Frequently Asked Questions
Frequently Asked Dental Questions in Sherman Oaks, Van Nuys & the San Fernando Valley
Get helpful answers about dental implants, All-on-4, All-on-X, same-day teeth, dentures, Invisalign, emergency dentistry, cosmetic treatments, financing and general dental care at Green Dental & Orthodontics – Implant & Smile Center.
Serving Sherman Oaks, Van Nuys, Encino, Studio City, Valley Village, North Hollywood and communities throughout the entire San Fernando Valley.
Answers to Your Dental Care Questions
Choosing a dentist or deciding on a treatment can feel overwhelming. This dental FAQ resource explains common procedures, costs, recovery considerations and appointment options in straightforward language.
Green Dental & Orthodontics – Implant & Smile Center provides comprehensive dentistry for adults, seniors, children and families. Our services include preventive care, emergency dentistry, dental implants, full-arch restoration, dentures, orthodontics, cosmetic dentistry, root canal treatment, oral surgery and full-mouth reconstruction.
The information below is educational and does not replace an examination, diagnostic imaging or a personalized treatment plan. Your dentist will evaluate your oral health and explain the options appropriate for your individual needs.
General Dentistry FAQs
Learn about routine appointments, preventive dentistry, family dental care and the services available at our San Fernando Valley dental office.
What dental services does Green Dental & Orthodontics provide?
Green Dental & Orthodontics – Implant & Smile Center provides comprehensive dental care, including examinations, cleanings, fillings, crowns, bridges, root canal treatment, periodontal care, oral surgery, emergency dentistry, dental implants, All-on-4, All-on-X, dentures, Invisalign, cosmetic dentistry and full-mouth reconstruction. Treatment recommendations are based on an examination and your specific oral-health needs.
How often should I visit the dentist?
Many patients benefit from a dental examination and professional cleaning approximately every six months. However, patients with gum disease, dental implants, frequent decay or certain medical risk factors may need more frequent visits. Your dentist and hygienist can recommend a personalized preventive-care schedule.
Do you provide dental care for the entire family?
Yes. Our office provides family and general dentistry for patients at different stages of life. Available services may include preventive care, restorative treatment, orthodontics, emergency visits, cosmetic care, dentures and implant dentistry. Each patient receives recommendations based on age, dental development, health history and current oral condition.
What happens during a new-patient dental examination?
A new-patient visit commonly includes a review of your dental and medical history, an examination of your teeth and gums, necessary digital X-rays or other imaging, an evaluation of your bite and a discussion of your concerns and goals. After the evaluation, the dental team can explain findings and present appropriate treatment options.
Why are routine dental cleanings important?
Professional cleanings remove plaque and hardened tartar from areas that may be difficult to clean at home. Regular preventive visits also allow the dental team to look for cavities, gum inflammation, worn restorations, bite problems and other changes before they become more extensive.
What is the difference between a regular cleaning and a deep cleaning?
A regular cleaning is generally intended for patients with healthy gums or mild surface inflammation. A deep cleaning, also called scaling and root planing, treats buildup and bacteria below the gumline in patients with periodontal disease. An examination and periodontal measurements help determine which type of cleaning is appropriate.
Can untreated dental problems affect overall health?
Oral health is connected to overall wellness. Untreated infections, advanced gum disease and difficulty chewing can affect comfort, nutrition and quality of life. Some medical conditions may also influence oral health. Regular dental care and communication between your dentist and medical providers can support more coordinated care.
Dental Implant FAQs
Common questions about replacing missing teeth with dental implants in Sherman Oaks, Van Nuys and the San Fernando Valley.
What is a dental implant?
A dental implant is a small post, commonly made from biocompatible titanium, that is placed in the jawbone to replace the root portion of a missing tooth. After the implant integrates with the bone, it can support a crown, bridge, removable overdenture or fixed full-arch restoration.
Who may be a candidate for dental implants?
Many adults missing one or more teeth may be candidates for dental implants. Important considerations include gum health, available bone, medical history, smoking, medications and the ability to maintain good oral hygiene. A clinical examination and diagnostic imaging are needed to determine candidacy.
Can one dental implant replace a single missing tooth?
