• Which doctor will I see?
• Temporary Crowns or Bridges
• Post-Operative Extraction Instructions
• TMJ
• Anesthestics for Dental Treatment
• Removable Partial Dentures
• Complete Upper and Lower Dentures
• Cracked Tooth Syndrome
• Periodontal Therapy
• Sealants
• Infection Control

Important Information About Removable Partial Dentures
We have done our best to provide you with well-fitted, functional, and aesthetically pleasing partial dentures. We feel confident that after a few weeks of adjustments, you will enjoy years of satisfaction and use. In the meantime, the following is important information.

1. Your First Few Weeks. New dentures always feel strange when first placed in your mouth. Several days or even a few weeks will be required for you to become accustomed to them.

2. Sore Spots. Your mouth will most likely have a few sore spots about 24 hours after you first put your new partial dentures in. An initial readjustment appointment should be made and another appointment, about seven days later, will usually eliminate any other sore areas.

3. Chewing. The new “bite” or occlusion will not feel comfortable for a period of days. We will adjust the contacting surfaces of your teeth after 24 hours, and again in about one week after the dentures have “settled” into place.

4. Cleaning the Dentures - and Your Mouth. Your partial dentures can be cleaned easily by using a denture brush and toothpaste. Use special care to clean parts of the partial that contact any natural teeth. Both the partial denture and the natural teeth must be kept very clean on a daily basis to reduce the chance of new dental decay. Denture soaks are also useful for the denture. Brush your gums with a regular toothbrush once per day to toughen and clean them. Leave the dentures out of your mouth at night. When they are out of your mouth, then leave them soaking in a water-and-mouthwash solution.

5. The Future. Your jawbones and gums shrink up to 1/32 of an inch per year when your teeth are missing. This is one of the main disadvantages of dentures. Because of this shrinkage, you should plan to have your dentures and oral tissues evaluated by us at least every six (6) months. We will inform you when relining or rebasing of the dentures is necessary. Wearing ill-fitting dentures for too long without refitting can cause severe bone loss and very serious oral disease.

Important Information About Upper & Lower Complete Dentures
We have done our best to provide you with well-fitted, functional, and aesthetically pleasing dentures. We feel confident that after a few weeks of adjustment, you will enjoy years of satisfaction and use. In the meantime, the following is information you need to know.

1. Your First Few Weeks. New dentures always feel strange when first placed in your mouth. Several days or even a few weeks will be required for you to feel accustomed to them.

2. Sore Spots. Your mouth will most likely have a few sore spots about 24 hours after you first put your new dentures in. Such sore spots can be relieved by your doctor with very little effort. An initial readjustment appointment should be made, and another appointment about seven days later will usually eliminate any other sore areas.

3. Chewing. The new “bite” or occlusion will not feel comfortable for a period of days. We will adjust the contacting surfaces of your teeth after 24 hours, and again in about one week after the dentures have “settled” into place.

4. Upper vs. Lower Dentures. Your upper denture will rest comfortably in place with moderate-to-strong “suction.” Although your lower denture will have good stability, it is infrequent that “suction” can be expected on a lower denture. We suggest that you avoid denture adhesives unless you have extreme difficulty.

5. Cleaning the Dentures - and Your Mouth. Your dentures can be cleaned easily by using a denture brush and dish soap. Do not use toothpaste on your dentures, as this can cause tiny scratches in the acrylic.  Denture soaks are also useful for the denture. Brush your gums with a regular toothbrush once per day to toughen and clean them. Leave the dentures out of your mouth at night.  When they are out of your mouth, leave them soaking in a water-and-mouthwash solution or denture soak.

6. The Future. Your jawbones and gums shrink up to 1/32 of an inch per year when your teeth are missing. This is one of the main disadvantages of dentures. Because of this shrinkage, you should plan to have your dentures and oral tissues evaluated by us once per year. We will inform you when relining or rebasing of the dentures is necessary. Wearing ill-fitting dentures for too long without refitting can cause severe bone loss and very serious oral disease. Even dentures that “fit” comfortably need to be checked along with your tissue.

 Cracked Tooth Syndrome

Teeth may crack when subjected to the stress of chewing hard food or ice, or by biting on an unexpected hard object. Teeth with or without restorations may exhibit this problem, but teeth restored with typical silver-alloy restorations are most susceptible.

Symptoms and Signs of Cracked Teeth (some or all of the following):

• pain while chewing;
• pain upon cold air application;
• unsolicited pain (usually leakage of sugar into a tooth crack);

Treatment of Cracked Teeth:

Simple Crack. The majority of cracked teeth—about 9 out of every 10—can be treated by placement of a simple crown (cap) on the tooth. When the tooth is prepared for the crown, and a temporary restoration is placed, the pain usually leaves immediately. If this is the case with your tooth, we will place the final crown on your next appointment, and the condition should be resolved.


Complex Crack. Occasionally - about 1 in 10 - a crack is pronounced or severe enough to access the pulp (nerve) of the tooth. If pain persists after placement to the temporary crown, you may have such a crack into the pulp of the affected tooth. To verify, please call us. The tooth may require endodontics (root canal therapy) before the crown is placed.

