FREQUENTLY Asked Questions
ENDODONTISTEndodontists are dentists who specialize in maintaining teeth through procedures involving the soft inner tissue of the teeth, called the pulp. They perform a variety of procedures including one commonly known as "root canal therapy".
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periodontistPeriodontists are the dental professionals who focus on prevention, diagnosis and treatment of diseases that affect the gums. They often perform pocket reduction surgery (also known as gingivectomy, osseous surgery and flapsurgery)
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oral surgeonOral Surgeon treats a wide spectrum of diseases, injuries and defects around the neck, face and jaw. Most common oral and maxillofacial services include moderate to difficult extraction, including wisdom teeth and reconstructive dental oral surgery
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Should i replace a missing tooth?
A full set of healthy teeth is crucial for oral well-being and overall health. Even a single missing tooth can be cause for concern. Here is what happens when a single firs molar is removed:
1. Top tooth moves down. Tooth in back tilts forward, tooth in front tilts back
2. Food and bacteria catches develop leading to root cavities, inflammation, bleeding gums and jaw bone periodontal disease.
3. Teeth now take bite forces on angles leading to fractured cusps
4. Bite shifts forward so front take more stress. Spaces develop between front teeth as they are pushed forward. 5. Jaw bone where tooth was removed atrophies and shrinks making tooth replacement less ideal or more difficult.
1. Top tooth moves down. Tooth in back tilts forward, tooth in front tilts back
2. Food and bacteria catches develop leading to root cavities, inflammation, bleeding gums and jaw bone periodontal disease.
3. Teeth now take bite forces on angles leading to fractured cusps
4. Bite shifts forward so front take more stress. Spaces develop between front teeth as they are pushed forward. 5. Jaw bone where tooth was removed atrophies and shrinks making tooth replacement less ideal or more difficult.
why do i have a toothache?
Tooth pain can range from mild sensitivity to a severe ache that impacts the jaw and face. Nerve fibers that connect to the teeth send pain signals to the brain. Common causes of tooth pain include:
- An old filling that has cracked or become loose
- An abscess from a deep cavity
- A cracked or fractured tooth
- Infection from gum disease
- Dental sensitivity caused by receding gums
- Teeth grinding or jaw clenching
Sometimes, more serious health conditions such as heart disease, oral cancer, or nerve disorders can elicit pain in the teeth or jaw. For this reason, it is important to consult a dentist right away if you experience discomfort. Your doctor will perform a thorough examination to identify and remedy your tooth or mouth pain.
- An old filling that has cracked or become loose
- An abscess from a deep cavity
- A cracked or fractured tooth
- Infection from gum disease
- Dental sensitivity caused by receding gums
- Teeth grinding or jaw clenching
Sometimes, more serious health conditions such as heart disease, oral cancer, or nerve disorders can elicit pain in the teeth or jaw. For this reason, it is important to consult a dentist right away if you experience discomfort. Your doctor will perform a thorough examination to identify and remedy your tooth or mouth pain.
how often should i have a dental checkup?
A dental checkup is a crucial step on the path to lifelong oral wellness .Regular dental checkups are the first line of defense against damaging oral disease and decay. You've likely heard of the proven link between dental disease and overall well-being, and you understand the benefit of taking proactive steps to preserve the health of your mouth and your body. As in all facets of your health, prevention is key. Most doctors recommend dental checkups every three to six months to monitor oral health and keep track of what's going on with your smile. Your doctor will let you know the right regimen for you. At your dental checkup, the doctor will assess your teeth, gums, and jaw to identify and treat problems in the early stage and prevent irreparable dental damage. A comprehensive dental assessment may include:
- A tooth-by-tooth check for decay
- Analysis of the health of your gums
- A check of how well your top and bottom teeth fit together (called occlusion)
- An oral cancer screening
- An evaluation of jaw joint function
X-rays may be taken, as well. Some doctors use a small intraoral camera to take pictures inside your mouth. These pictures aid in the diagnosis of dental disease and let you become a proactive partner in your treatment. Your doctor may also employ magnification and transillumination to examine teeth for tiny fractures and small areas of decay not visible on Xrays.
Following your exam, it is important to follow your doctor's recommendations to maintain or improve your oral health. A strong smile free from disease and decay is a critical component affecting whole-body health. Dental checkups give you a head start on a lifetime of healthy smiles.