Yes. A single implant can often support an individual crown without requiring the neighboring healthy teeth to be filed down for a traditional bridge. The implant location, bone volume, bite and condition of the surrounding teeth must be evaluated before treatment.
Can dental implants replace several missing teeth?
Yes. Multiple missing teeth may sometimes be replaced with an implant-supported bridge rather than one implant for every tooth. Dental implants can also stabilize removable dentures or support a fixed full-arch restoration when most or all teeth in an arch are missing.
How long does dental implant treatment take?
Treatment time varies. Some patients may receive an implant and temporary tooth on the same day, while others require healing after extraction, bone grafting or implant placement. Bone integration commonly takes several months before the final restoration is attached. Your treatment plan will include an estimated sequence and timeline.
Is dental implant surgery painful?
Local anesthesia is used to numb the treatment area during implant placement. Patients may experience temporary tenderness, swelling or soreness afterward. The dental team provides postoperative instructions and discusses appropriate comfort-management options based on the procedure and your medical history.
How long can dental implants last?
Dental implants are designed as a long-term tooth-replacement option, but no restoration can be guaranteed for life. Longevity depends on bone and gum health, hygiene, bite forces, smoking, medical conditions and regular professional maintenance. The crown or prosthetic teeth may eventually require repair or replacement even when the implants remain stable.
Do I need a bone graft before receiving a dental implant?
Not every patient needs bone grafting. A graft may be recommended when the jawbone does not have enough volume or density to support an implant in the desired position. Diagnostic imaging helps the dentist evaluate the available bone and determine whether grafting or another treatment approach is appropriate.
Can a tooth be removed and replaced with an implant on the same day?
Immediate implant placement may be possible in selected cases. The socket condition, infection level, bone stability, gum tissue, implant location and bite all influence whether an implant can be placed at the extraction appointment. Immediate placement does not always mean the final crown is delivered that day.
How do I care for dental implants?
Implant care generally includes brushing, cleaning between the teeth or beneath the restoration, attending professional maintenance visits and avoiding tobacco. Your dental team may recommend floss threaders, interdental brushes, a water flosser or other cleaning tools based on the type of implant restoration you have.
All-on-4, All-on-X & Full-Arch Implant FAQs
Understand full-arch dental implants, same-day provisional teeth and fixed implant restorations for extensive tooth loss.
What is All-on-4 dental implant treatment?
All-on-4 is a full-arch treatment concept in which a complete set of replacement teeth is supported by four strategically positioned dental implants. Some patients may require a different number of implants depending on bone anatomy, restorative design, bite forces and clinical needs.
What is the difference between All-on-4 and All-on-X?
All-on-4 generally refers to a full arch supported by four implants. All-on-X is a broader term describing a complete fixed arch supported by the number of implants considered appropriate for the patient, such as four, five or six. Implant quantity is determined after evaluating bone, anatomy, bite and restorative goals.
Can I receive fixed temporary teeth on the day of implant surgery?
Some qualified patients can receive a fixed provisional restoration on the day implants are placed. This is often described as same-day teeth or teeth in one day. Eligibility depends on implant stability, bone quality, bite, medical history and the ability to follow a modified diet during healing.
Are same-day teeth the final permanent teeth?
In many full-arch cases, the teeth delivered on surgery day are a provisional restoration worn while the implants and tissues heal. The final restoration is typically designed after healing and may use different materials or refined tooth positions. Your treatment plan should clearly identify what is temporary and what is final.
Who may benefit from full-arch dental implants?
Full-arch implants may be considered for patients who have lost most or all teeth in an arch, have severely damaged teeth with a poor long-term prognosis or have difficulty wearing traditional dentures. A complete examination is necessary to compare fixed implants, overdentures and other restorative options.
Are All-on-4 teeth removable?
A fixed All-on-4 restoration is secured to the implants and is not removed by the patient each night. A dentist can remove it for professional servicing when necessary. This differs from an implant-retained overdenture, which the patient removes for daily cleaning.
What can I eat after full-arch implant surgery?
Patients are commonly instructed to follow a soft or modified diet while the implants integrate. Even if a fixed provisional bridge feels stable, excessive chewing pressure may interfere with healing. Follow the specific food and chewing instructions provided by your implant dentist.
