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1. 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 and can lead to the development of cancer in some instances.
Fortunately, the dose of radiation you are exposed to during the taking of X-rays is extremely small.
2. 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. The painted on liquid sealant quickly bonds into the depressions and
groves of the teeth 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.
3. When will drill-less dentistry become a reality?
Drill-less dentistry, also called air abrasion and microabrasion, is being offered by some dentists now. Air abrasion can be used to remove tooth decay, to remove some old composite restorations, to prepare a tooth surface for bonding or sealants,
and to remove superficial stains and discolorations. The air abrasion instrument works like a mini sandblaster to spray away the decay, stain, or to prepare the tooth surface for bonding or sealant application. With air abrasion, a fine stream of
particles is aimed at the tooth surface. These particles are made of silica, aluminum oxide, or a baking soda mixture and are propelled toward the tooth surface by compressed air or a gas that runs through the dental handpiece. Small particles of
decay, stain, etc., on the tooth surface are removed as the stream of particles strikes them. The remnant particles are then “suctioned” away
4. What’s the latest word on the safety of amalgam-type fillings?
Over the past several years, concerns have been raised about silver-colored fillings, otherwise called amalgams. Because amalgams contain the toxic substance mercury, some people think that they are responsible for causing a number of diseases,
including autism, Alzheimer’s disease, and multiple sclerosis.
The American Dental Association (ADA), the FDA, and numerous public health agencies say amalgams are safe, and that any link between mercury-based fillings and disease is unfounded. The cause of autism, Alzheimer’s disease, and multiple
sclerosis remains unknown. Additionally, there is no solid, scientific evidence to back up the claim that if a person has amalgam fillings removed, he or she will be cured of these or any other diseases.
In March of 2002, the FDA reconfirmed the safety of amalgams. Although amalgams do contain mercury, when they are mixed with other metals, such as silver, copper, tin, and zinc, they form a stable alloy that dentists have used for more than 100
years to fill and preserve hundreds of millions of decayed teeth. The National Institutes of Health conducted several large-scale studies that concluded in 2006 that amalgam fillings were safe.
In addition, there has been concern over the release of a small amount of mercury vapor from these fillings, but according to the ADA, there is no scientific evidence that this small amount results in adverse health effects.
5. How do whitening toothpastes work and how effective are they?
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. 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 chair-side 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.
6. 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 recontouring.
* Dental bonding is a procedure in which a tooth-colored resin material (a durable plastic material) is applied to the tooth surface and hardened with a special light, which ultimately “bonds” the material to the tooth. * Dental crowns
are tooth-shaped “caps” that are placed over teeth. The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line. * Veneers (also sometimes called porcelain veneers or dental
porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials that are designed to cover the front surface of teeth. These shells are bonded to the front of the teeth. * Recontouring or reshaping of the teeth (also called
odontoplasty, enameloplasty, stripping, or slenderizing) is a procedure in which small amounts of tooth enamel are removed to change a tooth’s length, shape or surface.
Each of these options differ with regard to cost, durability, “chair time” necessary to complete the procedure, stain resistant qualities, and best cosmetic approach to resolving a specific problem. Talk to your dentist to see if one is
right for you.
7. I have a terrible fear of going to the dentist yet I know I need to. What should I do?
If you fear going to the dentist, you are not alone. Between 9% and 15% of Americans state they avoid going to the dentist because of anxiety or fear. The first thing you should do is talk with your dentist. In fact, if your dentist doesn’t
take your fear seriously, find another dentist. The key to coping with dental anxiety is to discuss your fears with your dentist. Once your dentist knows what your fears are, he or she will be better able to work with you to determine the best ways
to make you less anxious and more comfortable.
The good news is that today there are a number of strategies that can be used to help reduce fear, anxiety, and pain. These strategies include use of medications (to either numb the treatment area or sedatives or anesthesia to help you relax), use
of lasers instead of the traditional drill for removing decay, application of a variety of mind/body pain and anxiety-reducing techniques (such as guided imagery, biofeedback, deep breathing, acupuncture, and other mental health therapies), and
perhaps even visits to a dentophobia clinic or a support group.
8. 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.
It is also wise to select a product approved by the American Dental Association. The ADA’s Seal of Acceptance means that the product has met ADA criteria for safety and effectiveness and that packaging and advertising claims are
scientifically supported. Some manufacturers choose not to seek the ADA’s Seal of Acceptance. Although these products may be safe and effective, these products’ performance have not been uated or endorsed by the ADA.
Next, when considering other properties of toothpaste — such as whitening toothpastes, tartar-control, gum care, desensitizing, etc. — the best advice for selecting among these products may be to simply ask your dental hygienist or
dentist what the greatest concerns are for your mouth at this time. After consulting with your dentist or hygienist about your oral health’s greatest needs, look for products within that category (for example, within the tartar control brands
or within the desensitizing toothpaste brands) that have received the ADA Seal of Acceptance.
