Comprehensive Dental Hygiene

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

Routine Hygiene Wellness

Improve your daily brushing and flossing with Eleven Eleven Dental.

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.
Two female dental team members checking the mouth of a lady

Visual & Gum Disease Evaluation

During the evaluation, your Port Angeles 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.

A blonde female patient using a modern x-ray machine

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 the 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.

A female patient using our x-ray machine and wearing a black top
Two female assistants using an oversized toothbrush on a female patient

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.

Our doctor Gregory Birch and his two female assistants finalizing a dental cleaning to their patient smiling happily

Professional Teeth Cleaning

All of our hygienists are well trained to perform a thorough tooth 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.

Our doctor Gregory Birch and his two female assistants finalizing a dental cleaning to their patient smiling happily
Two women talking in the dentist's chair while the dentist talks to his assistant

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 a 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. They will also feel for any unusual lumps or bumps and make recommendations for follow up if necessary. We also can 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".

Two dental assistants checking the mouth of a lady with laser equipment

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

Dr. Carlile with his two assistants and a female patient smiling
Dr. Carlile with his two assistants and a female patient smiling

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.

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

    There are no known side effects to incorporating the laser into gum therapy. Most patients report no discomfort during or after the use of the laser. Local anesthetic is utilized for most laser assisted periodontal therapies. It is also recommended to apply vitamin E oil following the therapy to provide a lubricant barrier and additionally promote healing.

  • Why am I just now hearing about using lasers as part of my dental treatment?

    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 lasers, our office now has the ability to offer laser-assisted periodontal therapy as part of our standard of care. We are happy to treat our patients with an elevated level of care that is not only supported by the research but also affordable.

  • How often should the laser be done?

    Although the laser kills millions of harmful bacteria during the procedure, the bacteria will multiply again over time, returning to original levels over the next several months. For this reason, we recommend laser decontamination therapy be included every time you see your hygienist. For some patients with a history of periodontal disease, this may be every 3 months. One of the most important factors in obtaining optimal oral health and controlling periodontal disease is the body’s ability to fight off these harmful bacteria. Incorporating laser bacterial reduction into appointments following initial gum therapy keeps the bacteria at a lower level, giving the immune system a chance to keep the gums healthier.

Dr. Carlile with his two assistants and a female patient smiling
I have had a very positive experience with Eleven Eleven Dental. I am visiting PA and had a dental emergency. They fit me into their schedule and the entire staff was so nice to me. Dr. Carlile was so nice and professional. He made me feel so comfortable and confident in him. I’m so happy I found them.
Patricia Bauer
Patricia Bauer
15:18 13 Sep 18
1111 Dental has always given me and my family wonderful dental services. I have enjoyed getting to know new faces, Chelsea the Hygenist n particular! Such a sweetheart who made sure I was comfortable during my recent cleaning. Especially being able to depend on Cathy of the front office for her wonderful warm welcome each visit, and her smile along with asking about my little grands. Such personal service ~ much appreciated!!! ❤️
Diane Gaydeski
Diane Gaydeski
22:13 29 Jul 18
The staff at eleven eleven dental are all super friendly and helpful. I've had a lot of dental work done and Dr. Carlile is so patient and explains everything he's going to be doing. I've been to other dentist in town but I wont go anywhere else after coming here.
christina driscoll
christina driscoll
17:20 26 Jul 18
We have been coming here for 2 years now and we absolutely love it! There is a train track play area for little kids, however wait time is never that long. Also all the rooms are uniquely decorated with lots of fun things to look at. I have an 18 month old, 3 year old, and 6 year old, and all of them have done great here and are treated well. We have had experience with lots of the dental assistants/hygienists and they all have done a great job cleaning, are friendly, and knowledgeable, including the two dentists. They are also very easy to work with regarding insurance/ billing/ making appointments. The location is pretty stellar too-
Amanda Kiddle
Amanda Kiddle
04:04 26 Jun 18
I had the most wonderful experience at Eleven Eleven Dental. Dr. Carlile and his staff were incredibly friendly, gentle and thorough. They made what is usually an unpleasant appointment, a rather enjoyable one. Can't thank them enough for their compassion and humor. And I have to mention the stunning view of the Strait - what a treat! Happy to have found such a great dental office.
Kristin Hnat
Kristin Hnat
00:55 18 Jul 18
Absolutely love Eleven Eleven Dental! Every time we go we get treated like family.
Kira Kenton
Kira Kenton
00:15 08 Feb 19
Dental Hygienist, Chelsea, is amazing! I have receding gums and nerve sensitivity and she is very understanding and makes cleanings as painless as possible. I don’t dread getting my teeth cleaned anymore! Dr. Carlisle is also great and gentle and explains everything very thoroughly.
A Miskovic
A Miskovic
21:21 25 Feb 19
Knowledgeable, friendly staff and a great experience.
Cathy Lear
Cathy Lear
22:21 26 Feb 19
The best staff they make u feel very comfortable
Kevin Douglas
Kevin Douglas
18:06 27 Feb 19
Every one is so nice and they do great work!
Seth Mann
Seth Mann
00:50 05 Mar 19
I just had my first visit on Friday & I was so impressed with everyone at the clinic! Dr. Carlile & Emily were so great! I have definitely found my new dentist!
summer mann
summer mann
04:16 05 Mar 19
One of the best dental experiences I've ever had. From scheduling on through the procedure, smooth sailing all the way. The staff were very friendly and helpful. Dentist Carlile was professional and a great dentist.Definitely the best place in town! Thank You
Brendan Kelleher
Brendan Kelleher
00:49 29 Mar 19
Nothing but good experiences here, they are always very considerate towards your comfort and I'd reccomend them to anyone in the area in need of a good dentist!
Ian Pritchard
Ian Pritchard
23:12 01 Apr 19
Everyone is very friendly and helpful. I would recommend this place to all my friends. I give them 5 STARS.
skeet dugdale
skeet dugdale
19:40 21 Jun 19
Dentist Carlile is amazing. I appreciate how honest he is and how he tries to go the least invasive route as possible. It is rare to find such a great dentist, who performs high quality work and doesn't try to steal your dollars. I also appreciate how quick the office is to get you quickly on the schedule in reasonable time. This is the first dental office I have found, true professional and honest work. I have had two cavities fixed, cleanings and will now be getting invisalign. All appointments have been higher than standard. I highly recommend Carlile and his staff!
Jessica Wiebe
Jessica Wiebe
18:56 09 Jul 19
The dentist and his two assistants playing with a stuffed dog
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 Port Angeles 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.

Our front desk receptionist sitting at her desk smiling
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.

A member of our team explaining insurance forms to a male patient in front of a computer screen

Maintain Your Oral Health

Improve hygiene habits and enjoy a gentle cleaning with our team.