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Patient Education

We know how important it is for the public to have knowledge of oral health care and how it relates to your overall good health. Because of this, we are providing you with videos, articles, whitepapers, etc. We hope you find these interesting and informative. We have grouped these materials into various categories to provide quick access to the topics of greatest interest to you.

Please contact our Seattle periodontal and implant office if you have any questions or if you would like to schedule an appointment. Click here to request an appointment online.

FAQs

Just click on the question below and the answer will pop-up.

Are X-rays safe? Are they necessary?

The radiation exposure from dental x-rays is much less than the exposure you would get from the X-rays taken by you physician. In fact, you will absorb more radiation by spending a day out in the summer sun. Dental radiographs or X-rays expose the patient to very small amounts of radiation. New digital X-rays can cut that amount down by close to 90% over traditional film X-rays. Your doctor uses these images to detect pathology such as decay, tumors, cysts or other abnormalities not evident to the naked eye. They are an integral part of a complete dental examination.

At what age should my child start braces?

Each case is different. Sometimes early orthodontic treatment(called stage1 Treatment), is utilized when the child is 7-8 years old in order to make the final(stage 2) treatment easier, and potentially shorter in duration.

Can I do anything about the black line on my crown?

Yes. Your crown is more than likely a porcelain fused to metal crown. The black line you see is the area where the metal and the porcelain meet. Replacing this crown with a full porcelain crown will alleviate that line.

Do I have to fix a decayed baby tooth since it will be replaced?

Yes. The primary teeth are very important for maintaining the space necessary for the adult teeth. If a baby tooth is lost too early, the adult tooth that will come in later, may not have enough room to come in. Also, an abscess associated with a decayed baby tooth could damage the developing adult tooth under it, resulting in weakened enamel, staining or spots.

Do I have to floss?

Yes! Flossing removed the bacterial plaque which accumulates between your teeth. Brushing alone cannot remove this. Over time this un-cleaned bacteria can cause decay between your teeth

Do over-the-counter bleaching products work?

There is some evidence that over-the-counter bleaching products do whiten teeth, however these products are not used under the supervision of your dentist and There may be potential problems which may need attention prior to whitening in this Way. Also, the trays usually sold with these products do fit as well as those that are custom made by your dentist. As a result, damage to your gums and teeth is possible.

How can I tell if I have gingivitis or periodontitis (gum disease)?

Periodontal disease is often silent, meaning symptoms- particularly pain- may not appear until an advanced stage of the disease. However, you should still be on the lookout for the signs and symptoms, which include:

  • Red, swollen or tender gums or other pain in your mouth
  • Bleeding while brushing, flossing, or when eating certain foods
  • Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before
  • Loose or separating teeth
  • Pus between your gums and teeth
  • Sores in your mouth Persistent bad breath
  • A change in the way your teeth fit together when you bite
  • A change in the fit of partial dentures

If you notice any of these symptoms, be sure to contact your dentist or periodontist right away.

How long should I brush my teeth?

You should brush your teeth at least 2-3 minutes twice a day. Get into a routine and always start and end in the same place. That way you will make sure not to miss any parts of your mouth. Unfortunately, most Americans only brush for 45-60 seconds twice a day, and that is just not enough. Many new mechanical toothbrushes have built in timers to help you brush the proper length of time.

Is it better to drink diet soda rather than regular soda?

Diet sodas are better only in the fact that they do not have sugar in them. Even diet soda can be bad for your teeth due to the acidity caused by the carbonation. It is OK to drink sodas in moderation. The damage that they can cause is directly related to the time your teeth are exposed to the liquid. Therefore, do not drink sodas all day long. Try to rinse or brush afterward, and limit the number of sodas you consume each day.

Should I change my silver fillings? Are they safe?

If you silver fillings are in good condition, there is no need to replace them. But, if you would like to not see those dark fillings, they can be replaced with tooth colored composite fillings. Silver fillings are safe. These restorations are composed of mercury, silver, tin and copper. The amount of mercury released by these fillings is much less than what you are exposed to through air, food and water. There has been no evidence that these types of fillings pose a health risk.

Should I rinse with a mouthwash?

The use of a mouthwash is fine to give yourself a fresh feeling. Try to use an alcohol free mouthwash if possible. Mouthwashes which contain alcohol can dry out the lining of your mouth and decrease saliva flow. Both of these symptoms can contribute to increased bacterial growth and lessen the mouths natural defenses.

What are dental implants?

