We have compiled answers to some of the most common questions about dentistry and oral health. If you have additional questions or would like to schedule an appointment, our team would be happy to assist you. Click on a question below to view the answer.
What Can I Do About Bad Breath?
Bad breath, also known as halitosis, can be an embarrassing issue. Many people may not realize they have it, but it is quite common, especially in the morning.
One of the main causes of bad breath is bacteria buildup on the tongue, particularly toward the back. Studies suggest that brushing the tongue can help reduce bad breath by up to 70 percent.
Common Causes Of Bad Breath:
- Dry mouth while sleeping: Saliva flow decreases at night, allowing bacteria to grow.
- Certain foods: Garlic, onions, and other strong-smelling foods can cause temporary bad breath.
- Inadequate oral hygiene: Failing to brush or floss regularly leads to bacteria buildup.
- Gum disease: Bacteria accumulate in pockets beneath the gums.
- Tooth decay and dental appliances: Cavities or poorly fitting dental restorations can contribute to odor.
- Dry mouth (xerostomia): Often caused by medications or mouth breathing.
- Tobacco use: Smoking and chewing tobacco dry out the mouth.
- Dieting: When the body burns fat, ketones are released, affecting breath odor.
- Medical conditions: Certain illnesses, such as diabetes, sinus infections, or kidney disease, can cause persistent bad breath.
Keeping a food and medication journal may help identify potential triggers. If the issue persists, consult your dentist for further evaluation.
Tips To Prevent Bad Breath:
- Maintain good oral hygiene: Brush twice daily with fluoride toothpaste, floss daily, and clean the tongue with a scraper or toothbrush. Replace toothbrushes every two to three months.
- Visit your dentist regularly: Routine check-ups and professional cleanings help prevent odor-causing bacteria.
- Avoid tobacco products: Smoking and chewing tobacco contribute to dry mouth and bacteria buildup.
- Stay hydrated: Drinking water frequently helps wash away bacteria.
- Use an effective mouthwash: Some over-the-counter rinses only mask odor. Ask your dentist about antiseptic options that eliminate bacteria.
If your dentist determines your oral health is in good condition but bad breath persists, they may recommend consulting a physician to rule out other causes.
How Often Should I Brush & Floss?
Brushing and flossing help remove plaque, a sticky film of bacteria and food particles that can cause cavities and gum disease. If left untreated, plaque hardens into tartar, increasing the risk of dental issues.
Brushing Guidelines:
- Brush at least twice a day using an ADA-approved fluoride toothpaste and a soft-bristled toothbrush.
- Hold the toothbrush at a 45-degree angle and use small circular motions to clean all tooth surfaces.
- Brush the inner, outer, and chewing surfaces, as well as the tongue, to remove bacteria.
- Electric toothbrushes can be a great option as they efficiently remove plaque with minimal effort.
Flossing Guidelines:
- Use 12-16 inches of floss, wrapping it around your middle fingers and leaving about two inches for maneuvering.
- Gently slide the floss between teeth in a sawing motion, curving it into a “C” shape around each tooth.
- Move the floss up and down to clean beneath the gumline.
- Floss holders can be helpful for those who struggle with traditional floss.
Rinsing:
- Rinse with water after brushing and meals when brushing is not possible.
- If using a mouth rinse, consult your dentist to ensure it is appropriate for your needs.
Are Amalgam (Silver) Fillings Safe?
Silver fillings, also known as amalgam fillings, have been used in dentistry for over a century. They are composed of a blend of silver, copper, tin, zinc, and mercury.
Although concerns have been raised regarding mercury exposure, major health organizations including the American Dental Association (ADA), the Centers for Disease Control (CDC), the World Health Organization (WHO), and the U.S. Food and Drug Administration (FDA) support the safety of amalgam fillings.
Patients Who Prefer Alternative Options May Consider:
- Composite (tooth-colored) fillings
- Porcelain fillings
- Gold fillings
Your dentist can discuss the best option based on your needs and preferences.
How Often Should I Have A Dental Exam & Cleaning?
For optimal oral health, most patients should visit the dentist at least twice a year for an exam and professional cleaning. However, those with specific dental concerns may need more frequent visits.
What Happens During An Exam:
- Medical history review: Understanding any medical conditions or medications that may impact oral health.
- X-rays: Identifying cavities, bone loss, and other dental concerns.
- Oral cancer screening: Checking the lips, tongue, throat, and gums for any abnormalities.
- Gum health assessment: Evaluating for signs of periodontal disease.
- Tooth decay detection: Using specialized tools to check for cavities.
- Restoration check: Examining fillings, crowns, and other restorations for wear or damage.
What Happens During A Cleaning:
- Tartar and plaque removal: Specialized instruments remove buildup that cannot be eliminated with brushing alone.
- Polishing: Removes surface stains and bacteria.