How do I clean under a fixed full-arch implant bridge?
Cleaning may involve a soft toothbrush, floss threaders, specialized implant floss, interdental brushes and a water flosser. Professional maintenance visits remain essential. Your hygienist can demonstrate how to clean beneath the bridge and recommend tools that match its shape and your dexterity.
Denture FAQs
Compare traditional dentures, partial dentures, flexible dentures, snap-in dentures and implant-supported options.
What types of dentures are available?
Denture options may include complete dentures, partial dentures, flexible partials, immediate dentures, implant-retained overdentures and fixed implant-supported teeth. The best option depends on how many teeth are missing, the condition of the remaining teeth, bone support, comfort goals and budget.
What is an immediate denture?
An immediate denture is prepared before tooth removal and inserted shortly after the extractions. It allows the patient to leave with replacement teeth, but the gums and bone change during healing. Adjustments, relining or a new final denture may be needed after the tissues stabilize.
What are snap-in dentures?
Snap-in dentures are removable dentures that attach to dental implants for increased retention and stability. They are removed by the patient for cleaning. The number of implants and attachment design vary according to the arch, bone condition and treatment plan.
What is the difference between snap-in dentures and fixed implant teeth?
Snap-in dentures are removable by the patient and usually rest partly on the gums. Fixed implant teeth are secured to the implants and are removed only by a dental professional when servicing is needed. Fixed options generally require different implant support, restorative space and financial investment.
How long does it take to adjust to new dentures?
Adjustment time differs among patients. Mild soreness, increased saliva and changes in speaking or chewing can occur initially. Begin with softer foods, practice reading aloud and attend adjustment appointments. Persistent pain, looseness or sore spots should be evaluated rather than tolerated.
Should dentures be worn while sleeping?
Many patients are advised to remove traditional or snap-in dentures while sleeping so the gums can rest and the appliance can be cleaned. Instructions may differ immediately after extractions or surgery. Follow the recommendations provided for your particular denture and stage of treatment.
Invisalign & Orthodontic FAQs
Get answers about clear aligners, treatment time, daily wear and orthodontic consultations.
What is Invisalign treatment?
Invisalign treatment uses a sequence of custom-made, removable clear aligners to move teeth gradually. Patients change aligners according to the prescribed schedule and attend progress appointments. Eligibility depends on the type and complexity of the tooth and bite movements required.
Am I a candidate for Invisalign clear aligners?
Clear aligners can address many spacing, crowding and bite concerns, but they are not appropriate for every case. A consultation, examination and digital records allow the provider to determine whether Invisalign, another aligner system, braces or a combined treatment approach is best.
How many hours a day should Invisalign aligners be worn?
Patients are commonly instructed to wear aligners for about 20 to 22 hours per day, removing them primarily for eating, drinking beverages other than water and oral hygiene. Consistent wear is important because insufficient use may delay tooth movement or affect the fit of future aligners.
How long does Invisalign treatment take?
Treatment time varies based on the complexity of the case, the amount of movement needed and patient compliance. Some limited cases take several months, while more comprehensive correction may take considerably longer. Your digital treatment plan will provide a case-specific estimate.
Can I eat while wearing Invisalign aligners?
Aligners should generally be removed before eating. Drinking plain water while wearing them is usually acceptable, but hot, sugary or strongly colored beverages can distort or stain the trays and increase the risk of decay. Brush or rinse before reinserting the aligners whenever possible.
Will I need retainers after Invisalign treatment?
Retainers are usually recommended after orthodontic treatment to help maintain the corrected tooth positions. Teeth can shift throughout life, so long-term retainer wear may be advised. Your provider will explain the type of retainer and wear schedule appropriate for your case.
Emergency Dentist FAQs
Know when to seek urgent dental care for pain, swelling, injuries, broken teeth and other dental emergencies.
What conditions are considered dental emergencies?
Dental emergencies may include severe tooth pain, facial or gum swelling, dental trauma, a knocked-out tooth, uncontrolled bleeding, a broken tooth, a lost restoration causing pain or signs of infection. Call the office promptly so the team can assess the symptoms and recommend the appropriate next step.
Do you offer same-day emergency dental appointments?