- A tooth-by-tooth check for decay
- Analysis of the health of your gums
- A check of how well your top and bottom teeth fit together (called occlusion)
- An oral cancer screening
- An evaluation of jaw joint function
X-rays may be taken, as well. Some doctors use a small intraoral camera to take pictures inside your mouth. These pictures aid in the diagnosis of dental disease and let you become a proactive partner in your treatment. Your doctor may also employ magnification and transillumination to examine teeth for tiny fractures and small areas of decay not visible on Xrays.
Following your exam, it is important to follow your doctor's recommendations to maintain or improve your oral health. A strong smile free from disease and decay is a critical component affecting whole-body health. Dental checkups give you a head start on a lifetime of healthy smiles.
how can i prevent gum DISEASE?
Evidence continues to grow illustrating the link between oral and overall health. Numerous studies show that the bacteria that cause gum disease can gain entry to the body and spread throughout, damaging internal systems and contributing to a lessened quality of life. The American Academy of Periodontology indicates that approximately 3 out 4 people have some form of gum disease. Early-stage gum disease (gingivitis) can be eliminated with a deep dental cleaning and effective brushing and flossing at home. Advanced cases of gum disease are often treated with topical antibiotic therapy. Severe cases of gum disease may require the services of a specialist called a periodontist. Here are a few things you can do to lessen your risk of gum disease:
- Brush as directed by the dentist, floss daily, and attend regular dental checkups and cleanings.
- Don't ignore the warning signs of gum disease, which include bleeding when brushing, chronic bad breath, loose teeth, and red, swollen gums.
- Follow a good home-care regimen and keep your dental appointments.
- Read up on gum disease and talk to your dentist about reducing risk factors.
- Brush as directed by the dentist, floss daily, and attend regular dental checkups and cleanings.
- Don't ignore the warning signs of gum disease, which include bleeding when brushing, chronic bad breath, loose teeth, and red, swollen gums.
- Follow a good home-care regimen and keep your dental appointments.
- Read up on gum disease and talk to your dentist about reducing risk factors.
should i remove my wisdom teeth?
The name "wisdom teeth" likely originated from the fact that these large third molars typically erupt between the ages of 17 and 25, a "wiser" stage of life beyond childhood. The majority of people have between one and four wisdom teeth. Problems Caused by Wisdom Teeth As wisdom teeth journey through gum and bone on their way to eruption, they can become stuck, or impacted in bone tissue (called a bony impaction) or gum tissue (called a soft-tissue impaction). Impaction can cause pain, pressure, and swelling. Cysts may form at the site of impaction and further disrupt oral function, comfort, and health. When wisdom teeth do emerge through gum tissue, they may crowd or cause damage to other teeth.
ur jaws typically don't have space for these large third molars, so existing teeth bear the brunt by being forced out of position. Dental crowding increases the risk of tooth decay and gum disease. It's not aesthetically pleasing, either. Wisdom Teeth Extraction Early treatment is key to prevent damage and pain. Even if you're not experiencing any outward symptoms of wisdom teeth eruption or impaction, it's important to undergo a wisdom tooth assessment. X-rays can help the dentist identify the location of wisdom teeth and recommend the wisest course of action. Removal of wisdom teeth will eliminate problems with eruption or impaction to keep your smile healthy, comfortable, and functioning properly.
ur jaws typically don't have space for these large third molars, so existing teeth bear the brunt by being forced out of position. Dental crowding increases the risk of tooth decay and gum disease. It's not aesthetically pleasing, either. Wisdom Teeth Extraction Early treatment is key to prevent damage and pain. Even if you're not experiencing any outward symptoms of wisdom teeth eruption or impaction, it's important to undergo a wisdom tooth assessment. X-rays can help the dentist identify the location of wisdom teeth and recommend the wisest course of action. Removal of wisdom teeth will eliminate problems with eruption or impaction to keep your smile healthy, comfortable, and functioning properly.
why DOES bad dental health affects heart disease?
Numerous studies report a link between gum disease and heart health, proving that maintaining a health smile is a crucial first step to maintaining a healthy body. Gum Disease Impacts the Heart Coronary Artery Disease in the following ways:
- Gum disease may double your risk of developing coronary artery disease. This disease occurs when fat, cholesterol, calcium, and other substances form plaques in artery walls. Bad oral bacteria may travel through these arteries and attach to the plaques, increasing the potential for blood clot formation.
