X-rays

Why do I need X-rays?

Dental X-rays are extremely valuable for helping to detect oral diseases of the teeth and surrounding tissues. An X-ray exam may reveal small cavities that can't be seen by a visual exam, infections in the bone, abscesses, cysts, developmental abnormalities, such as extra or impacted teeth and some types of tumors. Just because such diseases, including early tooth decay, can't be seen by a visual exam does not mean that treatment isn't required.

Is it safe to have dental X-rays?

Yes. Numerous precautions and advances in X-ray equipment help protect patients from receiving unnecessary radiation. The amount of radiation received from a Dental Exam is extremely small compared to other naturally occurring sources of radiation, including minerals in the soil, radon, and cosmic radiation from outer space. A full-mouth series of films, using state-of-the-art technology, will deliver an effective dose that is equivalent to about 19 days of exposure to naturally occurring environmental radiation.

How often are they necessary?

This depends upon the patients individual health needs. If you are a new patient, the dentist may recommend X-rays to determine the current status of your mouth and to check for hidden problems. The need for radiographs varies according to your age, risk for disease, and your past dental history.

Children may need X-rays more often than adults because their teeth and jaws are still developing and they are more prone to tooth decay. X-rays help the Dentist discover developmental problems as early as possible so preventative or treatment measures can be started.

Sealants

What Sealants Do for You

A sealant is a clear shaded plastic material that is applied to the chewing surfaces of the back teeth (premolars
and molars), where decay occurs most often. This sealant acts as a barrier, protecting the decay prone areas of the tooth from plaque and acid.

How Sealants are Applied

Each tooth only takes a few minutes to seal. First, the teeth that will be sealed will be cleaned. The chewing surfaces are then etched (roughened) with a weak acidic solution to help the sealant adhere to the teeth. Finally, the sealant is placed onto the tooth enamel and hardened. Some sealants need a special curing light to help them harden, while others do not.

Who Should Have Sealants

Although children receive significant benefits from sealants, adults can also be at risk for pit and fissure decay and thus be candidates for sealants. Your Dentist can advise you about the need for sealants. Sealants are also recommended even for those who receive topical applications of fluoride and who live in communities with
fluoridated water. Fluoride helps fight decay on the smooth surfaces of the teeth but is least effective in pits and fissures.

How Long Do Sealants Last

When the sealant is applied, finger-like strands penetrate the pits and fissures of the tooth enamel. Although the sealant cannot be seen with the naked eye, the protective effect of these strands continues. As a result, it may be several years before another application of sealant is needed. Reapplication of the sealants will continue the protection against decay and may save the time and expense of having a tooth restored. Sealants will be checked during regular dental visits to determine if reapplication is necessary.

How Sealants Save Money

The American Dental Association recognizes that sealants can play a major role in the prevention of tooth decay.

When properly applied and maintained they can successfully protect the chewing surfaces of the tooth from decay. A total prevention program includes brushing twice a day, cleaning between teeth daily with floss or interdental cleaner, regular dental visits, and limiting the number of between-meal snacks. Ask your dentist how to obtain the right level of fluoride. If these measures are followed and sealants are used well, the risk of decay can be reduced or may even be eliminated.

Aftercare

With the sealant deep within the pits and grooves of the enamel surface, normal eating habits can be maintained.

Twice a day brushing is very important to maximize the benefits of the sealants. Of course, sealants should be
checked during regular dental visits to determine if reapplication is necessary.

Injuries from Non-Use

Recreation experts have long recommended a mouth protector as an important piece of safety equipment. Without one, an athlete on the playing field runs the risk of acquiring a toothless grin!

You’ve probably seen mouth protectors used in contact sports, such as hockey, football, and boxing. Coaches and team members know that mouth protectors cushion blows that would otherwise cause broken teeth, injuries to the lips and face, and sometimes even jaw fractures.

Athletic Requirements

If you have dental appliances such as orthodontic braces or bridgework, you should wear a mouth protector that has been fitted by a Dentist.

A mouth protector should be worn at all times during contact sports, in practice as well as during games.

Mishaps on the playing field, the basketball court, and while riding a bicycle or skateboard often involve blows to the head, face, and mouth.

Besides creating a painful emergency, injuries to the mouth can result in chipped or fractured teeth, nerve damage, and tooth loss. Wearing a mouth protector is a simple way to prevent many of these painful and costly injuries.

Types of Mouth Guards

You don’t have to be a football player to benefit from wearing a mouth protector. Any adult or child involved in a recreational activity that poses a risk of injury to the mouth can obtain smile protection with this important safety device.

