| FAQ |
| |
You have questions? We have answers.
|
| |
|
General
What are the major sources of mercury exposure?
How much mercury is released from dental amalgam?
Why do my gums bleed?
What is tooth decay and how is it caused?
How can i improve my smile?
Will my teeth darken with age?
Does pregnancy affect my teeth?
How often should i visit my dentist and hygienist?
Why are wisdom teeth often removed?
Children's dentistry
When should i take my child to the dentist for the first time?
Why are primary teeth important?
What are pit and fissure sealants?
What do i do if my child's tooth is knocked out?
Implants
What are dental implants?
Who can benefit from dental implant treatment?
Am i a candidate for dental implants?
Will i have to go without teeth at anytime during my dental implant treatment?
I had to have my teeth extracted due to servere periodontal disease. If i had this disease with my natural teeth, will i have it with dental implants?
What is the material used in making dental implants?
Are dental implants rejected?
How long will dental implants last?
What are the risks of dental implant treatment?
How long does it take to complete dental implant treatment?
How many surgeries are involved with dental implant treatment?
Will i be put to sleep?
Is dental implant surgery painful?
How do i take care and maintain the health of my dental implants?
whitening
What causes tooth discoloration?
Are you a good candidate for tooth whitening?
Is this whitening procedure safe?
What is involved in the procedure?
Will I have to wear a mouth tray?
How do I keep my smile white and bright?
|
|
| General |
| |
| Q1. | WHAT ARE THE MAJOR SOURCES OF MERCURY EXPOSURE? |
| A. |
At least 2,700 tons of mercury are released into the atmosphere each year from the oceans and Earth's crust.
An additional 2,000 tons of mercury are released into the atmosphere every year by burning industrial waste.
The population is exposed to methyl mercury (the most toxic form of mercury) primary by eating fish. The organic mercury is concentrated in the tissues of fish.
|
| |
| Q2. | HOW MUCH MERCURY IS RELEASED FROM DENTAL AMALGAM? |
| A. |
There is a continuous release of low doses of elemental mercury vapor from amalgam restorations.
The mercury release is caused by the removal of an oxide layer from the surface of the amalgam restoration. The mercury that is released enters the body by breathing the mercury vapor and by swallowing the dissolved mercury.
|
| |
| Q3. | WHY DO MY GUMS BLEED? |
| A. |
When your gums bleed it means that you have gum disease (or gingivitis). Healthy gums do NOT bleed. The gums appear red and inflamed and you may be aware of a bad taste or bad breath. The gums are not necessarily painful and gingivitis can progress for many years without pain. Gum disease is caused by plaque. This is the sticky film of bacteria that naturally forms on the teeth of everybody every day. If gingivitis progresses, it can spread to the bone supporting the teeth (periodontist). In the long term, if this is left untreated, you could lose your teeth.
Gum disease is preventable and , in its early stages, can be completely cured by a good homecare regime to remove the build up of plaque from all the surfaces of all the teeth.
|
| |
| Q4. | WHAT IS TOOTH DECAY AND HOW IS IT CAUSED? |
| A. |
Tooth decay is the disease known as caries or cavities. Unlike other diseases, however, caries is not life threatening and is highly preventable, though it affects most people to some degree during their life.
Tooth decay occurs when your teeth are frequently exposed to foods containing starches and sugars e.g. Fizzy drinks, squashes, sweets, ice cream, chocolate, cake, biscuits and even fruits and juices. Natural bacteria live in the mouth and form plaque. The plaque interacts with deposits left on your teeth from sugary and starchy goods to produce acids. These acids damage tooth enamel over time by dissolving, or dematerializing, the mineral structure of teeth, leading to tooth decay and weakening the teeth.
|
| |
| Q5. | HOW CAN I IMPROVE MY SMILE? |
| A. |
There are many options that we will be happy to discuss with you that will range from simple aesthetic re-shaping and bleaching to veneers, crowns and full mouth rehabilitations, and even orthodontics.
At a cosmetic consultation appointment, we will establish what you would like to change and thus formulate a treatment plan appropriate for your wants.
|
| |
| Q6. | WILL MY TEETH DARKEN WITH AGE? |
| A. |
Although the simple answer is yes, treatment (for example, bleaching ) is available which can correct this.