Finally, some degree of personal preference comes into play. Choose the toothpaste that tastes and feels best. Gel or paste, wintergreen or spearmint all work alike. If you find that certain ingredients are irritating to your teeth, cheeks or lips,
or if your teeth have become more sensitive, or if your mouth is irritated after brushing, try changing toothpastes. If the problem continues, see your dentist.
9. I can’t afford regular dental care. Are there some resources available to me?
Yes. Thousands of dentists across the country offer their services at reduced fees through dental society-sponsored assistance programs. Since aid varies from one community to another, call your local dental society for information about where you
can find the nearest assistance programs and low-cost care locations (such as public health clinics and dental school clinics).
Check your local phone book or the internet for your local dental society (for example, the Georgia Dental Society, Georgia Dental Association, or search by your county or region).
The American Dental Association’s website provides links to state dental associations local societies, and state dental schools. Ask your dentist or call your local social service organization for assistance in locating these types of
services in your community.
10. I recently moved and need a new dentist. How can I find one?
The American Dat Association offers these suggestions:
* Ask family, friends, neighbors, or co-workers for their recommendations. * Ask your family doctor or local pharmacist. * If you’re moving, your current dentist may be able to make a recommendation. * Call or write your local or state dental
society. Your local and state dental societies also may be listed in the telephone directory under “dentists” or “associations.” The ADA provides a list of local and state dental societies at their website. * Visit more than
one dentist before selecting one you feel you can build a good long-term relationship with.
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No evolution in the knowledge of dental implants existed during the 1980s and so patients who needed to have some teeth replaced could not be offered this option. There has been an increase in the use of implants to replace missing teeth since the
research that started in Sweden in the 1970s was introduced to the American dental community 20 years ago. Root form implants refer to the vast majority of dental implants being used in the United States today. Made to resemble the tooth root are
these metallic posts or screws usually made from titanium.
Ligaments anchor the root of a natural tooth to the jawbone while sticking out above the gum line is the crown. Between a tooth and an implant, the difference is in the manner by which they are connected to the jawbone. From the root surface, there
are a lot of small protruding ligaments which anchor the root to the bone. The tooth is allowed to move slightly by the v that is created here which also serves as a cushion for the tooth. In this case, there are no ligaments because there is direct
contact between the implant and the bone. You need to visit this site to learn about implant dentistry.
There is some drill work involved in the process of placing a dental implant where a narrow, cylinder shaped hole is created in the jawbone and then the implant is screwed into place. For 2 to 4 months, the metal surface fuses with the surrounding
bone and afterwards the final prosthesis or restoration can be attached. From the medical community, the biologic principles surrounding these procedures have been derived and this is because of the similarities in the materials used to make the
dental implants with the ones used for bone plates and screws used in orthopedic surgery.
What dental implants can do is replace everything from a single tooth, to several teeth, and even a whole arch of missing teeth. Dental pulp or damage to the tooth nerve is a risk taken by the young individual who engages in a procedure involving
the cutting down of intact adjacent teeth. Eliminated here is the damaging of teeth which are free of fillings or cavities. Involved in the replacement of one tooth is a three part system.
When it comes to a crown, root, or cap being replaced, aside from using an interconnecting piece known as an abutment a metallic restoration covered with porcelain is also used to replace the actual crown. Removable partial or full dentures may not
satisfy some patients and if this happens they can go with fixed in dental implants instead. The best service that implant dentistry can provide is assistance to anchor a loose denture. There is a point when dentures become loose after years of being
worn because the size of the underlying jawbone is reduced. Offered by dental implants is to make your prosthesis solid and functional not to mention more stable for they provide two or more anchor points. If you’re on the hunt for top
gingivitis treatment information, make sure to visit them.
Needed so that a patient can experience a predictably good treatment result are several requirements. It is important that the width and height of the jawbone is adequate enough before the implant is placed. The age of the patient, if and for how
long dentures or partial dentures have been worn, and the location and size of certain anatomic structures such as the sinuses in the upper jaw and the nerve canal in the lower jaw can influence the suitability of the jawbone to receive dental
implants.
When deficiencies in the size of the jawbone exist, there are procedures which can increase the size of the bone receiving the dental implants. This can be less successful of a procedure for those who smoke, have glandular or bone metabolism
abnormalities like osteoporosis, or have active infection present in the mouth.
Considering the practice of implant dentistry, no specialty is recognized by the American Dental Association. The training for general dentists is received after graduation from dental school through postgraduate courses while dental specialists
receive advanced training from residency programs. The era of implant dentistry has made an extremely positive impact on the lives of many dental patients, and in the proper circumstances is rapidly becoming the recognized standard of care in which
to replace missing teeth.
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