Comprehensive Dental Exams in San Francisco
Proactive, meticulous, and comfortable dental check-ups designed to protect your smile for a lifetime.

Beyond the Check-Up: A Foundation for Lifelong Health
A comprehensive dental exam at Madderra Dental Spa is more than just a routine check-up; it's the cornerstone of our entire preventive philosophy. It is a detailed, holistic evaluation of your complete oral health system. We believe that proactive, meticulous care is the most effective way to prevent complex dental issues, ensuring your smile remains healthy, functional, and beautiful for years to come. Our exams are designed to be a comfortable, informative experience that empowers you with a full understanding of your oral health.
During your visit, we go beyond simply looking for cavities. We conduct a thorough assessment of your gums, jaw joints (TMJ), bite alignment, and soft tissues. This comprehensive approach allows us to identify the subtle, early signs of potential problems—from gum disease to oral cancer—long before they cause discomfort or require extensive treatment. It's about seeing the big picture and creating a personalized roadmap for your dental wellness.
We blend 34+ years of clinical expertise with state-of-the-art diagnostic technology in a serene, spa-like setting. This unique combination ensures your exam is not only precise and accurate but also a genuinely relaxing and positive experience. We're not just examining your teeth; we're building a partnership with you for a lifetime of optimal health.
Who Benefits from a Comprehensive Exam?
- New Patients seeking a thorough baseline understanding of their oral health.
- Individuals wanting to take a proactive approach to prevent future dental problems.
- Anyone experiencing subtle symptoms like bad breath, bleeding gums, or tooth sensitivity.
- Patients with a history of extensive dental work who require careful monitoring.
- Health-conscious individuals who understand the deep connection between oral health and overall wellness.
The Madderra Approach to Preventive Exams
With over three decades of experience, Dr. Madderra has refined a conservative, patient-first approach to diagnostics. We believe in thorough investigation and clear communication, leveraging technology not to replace clinical judgment, but to enhance it.
Holistic Evaluation
We don't just count teeth. We assess your entire oral system—gums, bone, bite, and jaw joints—to understand the complete picture of your health and identify underlying risk factors.
Advanced Diagnostics
We utilize low-radiation digital X-rays and high-definition intraoral cameras. This allows for early, precise detection while enabling you to see and understand exactly what we're observing.
Conservative Philosophy
Our goal is to preserve healthy tooth structure. We recommend treatment only when necessary and focus on the most minimally invasive solutions to protect your long-term health.
Your Comprehensive Exam: Step-by-Step
Health History & Goal Discussion
We begin by sitting down with you to review your medical and dental history. More importantly, we listen. We want to understand your concerns, past experiences, and future goals for your smile.
Digital X-Rays & Imaging
If needed, we take a series of low-radiation digital X-rays. These images provide critical information about the health of your jawbone and areas between teeth that aren't visible to the naked eye.
Periodontal (Gum) Evaluation
We gently measure the small spaces between your teeth and gums, known as periodontal pockets. This is a crucial step in assessing for gum disease, the leading cause of tooth loss in adults.
Tooth-by-Tooth Inspection & Intraoral Tour
Dr. Madderra or Dr. Holmann will meticulously examine each tooth for signs of decay, wear, or cracks. Using an intraoral camera, we'll give you a tour of your mouth, showing you what we see on a screen.
Oral Cancer Screening & TMJ Check
We perform a tactile and visual screening of all your soft tissues for any abnormalities. We also assess the function of your temporomandibular joint (TMJ) for signs of stress or dysfunction.
Review & Collaborative Plan
We conclude by reviewing all our findings with you. We'll discuss your current health status, answer all your questions, and collaboratively create a prioritized, personalized plan for your ongoing care.
Patient Experiences
"Professional whitening that actually works! My teeth are several shades brighter without sensitivity. The results lasted much longer than I expected."
Amanda T.
Teeth Whitening
September 2025
"The in-office whitening was quick and effective. My teeth are noticeably brighter, and I experienced zero sensitivity. Perfect for a special event!"
Karen B.
Teeth Whitening
August 2024
"Professional whitening that delivers real results. The staff explained all my options and helped me choose the best treatment for my goals. Very pleased."
William H.
Teeth Whitening
July 2024
Frequently Asked Questions
Related Services
Cleanings
Maintain optimal oral hygiene with our gentle yet thorough professional cleanings.
Learn More →Digital X-Rays
Utilizing advanced, low-radiation technology for precise and early diagnosis.
Learn More →Gum Disease Treatment
Proactive, effective therapies to manage and treat periodontal disease.
Learn More →Invest in Your Long-Term Health Today
A comprehensive exam is the single most important step you can take for your oral and overall wellness. Schedule your visit at our San Francisco dental spa and experience the peace of mind that comes with proactive, exceptional care.