- Oral hygiene guidance: Recommendations for home care techniques and products.
- Dietary counseling: Reviewing how nutrition affects oral health.
Comprehensive dental exams go beyond cavity detection, helping maintain a healthy smile for years to come.
How Can I Tell If I Have Gingivitis Or Periodontitis (Gum Disease)?
Four out of five people have periodontal disease and do not know it. Many are unaware because the disease is often painless in its early stages. Unlike tooth decay, which may cause discomfort, gum disease can develop silently. Regular dental check-ups are essential for early detection.
Common Risk Factors For Gum Disease:
- Smoking or tobacco use: Increases plaque and tartar buildup.
- Tooth or appliance conditions: Crowded teeth or poorly fitting restorations can trap bacteria.
- Medications: Certain drugs, including steroids, cancer therapy medications, and blood pressure medications, can reduce saliva flow, increasing the risk of gum disease.
- Hormonal changes: Pregnancy, oral contraceptives, and puberty can make gums more sensitive to bacteria.
- Underlying health conditions: Diabetes, immune disorders, and genetic predisposition can increase susceptibility.
Signs & Symptoms Of Gum Disease:
- Red and swollen gums: Gums should never appear red or puffy.
- Bleeding gums: Gums should not bleed, even with brushing or flossing.
- Persistent bad breath: Bacteria buildup can cause ongoing bad breath.
- New spacing between teeth: Bone loss can lead to shifting teeth.
- Loose teeth: Caused by weakened bone and gum structures.
- Pus around teeth and gums: A sign of infection.
- Receding gums: Gums pulling away from the teeth.
- Tenderness or discomfort: Plaque, tartar, and bacteria irritate the gums.
Good oral hygiene, a balanced diet, and regular dental visits can reduce your risk of developing gum disease.
Why Is It Important To Use Dental Floss?
Brushing removes bacteria, plaque, and food particles from most tooth surfaces, but it cannot reach between the teeth. These areas are prone to cavities and gum disease, making flossing essential for oral health.
Benefits Of Flossing:
- Removes plaque between teeth: Prevents the formation of tartar.
- Reduces the risk of cavities: Food and bacteria trapped between teeth can lead to decay.
- Prevents gum disease: Flossing disrupts bacteria colonies that inflame the gums.
How To Floss Properly:
- Use 12-16 inches of floss, wrapping it around your middle fingers and leaving two inches between your hands.
- Gently insert the floss between your teeth using a sawing motion.
- Curve the floss around each tooth and move it up and down beneath the gumline.
- If traditional floss is difficult to use, consider floss holders or water flossers.
Daily flossing promotes long-term oral health and helps maintain a bright, healthy smile.
How Can Cosmetic Dentistry Improve My Smile?
If you are looking to enhance your smile, cosmetic dental treatments offer a variety of solutions.
Popular Cosmetic Procedures:
- Teeth whitening: Brightens discolored or stained teeth.
- Composite fillings (bonding): Repairs cavities, chips, or gaps using a tooth-colored material.
- Porcelain veneers: Thin shells applied to the front of teeth to improve shape and color.
- Porcelain crowns: Custom caps that restore and strengthen damaged teeth.
- Dental implants: Permanent tooth replacements that look and function like natural teeth.
- Orthodontics: Braces or clear aligners can straighten misaligned teeth.
Modern advancements in dentistry make it easier than ever to achieve a confident, radiant smile.
What Are Porcelain Veneers?
Porcelain veneers are ultra-thin shells that are bonded to the front of teeth to enhance their appearance. They are highly durable and resistant to staining, making them a popular option for a long-lasting smile transformation.
Veneers Can Address:
- Deep staining or discoloration
- Chipped or worn teeth
- Uneven spacing or mild misalignment
- Teeth that appear too small or large
The process typically requires two visits, during which a small amount of enamel is removed to ensure a natural fit. The veneers are then custom-crafted and bonded securely to the teeth.
What Can I Do About Stained Or Discolored Teeth?
Teeth whitening is one of the most requested cosmetic treatments. There are many products and procedures available to brighten your smile.
Causes Of Tooth Discoloration:
- Aging: The outer enamel layer wears away, revealing a darker shade underneath.
- Food and beverages: Coffee, tea, red wine, and dark berries can stain teeth.
- Tobacco use: Smoking and chewing tobacco lead to yellowing.
- Medications: Certain antibiotics, like tetracycline, can cause discoloration.
- Fluorosis: Excess fluoride exposure during tooth development can lead to staining.
Professional Whitening Options:
- At-home whitening trays: A custom-fitted tray filled with whitening gel, worn for a few hours daily.
- In-office whitening: A fast, professional treatment that delivers immediate results.
Some patients may experience temporary tooth sensitivity after whitening. Your dentist can help determine the best option for your needs.