Same-day emergency appointments may be available depending on the office schedule and the urgency of the problem. Call 818-782-9500 as early as possible and describe your symptoms. The team will provide scheduling guidance and any appropriate pre-visit instructions.
What should I do if a permanent tooth is knocked out?
Handle the tooth by the crown rather than the root. If it is dirty, rinse it gently without scrubbing. When possible, place it back into the socket or keep it moist in milk or an appropriate tooth-preservation solution. Seek urgent dental care immediately because treatment timing is important.
Is a severe toothache an emergency?
Severe, persistent or worsening tooth pain should be evaluated promptly. It may result from decay, a cracked tooth, an inflamed nerve, infection or another condition requiring treatment. Facial swelling, fever, difficulty swallowing or difficulty breathing requires urgent medical attention.
What should I do if a crown or filling falls out?
Save the restoration if you can and contact the dental office. Avoid chewing on the affected area and keep it clean. Do not permanently glue a crown back into place with household adhesive. A dentist must examine the tooth to determine whether the restoration can be recemented or needs replacement.
When should dental swelling be treated urgently?
New or rapidly increasing swelling should be evaluated promptly, especially when accompanied by pain, drainage, fever or a bad taste. Swelling that affects breathing, swallowing, vision or the neck can indicate a serious condition and requires immediate emergency medical care.
Cosmetic Dentistry FAQs
Explore professional teeth whitening, veneers, bonding and smile makeover treatment planning.
What cosmetic dental treatments are available?
Cosmetic options may include professional teeth whitening, dental bonding, tooth-colored fillings, porcelain veneers, crowns, clear aligners, replacement of missing teeth and comprehensive smile makeovers. The condition of the teeth and gums should be evaluated before cosmetic treatment begins.
What are porcelain veneers?
Porcelain veneers are thin custom restorations bonded to the front surfaces of selected teeth. They may be used to improve the appearance of discoloration, shape, size, spacing or minor alignment concerns. Veneers are not suitable for every tooth, and some enamel preparation may be required.
Is professional teeth whitening better than store-bought products?
Professional whitening is supervised by a dental provider and can use customized trays or in-office materials selected for the patient. Store-bought products may help with some surface staining but are less customized. Existing crowns, fillings and veneers do not whiten like natural enamel.
What is a smile makeover?
A smile makeover is a personalized plan combining one or more cosmetic or restorative procedures to improve smile appearance and function. Depending on the patient, treatment may involve whitening, bonding, veneers, crowns, orthodontics, gum treatment or replacement of missing teeth.
Should cavities and gum disease be treated before cosmetic dentistry?
Active decay, infection and gum disease generally need to be addressed before elective cosmetic procedures. Establishing a healthy foundation can improve comfort, predictability and the longevity of cosmetic restorations. Your treatment plan may be completed in phases.
Dental Costs, Insurance & Financing FAQs
Learn how treatment estimates, dental insurance and monthly payment options may help you plan your care.
How much do dental implants cost in Sherman Oaks or Van Nuys?
Dental implant cost depends on the number of implants, the type of restoration, extractions, bone grafting, imaging, materials and the complexity of treatment. A single-tooth implant, implant bridge, snap-in denture and fixed full arch have different fees. An examination is needed before an accurate written estimate can be prepared.
Do you offer dental financing or monthly payment options?
Flexible financing or monthly payment options may be available for qualified applicants. Terms, approval, interest rates, down payments and monthly amounts vary by financing provider and treatment cost. The office team can explain currently available options after your treatment plan and estimated fees are prepared.
Does dental insurance cover implants, dentures or Invisalign?
Coverage depends on the individual insurance plan, exclusions, waiting periods, annual maximums and medical necessity requirements. Some plans provide partial benefits for certain procedures, while others exclude them. The office can help review available benefit information, but final payment decisions are made by the insurance carrier.
Do you accept Medi-Cal dental coverage?
Green Dental & Orthodontics – Implant & Smile Center does not accept Medi-Cal. Patients may contact the office at 818-782-9500 to ask about other accepted insurance plans, self-pay arrangements, current specials and financing options that may be available to qualified applicants.
Appointments & San Fernando Valley Service-Area FAQs
Information for patients looking for a dentist near Sherman Oaks, Van Nuys, Encino, Studio City, Valley Village or North Hollywood.
