Your First Visit
New patients receive a comprehensive examination which includes a screening for oral cancer, gum and bone disease, blood pressure, and systemic disorders. A routine oral exam is performed on established patients to determine any changes in dental and health status, since the previous visit.
Your gum tissue is measured with a fine instrument ruler to calibrate in millimeters the pocket depth between the tooth and the connective gum tissue around the tooth. Pocket depths more than 4 millimeters could indicate disease and infection. The deeper the pocket, the greater the extent plaque bacteria collects and infection in gum disease develops.
X-rays are taken as needed.
Tooth scaling and root planing occur as needed.
Routine cleanings also include a professional polishing (Prophy) that removes only the soft sticky plaque that is above the gum line.
How often should I get dental checkups?
For most people, a checkup and cleaning twice a year, is standard protocol. Depending on a person's dental health, however, a dental cleaning every 3 to 4 months may be recommended.
What causes tooth decay?
Tooth decay happens when plaque or bacteria come in contact with the tooth and is allowed to sit. The bacteria, once fed with sugars, will begin eroding the enamel.
Causes of tooth decay include:
- Poor oral hygiene (brushing / flossing)
- Poor diet
Adults tend to get cavities around old fillings, which may be cracked, rough around the edges or loose in the tooth. Another common form of tooth decay in adults is root cavities. These are likely to occur in adults who have receding gums due to age or periodontal disease. As the gum line recedes, the tooth root becomes exposed. Since root tissue is softer than enamel, it decays more easily.
What are cavities?
Cavities generally develop in the "hard-to-see" places in your mouth. These are normally the places where you need to floss. When bacteria combine with food particles, they form plaque that adheres to your teeth.
As long as plaque remains on the tooth, acid produced by bacteria will eat away the tooth structure. Once through the enamel, the acid attacks the dentin, which is that part of the tooth containing sensitive nerve fibers.
If the tooth decay reaches the dentin, a filling is needed to halt the degenerative process. Otherwise, it continues at an accelerated rate becoming larger and larger.
If not detected and repaired with a filling, the decay can reach the tooth nerve and cause the need for a root canal. With the decay removed and a filling in place the tooth is restored to its original contour.
What is the best kind of toothbrush?
Generally speaking, a soft bristled toothbrush is best. Whether you use a manual toothbrush or an electric, anything harder than soft, is too hard. Stiff bristles may give you that clean feeling, but they can also abrade your teeth and cause gum recession.
How often should I get x-rays?
For most people, a complete radiographic survey should be done every 5 years, and a "check up" or "recall" set every 12 months. A complete set of x-rays is estimated to expose you to the same amount of radiation you get on a flight from San Francisco to Seattle.
Doctors use x-rays in diagnosing problems. Without x-rays, "seeing" the problem will be difficult if not impossible.
In general, the tongue, with its rough surface, is the most common source of bad breath. "Tongue scrapers" are very effective in keeping the tongue clean.