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FAQ

Q: What is root canal treatment?

"A root canal is a treatment used to repair and save a tooth that is badly decayed or becomes infected. During a root canal procedure, the nerve and pulp are removed and the inside of the tooth is cleaned and sealed. Without treatment, the tissue surrounding the tooth will become infected and abscesses may form.

Q : What Are the Signs that a Root Canal Is Needed?
Signs to look for include:

  • Severe toothache pain upon chewing or application of pressure
  • Prolonged sensitivity/pain to heat or cold temperatures (after the hot or cold has been removed)
  • Discoloration (a darkening) of the tooth
  • Swelling and tenderness in the nearby gums
  • A persistent or recurring pimple on the gums
  • Sometimes no symptoms are present
  • Q: What are dental sealants, who should get them, and how long do they last?
    Sealants are a thin, plastic coating that are painted on the chewing surfaces of teeth -- usually the back teeth (the premolars, and molars) – to prevent tooth decay by forming a protective shield over the enamel of each tooth.

    Typically, children should get sealants on their permanent molars and premolars as soon as these teeth come in. In this way, the dental sealants can protect the teeth through the cavity-prone years of ages 6 to 14. However, adults without decay or fillings in their molars can also benefit from sealants.

    Sealants can protect the teeth from decay for up to 10 years, but they need to be checked for chipping or wear at regular dental check-ups.

    Q: How safe are dental X-rays?
    Exposure to all sources of radiation -- including the sun, minerals in the soil, appliances in your home, and dental X-rays -- can damage the body's tissues and cells. Fortunately, the dose of radiation you are exposed to during the taking of dental X-rays is extremely small.

    Q: How do whitening toothpastes work and how effective are they at whitening teeth?
    All toothpastes help remove surface stains through the action of mild abrasives. Some whitening toothpastes contain gentle polishing or chemical agents that provide additional stain removal effectiveness. Whitening toothpastes can help remove surface stains only and do not contain bleach; over-the-counter and professional whitening products contain hydrogen peroxide (a bleaching substance) that helps remove stains on the tooth surface as well as stains deep in the tooth. None of the home use whitening toothpastes can come even close to producing the bleaching effect you get from your dentist's office through chairside bleaching or power bleaching. Whitening toothpastes can lighten your tooth's color by about one shade. In contrast, light-activated whitening conducted in your dentist's office can make your teeth three to eight shades lighter.

    Q: I'm interested in changing the shape of my teeth. What options are available?

    Several different options are available to change the shape of teeth, make teeth look longer, close spaces between teeth or repair chipped or cracked teeth. Among the options are bonding, crowns, veneers, and recon touring.

    Q: There are so many toothpastes to choose from; how do I know which one to use?
    Here's some advice. First, when purchasing a toothpaste for you or your child, select one that contains fluoride. Fluoride-containing toothpastes have been shown to prevent cavities. However, one word of caution: check the manufacturer's label; some toothpastes are not recommended in children under age 6. This is because young children swallow toothpaste and swallowing too much fluoride can lead to tooth discoloration in permanent teeth.

    Q: What Are Dental Implants?
    Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.

    Q: What is dental caries or tooth decay?
    Tooth decay is the destruction of tooth structure thereby resulting in a cavity. It can affect both the enamel (the outer coating of the tooth) and the dentin layer of the tooth. It occurs when bacteria in your mouth make acids that eat away at a tooth. If not treated, tooth decay can cause pain, infection, and tooth loss.

    The symptoms vary but the common ones include:

    Discoloration of the tooth , sensitivity or pain on taking sweet and cold foods, pain on chewing, pain while sleeping, swelling of the gums(abscess) in relation to the decayed tooth, food getting stuck and causing discomfort, etc.

    Q: How does tooth decay occur?
    Tooth decay occurs when foods containing carbohydrates (sugars and starches) such as breads, cereals, milk, soda, fruits, cakes, or candy are left on the teeth. Bacteria that live in the mouth digest these foods, turning them into acids. The bacteria, acid, food debris, and saliva combine to form plaque, which clings to the teeth. The acids in plaque dissolve the enamel surface of the teeth, creating holes in the teeth called cavities, or caries

    Q: How is the tooth decay treated?
    Treatment for tooth decay depends on how bad it is. To fix cavities caused by mild tooth decay, dentist will fill the cavities with another substance (fillings). For more severe tooth decay, you may need a crown or root canal. In extreme cases, dentist may have to remove the tooth.

    Q: What are dental bridges?
    Dental bridges literally bridge the gap created by one or more missing teeth.

    A bridge is made up of two crowns for the teeth on either side of the gap – these two anchoring teeth are called abutment teeth – and a false tooth/teeth in between. These false teeth are called pontics and can be made from gold, alloys, porcelain or a combination of these materials. Dental bridges are supported by natural teeth or implants.

