What is the difference between a DDS and a DMD?

The DDS (Doctor of Dental Surgery) and DMD (Doctor of Dental Medicine) are the same degrees. The majority of dental schools award the DDS degree; however, some award a DMD degree. The education and degrees are the same.

How often should I go to the Dentist for checkups?

For most people, twice a year is usually sufficient; however, only you, your dentist and your hygienist can determine how often is actually necessary. Checkups are needed for regular assessments of the condition and well being of your mouth; therefore, regular checkups are a MUST in order to maintain a healthy, happy smile!

How often should I brush my teeth?

The American Dental Association (ADA) recommends brushing your teeth twice a day with an ADA-accepted fluoride toothpaste. Your toothbrush should be replaced every three to four months, or sooner if the bristles are frayed.

Should I brush first or floss first?

It doesn't matter which you do first as long as you do a thorough job! Now you ask, how do I know I am doing a thorough job? There are plaque disclosing tablets available over-the-counter at pharmacies and other stores that sell oral products. After you brush, you chew a disclosing tablet and the dye (usually red) will stain plaque that was not removed when you brushed. These are the spots that will require additional cleaning.

What are dental sealants?

A dental sealant is a plastic, professionally-applied material that is put on the chewing surfaces of back teeth (premolars and molars) to prevent cavities. Sealants provide a physical barrier so that cavity-causing bacteria cannot invade the pits and fissures on the chewing surfaces of teeth.

Are dental sealants just for children?

The potential to develop decay begins early in life, so children and teenagers are the obvious candidates. Some adults at high risk of decay can benefit from sealants as well. Your dentist can tell you if you would benefit from dental sealants.

What causes bad breath?

If you do not brush and floss daily, particles of food will remain in your mouth, collecting bacteria, which can cause bad breath. Food that collects between the teeth, around the gums or on your tongue can rot, leaving an extremely unpleasant odor. Dentures, not cleaned properly, can also contain odor-causing bacteria and food particles.

How does food cause tooth decay?

When you eat, food passes through your mouth where it encounters germs or bacteria that live in your mouth. This union of food, germs and bacteria create a sticky film of bacteria called plaque.
Bacteria loves sugars found in many foods, and will use the sugar to produce acids that are able to destroy the hard surface (enamel) of the tooth. If this sticky substance is not removed from your teeth, tooth decay will eventually occur.

What are the signs of gum disease?

  • red, swollen or tender gums
  • gums that bleed when you brush
  • gums that have pulled away from the teeth
  • bad breath that does not go away
  • notice pus between your teeth and gums
  • loose teeth
  • a change in your bite (the way you teeth come together)
  • a change in the fit of partial dentures

Can I prevent gum disease?

You can help prevent periodontal (gum) disease by:
Brushing your teeth really well twice a day (with a toothbrush in good condition)
Cleaning between your teeth with floss or an interdental cleaner
Eating a balanced diet that limits between meal snacks and
visiting your dentist regularly

Knocked out tooth, what do I do?

If the tooth is dirty, hold the tooth by the crown (not the root) and carefully rinse off. Do not scrub or remove any attached tissue fragments. Try to gently re-insert and hold the tooth in its socket. If you are unable to do this, place the tooth in a cup of milk and get to your dentist as quickly as possible. Don't forget to take the tooth with you!

What is oral sedation?

Oral sedation is a management technique that utilizes oral medications and sometimes nitrous oxide (laughing gas) to create a state of conscious sedation. This technique is advantageous for those patients that experience mild anxiety and fear when visiting the dentist.  This technique's use is dependent upon the level of anxiety of the adult patient.  Oral sedation is not recommended for very young children.

Why are x-rays taken?

X-rays are extremely useful and important as a diagnostic tool and may reveal the following information:
position of your teeth
impacted teeth
presence and extent of dental decay
any bone damage
an abscessed tooth
jaw fracture
any malocclusion of teeth
other abnormalities of the jaw bone or teeth

What is a dental implant?

A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants are an ideal option for people in good general oral health who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. The ideal candidate for a dental implant is in good general and oral health and has adequate jaw bone needed to support the implant. The best candidates have healthy gum tissues that are free of periodontal disease.

What is an amalgam filling?

Silver amalgam is an alloy of silver, tin, mercury, copper and zinc. Silver amalgam is most commonly used for fillings on the back teeth, where strength is of utmost importance and the silver color is relatively inconspicuous. Silver amalgam is relatively inexpensive and lasts an average of 14 years. The filling takes almost two weeks to become fully hardened, but you may safely chew on it after six hours. Your teeth may experience some degree of temperature sensitivity for a few days to a week, if the cavity is deep. Some people are concerned about the toxicity of the mercury used in the filling. But in fact, amalgam has been used successively for many years in dentistry and has been tested continuously. There is no evidence showing that it is hazardous to humans. Since amalgam has a dark metal color, the filling is not esthetically pleasing. Until recently, it was the only choice of dental filling material for back teeth.

What will happen following a filling?

When anesthetic has been used on your lips, teeth, and tongue you may be numb for several hours after the appointment. Avoid any chewing until the numbness has completely worn off so that you do not accidentally bite them.

You may chew right away on white fillings, since they set completely on the day of your appointment. It's normal to experience some hot, cold, pressure and chewing sensitivity for 1-2 weeks following your appointment. Your gums may be sore for several days as well.

Larger Fillings:

The concern with larger fillings and using tooth-colored/nonmetallic materials is that some teeth may not be able to handle a large filling.

In situations where your newly filled tooth was filled to replace a large old restoration, or due to deep decay, the sensitivity may, in some cases, persist. Persistent symptoms following the appointment when the larger filling is placed, will let us know if the tooth may need a stronger restoration. Internal stress fractures within the tooth, or a traumatized nerve, may necessitate root canal therapy and/or restoration of the tooth with a crown.

If you do experience discomfort for any more than 4 weeks please let us know. Dr. Molyneaux will need to see you to evaluate the health of the tooth.

What is a composite filling?

Composite resins have mainly been used on the front teeth, where a silver filling would be conspicuous; however, the dental industry has been steadily moving towards using the composite more often. Thanks to advances in modern dental materials and techniques, teeth can now be restored with more aesthetic and natural appearing filling materials. Increasingly, these fillings are now also being used on the back teeth. Although they have the advantage of being the color of the teeth, they are more expensive than silver amalgam and may not last as long on surfaces exposed to heavy chewing forces.

These tooth colored fillings are made up of a composite quartz resin and contain a light sensitive agent. These materials come in a variety of shades so that they will match the color of your own teeth. Composite materials are now available that have been specifically designed to withstand the incredible forces you can exert when chewing on your back teeth.

In order to bond a filling material to your tooth, it is first necessary to remove decay, prepare the tooth and then to condition the enamel and dentin. Once conditioned, a then resin is applied which bonds to the etched surface. The bond strength of these fillings offers a significant advantage over amalgam. After placement, composites are hardened by shining an intense light on them for a specified period of time, usually around ten seconds. The light instantly hardens these fillings. You can eat right away because the composite is instantly hardened and requires no setting time.

What is ARESTIN®?

ARESTIN® is an effective antibiotic treatment that comes in powder form. This powder is place inside infected periodontal pockets just after the dental professional finishes scaling and root planing (SRP) procedure.

How does ARESTIN® work?

ARESTIN® powder contains "Microspheres," which are tiny, bead-like particles that are smaller than grains of sand and are not visible to the eye. The Microspheres are filled with the antibiotic minocycline, and they release the drug over time into the infected periodontal pocket, killing bacteria that live there.
Visit the Official ARESTIN® Website for more complete information.