Please discuss this with your dentist.
|
| |
| Q7. | DOES PREGNANCY AFFECT MY TEETH? |
| A. |
Pregnancy is an important time in your life and an especially important time for your personal health care. During pregnancy, you are assimilating and providing necessary nutrients for the growth and good health of your child.
Some women experience dental problems during pregnancy. These can be brought on by a variety of reasons.
*Expectant mothers have an increasing tendency to snack and, unfortunately, many times the snack consist of sticky sweets. Reducing snacking and staying on a well balanced diet will benefit your dental health, your overall health and the health of your developing baby.
*Hormonal changes can occur during pregnancy that make your gums susceptible to swelling or bleeding. If this becomes a problem, your dentist can help.
*Another problem is that expectant mothers often don't have the time to devote to their personal health care. All the time spent preparing for the baby's arrival and the fatigue often associated with pregnancy often causes an expectant mother to neglect her own health.
*Be sure to continue to brush and floss daily.
*Last but not least, prior to delivery, be sure to visit the dentist for an examination. Once your baby is born, this is something you probably won't have time to do. Be sure and get any dental problems you may have taken care of prior to baby's arrival.
|
| |
| Q8. | HOW OFTEN SHOULD I VISIT MY DENTIST AND HYGIENIST? |
| A. |
Regular dental visits allow us to detect potential problems early and to verify any abnormalities that could be . We encourage our patients to visit every 6 months and the hygienist every 3 to 6 months. |
| |
| Q9. | WHY ARE WISDOM TEETH OFTEN REMOVED? |
| A. |
Because they are so far back in the mouth, wisdom teeth are not needed, they are difficult to keep clean. Your dentist may recommend the early removal of wisdom teeth to prevent against the potential complications of:
*The wisdom tooth partially erupts through the gum. This creates an opening bacteria may enter and cause infection. Pain, swelling and jaw stiffness may occur.
*The impacted wisdom tooth may continue growing without having enough room may damage adjacent teeth.
*A fluid – filled sac (cyst) or tumor may form on or near the impacted tooth, surrounding bone or tooth roots.
|
| |
| Children's dentistry |
| |
| Q10. | WHEN SHOULD I TAKE MY CHILD TO THE DENTIST FOR THE FIRST TIME? |
| A. |
A child's first dental examination should take place 6 months after the first tooth comes in or at the first birthday, whichever comes first.
*Age 1 : First examination
*Age 2 : Second examination
*Age 3 : examination PLUS first cleaning and fluoride treatment.
|
| |
| Q11. | WHY ARE PRIMARY TEETH IMPORTANT? |
| A. |
Healthy primary teeth are important for children to chew food properly.
Healthy primary teeth enable a child to speak clearly.
Most important, baby teeth act as a placeholders in the jaw for the proper development of the child's permanent teeth.
|
| |
| Q12. | WHAT ARE PIT AND FISSURE SEALANTS? |
| A. |
A Sealant is a resin material that is applied to the pits and fissures of the back teeth.
A sealant acts as a barrier, protecting the enamel from bacterial plaque in cavity prone areas.
Children are much more susceptible to tooth decay than adults and should have their back teeth sealed as soon as the teeth grow in fully.
Applying sealants is a quick, easy, and painless procedure. They are painted on and bonded in place.
|
| |
| Q13. | WHAT DO I DO IF MY CHILD'S TOOTH IS KNOCKED OUT? |
| A. |
Unfortunately, children have accidents, and many times these accidents can injure teeth or involve facial or head areas.
In this circumstance, contact your dentist as soon as possible.
Baby teeth are usually not put back in the mouth, but the child should be seen by a dentist to determine if any roots remain or other teeth have been injured.
|
| |
| Implants |
| |
| Q14. | WHAT ARE DENTAL IMPLANTS? |
| A. |
Dental implants are man-made appliances (cylinders and mesh frameworks) that are surgically place into or onto the jawbone to replace missing tooth roots. Once the bone attaches to the implants, they become rock-solid anchors to support new teeth.
|
| |
| Q15. | WHO CAN BENEFIT FROM DENTAL IMPLANT TREATMENT? |
| A. |
It would appear that someone who wears full dentures that are loose and ill-fitting would be the person most likely to benefit from implant treatment. Implants, however, can be just as beneficial to a young person with congenitally missing teeth by returning his or her smile along with their confidence. It is possible, if not probable that ANYONE with missing teeth can benefit from implant treatment.