- Heart Attack: The total bacteria count in your mouth affects heart health, with a high bacteria count increasing the risk of heart damage. Additionally, two oral bacteria associated with gum disease may increase heart attack risk.
- Infections: If you had a heart transplant, have artificial heart valves or other cardiac prosthetics, or suffer from a congenital heart defect, your doctor may prescribe preventive medication for you to take prior to dental visits. This is to prevent bacterial endocarditis from occurring if oral bacteria enter the bloodstream during a dental procedure.
To keep your smile and your heart healthy and strong, brush twice a day or as directed the dentist, floss daily, and attend regular dental checkups and cleanings. Always tell your dentist about any changes in your medical history and whether you have a known heart condition.
- Gum disease may double your risk of developing coronary artery disease. This disease occurs when fat, cholesterol, calcium, and other substances form plaques in artery walls. Bad oral bacteria may travel through these arteries and attach to the plaques, increasing the potential for blood clot formation.
- Heart Attack: The total bacteria count in your mouth affects heart health, with a high bacteria count increasing the risk of heart damage. Additionally, two oral bacteria associated with gum disease may increase heart attack risk.
- Infections: If you had a heart transplant, have artificial heart valves or other cardiac prosthetics, or suffer from a congenital heart defect, your doctor may prescribe preventive medication for you to take prior to dental visits. This is to prevent bacterial endocarditis from occurring if oral bacteria enter the bloodstream during a dental procedure.
To keep your smile and your heart healthy and strong, brush twice a day or as directed the dentist, floss daily, and attend regular dental checkups and cleanings. Always tell your dentist about any changes in your medical history and whether you have a known heart condition.
Dental mistakes people make
1. We skip our yearly check-ups.
Whether fear of the dentist, cost concerns, or just a laissez-faire attitude about oral health, 100 million Americans don’t see their dentist for a yearly cleaning and check-up. Many of us only visit our dentist if there is something really, really wrong, but regular dental visits can spot oral health problems early when they are easier (and cheaper) to treat. What’s more, these visits can help prevent many oral problems from developing in the first place. Some individuals who are at high risk for gum disease should visit their dentist even more regularly.
2. We wait too long to get a new toothbrush.
Is your toothbrush an antique? If so, it may be a breeding ground for the bacteria that cause decay and gum disease. Also, worn bristles can’t clean as well. Most Americans replace their brush just once or twice a year, but the American Dental Association (ADA) recommends using a clean, new one every three to four months or once the bristles become frayed.
3. We don’t clean or store our toothbrush properly.
We often make mistakes when it comes to keeping our toothbrush clean. The best way to clean a brush and keep it that way is to thoroughly rinse it with tap water after brushing to get rid of any left-over toothpaste and debris. Never store your clean toothbrush too close to another person’s toothbrush because germs can transfer.
4. We don’t floss well enough or often enough.
Flossing is essential for good oral health, but how and when you do it makes a big difference. The American Dental Association (ADA) recommends flossing at least once a day. It’s easy to floss the front teeth and call it a day, but missing the back of your mouth including in-between and around your molars is a big mistake. Flossing removes the bacteria and food that lurks in-between your teeth where it will cause cavities, plaque, and gum disease. Ask your dentist for a quick tutorial on how, when and where you should floss each day.
5. We think cavities are just for kids.
Most adults have had at least one cavity, and more than 25% have some untreated decay. This sets the stage for root canal and/or tooth loss. During root canal, your dentist removes the inside of the tooth, and then cleans and seals it. It is much more invasive (and expensive) than having a cavity drilled and filled.
6. We ignore warning symptoms.
Bad breath, bleeding gums, dry mouth, sores, lumps and/or thrush (a fungus infection in the mouth) are all red flags that something is wrong and you need to see your dentist. A growing body of research links a healthy mouth to a healthy body. Gum disease, for example, increases risk for heart disease, diabetes, and preterm childbirth.
7. We forget to brush our tongues.
Our tongues usually contain bacteria, and if we don’t brush or scrape them regularly, this bacteria leads to tooth decay and bad breath. Talk to your dentist about how and when to scrape your tongue.
8. We still smoke.
In addition to all of the other health ills associated with smoking, it also causes gum disease and stains teeth. Smoking hinders the immune system, which makes it harder to fight off a gum infection. If you smoke, it also impedes healing when your gums are inflamed. Talk to your doctor about how to quit.
