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Frequently Asked Questions

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FAQ 2017-06-22T20:37:28+00:00
What is the difference between chlorhexidine and fluoride rinse? 2017-06-22T20:47:52+00:00

Our office highly recommends using a chlorhexidine rinse following any type of surgical treatment. This rinse does an exceptional job of killing bacteria and aids in the healing process. However, long term use of chlorhexidine can cause some unpleasant side effects such as stain, higher levels of calculus, and it can also distort taste. For this reason, we recommend switching to a daily fluoride rinse several weeks after surgery.

Fluoride has several positive benefits with none of the unpleasant side effects. Daily use can aid in preventing cavities, killing bacteria, and helping with sensitive teeth. This rise is available through our office.

Tell me about electric toothbrushes. 2017-06-22T20:47:22+00:00

Considering all the electric toothbrushes on the market, we highly recommend the Sonicare brand. This brand is head and shoulders above the other less expensive electric toothbrushes.

We like the Sonicare toothbrush because instead of spinning in a circle, (which can be very traumatic for the gums) the Sonicare oscillates (wiggles back and forth). This provides a much more effective and gentle cleaning motion. It is important to remember to LET THE BRUSH DO ALL THE WORK. Simply move the brush from tooth to tooth and don’t apply any added pressure. This allows the brush to be the most effective in removing plaque and bacteria.

Do I need a referral to schedule an appointment? 2017-06-22T20:46:53+00:00

No, although sometimes a referral is helpful, it is not needed to schedule an appointment.

What can I do about sensitive teeth? 2017-06-22T20:45:09+00:00

If decay and dental disease have been ruled out, there are very effective tools available to treat sensitivity.

Toothpaste – If you have sensitive teeth, you should avoid tarter control or whitening types of toothpaste. These pastes can be more abrasive to the tooth surface which can increase sensitivity. Stick with a regular fluoridated toothpaste or try one of the sensitivity formulas.

Mouth rinse – The best mouth rinse to help control sensitivity is a fluoridated mouth rinse. This should be used on a daily basis and can be obtained at our dental office.

Varnish – This is a professionally applied topical fluoride which greatly reduces sensitivity and strengthens teeth against decay. This is available at our dental office.

What does heart disease and other medical conditions have to do with periodontal (gum) disease? 2017-06-22T20:44:18+00:00

Many people are unaware that having periodontal disease (the destruction of gum tissue and bone that hold our teeth in place) can affect your overall health. Periodontal disease is one of the most common infections; often more prevalent than the common cold! Periodontal disease is not only the number one reason people lose teeth; it can also affect the health of your body!

Periodontal disease is a bacterial infection, and in its earliest stages, it’s called gingivitis. It starts when an accumulation of plaque (a colony of bacteria, food debris, and saliva) is NOT regularly removed from the gums and teeth. The bacteria in plaque produce toxins/acids that irritate and infect the gums and eventually destroy the jaw bone that supports the teeth. When periodontal disease is not treated it can eventually lead to tooth loss!

There are numerous studies that have looked into the correlation between gum disease and major medical conditions. These studies suggest people with periodontal disease are at a greater risk of systemic disease and indicate that periodontal disease may cause oral bacteria to enter the bloodstream and travel to major organs and begin new infections. Research suggests that periodontal bacteria in the blood stream may:

Contribute to the development of heart disease

Increase the risk of stroke

Compromise the health of those that have diabetes or respiratory diseases

Increase a woman’s risk of having a preterm, low-birth weight baby

Researchers conclude there is still much research to be done to understand the link between periodontal disease and systemic diseases, but enough research has been done to support that infections in the mouth can play havoc elsewhere in the body.

To ensure a healthy, disease-free mouth, we recommend the importance of regular dental check-ups and cleanings, which include a periodontal evaluation. Also, diligent home care and a proper diet can help reduce the plaque and bacteria in the mouth.

Remember the mouth body connection! Taking care of your oral health may contribute to your overall medical health!

What are my options if I have missing teeth? 2017-06-22T20:42:56+00:00

Injury, accident, fracture, severe dental decay, and gum disease are the major reasons for having to remove a tooth. If teeth are lost due to injury or have to be removed, it is imperative that they be replaced to avoid cosmetic and dental problems in the future.

When a tooth is lost, the jaw bone that helped to support that tooth begins to atrophy, causing the teeth on either side to shift or tip into the open space of the lost tooth. Also, the tooth above or below the open space will start to move towards the open space because there is no opposing tooth to bite on. These movements may create problems such as decay, gum disease, excessive wear on certain teeth, and TMJ (jaw joint) problems. These problems and movements do not result immediately, but will eventually appear, compromising your chewing abilities, the health of your bite, and the beauty of your smile.

If you are missing teeth, ask us if they need replacement and what options are available to you. Together we will select the best replacement option for your particular case. Prevention and early treatment is always less involved and less costly than delaying treatment and allowing a serious problem to develop.

Why is it important to use dental floss? 2017-06-22T20:42:31+00:00

Brushing our teeth removes food particles, plaque, and bacteria from all tooth surfaces, except in between the teeth. Unfortunately, our toothbrush can’t reach these areas that are highly susceptible to decay and periodontal (gum) disease.

Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (acids) that cause cavities and irritate and inflame the gums. Also, when plaque is not removed above and below the gumline, it hardens and turns into calculus (tartar). This will further irritate and inflame the gums and also slowly destroy the bone. This is the beginning of periodontal disease.

How can I tell if I have gingivitis or periodontitis (gum disease)? 2017-06-22T20:42:00+00:00

Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms. Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.

Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums. The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone. Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.

Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:

Smoking or chewing tobacco – Tobacco users are more likely than nonusers to form plaque and tartar on their teeth.

Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.

Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives. Some medications have side effects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.

Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.

Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc.

Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums.

Signs and Symptoms of Periodontal Disease

Red and puffy gums – Gums should never be red or swollen.

Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.

Persistent bad breath – Caused by bacteria in the mouth.

New spacing between teeth – Caused by bone loss.

Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).

Pus around the teeth and gums – Sign that there is an infection present.

Receding gums – Loss of gum around a tooth.

Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

How often do I have a dental exam and cleaning? 2017-06-22T20:40:50+00:00

You should have your teeth checked and cleaned at least twice a year; although, if you have a history of gum disease, then we recommend 3-4 times a year for cleanings.

Regular dental exams and cleaning visits are essential in preventing dental problems and maintaining the health of your teeth and gums. At these visits, your teeth are cleaned and checked for cavities. Additionally, there are many other things that are checked and monitored to help detect, prevent, and maintain your dental health. These include:

Medical history review: Knowing the status of any current medical conditions, new medications, and illnesses, gives us insight to your overall health and also your dental health.

Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.

Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer.

Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.

Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.

Examination of existing restorations: Check current fillings, crowns, etc.

Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for sometime and is now firmly attached to the tooth surface. Calculus forms above and below the gum line, and can only be removed with special dental instruments.

Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is

a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease!

Teeth polishing: Removes stain and plaque that is not otherwise removed during tooth brushing and scaling.

Oral hygiene recommendations: Review and recommend oral hygiene aids as needed (electric dental toothbrushes, special cleaning aids, fluorides, rinses, etc.).

Review dietary habits: Your eating habits play a very important role in your dental health.

As you can see, a good dental exam and cleaning involves quite a lot more than just checking for cavities and polishing your teeth. We are committed to providing you with the best possible care, and to do so will require regular check-ups and cleanings.

How often should I brush and floss? 2017-06-22T20:40:06+00:00

Brushing and flossing help control the plaque and bacteria that cause dental disease.

Plaque is a film of food debris, bacteria, and saliva that sticks to the teeth and gums. The bacteria in plaque convert certain food particles into acids that cause tooth decay. Also, if plaque is not removed, it turns into calculus (tartar). If plaque and calculus are not removed, they begin to destroy the gums and bone, causing periodontal (gum) disease.

Plaque formation and growth is continuous and can only be controlled by regular brushing, flossing, and the use of other dental aids.

Tooth brushing – Brush your teeth at least twice a day (especially before going to bed at night) with a soft bristle brush and toothpaste.

Brush at a 45 degree angle to the gums, gently using a small, circular motion, ensuring that you always feel the bristles on the gums.

Brush the outer, inner, and biting surfaces of each tooth.

Use the tip of the brush head to clean the inside front teeth.

Brush your tongue to remove bacteria and freshen your breath.

Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.

Flossing – Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

Floss holders are recommended if you have difficulty using conventional floss.

Rinsing – It is important to rinse your mouth with water after brushing, and also after meals if you are unable to brush. If you are using an over-the-counter product for rinsing, it’s a good idea to consult with our office on its appropriateness for you.

What should I do if I have bad breath? 2017-06-22T20:38:32+00:00

Bad breath (halitosis) can be an unpleasant and embarrassing condition. Many of us may not realize that we have bad breath, but everyone has it from time to time, especially in the morning.  There are various reasons one may have bad breath, but in healthy people, the major reason is due to microbial deposits on the tongue, especially the back of the tongue. Some studies have shown that simply brushing the tongue reduced bad breath by as much as 70 percent.

What may cause bad breath?

Morning time – Saliva flow almost stops during sleep and its reduced cleansing action allows bacteria to grow, causing bad breath.

Certain foods – Garlic, onions, etc. Foods containing odor-causing compounds enter the blood stream; they are transferred to the lungs, where they are exhaled.

Poor oral hygiene habits – Food particles remaining in the mouth promote bacterial growth.

Periodontal (gum) disease – Colonies of bacteria and food debris residing under inflamed gums.

Dental cavities and improperly fitted dental appliances – May also contribute to bad breath.

Dry mouth (Xerostomia) – May be caused by certain medications, salivary gland problems, or continuous mouth breathing.

Tobacco products – Dry the mouth, causing bad breath.

Dieting – Certain chemicals called ketones are released in the breath as the body burns fat.

Dehydration, hunger, and missed meals – Drinking water and chewing food increases saliva flow and washes bacteria away.

Certain medical conditions and illnesses – Diabetes, liver and kidney problems, chronic sinus infections, bronchitis, and pneumonia are several conditions that may contribute to bad breath.

Keeping a record of what you eat may help identify the cause of bad breath. Also, review your current medications, recent surgeries, or illnesses with you dentist.

What can I do to prevent bad breath?

Practice good oral hygiene – Brush at least twice a day.  Floss daily to remove food debris and plaque from in between the teeth and under the gumline. Brush or use a tongue scraper to clean the tongue and reach the back areas. Replace your toothbrush every 2 to 3 months. If you wear dentures or removable partials, clean them thoroughly and place them back in your mouth in the morning.

See your dentist regularly – Get a check-up and cleaning at least twice a year. If you have or have had periodontal disease, we will recommend more frequent visits.

Stop smoking/chewing tobacco – Ask what we recommend to help break the habit.

Drink water frequently – Water will help keep your mouth moist and wash away bacteria.

Use mouthwash/rinses – Some over-the-counter products only provide a temporary solution to mask unpleasant mouth odor. Ask us about antiseptic rinses that not only alleviate bad breath, but also kill the germs that cause the problem.

In most cases, we can treat the cause of bad breath. If it is determined that your mouth is healthy, but bad breath is persistent, we may refer you to your physician to determine the cause of the odor and an appropriate treatment plan.