Scroll below to answer FAQ .
Below are some of the most frequently asked questions patients have about dentistry and oral
health issues. If you have any other questions, or would like to schedule an appointment,
we would love to hear from you.
Q: What should I do if I have bad breath?
A: 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.
Q: What may cause bad breath?
A: Morning time. Saliva flow almost stops during sleep and its reduced cleansing action allows bacteria to grow, causing bad breath. Certain foods such as 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, such as 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 your dentist.
Q: What can I do to prevent bad breath?
A: Practice good oral hygiene. Brush at least twice a day with an ADA approved fluoride toothpaste and toothbrush. Floss daily to remove food debris and plaque from in between the teeth and under the gum line. 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 bridges, 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, your dentist will recommend more frequent visits.
Stop smoking/chewing tobacco. Ask your dentist what they 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 your dentist about antiseptic rinses that not only alleviate bad breath, but also kill the germs that cause the problem.
In most cases, your dentist can treat the cause of bad breath. If it is determined that your mouth is healthy, but bad breath is persistent, your dentist may refer you to your physician to determine the cause of the odor and an appropriate treatment plan.
Q: Are amalgam (silver) fillings safe?
A: Over the years there has been some concern as to the safety of amalgam (silver) fillings. An amalgam is a blend of copper, silver, tin and zinc, bound by elemental mercury. Dentists haveused this blended metal to fill teeth for more than 100 years. The controversy is due to claims that the exposure to the vapor and minute particles from the mercury can cause a variety of health problems.
According to the American Dental Association (ADA), up to 76% of dentists use silver containing mercury to fill teeth. The ADA also states that silver fillings are safe and that studies have failed to find any link between silver containing mercury and any medical disorder.
The general consensus is that amalgam (silver) fillings are safe. Along with the ADA’s position, the Center for Disease Control (CDC), the World Health Organization, the FDA, and others support the use of silver fillings as safe, durable, and cost effective. The U.S. Public Health Service says that the only reason not to use silver fillings is when a patient has an allergy to any component of this type of filling. The ADA has had fewer than 100 reported incidents of an allergy to components of silver fillings, and this is out of countless millions of silver fillings over the decades.
Although studies indicate that there are no measurable health risks to patients who have silver fillings, we do know that mercury is a toxic material when we are exposed at high, unsafe levels. For instance, we have been warned to limit the consumption of certain types of fish that carry high levels of mercury in them. However, with respect to amalgam fillings, the ADA maintains that when the mercury combines with the other components of the filling, it becomes an inactive substance that is safe.
There are numerous options to silver fillings, including composite (tooth-colored), porcelain,
and gold fillings. We encourage you to discuss these options with your dentist so you can
determine which is the best option for you.
Q: How often should I have a dental exam and cleaning
A: You should have your teeth checked and cleaned at least twice a year, though your dentist or dental hygienist may recommend more frequent visits.
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 andmonitored to help detect, prevent, and maintain your dental health.
History review: Knowing the status of any current medical conditions, new medications,and illnesses, gives us insight to your over all 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
sings 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.
Q: How can I tell if I have gingivitis or periodontitis (gum disease)?
A: 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 odeveloping 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 affects 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.
Q: How can cosmetic dentistry help improve the
appearance of my smile?
A: If you’re feeling somewhat self-conscious about your teeth, or just want to improve your smile, cosmetic dental treatments may be the answer to a more beautiful, confident smile.
Cosmetic dentistry has become very popular in the last several years, not only due the many advances in cosmetic dental procedures and materials available today, but also because patients are becoming more and more focused on improving their overall health. This includes dental prevention and having a healthier, whiter, more radiant smile.
There are many cosmetic dental procedures available to improve your teeth and enhance your smile. Depending on your particular needs, cosmetic dental treatments can change your smile dramatically, from restoring a single tooth to having a full mouth make-over. Ask your dentist how you can improve the health and beauty of your smile with cosmetic dentistry.
Teeth Whitening: Bleaching lightens teeth that have been stained or discolored by age, food, drink, and smoking. Teeth darkened as a result of injury or taking certain medications can also be bleached, but the effectiveness depends on the degree of staining present.
Composite (tooth-colored) Fillings: Also known as “bonding”, composite fillings are now widely used instead of amalgam (silver) fillings to repair teeth with cavities, and also to replace old defective fillings. Tooth-colored fillings are also used to repair chipped, broken, or discolored teeth. This type of filling is also very useful to fill in gaps and to protect sensitive, exposed root surfaces caused by gum recession.