A dental implant is a titanium fixture placed in the bone of your jaw to replace a missing tooth. The implant replaces the root structure and then a crown can placed on top of it to replace the tooth.

What are my options if I have missing teeth?

When a tooth is lost, the jaw bone that helped to support that tooth begins to atrophy, causing the teeth on either side to shift or tip into the open space of the lost tooth. Also, the tooth above or below the open space will start to move towards the open space because there is no opposing tooth to bite on. These movements may create problems such as decay, gum disease, excessive wear on certain teeth, and TMJ (jaw joint) problems. These problems and movements do not result immediately, but will eventually appear, compromising your chewing abilities, the health of your bite, and the beauty of your smile.

When a tooth is lost, the jaw bone that helped to support that tooth begins to atrophy, causing the teeth on either side to shift or tip into the open space of the lost tooth. Also, the tooth above or below the open space will start to move towards the open space because there is no opposing tooth to bite on. These movements may create problems such as decay, gum disease, excessive wear on certain teeth, and TMJ (jaw joint) problems. These problems and movements do not result immediately, but will eventually appear, compromising your chewing abilities, the health of your bite, and the beauty of your smile.

Removable bridges - This type of bridge is a good solution for replacing one or more missing teeth, especially in complex dental situations where other replacement options are not possible. They are usually made of tooth-colored, artificial teeth combined with metal clasps that hook onto adjacent natural teeth. Removable bridges are the most economical option for replacing missing teeth, but may be the least aesthetically pleasing. This is because the metal clasps on the appliances are often impossible to completely conceal.

Fixed bridges - This type of bridge is generally made of porcelain or composite material and is anchored (cemented) permanently to a natural teeth adjacent to the missing tooth site. The benefit of this type of bridge is that it is fixed (not removable) and it is very sturdy. The disadvantage is that in order to create a fixed appliance, two healthy, natural teeth will have to be crowned (capped) to hold the bridge in place.

Dentures - This type of tooth replacement is used when most or all of the natural teeth are missing in one dental arch. Dentures are removable artificial teeth that are made to closely resemble the patients’ original teeth.

Implants - This is a great way to replace one or more missing teeth. They may also be great to support ill fitting dentures. A dental implant is an artificial root that is surgically placed into the jaw bone to replace a missing tooth. An artificial tooth is placed on the implant, giving the appearance and feel of a natural tooth. Implants are very stable, durable, and are the most aesthetically pleasing tooth replacement option.

What can be done for ulcers or canker sores in the mouth?

Ulcers are very difficult to treat. There is no proven technique that will eliminate ulcers. They can occur as a result of trauma or due to a viral source. Depending On their cause there are specific medications that can shorten their duration. Left alone, ulcers will generally diminish and disappear in two weeks.

What can I do if my dentures are loose?

Loose dentures, are ill fitting dentures. Many times a reline can make them fit again. Sometimes the bony support under the dentures is not sufficient anymore and implants can be used to stabilize the denture.

What causes bad breath?

Bad breath or halitosis, can be caused by many things. The most common cause is the presence of bacteria in your mouth and on your tongue. These bacteria produce odorous compounds. In some cases, the cause of bad breath can be from gastrointestinal origin.

What causes tooth decay?

Tooth decay is caused by bacteria (plaque) in your mouth which react with sugary and starchy deposits from food you eat. This reaction produces acid which damages the enamel over time and weakens the tooth.

What does Fluoride do?

Fluoride acts to make teeth more resistant to decay. In children, this is important for the development of their adult teeth. In adults, Fluoride acts to strengthen and in some cases reverse small areas of decay. If you do not live in area which has fluoridated water, ask your dentist about fluoride rinses or supplements.

What does heart disease have to do with periodontal (gum) disease?

Several theories exist to explain the link between periodontal disease and heart disease. One theory is that oral bacteria can affect the heart when they enter the blood stream, attaching to fatty plaques in the coronary arteries (heart blood vessels) and contributing to clot formation. Coronary artery disease is characterized by a thickening of the walls of the coronary arteries due to the buildup of fatty proteins.

Blood clots can obstruct normal blood flow, restricting the amount of nutrients and oxygen required for the heart to function properly. This may lead to heart attacks.

Another possibility is that the inflammation caused by periodontal disease increases plaque build up, which may contribute to swelling of the arteries.

Researchers have found that people with periodontal disease are almost twice as likely to suffer from coronary artery disease as those without periodontal disease.

