At your first appointment, our hygienist will simply take some recordings; these are recorded from a pocket chart, for example, if there is a sign of extensive gum disease, and they provide a plaque and bleeding score. The latter highlights problem areas. Plaque is prevalent when the brushing technique of the patient is inadequate. This usually results in bleeding of the gums. Your hygienist will highlight areas that need more attention and educate you on how to improve your brushing technique.