Which San Fernando Valley communities do you serve?
Green Dental & Orthodontics welcomes patients from Sherman Oaks, Van Nuys, Encino, Studio City, Valley Village, North Hollywood and neighborhoods throughout the entire San Fernando Valley. Patients from other Los Angeles communities are also welcome to request an appointment.
Is Green Dental open on Saturdays?
Green Dental & Orthodontics generally provides appointments Monday through Saturday. Hours and appointment availability may change, so call 818-782-9500 or use the website appointment form to confirm availability for your preferred day.
How can I schedule a consultation at Green Dental & Orthodontics?
Call 818-782-9500 or submit an appointment request through greendental.com . Let the scheduling team know whether you need routine care, an emergency visit, an implant consultation, Invisalign, dentures or another service so the appropriate appointment can be arranged.
Comprehensive Dental Care for the San Fernando Valley
Our dental office welcomes patients seeking general, cosmetic, restorative, orthodontic, emergency and implant dentistry throughout the Valley.
Still Have Questions About Your Smile?
Schedule an examination or consultation with Green Dental & Orthodontics – Implant & Smile Center. Our team can evaluate your needs, review treatment choices and explain expected costs before you decide how to proceed.
Still Have a Dental Question?
Contact Green Dental & Orthodontics – Implant & Smile Center for personalized information or to request an appointment. We welcome patients from Sherman Oaks, Van Nuys, Encino, Studio City, Valley Village, North Hollywood and throughout the San Fernando Valley.
Since teeth whitening has now become the number one aesthetic concern of many patients, there are many products and methods available to achieve a brighter smile.
Professional teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile. Over-the-counter products are also available, but they are much less effective than professional treatments and might not be approved by the American Dental Association (ADA).
As we age, the outer layer of tooth enamel wears away, eventually revealing a darker or yellow shade. The color of our teeth also comes from the inside of the tooth, which can become darker over time. Smoking and fluids such as coffee, tea, and wine can also contribute to tooth discoloration, making teeth yellow and dull. Sometimes, teeth can become discolored from taking certain medications as a child, such as tetracycline. Excessive fluoridation (fluorosis) during tooth development can also cause teeth to become discolored.
It’s important to have your teeth evaluated by your dentist to determine if you’re a good candidate for bleaching. Occasionally, tetracycline and fluorosis stains are difficult to bleach and your dentist may offer other options, such as veneers or crowns to cover up such stains. Since teeth whitening only works on natural tooth enamel, it is also important to evaluate any old fillings, crowns, etc. before bleaching begins. Once the bleaching is done, your dentist can match the new restorations to the shade of the newly whitened teeth.
Since teeth whitening is not permanent, a touch-up may be needed every several years to keep your smile looking bright.
The most widely used professional teeth whitening systems:
Home teeth whitening systems: At-home products usually come in a gel form that is placed in a custom-fitted mouthguard (tray), created from a mold of your teeth. The trays are worn either twice a day for approximately 30 minutes, or overnight while you sleep. It usually takes several weeks to achieve the desired results depending on the degree of staining and the desired level of whitening.
In office teeth whitening: This treatment is done in the dental office and you will see results immediately. It may require more than one visit with each visit lasting 30 to 60 minutes. While your gums are protected, a bleaching solution is applied to the teeth. A special light may be used to enhance the action of the agent while the teeth are whitened.
Some patients may experience tooth sensitivity after having their teeth whitened. This sensation is temporary and subsides shortly after you complete the bleaching process, usually within a few days to one week.
Teeth whitening can be very effective and can give you a brighter, whiter, more confident smile!
Porcelain veneers are very thin shells of tooth-shaped porcelain that are individually crafted to cover the fronts of teeth. They are very durable and will not stain, making them a very popular solution for those seeking to restore or enhance the beauty of their smile.
Veneers may be used to restore or correct the following dental conditions:
- Severely discolored or stained teeth
- Unwanted or uneven spaces
- Worn or chipped teeth
- Slight tooth crowding
- Misshapen teeth
- Teeth that are too small or large
Getting veneers usually requires two visits. Veneers are created from an impression (mold) of your teeth that is then sent to a professional dental laboratory where each veneer is custom-made (for shape and color) for your individual smile.