|
| |
| Q16. | AM I A CANDIDATE FOR DENTAL IMPLANTS? |
| A. |
In the past, bone loss was the primary factor in determining if a patient was a candidate for implant treatment. This is no longer true today due to the tremendous advancements in bone grafting techniques and procedures as well as the option of on-the-bone implant treatment when bone grafting is not feasible or practical. If you have been told that you are not a candidate for implant treatment due to bone loss, it may be advantageous for you to seek another opinion at this time. |
| |
| Q17. | WILL I HAVE TO GO WITHOUT TEETH AT ANYTIME DURING MY DENTL IMPLANT TREATMENT? |
| A. |
In the majority of cases, patients will always have temporary teeth to wear during treatment and in most instances all the temporaries can be worn throughout the treatment period. There are those cases, however, where temporaries are not needed or where temporaries should not be worn for a few days after surgery. This aspect of treatment is discussed during consultation and treatment planning so that the patient knows what is expected regarding 'temporaries'. |
| |
| Q18. | I HAD TO HAVE MY TEETH EXTRACTED DUE TO SERVERE PERIODONTAL DISEASE. IF I HAD THIS DISEASE WITH MY NATURAL TEETH, WILL I HAVE IT WITH DENTAL IMPLANTS? |
| A. |
Once teeth infected with periodontal disease are removed, the disease will no longer be present. Replacing the teeth with dental implants is an opportunity to 'start over'. GOOD dental hygiene performed on a daily basis will eliminate bacteria build-up around the gum line and is the primary requirement to keep periodontal disease from getting a foot-hold.
|
| |
| Q19. | WHAT IS THE MATERIAL USED IN MAKING DENTAL IMPLANTS? |
| A. |
Root-formed (in-the-bone) implants are made of titanium, a metal that is compatibleness with the human body. It is the same material used in surgically placed orthopedic appliances, such as hip joints, plates, screws, etc. Sub-periosteal (on-the-bone) implants are mostly cast in titanium or vitalium alloy. Although both are bio -compatible, titanium is widely accepted to be more or so. For this reason all upper and lower sub – periosteal implants placed in this office are cast in titanium. |
| |
| Q20. | ARE DENTAL IMPLANTS REFECTED? |
| A. |
Implants are not rejected by the human body due to the use of bio-compatible materials. They can fail, however, if hygiene is neglected, if the bite becomes unbalanced and is not corrected in a timely manner or if the patient develops a systemic disease that eventually affects the whole body. ie: uncontrolled diabetes.
|
| |
| Q21. | HOW LONG WILL DENTAL IMPLANTS LAST? |
| A. |
Implants are more predictable than ever before giving them the potential of lasting a lifetime. Successful long-term implant treatment requires that implant treatment be preformed with skill, knowledge and experience: that post surgery healing is good: that dental hygiene practices are preformed correctly and regularly: that the patient follows through with regular sec-ups and x-rays: and that long term overall health remains good. |
| |
| Q22. | WHAT ARE THE RISKS OF DENTAL IMPLANT TREATMENT? |
| A. |
Risks of dental implant treatment are generally no more or no greater than those found in general dentistry procedures.
|
| |
| Q23. | HOW LONG DOES IT TAKE TO COMPLETE DENTAL IMPLANT TREATMENT? |
| A. |
Time to complete the surgery and restoration phases of implant treatment varies.
Normally the following is true:
Root-form (in -the-bone) implant (s) with NO BONE GRAFTING, 3 TO 4 months.
Root-form (in-the-bone) implant (s) with ridge grafting, 4 to 6 months: some as much as 9 months depending on degree of bone loss.
Root-form (in-the-bone) with sinus grafting, 9 to 12 months.
Lower sub-periosteal (on-the-bone) implants, 2 to 3 months.
Upper sub-periosteal (on-the-bone implants, 4 to 5 months.