    Q: How Should I Care for My Teeth and Gums?
    There are four basic steps to caring for teeth and gums:

  • Brushing
  • Flossing
  • Eating right
  • Visiting the dentist
  • Q: What is the ideal way of brushing?
    Brush at least twice a day. If you can, brush after every meal. Brushing removes plaque, a film of bacteria that clings to teeth. When bacteria in plaque come into contact with food, they produce acids. These acids lead to cavities. To brush:

  • Place a pea-sized dab of fluoride toothpaste on the head of the toothbrush. (Use a soft toothbrush.)
  • Place the toothbrush against the teeth at a 45-degree angle to the gum line.
  • Move the brush across the teeth using a small circular motion. Continue with this motion cleaning one tooth at a time. Keep the tips of the bristles against the gum line. Avoid pressing so hard that the bristles lie flat against the teeth. (Only the tips of the toothbrush clean the teeth.) Let the bristles reach into spaces between teeth.
  • Brush across the top of the chewing surfaces of the teeth. Make sure the bristles get into the groves and crevices.
  • Use the same small circular motion to clean the backside of the upper and lower teeth – the side that faces the tongue.
  • To clean the inside of the bottom front teeth, angle the head in an up-and-down position toward the bottom inside of the mouth and move the toothbrush in a small circle.
  • For the inside of the top front teeth, angle the brush in an up-and-down position with the tip of the head pointing towards the roof of the mouth. Move the toothbrush in a small circle.
  • Give your tongue a few gentle brush strokes, brushing from the back of your tongue forward. Do not scrub. This helps remove bacteria and freshens your breath.
  • After brushing your teeth for two to three minutes, rinse your mouth with water.
  • Replace your toothbrush with a new one every 3 to 4 months.
  • Q: What is a dental crown?
    A dental crown is a tooth-shaped "cap" that is placed over a tooth – covering the tooth to restore its shape and size, strength, and/or to improve its appearance.

    The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line.

    Q: What are dentures?
    A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available – complete and partial dentures. Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.

    Q: Are There Alternatives to Dentures?
    Yes, dental implants can be used to support permanently cemented bridges, eliminating the need for a denture. The cost is usually greater, but the implants and bridges more closely resemble the feel of real teeth. Dental implants are becoming the alternative to dentures but not everyone is a candidate for implants. Consult your dentist for advice.

    Q: What is basic dental care?
    Basic dental care involves brushing and flossing your teeth regularly, seeing dentist and/or dental hygienist for regular checkups and cleanings, and eating a mouth-healthy diet, which means foods high in whole grains, vegetables and fruits, and dairy products.

    Q: Why is basic dental care important?
    Practicing basic dental care:

  • Prevents tooth decay.
  • Prevents gum (periodontal) disease , which can damage gum tissue and the bones that support teeth , and in the long term can lead to the loss of teeth.
  • Shortens time with the dentist and makes the trip more pleasant.
  • Saves money. By preventing tooth decay and gum disease, you can reduce the need for fillings and other costly procedures.
  • Helps prevent bad breath. Brushing and flossing rid your mouth of the bacteria that cause bad breath.
  • Helps keep teeth white by preventing staining from food, drinks, and tobacco.
  • Improves overall health.
  • Makes it possible for your teeth to last a lifetime.

  • Q: Are there ways to avoid dental problems?
    Keeping your teeth and gums healthy requires good nutrition and regular brushing and flossing.

  • Brush your teeth twice a day-in the morning and before bed-and floss once a day. This removes plaque, which can lead to damaged teeth, gums, and surrounding bone.
  • Use a toothpaste that contains fluoride, which helps prevent tooth decay and cavities. Ask your dentist if you need a mouthwash that contains fluoride or one with ingredients that fight plaque. Look for toothpastes that have been approved by the American Dental Association.
  • Avoid foods that contain a lot of sugar. Sugar helps plaque grow.
  • Avoid using tobacco products, which can cause gum disease and oral cancer. Exposure to tobacco smoke (second hand smoke) also may cause gum disease, as well as other health problems.
  • Practice tongue cleaning. You can use a tongue cleaner or a soft-bristle toothbrush, stroking in a back-to-front direction. Tongue cleaning is particularly important for people who smoke or whose tongues are coated or deeply grooved.
  • Schedule regular trips to the dentist based on how often you need exams and cleaning.

  • Q: When should my child start seeing a dentist?
    It is recommend that your child's dental care start at 12 months of age.2 If your baby has dental problems caused by injury, disease, or a developmental problem, see your pediatric dentist right away.

    Q: What causes gum disease?


    You are more likely to get gum disease if you:

  • Do not clean your teeth well.
  • Smoke or chew tobacco.
  • Have someone in your family who has gum disease.
  • Have a condition that makes it harder for your body to fight infection, such as:
  • Uncontrolled diabetes, AIDS, or leukemia.
  • A high level of stress.
  • A poor diet that’s low in nutrients.

  • Gingivitis
    Gingivitis causes red, swollen gums that bleed easily when the teeth are brushed. Because gingivitis usually doesn't cause pain, many people don't get the treatment they need.

    Periodontitis
    Periodontitis develops if gum disease gets worse. The gums pull away from the teeth, leaving deep pockets where germs called bacteria can grow and damage the bone that supports the teeth. Gums can also shrink back from the teeth. This can make the teeth look longer. Teeth may become loose, fall out, or have to be pulled out by a dentist.

    Q: How is gum disease diagnosed?
    To find out if you have gum disease, your dentist will do an exam to look for:

  • Bleeding gums.
  • Hard buildups of plaque and tartar above and below the gums.
  • Areas where your gums are pulling away or shrinking from your teeth.
  • Pockets that have grown between your teeth and gums.