General Questions
Why are my teeth sensitive?
Sensitive teeth often come from the fact that your gums have slightly receded. This recession of the gum line allows the underlying dentin to show through which allows water and food easier access to the sensitive nerve. To manage this, there are a number of toothpastes, gels and even some dental procedures that can be applied. Speak to us in more detail if you have very sensitive teeth.
What should I do to prevent gum disease and tooth decay?
Great teeth and gum care start at home. Brushing and flossing on a daily basis is the best way to take care of your teeth and gums on a continual basis. By keeping to a daily routing you will greatly minimize the risk of gingivitis or tooth decay as you age.
What is Gingivitis?
Gingivitis is a condition caused when bacteria surrounds the teeth and enters the gums. The gums can become irritated, inflamed and often bleed. In order to prevent the condition from worsening, regular hygiene visits are highly recommended. During your visit, our Hygiene team will teach you the proper flossing techniques and Oral Hygiene protocol for Home Care will prevent the Periodontal Disease.
What is Periodontal Disease?
Periodontal Disease is a quiet disease that begins with little or no symptoms. It is caused by bacteria that surrounds the teeth and enters the gums. The immediate condition is known as ‘gingivitis’. The gums become irritated, inflamed and often bleed. If not properly treated, the condition worsens. Noticeable symptoms now appear. They include:
- Bad Breath
- Gum Recession
- Gum Sensitivity to Acidic Foods
- Abscesses
- Tooth Pain
- Tooth Loss
How Do You Treat Periodontal Disease?
Periodontal Disease is a chronic condition that needs immediate attention. Through a series of Periodontal Cleanings, Root Planing & Scaling, Laser Therapy and Local Antibiotics, this condition can be controlled. Periodontal Surgery is only necessary for severe cases.
What is the Difference a White and Silver Filling?
Silver Fillings known as Amalgam have been around for decades. Made from a metal alloy, it was the best restoration for fillings. The metal expands and contracts with the heat and cold placed in the mouth. This allowed for little bacteria to enter a tooth once filled; keeping the tooth healthy and strong.
White Fillings, also known as composites are often made of plastic or glass polymers. These cosmetic fillings allow us to fill a cavity with a substance that will look and feel just like your existing tooth structure. This restoration is created with a resin material and fits tightly into a tooth to prevent decay. Rather than a gray or silver material in your mouth, the composite color will match the tooth color.
How Can I Improve My Smile?
There are several ways in today’s Dental World to enhance your smile. Certain procedures include:
We have the capability to improve your smile using all or some of these procedures. For an exact consultation, please contact our office so that we may provide you with a customized treatment plan.
What is Tooth Whitening?
Tooth Whitening is a cost effective and safe procedure to create a beautiful, healthy smile. Over the years, flouride is has been added to the whitening product. This reduces the risk of tooth and gum sensitivity.
Tooth Whitening must be monitored by your dentist and only done after a comprehensive exam and hygiene cleaning.The whitening process can last for a number of years if maintained properly. Beverages such as coffee, tea, cola and wine will reduce the lasting effect. Remember, if it could stain a white shirt, it will stain your smile!
What is Bonding?
Bonding is a cost effective procedure used to fill gaps in front teeth and to change a tooth’s color. The immediate results are amazing. Within a few hours, you will have a great smile! Bonding like Tooth Whitening may change color over time due to coffee, tea, cola and wine.
What are Porcelain Veneers?
Porcelain Veneers are thin pieces of porcelain that go directly on your natural teeth. . This entire procedure can take as few as two visits. Veneers change the size, shape and color of a patient’s teeth. This procedure is used to repair fractured teeth, teeth darkened by age or medication, or a crooked smile. Many times, patients ask for Porcelain Veneers to simply feel and look younger with a straighter, whiter smile!
What are Crowns?
Crowns are a permanent cosmetic procedure that covers the entire tooth. It will change the size, shape and color of the teeth in as few as 2 visits.
Does your office offer financing for services provided?
Please contact us to discuss the options we have available to make your perfect smile today!
What is the Teran Dental Care Referral Program?
Our Patients are our most important asset and we strive to develop long lasting trusting relationships with all our patients. Your referrals are welcome and appreciated. Refer your family members and friends and get a reward from us.
Dental Implants
What is a Dental Implant?
A Dental Implant is a “man-made” replacement for a missing tooth or tooth root. Made from titanium, this screw-like object is inserted under the gum and directly into the upper or lower jaw bone. There is usually minimal discomfort involved with this procedure. After a period of a few months, the Dental Implant and the bone fuse together. This creates an anchor for the new tooth to be placed onto the dental implant.
What are the Benefits of Dental Implants?
- Dental Implants look and function like your natural tooth.
- Dental Implants are a permanent solution for missing teeth.
- Dental Implants are maintained by routine hygiene visits to your dental office.
- Dental Implants decrease the possibility of bone loss, periodontal disease, tooth movement, and further tooth loss.