There are basically two types of mouth protectors:

• Pre-fabricated: A pre-fabricated mouth guard can be purchased at stores, these mouth guards are often only offered in a general size offerings.
• Custom: Mouth guards can also be fabricated by your dentist using an exact model (impression) of your mouth. This type of mouth guard provides superior fit and protection.

Custom-made mouthguards

Your Dentist can create a special mouth protector just for you – one that will provide comfort and proper fit. A custom-made mouth protector is individually designed and constructed in the dental office or according to your dentist’s specifications in a professional dental laboratory.

First, the dentist makes an impression of the patient’s teeth. Using a special material, the dentist constructs the mouth protectors over a model of the teeth.

Although custom-made mouth protectors are somewhat more expensive than stock mouth protectors purchased in stores, their exceptionally good fit, comfort, and overall quality make them worth it. A custom-made mouth protector is easily retained in the mouth and does not interfere with speech or breathing. For these reason, custom-made devices are often preferred by sports enthusiasts and recommended by dentists. So give your smile a sporting chance – ask you Dentist about mouth protectors.

Facts about Nutrition

Basic Dental Health Facts

Plaque is a sticky, colorless film of bacteria by-products that constantly forms on everyone’s teeth. Unless it is thoroughly removed daily, it can lead to dental cavities (tooth decay) and periodontal diseases (gum diseases).

Tooth Decay

Tooth decay is a major cause of tooth loss in children. Tooth decay, or Dental caries is caused by bacteria. For a tooth to decay, three elements are needed: plaque, food containing sugars and starches, and a susceptible tooth. When foods containing sugars and starches are eaten, the bacteria in plaque produces acids that can dissolve tooth enamel. The sticky plaque holds these acids onto the teeth, where, if left, the acids can begin to attack the enamel. After repeated attacks, the enamel may break down, forming a cavity.

Periodontal Disease

Periodontal Diseases afflict the gums and bones that support the teeth. A recent survey stated that some form of periodontal disease affects 39 percent of children and 68 percent of teenagers in the United States alone. Furthermore, periodontal disease has proven to be a worldwide problem with all age groups. Studies show that many periodontal problems, which occur later in life, could be caused by the neglect of oral care during childhood and adolescence.

An early sign of periodontal disease is swollen bums that bleed easily, especially when teeth are brushed or flossed. Toxins that are created by bacteria found in plaque cause periodontal diseases. If plaque is not removed by daily brushing and flossing, along with regular professional cleaning by a Dentist or dental hygienist, these toxins can irritate the gums, making them tender and likely to bleed. If not treated at an early stage, bleeding gums can become progressively worse. Eventually, affecting the bone, which can cause teeth to become loose or to fall out.

Toddlers

To prevent tooth decay and periodontal diseases, tooth brushing and flossing are needed daily to remove harmful plaque from your child’s teeth.

Look for a toothbrush that bears the ADA seal. They have been shown to be safe and effective for their intended use. The advertising claims for these products have been reviewed by the American Dental Association and the claims are accurate and not misleading.

Ask your Dentist to recommend a toothbrush for your child. Children need smaller brushes, specially designed for them. Generally, a brush with soft, end-rounded or polished bristles is recommended, since it is less likely to injure gum tissue.

Check your child’s toothbrush often and replace it when it is worn out. Bent or frayed bristles will not clean plaque from your child’s teeth and they can damage gums. The ADA recommends replacing toothbrushes every 3 months.

Brushing removes plaque from the inner, outer, and chewing surfaces or the teeth. Select a fluoride toothpaste with the seal of the ADA.

Children under six years of age should clean their teeth with a pea-sized amount of fluoride toothpaste after every meal and at bedtime.

1. Holding the toothbrush bristles at a 45-degree angle against the gum line, move the brush back and forth with short strokes - half a tooth wide - in a gentle, scrubbing motion.

2. Brush the outer surfaces of all teeth in the upper and lower jaws. Repeat the same method on the inside surfaces and chewing surfaces of all the teeth.

3. Finish by brushing the tongue to help freshen breath and remove bacteria.

4. Use about 18 inches of floss, wind most of it around the middle fingers of both hands. Hold the floss tightly between the thumbs and forefingers. Use a gentle, sawing motion to guide the floss between the teeth.

5. Curve the floss into a C shape and slide it into the space between the gum and the tooth until you feel resistance. Now, gently scrape the floss, in and up and down motion, against the side of the tooth.

6. Repeat this procedure on each tooth. Don’t forget the backs of the last four teeth.

Flossing removes plaque that hides between the teeth and under the gum line, areas where a toothbrush cannot reach. Supervising your child while he or she brushes and flosses will ensure that a proper job is done.