Frequenty Asked Questions
1. What is the advantage of a tooth colored filling over a silver filling?
While silver fillings are still indicated in certain circumstances, tooth colored fillings, or composites, have many advantages. Aside from the obvious esthetic benefit, composites actually chemically bond to the teeth versus a mechanically retained silver filling. Here's the difference: the chemical bond is so strong that it can actually help prevent tooth fracture.
2. Do I need to replace my old silver fillings because of the mercury?
While dental amalgam is rarely used in our office, evidence-based dentistry has indicated that dental amalgam is still indicated as the best treatment in certain cases. According to the Amercian Dental Association (ADA) revised statement in 2009, "Dental amalgam is considered a safe, affordable and durable material that has been used to restore the teeth of more than 100 million Americans. It contains a mixture of metals such as silver, copper and tin, in addition to mercury, which binds these components into a hard, stable and safe substance. Dental amalgam has been studied and reviewed extensively, and has established a record of safety and effectiveness." Please visit the ADA web site for more information.
Please note, there are many instances when old silver fillings must be replaced due to tooth fracture, decay, or failure of the restoration. Some patients simply want the silver fillings replaced for improved esthetics, and this is a suitable choice for some individuals.
3. Why do I need periodontal maintenance? Can't I just get my teeth cleaned?
A regular dental cleaning is prevention of gum disease by cleaning plaque and calculus that forms above the gum line. Once the dentist has diagnosed you with Periodontitis (disease below the gum line), a more focus appointment is necessary. Periodontial maintenance involves advanced and regular evaluation of tissue and bone levels along with a more in depth cleaning of your teeth. Periodontal maintenance appointments are generally every 3-4 months, because that is usually how long it takes for calculus (tarter) to form on the teeth or in the pockets. Regular appointments are needed for some patients to ensure your gums, teeth, and bone levels remain healthy. Without maintenance, the risk of the Periodontal disease remaining active or progressing is much greater.
4. What precautions do you take to ensure patient safety?
We have a state of the art sterilization center and even have a third party sterilization specialist perform weekly audits to make sure our equipment is functioning correctly for your maximum safety. We use a special closed water bottle sterilization system that is proven to eliminate bacteria in our water lines. Our office is equipped with digital x-rays which some studies have shown to produce about 90% less radiation than traditional x-rays. This advanced technology also makes communication with specialist easier and more efficient for you.
5. What can I do about my stained and discolored teeth?
Teeth Whitening is the most popular request in the dental office. Several patients young and old alike are asking for a whiter, brighter smile. The whitening agent we use is called Carbamide peroxide, and the concentration varies from 6 - 35%. Whitening your teeth can be accomplished in several ways. There are many over the counter products available, but they have very low concentration of the whitening gel, and often don't produce the results most people are wanting. One of the best way to get long term, affordable whitening results with the least amount of sensitivity is with custom trays made by your dentist. The custom trays are made to fit your teeth from models made on your first appointment. Once your teeth are lightened to the level you desire, they may need touching up once or twice a year. The whitening gel comes in dispensing tubes and the refill packs are inexpensive, and available at our office so maintaining your smile is easy.
6. Is there another way I can have a tooth replaced other than a bridge?
Yes! Dental implants can provide artificial teeth that look natural and feel secure. Dental implants can also be used to attach full or partial dentures. Implants, however, are not an option for everyone. Because implants require surgery, patients must be in good health, have healthy gums, have adequate bone to support the implant and be committed to meticulous oral hygiene and regular dental visits. If you are considering implants, a thorough evaluation by your dentist will help determine if you would be a good candidate.
7. What is a veneer? Will it improve the appearance of my teeth?
Veneers are thin, custom-made shells crafted of tooth-colored materials designed to cover the front side of teeth. They are used to correct any minor misalignment, discolorations, or spaces present on the anterior teeth. Veneers are custom made by a dental technician working from a model and photos provided by your dentist. You should know that this is usually an irreversible process, because it's necessary to remove a small amount of enamel from your teeth to accommodate the thin shell, and it is bonded to your natural teeth. It may be recommend that you avoid some foods and beverages that may stain or discolor your veneers such as coffee, tea or red wine. Veneers are perfect for some cases, other individuals may only need slight reshaping of the enamel to even things out, or bonding to repair chips. Dr. Turnbow will be happy to discuss all of the options with you, so you can make an informed decision.
8. What should I do if I have bad breath?
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%.
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
- Dry mouth (Xerostomia) - May be caused by certain medications, salivary gland problems, or continuous mouth breathing.
- Tobacco products
- 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 your dentist.
What can I do to prevent bad breath?
- 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 between the teeth and under the gums. 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 after each meal and at night.
- 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 may recommend more frequent visits.
- Stop smoking/chewing tobacco
- Drink water frequently - Water will help keep your mouth moist and help 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.