
15:35 30 Aug 18
Always going out of their way to make me feel comfortable!! I have serious PTSD in regards to dental work and I would not go anywhere else! Love all the staff as well from the wonderful office ladies to the doctors and nurses!
Heidi S.
Heidi S.
17:04 20 Jul 18
I love this office! The staff are friendly,professional and very talented in every area that I have experienced at the office.We appreciate the way they do billing. They cover all of our dental needs in one office including oral surgery, sleep apnea and braces.We will be starting our third generation with them with our grandchildren this year.We give a high recommendation.
Tamara B.
Tamara B.
22:33 05 Mar 18
Cramer & Bond Dentistry is by far the BEST practice I have ever been too. I was terrified of going to the dentist due to past experiences (and the condition of my teeth) as soon as I walked in I was greeted with a warm welcome and it took off from there. Deanna was my Dental hygienist and WOW such an amazing young woman who always made sure I was comfortable. From the front desk, to the hygienist to the Dentists THANK YOU. Im actually excited to come back.
Kahdijah L.
Kahdijah L.
04:55 23 Feb 18
If you are a new patient you experience the amazing climate of the office and service. Current patients realize that the day-to-day experience is an established culture pervasive in all aspects of the business. Thank you!
Brian H
Brian H
17:37 22 Dec 17
Great place they bent over backwards to work with me. Dr Bonds assistant was great and as to their work I couldnt be happier. Strongly recommend them. You wont be disapointed
Bruce S.
Bruce S.
22:25 21 Dec 17
My dad who has Alzheimer's is a patient of Dr. Cramer's. He had a recent appt and my mom & I weren't sure how he would do. Dr. Cramer & Lindsay Venable were amazing. They were helpful, kind & quick! It made my mom, my dad & myself feel more comfortable with this difficult situation. Thank you!
Carrie Miller B.
Carrie Miller B.
15:33 03 May 17
I am so excited to see you all next month for my six month cleaning! I would go every day if I could!
Everyone in this office is so wonderful!
All of my coworkers go here and had nothing but great things to say. I recently found out for myself, I love it!
They were so helpful, looked into my insurance before I was even a patient. I didn't have to get my records from my previous dentist. They adjusted my night guard made at a different office, thank you assistant Lindsay.
I highly recommend this office if you are looking for a dentist.
5 stars
Trisha S.
Trisha S.
03:55 03 Feb 17
I love Dr. Cramer and his great staff! I always feel like he spends time answering my questions and providing me the best care possible. I have referred him to several friends and they all feel the same.
Lindsey K.
Lindsey K.
05:14 05 Jan 17
My entire family has been a patient of Dr Cramer for many years. The office staff are friendly, patient, informative and do their best to make a sometime unpleasant experience bearable. Well done guys!
Elizabeth T.
Elizabeth T.
04:38 05 Jan 17
This is a great place to be treated. I have had extensive dental work in my life and I know when I am getting optimum treatment. They are gentle, fun and give great follow up service.
Marsha Jacobs M.
Marsha Jacobs M.
04:13 05 Jan 17
Everyone here is great! I love my dentists! The front office staff and dental assistants are warm and friendly and make you feel like one of the family. I recommend you all the time to family and friends. Truly the best! �
Lacie W.
Lacie W.
01:23 05 Jan 17
I have never liked going to a dentist until I my first experience with Dr. Megan and the staff. It's not always comfortable but you are treated like you are the most important! I've even had Dr. Megan call to make sure I was doing okay!
Terry L B.
Terry L B.
01:16 05 Jan 17
Dr. Cramer is great! We've had adult and kid braces, head gear at just the right growth spurt - saving us from breaking jaws in teen years, dental implant, wisdom teeth, and more, as well as all the regular stuff done here. He's been awesome for it all.
Allison K.
Allison K.
00:06 05 Jan 17
I was referred here by a friend, and I am glad that I listened to her. This office is amazing! The staff are very friendly and have great service. By far, the best office I have ever visited. I do not mind the 30 minute drive, because I know I will leave happy.
Tiana H.
Tiana H.
02:59 12 Oct 15
After nothing but horrible experiences at another dentist office in the area, a friend got me in the door at Cramer Dentistry. I've been there for two years and it has been nothing but great experiences. I have had to have some extensive work done, but Dr. Cramer and his staff are so kind and calming that I know I am in good hands. No body likes to go to the dentist, but I truly love this office!
Dana B.
Dana B.
02:58 30 Jun 15
Dr. Cramer and his staff are very good at what they do. We bring all our kids here and they have always been very gentle and kind with them. I'm so glad I was referred here by a friend and would recommend them to others.
Amy B.
Amy B.
16:46 29 Jun 15
Love Cramer Dentistry! My daughters & I have been coming here since Dr. Cramer began his practice. From the front reception to the hygienists to the Dr's - first class all the way. Professional, helpful & kind.
Carrie Gwinn R.
Carrie Gwinn R.
04:58 25 Jun 15
I don't know many people who enjoy the dentist, but I always tell people how much I love getting my teeth cleaned at Cramer Dentistry! Wouldn't go anywhere else!
Kaylene H.
Kaylene H.
03:42 25 Jun 15
It's hard to say you like your dentist, but I do. They are so nice, sweet, and very helpful to all the needs you might have. So happy I found them for myself and my whole family.
Jennifer H.
Jennifer H.
02:08 23 Jun 15
I found my new permanent dentist today! The staff is great, and I really like "discussing" my options rather than just "being told" what I should do. I will recommend all of my family and friends to check this place out.. very comfortable office. Thank you!
Aaron R.
Aaron R.
21:44 03 Jun 15
The doctors are very nice and even more do an amazing job when it comes to teeth, super professional, and the dental hygienists keep your mind off the fact, that your at the dentist, they are very friendly, last but not very least the the ladies behind the desks are very sweet. A+ facility if your looking for a dentist, you have found one at Cramer Dentistry 🙂
Logan M.
Logan M.
03:03 31 Oct 14
A young brown-haired woman sitting in the dentist's chair while smiling

How often should I get my teeth cleaned?

The Academy of General Dentistry recommends seeing the dentist for a check-up and cleaning at least twice a year. Your Tumwater dentist may recommend you visit more often depending on your specific situation and risk of disease. Some conditions such as diabetes, heart disease, or pregnancy may require more frequent cleanings to keep you and your mouth healthy.

The front desk at our Cramer Dentistry office

Will my insurance cover my check-up appointment?

Most insurances cover the procedures completed at a check-up and cleaning appointment. Our great team of insurance coordinators will help you navigate through your specific insurance benefits and provide you with an estimate of costs should there be a remaining balance after the insurance payment.

The front desk at our Cramer Dentistry office
Maintain Your Oral Health
Improve hygiene habits and enjoy a gentle cleaning with our team.

Cramer Dentistry is open and looking forward to seeing our patients again! As always, patient care and safety is our top priority. As we all navigate life with COVID-19 precautions, our office continues to follow guidelines as recommended by The American Dental Association (ADA), The U.S. Centers for Disease Control and Prevention (CDC), and The Occupational Safety and Health Administration (OSHA). Please call our office at 360-357-4500 to speak with our team if you have any questions.