Q: What is Tooth Decay?

A: Decay is the destruction of tooth structure. Decay occurs when plaque, the sticky substance that forms on teeth, combines with the sugars and / or starches of the foods that we eat. This combination produces acids that attack tooth enamel. The best way to prevent tooth decay is by brushing twice a day and flossing daily. If decay reaches the pulp of the tooth, a root canal may be necessary to save the tooth. Eating healthy foods and avoiding snacks and drinks that are high in sugar are also ways to prevent decay.

Q:When Should I Take My Child to the Dentist for the First Time?

A: According to the American Academy of Pediatric Dentistry, children should visit a pediatric dentist when their first tooth comes in or no later than their first birthday.

Q:How Often Should I See the Dentist for a Check Up and Cleaning?

A: Most children and adults should see their dentist for a regular cleaning and check up every six months. People at a greater risk for oral diseases should have dental check ups more than twice a year. Tobacco and alcohol use, diabetes, pregnancy, periodontal and gum disease, poor oral hygiene and certain medical conditions are some of the many factors that your dentist takes into consideration when deciding how often you need your dental cleaning and check up.

Q:How Often Should I Floss My Teeth?

A: You should floss your teeth at least once a day. Flossing in between your teeth removes food debris and plaque from in between the teeth that a toothbrush can’t reach. Plaque causes tooth decay and can lead to gum disease. Another great reason to floss is that recent studies have shown that flossing helps to prevent heart disease or stroke.

Q:How Often Should I Brush My Teeth?

A: According to the American Dental Association, you should brush your teeth twice a day. Brushing your teeth helps to remove plaque which causes tooth decay and can lead to gum disease.
Always use a soft bristled toothbrush with a toothpaste that contains fluoride. Make sure that the toothbrush fits inside of your mouth so that you can easily reach all areas. When brushing, use gentle back and forth strokes, brushing all sides of the teeth. Always brush your tongue to remove any bacteria and keep your breath fresh.

Q:I have some old silver fillings that are beginning to look bad.

A: Silver amalgam fillings eventually need to be replaced. It may surprise you to know that the average life span of silver filling is five to eight years. Your dentist can tell you when they appear to need to be replaced or if your concern is strictly cosmetic there are many new methods available to replace the fillings with beautiful, functional long lasting restorations.

Q:I would like to have my teeth whitened. There are so many products and ads for whiteners that it is hard to decide which is best. What do you recommend?

A: You are correct. There are many products and techniques available. Some work great and some don’t work at all. The various over the counter products give the least predictable results. To get a really great result you should probably consider in office laser whitening or use one of the products sold through dental offices, which utilize custom made trays for home application of a bleaching gel.

Q:I am missing several teeth. A friend told me that she recently had implants to replace her missing teeth and is very happy. What are implants?

A: Dental implants are a wonderful way to replace missing teeth when certain conditions exist. Such things as your overall general health and the length of time you have been missing your teeth must be considered. You should ask Dr. Hanosh if you are a good candidate for implants.

Q:It has been quite a while since I have been to a dentist because I cannot stand the sound of the drill. I think I have a new cavity but am reluctant to call a dentist. What can I do? I don’t want a toothache and certainly don’t want to lose my tooth.

A: Dental technology has come a long way in recent years. If you have a new cavity that requires a filling, there is laser equipment that replaces the drill for removing decay. It is quick, silent and in most cases you do not need a shot of anesthetic because there is no heat or vibration to cause pain.

Q: What is periodontal disease?

A: Periodontal disease is an infection of the tissues and bone that support the teeth. As the tissues are damaged, a pocket forms between the gums and the tooth which allows harmful bacteria to grow. Periodontal disease is often painless, but left untreated may lead to tooth loss.

Q: How can I prevent periodontal disease?

A: Professional cleanings are the only way to remove tartar and associated bacteria from the teeth. It is important to have regular cleanings at least every 6 months. Brushing your teeth twice a day with a fluoride toothpaste, and flossing at least once a day will also reduce your risk of developing periodontal disease

Q: What if I already have periodontal disease?

A: Periodontal disease can be treated, and some of the destruction caused by the bacteria can be reversed with laser therapy. Treatment of periodontal disease varies from patient to patient depending on the amount of destruction. If mild disease is diagnosed, a special cleaning is needed to remove the harmful bacteria. For moderate to severe disease, a special cleaning and periodontal surgery are needed. Once diagnosed with periodontal disease and treated for it, the condition is not gone. You will need to maintain more regular cleaning visits, usually every 3 months, as well as practice good oral hygiene diligently.

Q: What is laser periodontal therapy?

A: Our office uses two different types of lasers. The hygienists are certified to use a diode laser during hygiene visits. The diode is used to kill harmful bacteria so it doesn’t enter your bloodstream during the cleaning. It is also used to remove the diseased tissue down in the pockets. If the diseased tissue is left behind, we must rely on the body to heal the infected tissues which can be unpredictable and uncomfortable. When the laser is used with the special cleaning to treat periodontal disease, you can expect faster, improved healing and less discomfort. Dr. Hanosh is certified to use the Waterlase MD to successfully treat moderate to severe cases of periodontal disease.

Q: I have diabetes, how does that impact the health of my mouth?

A: Properly controlling your blood glucose helps you to maintain a healthier mouth. Since some individuals with diabetes have an impaired immune response, visiting the dentist more frequently may be needed to help prevent periodontal disease. If you have dentures that do not fit properly, be sure to let our office know so that the gums don’t develop sores.