- Dental Implants replace the need for a Removable Full or Partial Denture.
- Dental Implants focus only on the tooth or teeth that are missing. A traditional bridge would involve the two or more adjacent teeth being compromised to create a false tooth in between.
Who is a candidate for Dental Implants?
With major advancements in Dentistry and Dental Implants, most people are candidates for Dental Implants. There may be exceptions due to chronic illness, heart disease, and severe osteoporosis.
What does the Dental Implant Procedure Involve?The average Dental Implant Procedure takes 3 – 4 visits. The first visit is to x-ray the area and take an impression for a surgical guide and a temporary prosthesis to cover the Implant.
The next visit is to place the Implant. A local anesthesia is applied to the area. (Any additional sedation is no longer necessary unless deemed by the dentist). The dentist will then make a minor incision to place the implant. The implant is placed into the jaw bone. The area will then be covered with sutures. The procedure is usually completed with minor pain.You will next return in approximately 3 months to begin creating the Porcelain Crown to place over the Implant.
How Much Does a Dental Implant Cost?
Fees from Dental Implants vary from dentist to dentist. Always schedule an Implant Consultation to discuss the procedure and all fees involved.
How long does a Dental Implant last?
With routine dental hygiene scheduled and proper home care, A Dental Implant can last approximately 30 years to a lifetime.
Sedation
Can I receive all of the treatment while sleeping- free of fear and pain?
We specialize in Sedation Dentistry and Sleep Dentistry, treating people with dental phobias and anxieties We offer different types of sedation dentistry. These include administering oral sedation, a pill, nitrous oxide (laughing gas), and intravenous sedation to deliver a combination of drugs. All this depends on the needs of the patient.
In this way the patient and the dentist are comfortable providing and receiving the best possible dental care-safe, and free of stress and pain.
What is Sedation Dentistry or Sleep Dentistry?
The patient is given oral medication about one hour before your appointment. The medicine puts you in a light state of sedation and you sleep thru your dental appointment. It is Safe! When you awaken your dental treatment is completed.
You need someone to drive you to and from your appointment. Once you arrive, you are allowed to rest comfortably in a warm, quiet room under a cozy blanket. During the entire time you are here, we will closely monitor you to ensure your safety.
Complex dental treatments that often require six or more appointments can be done in as little as one!
Who is a candidate for sedation?
If you have anxiety or fear about going to the dentist you are a candidate for sedation dentistry. If you have a fear of pain, have had a traumatic dental experience in the past, or the sounds and smells of a dental office make you nauseous, sedation dentistry can help you get over your anxiety.
Some people have physical reasons, like a bad gag reflex or very sensitive teeth, which make them a candidate for sedation dentistry as well. If you are not sure if you are a candidate ask your dentist.
Will I be unconscious?
No, but you will be in a deep state of relaxation during your treatment. You will still be able to breathe on your own and communicate, but you will not feel any pain or anxiety. You may not even remember the procedure afterwards.
How long will I be sedated?
Sedation can last from about 2-6 hours depending on the strength of sedative you are given and how long your procedure takes.
Will I be monitored?
Yes, at all times during your sedation someone will be with you. We also monitor your vitals to make sure they remain at a normal level. Safety is of the utmost importance to us.
Are there any long term effects of sedation?
No. You will feel a little groggy and “out of it” after some forms of sedation, but after a few hours you will feel like yourself again. You will need to have someone drive you home from your appointment in these cases.
What procedures can be performed under sedation?
Just about any procedure can be performed with sedation. The sedation is not for the procedure itself, but for the anxiety that accompanies the procedure. Ask your dentist if sedation is available for a particular procedure.
How many appointments will I need to complete my dental work?
In most cases it only takes two appointments. The first appointment will be a consultation to check your health history and make sure you are a candidate for sedation. The next appointment will be to perform the necessary procedures. This can usually be done in one appointment, but may require a follow up visit.
Will my insurance cover sedation?
In most cases it will not be covered by your insurance provider. We will review your insurance coverage and let you know if it is covered or not. If it is not covered, we will let you know the cost and, if necessary, we can put together a financing plan for you.
What is Oral Conscious Sedation?
If the idea of going to the dentist for a procedure brings on feelings of fear or anxiety there are options to ease the anxiety. Oral conscious sedation is as easy as taking an aspirin and you will feel relaxed and at ease. Oral conscious sedation does not “knock you out” like some other forms of anesthesia. You will remain awake during your procedure, but you will be in a heightened state of relaxation. It is also possible that you will not remember part, or all, of your procedure.
Oral conscious sedation is extremely safe and easy. It is much less expensive than other forms of sedation, and you will be able to talk and breathe on your own during the procedure. It also makes long or complex procedures seem shorter, allowing you to have all of your work done in a single visit. As an added precaution a local anesthetic will be given to the area that is being worked on to ensure that there is no pain. You will need to have someone drive you to and from the office if you use oral conscious sedation for your safety.
