I provide dental hygiene care primarily in a private in-studio setting in Welland, with limited mobile visits available by referral in select circumstances.

Services include:

• Comprehensive dental hygiene appointments — assessment, periodontal screening, scaling, polishing; fluoride as indicated
• Professional teeth whitening (in-studio; limited mobile by referral)
• Desensitizing treatments as indicated
• Personalized oral hygiene coaching and home-care planning

I see children, teens, adults, and seniors. If specialized dental treatment is required, I coordinate with your dentist or provide a referral as needed.

Direct billing is available to CDCP and most private insurance plans. X-rays are not provided; coordination with your dentist can be arranged when radiographs are needed.

I don’t currently provide dental X-rays. If radiographs are clinically indicated, I’ll discuss this with you and coordinate with your dentist. With your consent, I can request copies of recent X-rays to support your care.

What X-rays help with (when indicated):

• Finding cavities that aren’t visible in a visual exam

• Checking bone levels that support the teeth

• Identifying tartar (calculus) below the gums

• Assessing tooth roots and other areas not seen clinically

How often are X-rays needed?

Frequency is based on individual risk (history of cavities, gum health, symptoms, etc.). Your dentist will advise on the timing that’s appropriate for you.

Yes. Dental hygienists provide preventive care such as cleanings, fluoride, desensitizing, and whitening. Only a dentist can diagnose and treat conditions like cavities, infections, root canals, crowns, or extractions.

If I observe anything that may require a dentist’s assessment, I’ll explain what I see and recommend follow-up with your dentist. If you don’t have one, I can help connect you. With your consent, I can also share your hygiene records (e.g., charting and notes) to support continuity of care.

Note: I don’t take X-rays. If radiographs are indicated, I’ll coordinate with your dentist or help provide a referral to connect you with a dentist.

Yes. I provide dental hygiene care for individuals with developmental, sensory, cognitive, or physical considerations.

In-studio visits offer private, one-to-one appointments in a calm setting. Limited mobile visits may be available by referral when access or mobility needs make in-studio care difficult.

Care can be adapted for comfort, including step-by-step explanations, a slower pace, and breaks as needed. A caregiver or support person is always welcome.

Please note that some clinical equipment (such as suction and the compressor) produces sound during treatment. If you or your loved one has sound sensitivities, let me know in advance so we can discuss strategies and determine whether an in-studio or mobile setting may be the better fit.

No sedation or X-rays are provided. If treatment beyond dental hygiene scope is required, I will coordinate with your dentist or provide a referral.

With your consent, I can share relevant records such as charting, periodontal assessments, treatment notes, and recommendations directly with your dentist to support continuity of care. If you don’t have a dentist, I can help connect you with one.

What I can share & how

• Records sent securely (e.g., encrypted email) to your provider

• Copies for you upon request (digital or printed)

• If radiographs are needed, I’ll request recent X-rays from your dentist or recommend a visit for new radiographs
  
  

Privacy
Your information is handled in accordance with PHIPA and professional standards.

Yes. At your first visit, a comprehensive dental hygiene assessment is completed in line with the CDHO Standards of Practice before any care. This includes a review of your medical/dental history, a head & neck/oral soft-tissue screening (oral cancer screening), assessment of gum and bone health (periodontal screening), tooth charting, and time to discuss your goals and care options.

Insurance & coverage
This assessment is often covered by CDCP and many private insurance plans, but coverage can vary especially if your dentist has recently billed an exam. Some plans allow a new-patient exam every 3–5 years. If you’d like, I can provide an estimate and (where available) submit a pre-determination to your insurer before your appointment.

Budget considerations
Please let me know if you have a budget you’d like to work within. We can prioritize essential care, stage appointments, and provide itemized fees so you know costs in advance.

You can book online or contact me directly.

Book Online (fastest):
Use the “Book Now” button on the website to enter online booking platform.

Mobile appointments are limited and available by referral only. Please contact directly to confirm eligibility and availability.

Call or Text: 289-272-9511
Email: alexis@sunnysmilesdh.com

By appointment only. The in-studio address is shared after booking.

Times vary by individual needs, but these are typical ranges:

New adult patient (first visit): ~90 min
Includes full dental hygiene assessment, history review, periodontal screening, charting, and care planning.

Adult cleaning (recall): ~45–60 min

Whitening: ~75 min (assessment + treatment)

Children/teens: ~15–45 min (age and clinical needs)

Mobile visit setup/take-down: please allow an extra 10–15 min for setup and 10–15 min for take-down (~20–30 min total in addition to treatment time)

If more time is required (e.g., additional scaling), we can prioritize and stage care over multiple visits.

