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FREQUENTLY ASKED QUESTIONS
Q: Which type of toothbrush should I use? A: The brand of the toothbrush is not as critical as the type of bristle and the size of the head. A soft toothbrush with a small head is recommended because medium and hard brushes tend to cause irritation and contribute to recession of the gums, and a small head allows you to get around each tooth more completely and is less likely to injure your gums. It's unnecessary to "scrub" the teeth as long as you are brushing at least twice a day and visiting your dentist at least twice a year for cleanings.
We highly recommend brushing with an Oral-B electric toothbrush.It is clinically proven to remove up to 97% of plaque from hard to reach areas.It is also proven to reverse gingivitis and is a great tool to use for treating periodontal disease.The Oral-B toothbrush is available for purchase in our office.
Q: Is one toothpaste better than others? A: Generally, no. However, it's advisable to use a fluoride containing toothpaste to decrease the incidence of dental decay. We recommend our patients use what tastes good to them as long as it contains fluoride.
Q: How often should I floss? A: Flossing of the teeth once per day helps to prevent cavities from forming between the teeth where your toothbrush can't reach. Flossing also helps to keep your gums healthy.
Q: What's the difference between a "bridge" and a "partial denture"? A: Both bridges and partial dentures replace missing teeth. A bridge is permanently attached to abutment teeth or, in some cases, implants. A partial denture is attached by clasps to the teeth and is easily removed by the patient. Patients are usually more satisfied with bridges than with partial dentures.
Q: What about "silver" fillings versus "white" fillings? A: Although the U.S. Public Health Service issued a report in 1993 stating there is no health reason not to use amalgam (silver fillings), more patients today are requesting "white" or tooth-colored composite fillings. We also prefer tooth-colored fillings because they "bond" to the tooth structure and therefore help strengthen a tooth weakened by decay. While fillings are also usually less sensitive to temperature, and they also look better. However, "white" fillings cannot be used in every situation, and if a tooth is very badly broken-down, a crown will usually be necessary and provide better overall satisfaction for the patient.
Q: Do I need to have a root canal just because I have to have a crown? A: No. While most teeth which have had root canal treatments do need crowns to strengthen the teeth and to return the teeth to normal form and function, not every tooth needing a crown also needs to have a root canal.
Q: What is the difference between a regular cleaning, scaling and root planing and periodontal maintenance? A: A regular cleaning is known as a prophylaxis in dental terms. The American Dental Association describes a prophylaxis as scaling and polishing procedures to remove plaque, calculus and stains from the coronal part of the tooth (the area of the tooth above the gum line).
Scaling means to use a dental instrument to scrape away deposits from the teeth.
An electric device, called an ultra-sonic or sonic scaler, may also be used. This
scaling is preformed on the part of the tooth that is exposed above the gum line.
Calculus is also known as tartar and is a hard, mineralized deposit, somewhat like
cement, that is formed from the plaque in the mouth and the minerals in a person’s saliva.
Plaque is a soft, sticky substance that forms on teeth, regardless of what types of foods
are eaten, which is composed of bacteria and bacterial by-products.
A regular cleaning is recommended for persons who do not have any bone loss, periodontal disease, or infection around their teeth. There should also be no bleeding, mobility of teeth, receded areas where the gums have pulled away from the teeth, or gaps where the spaces around the roots of the teeth are exposed.
Scaling and root planing removes bacteria and their toxins, tartar, and diseased deposits from the surfaces of tooth roots. Scaling is required the full length of the root surface, down to where the root, gum and bone meet. Root planing is typically one of the first steps in treating gum and bone disease (periodontal disease).
Periodontal maintenance is required after the disease process (periodontal disease) is under control. A regular cleaning is not appropriate anymore. Instead, you will require special on-going care.
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