With little or no anesthesia, teeth are prepared by lightly buffing and shaping the front surface of the teeth to allow for the small thickness of veneers. The veneers are carefully fitted and bonded onto the tooth surface with special bonding cements and occasionally a specialized light may be used to harden and set the bond.
Veneers are an excellent dental treatment that can dramatically improve your teeth and give you a natural, beautiful smile.
Brushing our teeth removes food particles, plaque, and bacteria from all tooth surfaces, except in between the teeth. Unfortunately, our toothbrush can’t reach these areas that are highly susceptible to decay
and periodontal (gum) disease.
Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.
Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (acids) that cause cavities and irritate and inflame the gums. Also, when plaque is not removed above and below the gumline, it hardens and turns into calculus (tartar). This will further irritate and inflame the gums and will also slowly destroy the bone. This is the beginning of periodontal disease.
How to floss properly:
- Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
- Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
- Curve the floss into a “C” shape around each tooth and under the gumline. Gently move the floss up and down, cleaning the side of each tooth.
Floss holders are recommended if you have difficulty using conventional floss.
Daily flossing will help you keep a healthy, beautiful smile for life!
Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms. Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.
Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums. The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone. Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.
Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:
- Smoking or chewing tobacco – Tobacco users are more likely than non-users to form plaque and tartar on their teeth.
- Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.
- Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives. Some medications have side affects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.
- Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.
- Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc.
- Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums.
Signs and Symptoms of Periodontal Disease
- Red and puffy gums – Gums should never be red or swollen.
- Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
- Persistent bad breath – Caused by bacteria in the mouth.
- New spacing between teeth – Caused by bone loss.
- Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
- Pus around the teeth and gums – Sign that there is an infection present.
- Receding gums – Loss of gum around a tooth.
- Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.
Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.
You should have your teeth checked and cleaned at least twice a year, though your dentist or dental hygienist may recommend more frequent visits.
Regular dental exams and cleaning visits are essential in preventing dental problems and maintaining the health of your teeth and gums. At these visits, your teeth are cleaned and checked for cavities. Additionally, there are many other things that are checked and monitored to help detect, prevent, and maintain your dental health. These include:
- Medical history review: Knowing the status of any current medical conditions, new medications, and illnesses, gives us insight to your overall health and also your dental health.
- Examination of diagnostic X-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.
- Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer.
- Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.
- Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.
- Examination of existing restorations: Check current fillings, crowns, etc.
- Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for sometime and is now firmly attached to the tooth surface. Calculus forms above and below the gum line, and can only be removed with special dental instruments.
- Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease!
- Teeth polishing: Removes stain and plaque that is not otherwise removed during toothbrushing and scaling.
- Oral hygiene recommendations: Review and recommend oral hygiene aids as needed (electric dental toothbrushes, special cleaning aids, fluorides, rinses, etc.).
- Review dietary habits: Your eating habits play a very important role in your dental health.
As you can see, a good dental exam and cleaning involves much more than simply checking for cavities and polishing your teeth. We are committed to providing you with the best possible care, and to do so, will require regular check-ups and cleanings.
Over the years, there has been some concern about the safety of amalgam (silver) fillings. An
amalgam is a blend of copper, silver, tin, and zinc, bound by elemental mercury. Dentists have used this blended metal to fill teeth for more than 100 years. The controversy is due to claims that the exposure to the vapor and minute particles from the mercury can cause a variety of health problems.
According to the American Dental Association (ADA), up to 76% of dentists use silver containing mercury to fill teeth. The ADA also states that silver fillings are safe and that studies have failed to find any link between silver containing mercury and any medical disorder.
The general consensus is that amalgam (silver) fillings are safe. Along with the ADA’s position, the Center for Disease Control (CDC), the World Health Organization, the FDA, and others support the use of silver fillings as safe, durable, and cost effective. The U.S. Public Health Service says that the only reason not to use silver fillings is when a patient has an allergy to any component of this type of filling. The ADA has had fewer than 100 reported incidents of an allergy to components of silver fillings, and this is out of the millions of silver fillings placed over the decades.