Don’t wait any longer to have necessary dental work performed because you are nervous. Ask your dentist about oral conscious sedation to see if it is right for you.
What Nitrous Oxide, also known as laughing gas?
Nitrous Oxide, known to many as laughing gas, is the most commonly used form of sedation in dentistry. It is administered by having the patient inhale the gas, which is carefully monitored by your doctor. You will fall into a euphoric state and feel completely relaxed. All feelings of fear and anxiety fade away, leaving you to sit back peacefully while your dental procedure is performed. In most cases all dental work can be completed in one visit while you are sedated.
Nitrous oxide sedation is very safe and effective. Once the procedure is over the nitrous oxide will wear off fairly quickly, and you will probably be able to drive yourself home and return to your daily activities.
You will need to have a preliminary visit with your dentist to make sure that you are an eligible candidate for nitrous sedation. If you have been worried about your next dental visit its time to stop! Ask us about sedation dentistry and schedule your appointment today.
Surgical Instructions
What should I know before surgery and anesthesia?
There are a few steps that patients need to take prior to anesthesia. First, you should not eat or drink anything at least 8 hours prior to surgery and refrain from smoking 12 hours prior to surgery. You will need someone to accompany you to the surgery and drive you home after. On the day of surgery, do not wear any jewelry, contact lenses, or dentures. If you regularly take medications, discuss those with the doctor to ensure that they are approved prior to surgery. Other than these simple considerations, there is nothing else you need to do to prepare for surgery.
What are the general instructions after oral surgery?
It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery.
Root Canal Therapy
You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. You will also need to take an antibiotic to treat any remaining infection in your tooth. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling) call your dentist immediately.
Crowns and Bridges
Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.
There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.
When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.
White Fillings (Bonding)
After the anesthesia wears off your teeth will likely be sensitive. You should avoid hot and cold food or drink for the next few days. After that initial period, your treated teeth will feel as good as new. Continue your normal hygiene plan to ensure that your fillings last for a long time.
Scaling and Root Planing
After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days contact your dentist.
Veneers
Before you receive your permanent veneer you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.
There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.
When the veneer is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. When brushing and flossing you should pay close attention to the area between the veneer and the tooth at the gum line.
Extractions
After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
Gelatin
Pudding
Yogurt
Mashed Potatoes
Ice Cream
Thin Soups
…and other food you can eat without chewing.When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly call your dentist for a follow up.
What do I have to do after tooth wisdom removal?
Wisdom tooth extraction is a surgical procedure that requires some post-operative care to reduce the chance of infection or other complications. Immediately after surgery, a gauze pad will be placed over the extraction site, which should not be removed for at least 45 minutes, and then discarded after that. Refrain from drinking from a straw or rinsing the mouth to ensure that you do not dislodge the blood clot that has formed. Limit your activities that day. You can resume your regular activities the following day. Take the pain medication as prescribed to reduce the amount of discomfort you feel after the local anesthetic wears off. As with any oral surgery, refrain from drinking through a straw as doing so creates suction and may disrupt the sutures.
What do I have to do after dental implant surgery?
After dental implant surgery, it is recommended that you take at easy for 48-72 hours. Resting assists the healing process and limits after surgery bleeding. Drink plenty of fluids, but nothing too cold. You may need to apply an ice pack to your face in twenty-minute intervals for the 2 days following surgery. If you received upper implants, do not blow your nose for two weeks. It is common to experience slight bleeding for about two days after surgery. You will feel slightly uncomfortable the first two days following surgery, but the third day is generally better. An increase in temperature of about 1 to 2 degrees is to be expected and is not a cause for concern. Finally, while you can eat when you are hungry, do not chew directly onto the bone graft.
What to do after surgery to remove an impacted tooth?
A tooth becomes impacted when there is not enough room to accommodate the space in the dental arch and growth becomes impossible. After surgery to remove an impacted tooth, mild discomfort and some swelling is expected. This is part of the process and should not alarm you. You may use cold compresses to alleviate the swelling. In addition, your doctor will prescribe pain medication, which should be taken as directed. Patients are also advised to favor the extraction area and modify their diet for a few days to allow for healing.
What to do after multiple tooth extractions?
The removal of one or two teeth is a simple procedure. Extracting multiple teeth requires that the jawbone be shaped and removed to prepare for a denture. You may experience the following after a multiple tooth extraction procedure. Within two days, you will experience the maximum swelling both inside the mouth and possibly around the eye as well. The area around your eye may also become discolored, which may be alleviated by a warm compress. The muscles near the extraction site may become sore after surgery, causing a sore throat. This is normal as well as the corners of your mouth becoming dry and cracked from being stretched open during surgery. In most cases, you will have a follow up appointment with your dentist within 48 hours after surgery to discuss any post surgery symptoms that you are experiencing.