Please provide at least 24 hours’ notice if you need to change or cancel your appointment. Late cancellations or missed appointments may be subject to a fee to help cover set-up and travel time (for mobile visits).

If you’re unwell or have an emergency, just let me know and we’ll reschedule.

How to reschedule/cancel:
Call or text 289-272-9511 or email alexis@sunnysmilesdh.com.

Tip for mobile visits: If your location or access details change (parking, stairs, entry), please update me when you reschedule.

Mobile dental hygiene can be a great fit for:

• Busy schedules & professionals — care at home (or at work with employer permission) reduces travel and waiting time.

• Families — multiple family members can be seen in one visit.

• Seniors — care in the home, retirement residence, or long-term care setting.

• Mobility or health considerations — care can be provided in a portable chair or your recliner, wheelchair, sofa, or bed; no transfers required.

• Dental anxiety — familiar surroundings and one-to-one, step-by-step care.

• Rural or transportation barriers — when travel to a clinic is difficult.

Where care happens: in your home (Niagara Region) or at a workplace with employer permission.
Good to know: allow ~10–15 minutes for setup; please have a clear 5'×7' area if using patient chair and a nearby 3-prong outlet.

Questions about space or access? I’m happy to help you plan the best setup.

I bring a portable patient chair, clinician stool, task light, and sterilized instruments with single-use barriers and PPE. Set-up takes about 10–15 minutes.

Space & access

• Clear area ~5'×7' (≈1.5 m × 2.1 m)

• Standard 3-prong outlet nearby

• Normal room lighting is fine

• Sink access appreciated for handwashing (hand-hygiene protocols followed regardless)
  
  

Where care happens
Care can be provided in the portable dental chair or in your recliner, wheelchair, sofa, or bed if mobility is a concern. We’ll choose the safest, most supportive spot together before or on arrival.

Wrap-up
After treatment, I tidy the area and pack equipment. If applicable, I’ll submit direct billing and provide you with your receipt.

There isn’t much you need to do, I bring everything required. These tips help the visit go smoothly:

Space & access

• Choose a spot with about 5'×7' (~1.5 m × 2.1 m) of clear space if planning to use patient chair.

• A nearby 3-prong outlet is helpful (some appointments may not require power).

• Normal room lighting is fine; please clear trip hazards in the area.

• If stairs, parking, buzzer codes, or entry details apply, please let me know in advance.

Seating options

• Care can be provided in the portable dental chair or in your own recliner, wheelchair, sofa, or bed, whichever is safest and most supportive. We’ll decide together before or on arrival.
  
  

Home considerations

• Secure pets if they’re curious.

• Sink access for handwashing is appreciated (hand-hygiene protocols are followed regardless).

• If you prefer low-scent/low-noise, let me know and I’ll adjust where possible.
  
  

What to have handy

• Current medications list (and allergies/sensitivities).

• Insurance information/card if you’d like direct billing (CDCP & most private plans).

• A caregiver/support person is welcome if helpful.
  
  

That’s it! I’ll handle set-up (≈10–15 min), provide care, and tidy the area afterward. If applicable, I’ll submit direct billing and provide you with your receipt.

I provide care from a private, home-based studio in Welland off of Line Avenue by appointment only. The exact address and arrival details are shared after booking. If you have parking/access questions, please ask when scheduling.

Dental hygiene cleanings (assessment, scaling, polishing; fluoride as indicated), desensitizing, oral hygiene coaching, and professional teeth whitening (suitability assessed). No X-rays are taken in-studio; I coordinate with your dentist if radiographs are needed.

Not at this time. If radiographs are indicated, I’ll coordinate with your dentist and, with consent, request recent films.

• Medication and allergy list
  
  

• Insurance info (policy/subscriber details; CDCP number if applicable)
  
  

• Any night guard/retainer you wear if you'd like it cleaned
  
  

• Contact info for your dentist (optional, this helps with continuity of care)

Please tell me about mobility or access needs when booking (e.g., stairs, parking, assistive devices). If an in-studio visit isn’t ideal, a mobile appointment may be a better fit, I’m happy to help plan options.

Yes. I offer direct billing to the Canada Dental Care Plan (CDCP) and most private insurance plans. I can also bill Healthy Smiles Ontario (HSO), ODSP, and NIHB. If your plan doesn’t allow assignment, I’ll provide an itemized receipt so you can submit your claim.

