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Our Patient

FREQUENTLY ASKED QUESTIONS

The brand of the toothbrush is not as critical as the type of bristle and the size of the head. A soft toothbrush with a small head is recommended because medium and hard brushes tend to cause irritation and contribute to recession of the gums, and a small head allows you to get around each tooth more completely and is less likely to injure your gums. It’s unnecessary to “scrub” the teeth as long as you are brushing at least twice a day and visiting your dentist at least twice a year for cleanings.

Generally, No. However, it’s advisable to use a fluoride containing toothpaste to decrease the incidence of dental decay. We recommend our patients use what tastes good to them as long as it contains fluoride.
Flossing of the teeth once per day helps to prevent cavities from forming between the teeth where your toothbrush can’t reach. Flossing also helps to keep your gums healthy. what’s the difference between a “crown” and a “cap”? These are restorations to repair a severely broken tooth by covering all or most of the tooth after removing old fillings, fractured tooth structure, and all decay. The restoration material is made of gold, porcelain, composites, or even stainless steel. dentists refer to all of these restorations as “crowns”. However, patients often refer to the tooth-colored ones as “caps” and the gold or stainless steel ones as “crowns”.
Both bridges and partial dentures replace missing teeth. A bridge is permanently attached to abutment teeth or, in some cases, implants. A partial denture is attached by clasps to the teeth and is easily removed by the patient. Patients are usually more satisfied with bridges than with partial dentures.
Historically, dentistry has been dominated by the use of metal in the restoration of teeth due to the fact that there was no strong alternative. With multiple different metals in the mouth there is a risk of electric current running through your teeth as saliva acts as an electrolyte. This is called galvanism. An increase in mercury release from your silver mercury fillings can occur. Today, we have proven, long lasting, metal-free alternatives. These include composite resin, porcelain and more recently zirconia. All of your fillings, crowns, bridges and dental implants can be restored with a metal-free solution, which is a strong and safe alternative. Although the u.s. public health service issued a report in 1993 stating there is no health reason not to use amalgam (silver fillings), more patients today are requesting “white” or tooth-colored composite fillings. We also prefer tooth-colored fillings because they “bond” to the tooth structure and therefore help strengthen a tooth weakened by decay. While fillings are also usually less sensitive to temperature, and they also look better. However, “white” fillings cannot be used in every situation, and if a tooth is very badly broken-down, a crown will usually be necessary and provide better overall satisfaction for the patient.

If you want deeper sedation than laughing gas can offer, oral conscious sedation may be perfect for you. This approach uses a combination of medications to keep you relaxed during your entire visit. A sedative taken the night before your appointment helps you get a good night’s rest and another is taken an hour before your appointment and given in the office as needed to keep you relaxed. Other than keeping you comfortable, a major benefit is having little, if any, memory of your time in the dental chair. As the name suggests, you remain conscious during this type of sedation. although you may sleep, you are breathing on your own and all your protective reflexes are intact. You will be able to communicate with us if anything is uncomfortable or needed (like a restroom break). A driver is required to bring you to and take you home from your conscious sedation appointment.

Another frequent use of conscious sedation is for patients looking to accomplish a large amount of treatment at one time. Even if you aren’t anxious about treatment, conscious sedation can allow you to comfortably accomplish a full day of dental work that would otherwise have to be broken up into multiple potentially inconvenient appointments.

As an alternative, metal-free and mercury safe dentistry is focused on using biocompatible materials to restore teeth. We exclusively use metal and bpa-free, bonded composite resins (“white fillings”) and metal-free all ceramic crowns, bridges, and veneers. We also have the ability to replace missing teeth with zirconia implants and a completely metal free implant abutment and crown that attach to the implant.

Three day course of lypospheric vitamin c leading up to mercury removal.

Hair, face, and body of the patient is covered with a disposable drape and to prevent mercury particles from getting onto their body or clothing.

A non-latex rubber dam is placed to isolate the teeth involved.

The dental airvac is placed within 8 inches of the patient’s mouth, providing a vacuum to aid in elimination and filtration of mercury vapors

A saliva ejector is placed under the dental dam during mercury filling removal to retrieve any vapors that will pass through the dental dam.

High volume suction and copious irrigation with water is used during the sectioning and removal of mercury.

After the rubber dam is removed, all areas of the mouth are thoroughly rinsed with water.

The patient is given capsules of activated charcoal at the end of the procedure to bind with any particles that may find their way into the intestines.

Detoxifying and immune system supplements are considered and evaluated for optimal health.

A whole office system of 5 hepa filters is constantly utilized to provide the cleanest air possible.

Our office utilizes a centralized mercury separating unit that collects 99% of mercury before it is passed into waste water.

No. While most teeth which have had root canal treatments do need crowns to strengthen the teeth and to return the teeth to normal form and function, not every tooth needing a crown also needs to have a root canal.