Although studies indicate that there are no measurable health risks to patients who have silver fillings, we do know that mercury is a toxic material when we are exposed at high, unsafe levels. For instance, we have been warned to limit the consumption of certain types of fish that carry high levels of mercury in them. However, with respect to amalgam fillings, the ADA maintains that when the mercury combines with the other components of the filling, it becomes an inactive substance that is safe.
There are numerous alternatives to silver fillings, including composite (tooth-colored), porcelain, and gold fillings. We encourage you to discuss these options with your dentist so you can determine which option is best for you.
Brushing and flossing help control the plaque and bacteria that cause dental disease.
Plaque is a film of food debris, bacteria, and saliva that sticks to the teeth and gums. The bacteria in plaque convert certain food particles into acids that cause tooth decay. Also, if plaque is not removed, it turns into calculus (tartar). If plaque and calculus are not removed, they begin to destroy the gums and bone, causing periodontal (gum) disease.
Plaque formation and growth is continuous and can only be controlled by regular brushing, flossing, and the use of other dental aids.
Toothbrushing – Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.
- Brush at a 45 degree angle to the gums, gently using a small, circular motion, ensuring that you always feel the bristles on the gums.
- Brush the outer, inner, and biting surfaces of each tooth.
- Use the tip of the brush head to clean the inside front teeth.
- Brush your tongue to remove bacteria and to freshen your breath.
Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.
Flossing – Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.
- Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
- Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
- Curve the floss into a “C” shape around each tooth and under the gumline. Gently move the floss up and down, cleaning the side of each tooth.
Floss holders are recommended if you have difficulty using conventional floss.
Rinsing – It is important to rinse your mouth with water after brushing, and also after meals if you are unable to brush. If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.
Bad breath (halitosis) can be an unpleasant and embarrassing condition. Many of us may not realize that we have bad breath, but everyone has it from time to time, especially in the morning.
There are various causes that attribute to bad breath, but in healthy people, the major source is microbial deposits on the tongue. Some studies have shown that simply brushing the tongue reduced bad breath by as much as 70 percent.
What causes bad breath?
- Morning time – Saliva flow almost stops during sleep, reducing its cleaning power and allowing bacteria to grow, which results in bad breath.
- Certain foods – Garlic, onions, etc. Foods containing odor-causing compounds enter the blood stream; they are transferred to the lungs, where they are exhaled.
- Poor oral hygiene habits – Food particles remaining in the mouth promote bacterial growth.
- Periodontal (gum) disease – Colonies of bacteria and food debris residing under inflamed gums.
- Dental cavities and improperly fitted dental appliances – May also contribute to bad breath.
- Dry mouth (Xerostomia) – May be caused by certain medications, salivary gland problems, or continuous mouth breathing.
- Tobacco products – Dry the mouth, causing bad breath.
- Dieting – Certain chemicals called ketones are released in the breath as the body burns fat.
- Dehydration, hunger, and missed meals – Drinking water and chewing food increases saliva flow and washes bacteria away.
- Certain medical conditions and illnesses – Diabetes, liver and kidney problems, chronic sinus infections, bronchitis, and pneumonia are several conditions that may contribute to bad breath.
Keeping a record of what you eat may help identify the cause of bad breath. Also, review your current medications, recent surgeries, or illnesses with your dentist.
What can I do to prevent bad breath?
- Practice good oral hygiene – Brush at least twice a day with an ADA approved fluoride toothpaste and toothbrush. Floss daily to remove food debris and plaque from in between the teeth and under the gumline. Brush or use a tongue scraper to clean the tongue and reach the back areas. Replace your toothbrush every 2 to 3 months. If you wear dentures or removable bridges, clean them thoroughly and place them back in your mouth in the morning.
- See your dentist regularly – Get a check-up and cleaning at least twice a year. If you have or have had periodontal disease, your dentist will recommend more frequent visits.
- Stop smoking/chewing tobacco – Ask your dentist what they recommend to help break the habit.
- Drink water frequently – Water will help keep your mouth moist and wash away bacteria.
- Use mouthwash/rinses – Some over-the-counter products only provide a temporary solution to mask unpleasant mouth odor. Ask your dentist about antiseptic rinses that not only alleviate bad breath but also kill the germs that cause the problem.