Porcelain Veneers: Veneers are thin custom-made, tooth-colored shells that are bonded onto the fronts of teeth to create a beautiful individual smile. They can help restore or camouflage damaged, discolored, poorly shaped, or misaligned teeth. Unlike crowns, veneers require minimal tooth structure to be removed from the surface of the tooth.
Porcelain Crowns (caps): A crown is a tooth-colored, custom-made covering that encases the entire tooth surface restoring it to its original shape and size. Crowns protect and strengthen teeth that cannot be restored with fillings or other types of restorations. They are ideal for teeth that have large, fractured or broken fillings and also for those that are badly decayed.
Dental Implants: Dental implants are artificial roots that are surgically placed into the jaw to replace one or more missing teeth. Porcelain crowns, bridges, and dentures can be made specifically to fit and attach to implants, giving a patient a strong, stable, and durable solution to removable dental appliances.
Orthodontics: Less visible and more effective brackets and wires are making straightening teeth with orthodontics much more appealing to adult patients. Also, in some cases, teeth may be straightened with custom-made, clear, removable aligners that require no braces.
Thanks to the advances in modern dentistry, cosmetic treatments can make a difference in making your smile shine!
Soda or Pop? It’s Teeth Trouble by Any Name
Posted on May 11, 2011 by adawp
It’s called “pop” in the Midwest and most of Canada. It’s “soda” in the Northeast. And it goes by a well-known brand name in much of the South.
People across North America use different words to identify a sugary, carbonated soft drink. But however they say it, they’re talking about something that can cause serious oral health problems.
Soft drinks have emerged as one of the most significant dietary sources of tooth decay, affecting people of all ages. Acids and acidic sugar byproducts in soft drinks soften tooth enamel, contributing to the formation of cavities. In extreme cases, softer enamel combined with improper brushing, grinding of the teeth or other conditions can lead to tooth loss.
Sugar-free drinks, which account for only 14 percent of all soft drink consumption, are less harmful1. However, they are acidic and potentially can still cause problems.
We’re Drinking More and More
Soft drink consumption in the United States has increased dramatically across all demographic groups, especially among children and teenagers. The problem is so severe that health authorities such as the American Academy of Pediatrics have begun sounding the alarm about the dangers.
How many school age children drink soft drinks? Estimates range from one in two to more than four in five consuming at least one soft drink a day. At least one in five kids consumes a minimum of four servings a day.2
Some teenagers drink as many as 12 soft drinks a day3.
Larger serving sizes make the problem worse. From 6.5 ounces in the 1950s, the typical soft drink had grown to up to 20 ounces by the 1990s.
Children and adolescents aren’t the only people at risk. Long-term consumption of soft drinks has a cumulative effect on tooth enamel. As people live longer, more will be likely to experience problems.
What to Do
Children, adolescents and adults can all benefit from reducing the number of soft drinks they consume, as well as from available oral care therapies. Here are some steps you can take:
Substitute different drinks: Stock the refrigerator with beverages containing less sugar and acid such as water, milk and 100 percent fruit juice. Drink them yourself and encourage your kids to do the same.
Rinse with water: After consuming a soft drink, flush your mouth with water to remove vestiges of the drink that can prolong exposure of tooth enamel to acids.
Use fluoride toothpaste and mouth rinse: Fluoride reduces cavities and strengthens tooth enamel, so brush with a fluoride-containing toothpaste such as Colgate® Total®. Rinsing with a fluoride mouthwash also can help. Your dentist can recommend an over-the-counter mouthwash or prescribe a stronger one depending on the severity of the condition. He or she also can prescribe a higher fluoride toothpaste.
Get professionally applied fluoride treatment: Your dental hygienist can apply fluoride in the form of a foam, gel or rinse.
Soft drinks are hard on your teeth. By reducing the amount you drink, practicing good oral hygiene, and seeking help fromyour dentist and hygienist, you can counteract their effect and enjoy better oral health.
1Harnack L, Stang J, Story M. Soft drink consumption among US children and adolescents: Nutritional consequences. Journal of the American Dietetic Association 1999;99:436-444.
2Gleason P, Suitor C. Childrens diets in the mid 1990s: Dietary intake and its relationship with school meal participation. Alexandria, VA: US Department of Agriculture, Food and Nutrition Service, Office of Analysis, Nutrition and Evaluation;2001.
3Brimacombe C. The effect of extensive consumption of soda pop on the permanent dentition: A case report. Northwest Dentistry 2001;80:23-25.
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