Periodontal disease can also exacerbate existing heart conditions. Patients at risk for infective endocarditis may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental procedures.

What is a veneer?

A veneer is a thin ceramic facing that is bonded to the front of your tooth. Veneers can be used to close spaces, straighten crooked teeth and change the color of yellow or stained teeth.

What is Invisalign?

Invisalign is a revolutionary orthodontic treatment without the use of conventional metal braces. A series of computer generated, clear plastic aligners are used to move teeth. They are removable and very comfortable to wear. They do not interfere with speech or your everyday activities. This type of treatment does have some limitations and your dentist can evaluate you to see if you are a good candidate for this type of treatment.

What is periodontal disease?

Periodontal disease is a condition where due to the accumulation of bacteria, tartar and stain, a low grade infection has occurred. This infection results in the loss of bone around the teeth. This loss of bone can result in the instability and eventual loss of those teeth. Your dentist can treat this disease and halt its progression.

What should I do if a tooth is knocked out?

Teeth that are knocked out may be possibly reimplanted if we act quickly, yet calmly, and follow these simple steps:

  • Locate the tooth and handle it only by the crown (chewing part of the tooth), NOT by the roots.
  • DO NOT scrub or use soap or chemicals to clean the tooth. If it has dirt or debris on it, rinse it gently with your own saliva or whole milk. If that is not possible, rinse it very gently with water.
  • Get to a dentist within 30 minutes. The longer you wait, the less chance there is for successful reimplantation.

Ways to transport the tooth

  • Try to replace the tooth back in its socket immediately. Gently bite down on gauze, a wet tea bag or on your own teeth to keep the tooth in place. Apply a cold compress to the mouth for pain and swelling as needed.
  • If the tooth cannot be placed back into the socket, place the tooth in a container and cover with a small amount of your saliva or whole milk. You can also place the tooth under your tongue or between your lower lip and gums. Keep the tooth moist at all times. Do not transport the tooth in a tissue or cloth.
  • Consider buying a “Save-A-Tooth” storage container and keeping it as part of your home first aid kit. The kit is available in many pharmacies and contains a travel case and fluid solution for easy tooth transport.

The sooner the tooth is replaced back into the socket, the greater the likelihood it has to survive and possibly last for many years. So be prepared, and remember these simple steps for saving a knocked-out tooth.

You can prevent broken or knocked-out teeth by:

  • Wearing a mouthguard when playing sports
  • Always wearing your seatbelt
  • Avoiding fights
  • Avoid chewing hard items such as ice, popcorn kernels, hard breads, etc

What toothpaste should I use?

It does not matter what brand of toothpaste you use as long as it contains Fluoride. Just choose a toothpaste that has a pleasant flavor for you.

When I cannot brush my teeth, is there anything that I can do to slow down acid production?

Rinse your mouth with water after a meal or snack to neutralize acid and reduce bacteria by 30%. Also chewing sugarless gum or gum containing Xylotol has been shown to decrease the incidence of decay.

When should I start to brush my babies teeth?

A wet washcloth or finger brush should be used to clean your babies gums even before the first tooth comes in. Once the first teeth appear, a small childrens toothbrush should be used.

When will my child loose their teeth?

On average, a child begins to lose their first teeth at approximately 5years of age. Usually the font teeth are lost first. It is not uncommon for the adult tooth to start to erupt before the baby tooth is lost. They will continue to lose teeth until the age of 12-13.

Why are my teeth sensitive to cold?

Cold sensitivity can be due a number of reasons. Some people are just generally more sensitive to temperature changes. Other causes may be due to recession of the gum tissue, abrasions of the teeth, large metal restorations or decay. Treatments for this condition can include fillings, fluoride applications or the use of desensitizing toothpastes.

Why do my child’s adult teeth look darker than their baby teeth?

This is normal. Primary teeth are usually very light in color. The adult teeth that are erupting look usually darker or yellow when compared side-by-side to the baby teeth. Do not worry- when all of the adult teeth erupt, their color will look normal when not compared to the other teeth.

Why do my gums bleed?

Your gums bleed as a result of inflammation caused by the presence of bacteria in your mouth. This bacteria when not properly cleaned off your teeth will result in an irritation of the gum tissue. This irritation called gingivitis, will result in red, puffy and bleeding gums. Gone untreated, it can progress into periodontal disease.

Will a whitening toothpaste really whiten my teeth?

Not entirely. Whitening toothpastes will reverse the effects of some surface stains, but not change the shade of the teeth themselves. The change is usually minimal.