In most cases, your dentist can treat the cause of bad breath. If it is determined that your mouth is healthy and bad breath remains persistent, your dentist may refer you to your physician to determine the cause of the odor and an appropriate treatment plan.
Dental implants are Titanium or Zirconia posts placed into the jawbone to replace missing tooth roots. They support crowns, bridges, or dentures and function like natural teeth.
Most patients experience little discomfort during treatment. Modern anesthesia and technology make implant placement comfortable, with mild soreness afterward that typically resolves quickly.
Implant costs depend on treatment complexity, number of teeth replaced, and bone support. We provide personalized estimates and review financing options during your consultation.
Some patients may qualify for same-day implants. A comprehensive exam determines the safest and most effective approach.
Many patients with bone loss still have implant options. Advanced techniques may help restore support for implants.
If you’re feeling somewhat self-conscious about your teeth or simply want to improve your smile, cosmetic dental treatments may be the answer to a more beautiful, confident smile.
Cosmetic dentistry has become very popular in the last several years, not only due to advances in cosmetic dental procedures and materials, but also because patients are becoming increasingly focused on improving their overall health. This includes dental prevention and having a healthier, whiter, more radiant smile.
There are many cosmetic dental procedures available to improve your teeth and enhance your smile. Depending on your particular needs, cosmetic dental treatments can change your smile dramatically, from restoring a single tooth to having a full mouth make-over. Ask your dentist how you can improve the health and beauty of your smile with cosmetic dentistry.
Cosmetic Procedures:
Teeth Whitening: Bleaching lightens teeth that have been stained or discolored by age, food, drink, and smoking. Teeth darkened as a result of injury or taking certain medications can also be bleached, but the effectiveness depends on the degree of staining present.
Composite (tooth-colored) Fillings: Also known as “bonding”, composite fillings are now widely used instead of amalgam (silver) fillings to repair teeth with cavities and also to replace old, defective fillings. Tooth-colored fillings are also used to repair chipped, broken, or discolored teeth. This type of filling is also very useful to fill in gaps and to protect sensitive, exposed root surfaces caused by gum recession.
Porcelain Veneers: Veneers are thin custom-made, tooth-colored shells that are bonded onto the fronts of teeth to create a beautiful individual smile. They can help restore or camouflage damaged, discolored, poorly shaped, or misaligned teeth. Unlike crowns, veneers require minimal tooth structure to be removed from the surface of the tooth.
Porcelain Crowns (caps): A crown is a tooth-colored, custom-made covering that encases the entire tooth surface restoring it to its original shape and size. Crowns protect and strengthen teeth that cannot be restored with fillings or other types of restorations. They are ideal for teeth that have large, fractured or broken fillings and also for those that are badly decayed.
Dental Implants: Dental implants are artificial roots that are surgically placed into the jaw to replace one or more missing teeth. Porcelain crowns, bridges, and dentures can be made specifically to fit and attach to implants, giving a patient a strong, stable, and durable solution to removable dental appliances.
Orthodontics: Less visible and more effective brackets and wires are making straightening teeth with orthodontics much more appealing to adult patients. In some cases, teeth can be straightened with custom-made, clear, removable aligners in place of braces.
Thanks to the advances in modern dentistry, cosmetic treatments can make a difference in making your smile shine!
Porcelain veneers are very thin shells of tooth-shaped porcelain that are individually crafted to cover the fronts of teeth. They are very durable and will not stain, making them a very popular solution for those seeking to restore or enhance the beauty of their smile.
Veneers may be used to restore or correct the following dental conditions:
- Severely discolored or stained teeth
- Unwanted or uneven spaces
- Worn or chipped teeth
- Slight tooth crowding
- Misshapen teeth
- Teeth that are too small or large
Getting veneers usually requires two visits. Veneers are created from an impression (mold) of your teeth that is then sent to a professional dental laboratory where each veneer is custom-made (for shape and color) for your individual smile.
With little or no anesthesia, teeth are prepared by lightly buffing and shaping the front surface of the teeth to allow for the small thickness of veneers. The veneers are carefully fitted and bonded onto the tooth surface with special bonding cements and occasionally a specialized light may be used to harden and set the bond.
Veneers are an excellent dental treatment that can dramatically improve your teeth and give you a natural, beautiful