A fluoride-free cleaning visit at Natural Smiles includes four steps. We review your health history, clean your teeth with fluoride-free, biocompatible materials, check your gums, and write a prevention plan. The visit takes place in a HEPA-filtered private room at the practice in downtown St. Petersburg, Florida.
What a holistic cleaning covers
Natural Smiles is a biological dentistry practice in downtown St. Petersburg, Florida. Dr. Carlo Litano, DMD, leads the practice, and a hygienist handles the cleaning. A holistic cleaning follows a fluoride-free protocol and uses biocompatible polish materials for adults and children.
The visit follows four steps:
- Review: health history updates come first
- Cleaning: tartar and plaque removal with fluoride-free, biocompatible materials
- Gum check: pocket measurements, with ozone support or laser therapy flagged where indicated
- Prevention plan: home care, recall timing and findings, routed to Dr. Litano in writing
Patients who want cleanings without other treatment are welcome at Natural Smiles. A new patient starts with an exam, so later cleanings get compared against that starting point.
Materials used and what is left out
The cleaning removes tartar and plaque using fluoride-free, biocompatible materials. No fluoride treatment gets added during this visit, and the protocol stays fluoride-free throughout.
Natural Smiles also offers fluoride-free sealants without mercury, available for adults and children as part of preventive care. These sealants fall under the same fluoride-free care that guides the cleaning.
Gum charting and ozone support
During the gum check, the hygienist measures pockets through periodontal charting. Ozone pocket support or laser therapy gets flagged where indicated.
Cleaning visits happen in the same HEPA-filtered private rooms as clinical care, with the ozone station steps away. Laser periodontal therapy and holistic cleanings pair as a single program at Natural Smiles.
How findings reach Dr. Litano
After the review, the cleaning and the gum check, the hygienist puts together a prevention plan. The plan covers home care, recall timing and findings, and it routes to Dr. Litano in writing.
If the gums need more than a cleaning, periodontal findings route to ozone therapy and laser periodontal therapy. A written plan comes before any treatment begins.
How often patients return
Recall timing is set per patient at Natural Smiles. Hygiene visits are priced in writing at the exam, and the team gives guidance on insurance reimbursement.
What to do next
Patients ready for a cleaning can schedule a visit at Natural Smiles. New patients start with an exam first, which sets the baseline for the cleanings that follow.