What is “Periodontal Therapy?”
Periodontal (gum) disease is not curable - but it is controllable.

Periodontal Therapy is a “conservative” (non surgical) program consisting of a series of 2, 4, or 6 visits to control gum disease.

If you are diagnosed with periodontal disease; pockets (deeper or greater) than 3 mm with bleeding points upon non-traumatic toothpick probing; your dentist may recommend a periodontal therapy program to control your disease. The severity of the periodontal disease determines the length of your program. Our goal is to eliminate bleeding and mouth odor, as well as reduce pocket depths to eliminate bacterial re-infection.

Remember: Healthy gums never bleed!

The therapy consists of ultrasonic scaling (a device utilized for the removal of tarter, stain, and bacterial toxins on teeth utilizing the principle of high frequency vibration), hand scaling, root planning (smoothes roots) and curettage (removes diseased tissue), and irrigation with antibiotics. Depending on the severity of disease, we may recommend oral antibiotics, fluoride treatment, and antibacterial rinses. Also, a home-care regimen of toothbrushing and flossing is instructed in conjunction with other home-care devices (specific electric toothbrushes) which may be required for continued health of your tissues.

We want your Periodontal Therapy to be a pleasant, comfortable, healthy and personally rewarding experience. For your comfort, topical anesthetic and local anesthetic are routinely used.

After therapy, your hygienist will see you for a periodontal maintenance visit to evaluate the success of your Periodontal Therapy. Pocket depths and bleeding points will be remeasured, checked, and treated as needed.

It takes six months to one year before new gum attachment fibers become mature and more resistant to bacterial re-infection, therefore the doctor/hygienist recommends a three month recall/continuing care interval so that your level of periodontal health can be monitored and maintained. As your mouth continues healing, the interval between hygiene appointments will be evaluated according to your individual progress and the rate of tarter formation. Your personal home care is the determining factor in the continued success of your treatment.

Sealants

What are Dental Sealants?
Dental sealants are thin plastic coatings which are applied to the chewing surfaces of the back teeth to prevent decay. Most tooth decay in children and adolescents occurs on the chewing surfaces of these back teeth, which are called molars. This is because molars have irregular surfaces with pits and grooves which tend to trap food and bacteria debris. Sealants flow into and coat these pits and grooves so that bacteria cannot multiply and cause decay.

How are Sealants Applied?
Applying sealants is quite simple and may be done by a dentist or a dental hygienist. First, the teeth are cleaned. Then the teeth to be sealed are dabbed with a very mild acid solution similar in strength to vinegar or lemon juice. This roughens the tooth surface very slightly so that the sealant will bond to it properly. After the tooth is prepared, the sealant is painted onto the tooth. It flows into the pits and grooves and hardens in about 60 seconds. After sealing, bacteria cannot reach the pits and grooves, and therefore cannot cause decay. Applying sealants requires no drilling or removal of the tooth surface. Tooth structure is left intact - healthy teeth are protected from decay forming bacteria.

How Long Will Dental Sealants Last?
A sealant application can last five years and often times even longer. Sealants should be checked regularly and reapplied when they appear to have worn off. Because teeth are most susceptible to decay when they are young, preventing decay during the first 5 to 14 years after a tooth erupts is critical.

Do Sealants Cost More Than Fillings?
The cost of sealing a tooth is consistently less than the cost of having a tooth filled.

Will Sealants Replace Fluoride?
No! Fluorides such as those used in fluoridated water, fluoride toothpaste, and fluoride mouth rinse help prevent decay on the smooth surfaces of teeth; however, fluorides have less effect on the rough, pitted chewing surfaces of the back teeth where food particles and decay producing bacteria are trapped. Sealants are effective on the uneven chewing surfaces.

Have Sealants Been Thoroughly Tested?
Yes! Thousands of children across the United States and in other countries have had their teeth sealed in controlled clinical studies. These studies have shown sealants to be effective, easy-to-apply, inexpensive and non-toxic. That’s why the American Dental Association, the National Institute of Dental Research, and the American Public Health Association have recommended sealants.

Infection Control

To reduce the chance of cross-contamination of disease from patient to patient, we take these important measures:

1. Face Masks:
All of our staff wear facemasks during active patient care. These masks prevent the spread of bacteria.

2. Rubber Gloves:
New non-latex gloves are worn for every patient, and disposed of immediately after their one and only use.

3. Disinfection of Counters and Other Office Surfaces:
This standard health and sanitation procedure is performed routinely after each patient visit in every operatory and throughout all public areas of our office.

4. Equipment Sterilization:
Items attached to each dental operatory —handpieces, air blowers, suction, etc.- are either disposable or disinfected by heat sterilization. Our practice proudly meets and exceeds all OSHA regulations for operatory equipment sterilization.

5. Continuing Education:
We are very conscious of the fact that health-threatening viruses, bacteria, and other conditions are constantly changing and evolving into new, sometimes more virulent strains. We are absolutely committed to intensive continuing education by which we remain current, informed, and capable of state-of-the-art patient protection.