Dd had her first dental appt a few months ago, a couple of weeks before her 4th b-day. They didn't do any scraping at all. They flossed and did a quick cleaning. Dd didn't like the toothpaste, so they didn't even use any. Dd has a strong gag-reflex, so they didn't do any x-rays either, which they said wasn't a big deal since her teeth looked fine.