Good to know

• Coverage varies by plan. I’m happy to provide an estimate and, where available, submit a pre-determination before your visit.

• You’re responsible for any non-covered amounts (deductibles, co-pays, plan limits).

• Payment options: e-transfer, debit, credit (Visa/Mastercard), Apple Pay, Samsung Pay.

• Teeth whitening is a cosmetic service and is typically not covered.
  
  

To help us bill smoothly
Please have your insurance card/info ready (subscriber ID, plan/policy number). For CDCP, please bring your CDCP number.

I offer direct billing to the Canada Dental Care Plan (CDCP) and most private insurance plans. I can also bill HSO, ODSP, and NIHB. If your plan doesn’t allow assignment, you can pay at the visit and I’ll provide an itemized receipt to submit for reimbursement.

How it works (step by step)

1. Before your visit
   Share your plan details (subscriber ID, policy/plan number, and—if applicable—your CDCP number). If you’d like, I can provide an estimate and, where available, submit a pre-determination to check coverage.

2. At your appointment
   Services are itemized using standard dental hygiene procedure codes. I submit your claim electronically to your plan when assignment is allowed.

3. What you pay
   If the claim is approved at checkout, you pay only the non-covered portion (e.g., deductibles, co-pays, plan limits, or non-covered services). If your plan doesn’t accept assignment or needs manual review, you may pay in full and claim back with the receipt.

4. After the visit
   You’ll receive an itemized receipt. Your insurer may send you an Explanation of Benefits (EOB) showing what was covered.
   
   

Good to know

• Coverage varies by plan. Pre-determinations are estimates; final payment is decided by your insurer.

• Teeth whitening is a cosmetic service and is typically not covered.

• Payment options: e-transfer, cash, debit/credit via Square, Apple Pay, Google/Samsung Pay.

Yes! When delivered according to professional standards. As a Registered Dental Hygienist (RDH), I follow CDHO Standards of Practice and Public Health Ontario (PHO) infection prevention and control guidance. That includes:

• Sterilized instruments processed and packaged to standards

• Single-use barriers and appropriate PPE

• Hand hygiene and environmental cleaning between clients

• Safe transport, storage, and setup of portable equipment

Mobile care is provided using a portable clinical setup (chair, light, instruments) and the same IPAC procedures I use in-studio. If a requirement can’t be met safely in a given space, I’ll adjust the plan or recommend in-studio care.

Yes! I provide dental hygiene care for infants, children, and teens in my in-home studio (Welland) and through mobile visits across Niagara (by appointment only).

What children’s appointments can include

• Age-appropriate assessment and oral soft-tissue screening

• Scaling/polishing as indicated

• Fluoride and desensitizing options as indicated

• Home-care coaching (toothbrushing, flossing tools, diet tips) for children and caregivers
  
  

How we make it easier

• Short, age-appropriate visits with step-by-step explanations and breaks as needed

• A parent/caregiver is welcome to be present throughout

• For mobile care, treatment can be provided in the portable dental chair or a recliner/wheelchair/sofa/bed if that’s better for your child
  
  

Good to know

• No X-rays or sedation are provided; if radiographs or treatment beyond dental hygiene are needed, I’ll coordinate with your child’s dentist or refer them to one

• Direct billing to CDCP and most private plans; itemized receipts available

You’re not alone—many people feel nervous or have sensory/access needs. I provide one-to-one appointments and adapt care to your preferences.

What I can do

• Explain each step before I begin and check in throughout

• Pause or take breaks anytime

• Offer lower-stimulus options (quieter setup, softer lighting when possible, minimal scents)

• Adjust pace, positioning, and tools to your comfort

• Welcome a caregiver/support person to be present

• Provide desensitizing options (as indicated) and clear home-care guidance
  
  

Access & setup

• Mobile visits (Niagara): care can be provided in a portable chair or in your recliner, wheelchair, sofa, or bed (no transfers required)

• In-studio (Welland): private, by-appointment setting; please share access needs (stairs/parking) when booking

Before your visit please share with me about sensory triggers, communication preferences, mobility needs, allergies/sensitivities, and any medications. If a substitute decision-maker is involved, consent can be obtained from them.

Note: No X-rays or sedation are provided. If radiographs or treatment beyond dental hygiene are needed, I’ll coordinate with your dentist or help refer you to one.

I follow CDHO Standards of Practice and Public Health Ontario IPAC guidance: sterilized instruments, single-use barriers, PPE, hand hygiene, and environmental cleaning between clients.