9. We drink soda.
Coffee consumption stains teeth and so does dark carbonated soft drinks. Soda–even the diet variety–is highly acidic, which means it can erode the enamel on your teeth. Even seemingly healthy but highly acidic citric juices or lemon- and lime-infused water can be harm teeth enamel. Caffeinated drinks and alcohol can also dry out your mouth. Without saliva, you can’t neutralize acids produced by bacteria or wash away food particles. Your best bet is to consume plenty of plain water
Why should I go to the dentist regularly?
Many people do not see a dentist on a regular basis. They only go when they have a problem. This is known as "crisis treatment" versus "preventive treatment." While these patients may feel they are saving money, it often ends up costing much more in dollars and time. This is because many dental problems do not have symptoms until they reach the advanced stages of the disease process. An example is tooth decay. It is typical to hear, "Nothing hurts... I don't have any problems."
Tooth decay often does not hurt until it gets close to the nerve of the tooth. It is not uncommon to see a patient with a huge cavity who has never felt a thing. The dentist can usually detect a cavity 3-4 years before it develops any symptoms. This early detection can help you prevent root canal treatment.
Tooth decay often does not hurt until it gets close to the nerve of the tooth. It is not uncommon to see a patient with a huge cavity who has never felt a thing. The dentist can usually detect a cavity 3-4 years before it develops any symptoms. This early detection can help you prevent root canal treatment.
How can I get my kids to brush their teeth?
Make it fun! If you are enthusiastic about brushing your teeth, your children will also be enthusiastic. Children want to do the things their parents do. If your children see you brushing your teeth and displaying good dental habits, they will follow. Ask the dentist for other creative ways to get children to brush their teeth.
Getting your children to brush starts with taking them to the dentist at an early age. All children should be seen by their first birthday or 6 months after the eruption of the first tooth.
Getting your children to brush starts with taking them to the dentist at an early age. All children should be seen by their first birthday or 6 months after the eruption of the first tooth.
Why does my dentist take X-rays?
Many diseases of the teeth and surrounding tissues cannot be seen when the dentist examines the mouth. An X-ray examination may reveal:
- small areas of decay between the teeth or below existing restorations (fillings)
- infections in the bone
- periodontal (gum) disease
- abscesses or cysts
- developmental abnormalities
- some types of tumors
What is periodontal disease?
Periodontal disease is inflammation and infection of the gums and supporting bone structure, which if left untreated, can cause permanent jaw bone destruction and possible tooth loss. Untreated periodontal disease has been linked to increased risk for conditions such as heart disease, stroke, low birth weight babies, pre-term delivery, respiratory disease, and prostate cancer. An advanced stage of periodontal disease exhibits inflamed gums pulling away from your bone and teeth. Other signs of periodontal disease include:
- Bad breath
- Red or swollen gums
- Loose teeth or teeth that have moved
- Sensitive teeth
- Pus coming from around the teeth
- Pain when chewing
- Tender gums
- Bleeding gums
Do whitening toothpastes work?
Commercial whitening toothpastes vary greatly in their ability to whiten teeth. They work by removing surface stains from the teeth with the use of mild abrasives. However, unlike professional whitening, some whitening toothpastes do not alter the intrinsic color of the teeth. Toothpastes that are effective in removing stains can also destroy tooth enamel in the process. These toothpastes use harsh abrasives. With repeated use, harsh abrasives begin to damage tooth enamel and can contribute to increased tooth sensitivity. If you would like to try a whitening toothpaste, consult with your dentist first.
How long will the results of teeth whitening last?
Like other investments, if you whiten your teeth, the length of time you can expect it to last will vary. If you smoke, drink red wine or coffee, or consume other acid-containing foods, your bright smile may begin to yellow more quickly than you expect. In general, a teeth whitening procedure can last up to a few years. And even though the results can fade, occasional touch-ups can be done to regain luster.
What should I do about bleeding gums?
People often respond to bleeding gums with the wrong method of treatment. Usually, gums that bleed are a symptom of the onset of periodontal disease or gingivitis. But often, people stop brushing as frequently and effectively because it may be painful or it may cause the gums to bleed again. However, when gums are inflamed, brushing could help reduce the inflammation. More importantly, you should see your dentist to have a periodontal screening and recording performed in order to determine the level of disease present and the best treatment course to pursue.