Upper and lower sub-periosteal (on-the-bone) implants, 4 to 5 months.
|
| |
| Q24. | HOW MANY SURGERIES ARE INVOLVED WITH DENTAL IMPLANT TREATMENT? |
| A. |
Again this number can vary depending on the treatment plan. Two-stage root-form (in-the-bone) implants require two surgeries, the first to put the implant in the bone under the gum tissue and a second to expose the implant ('uncover') a few months later. When extensive bone grafting is involved, an additional surgery may be required to remove the Tram plate. There is a one-stage root-form (in-the-bone) implant that can be utilized when conditions are right that requires only one surgery.
Sub-periosteal (on-the-bone) implants require one surgery. This surgery number does not include cases that require extraction of existing teeth before the implant can be placed or bone grafting that may be necessary prior to the implant placement.
|
| |
| Q25. | WILL I BE PUT TO SLEEP? |
| A. |
The majority of patients can be made comfortable with oral sedation taken 1 to 2 hours prior to surgery in conjunction with local anesthetic injected into the surgery site(s). The sedation taken by mouth causes the patient to be sleepy and relaxed and tends to have an amnesic affect which results in most patients having little memory of the surgery procedures. Overall, this method is safer than use of general anesthesia and allows the patient to be co-operative during surgery. Oral sedation is not usually prescribed for simple cases involving one or two implants unless the patient requests otherwise. LV sedation is available if a patient desires.
|
| |
| Q26. | IS DENTAL IMPLANT SURGERY PAINFUL? |
| A. |
Initial administering of local anesthetic can cause a degree of discomfort. However, once injected, its purpose is to keep the patient pain free during the surgical procedure. Post-op discomfort may include swelling, tissue discomfort and possibly a temporary soreness in the joint area(s). A regime medications, ice and instruction in post-op care usually makes the healing process easier. Most patients tell us that they had no pain to speak of or that they needed pain medications for only a day or two. Some comment that their experience with implant surgery was easier than undergoing root canal therapy or extraction of teeth.
|
| |
| Q27. | HOW DO I TAKE CARE AND MAINTAIN THE HEALTH OF MY DENTAL IMPLANTS? |
| A. |
Caring for implants is simple and no more difficult than the care that should be given to natural teeth. This includes DAILY hygiene using a prescribed anti-bacterial agent and proper brushing techniques as instructed along with regular check-ups and x-rays as recommended by the doctor. Although, implants are not susceptible to decay like natural teeth, they are susceptible to poor hygiene that will cause bacterial build-up around the gum line which can lead to infection, bone loss, and eventual failure of the implants. Regular hygiene is a must to maintain the health of implants and natural teeth.
Equally important ia a well balanced bite which can be insured by proper-loading of the implants (aspects involved in placing the teeth on the implants-Dr's job) as well as regular follow-up visits to maintain a balanced bite (patient's job). Implants are stronger in the bone than natural teeth. But, like natural teeth, implants are susceptible to uneven chewing forces which over a period of time can cause bone loss and possibly eventual loss of the implant(s).
|
| |
| whitening |
| |
| Q28. |
WHAT CAUSES TOOTH DISCOLORATION? |
| A. |
Discoloration may be the result of genetics, medication, poor oral hygiene, aging, smoking, certain foods and beverages or a combination of these factors.
|
| |
| Q29. |
ARE YOU A GOOD CANDIDATE FOR TOOTH WHITENING? |
| A. |
People with most types of discoloration can achieve lighter teeth through a whitening program. The type of stain you have will affect how much whitening you will experience. Ask your dentist how much whiter teeth can be.
|
| |
| Q30. |
IS THIS WHITENING PROCEDURE SAFE? |
| A. |
Absolutely! We use Rembrant Lightning Gel, which is safe and will not harm teeth and gums. Its safety is supported by more than 20 research studies at leading dental universities.
|
| |
| Q31. |
WHAT IS INVOLVED IN THE PROCEDURE? |
| A. |
It is always performed by a dental professional, so you can be sure it is safe.
|
| |
| Q32. |
WILL I HAVE TO WEAR A MOUTH TRAY? |
| A. |
No mouth tray is required. This is a one-visit procedure that your dentist will perform. Rather than having to wear a mouth tray night after night, you will see results immediatly.
|
| |
| Q33. |
HOW DO I KEP MY SIMLE WHITE AND BRIGHT? |
| A. |
Daily brushing is all you need to prevent loss of whitening.
|
| |