It is also worth noting that chronic dental pain and discomfort are obvious signs of a problem. Over-the-counter drugs may provide some temporary relief. These medications usually only mask the existence of a problem and should be taken on a temporary basis.
It is also worth noting that chronic dental pain and discomfort are obvious signs of a problem. Over-the-counter drugs may provide some temporary relief. These medications usually only mask the existence of a problem and should be taken on a temporary basis.
What are dental implants?
A dental implant by itself is not a tooth! A dental implant is a prosthesis used to replace missing teeth. Essentially, it is a small titanium post/fixture that is inserted into the jawbone, on top of which a single crown (cap), a fixed bridge, a partial denture, or full denture can be attached. Once the implant integrates to your bone, a structure called an abutment is connected to the implant and then the artificial tooth/teeth are attached. Therefore, there are 3 parts to an “implant tooth”: the dental implant itself, the abutment, and the artificial tooth.
Who is a good candidate for dental implants?
Almost anyone who is missing a single tooth, multiple teeth, or all teeth are candidates for dental implants. Talk to your dentist for your specific needs.
What are the advantages of dental implants?
Humans are “blessed” with 2 sets of teeth (baby teeth and adult/permanent teeth). When a single permanent tooth or multiple teeth are lost due to dental decay or gum disease, dental implants can now replace them as the 3rd set of fixed teeth! Dental implants can last a lifetime and can improve your appearance, your confidence, and your ability to eat the foods you like, and participate in an active lifestyle, without worrying about your teeth. Dental implants are made of titanium and can never get dental decay!
What are the disadvantages of dental implants?
Like any minor oral surgical procedure, there is a risk of infection, inflammation, and pain, but your dentist will discuss how these can be managed for your specific situation. If there is no available bone to place the implant, then bone and gum grafting procedures may be required, which can increase the cost of your treatment. However, the upfront investment can pay off in the long term.
How much do implants cost and does insurance cover the cost?
In general, the cost of replacing a single tooth with a dental implant is almost the same as replacing it with a regular fixed bridge. Dental implant treatment may qualify for some insurance coverage, but situations vary. The cost will vary by patient needs, bone quantity, and region. Your dentist will make an assessment based on your unique needs.
Who is a good candidate for dental implants?
Almost anyone who is missing a single tooth, multiple teeth, or all teeth are candidates for dental implants. Talk to your dentist for your specific needs.
What are the advantages of dental implants?
Humans are “blessed” with 2 sets of teeth (baby teeth and adult/permanent teeth). When a single permanent tooth or multiple teeth are lost due to dental decay or gum disease, dental implants can now replace them as the 3rd set of fixed teeth! Dental implants can last a lifetime and can improve your appearance, your confidence, and your ability to eat the foods you like, and participate in an active lifestyle, without worrying about your teeth. Dental implants are made of titanium and can never get dental decay!
What are the disadvantages of dental implants?
Like any minor oral surgical procedure, there is a risk of infection, inflammation, and pain, but your dentist will discuss how these can be managed for your specific situation. If there is no available bone to place the implant, then bone and gum grafting procedures may be required, which can increase the cost of your treatment. However, the upfront investment can pay off in the long term.
How much do implants cost and does insurance cover the cost?
In general, the cost of replacing a single tooth with a dental implant is almost the same as replacing it with a regular fixed bridge. Dental implant treatment may qualify for some insurance coverage, but situations vary. The cost will vary by patient needs, bone quantity, and region. Your dentist will make an assessment based on your unique needs.
What are some signs that i need to see a dentist?
- Your gums are puffy and/or they bleed when you brush or floss
- You have fillings, crowns, dental implants, dentures, etc.
- You don’t like the way your smile or teeth look
- You have persistent bad breath or bad taste in your mouth
- You have pain or swelling in your mouth, face or neck
- You have difficulty chewing or swallowing
- You have a family history of gum disease or tooth decay
- You have a medical condition such as diabetes, cardiovascular disease, eating disorders or are HIV positive
- Your mouth is often dry
- You smoke or use other tobacco products
- You are undergoing medical treatment such as radiation, chemotherapy or hormone replacement therapy
- Your jaw sometimes pops or is painful when opening and closing, chewing or when you first wake up; you have an uneven bite
- You have a spot or sore that doesn’t look or feel right in your mouth and it isn’t going away