Why do I need to update my paperwork?

Dentists have a responsibility to obtain and maintain current information and health histories of patients. Brown Road Dental has established a high standard of care in which, as a patient, you will be asked to update your medical history yearly and any changes in your information. Also, our patients will be questioned at each visit to determine if the health status or medication(s) taken have changed. By doing so, it contributes to providing the best possible care for each patient.

How often should I have scheduled dentist appointments?

We recommend most of our patients to come have their teeth cleaned every six months. Plaque starts to form on your teeth almost immediately following brushing/flossing and having your teeth cleaned. Plaque is made up of food particles and bacteria. The longer the plaque and bacteria can “live” on your teeth, the more harmful it becomes. After a period of time, the minerals in your saliva will calcify the plaque and form tartar. Once tartar forms, the only way to remove it is to have it scraped or scaled off. Your dental hygienist is specifically trained in this procedure and can effectively remove the tartar, plaque and bacteria from your teeth and gums.

Do you take my dental insurance?

Brown Road Dental takes any insurance that allows you to choose your dental office. There are hundreds of dental insurance plans, each with their own rules, regulations and limitations. We are happy to obtain as much information as your insurance company will provide to us so that we can, in turn, provide you with a more accurate treatment cost and explanation of expected coverage.

To help us obtain the information in a timely manner, please provide insurance information at the time of scheduling your initial appointment. It is also helpful to let us know in advance of a scheduled appointment of any changes you have had to your insurance.

How do you make crowns in one day?

Here, at Brown Road Dental, we are proud to use the unique E4D Dentist® Technology for individual all-ceramic restorations. The E4D system is a time saving, computer aided process that allows us to efficiently construct, produce, and insert individual ceramic restorations directly at the point of chairside treatment in a single appointment. This technology has successfully carried out single appointment crowns for over 20 years. The tooth being restored is prepared either as a crown, inlay, onlay, or veneer. The tooth is imaged by a 3D imaging camera and uploaded to the E4D computer. Using the proprietary E4D software in various modes, a restoration is then designed to restore the tooth to its appropriate form and function. This data on this restoration is stored in a file and is sent via wireless serial transmission to a milling machine. The restoration can then be milled out of a solid ceramic or composite block. The restoration is bonded to the tooth using a resin cement which bonds to both the restoration as well as the tooth itself.

Why do I need x-rays? Or, why do I need x-rays for this broken tooth when I just had them taken?

Updating x-rays is necessary to properly diagnose treatment that may be needed that cannot be seen from clinical exams. X-rays help us to diagnose cavities that may be forming between the teeth as well as diagnose any infections that may be present, both of these cannot be seen from the tooth surface alone unless the cavity is so far progressed. This helps us to catch cavities when they are small, before any symptoms present themselves which is an indication of more extensive treatment being necessary. X-rays need to be updated after a tooth breaks or a filling falls out as the tooth structure has changed since the last cleaning. These updated x-rays help the doctor to see how any current trauma has affected the tooth.

What is a deep cleaning and root planing?

A deep cleaning is completed when you have periodontal or gum disease. This disease causes the gums and the bone to pull away from the root of the tooth. If not treated, the teeth will eventually become loose and tooth loss will occur. Scaling and Root Planing is the most effective way to treat gum disease before it becomes severe. This procedure is usually completed in two separate appointments. It may consist of the use of local anesthetic to insure comfort. The hygienist then thoroughly cleans the teeth below the gum line on the root of the tooth. A medicated mouthwash is also used and sent home with you to help kill the bacteria that cause this disease. After 4-6 weeks, the hygienist will complete a re-evaluation of the severity of your gum disease and the results of the deep cleaning. You will then be seen on a more frequent basis to insure control of this chronic disease. These special cleanings following are called periodontal maintenance cleanings and are very important in maintaining oral and overall health.

How safe is tooth whitening?

Tooth whitening is a non-invasive dental treatment used to change the color of tooth enamel. There are a few options when it comes to whitening teeth. You can elect to have the treatment done in the office in one hour or do it yourself at home over time. If you have the in-office treatment you will receive complimentary take home trays that will serve to “touch up” for years to come. Since tooth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth. Even though whitening is safe and causes no damage to the enamel, some sensitivity is normal. We can give you a paste to help with the sensitivity, which usually subsides soon after bleaching.

Why is oral hygiene so important when I am pregnant?

Along with the myriad of other challenges faced during pregnancy, many women have to cope with toothaches and bleeding gums. With hormones levels constantly changing, your gums and teeth can react differently to plaque and become inflamed and sensitive. It is very important during pregnancy to brush and floss properly. Other oral hygiene aids like antibacterial rinses are also recommended. Even though the inflamed gums may cause flossing and brushing to be uncomfortable, it is especially important to continue good oral hygiene habits to avoid infection, decay, and other problems like gingivitis and periodontitis. It is very important to see your dentist during pregnancy for a cleaning and check up exam. Any dental emergencies you may have can be treated during pregnancy with the proper techniques and authorization from your OBGYN. Normal dental treatment during pregnancy consists of a cleaning with exam in the second trimester, and any emergency treatment needed. Most routine fillings and x-rays are postponed until after the birth of your baby. Many questions can arise during your pregnancy. At Brown Road Dental, we can help you resolve any concerns you may have.

What can I do about bad breath?

Bad breath (halitosis) can be an unpleasant and embarrassing condition. Many of us may not realize that we have bad breath, but everyone has it from time to time, especially in the morning. There are various reasons one may have bad breath, but in healthy people, the major reason is due to microbial deposits on the tongue, especially the back of the tongue. Some studies have shown that simply brushing the tongue reduced bad breath by as much as 70%. Rinsing and drinking frequently can reduce the bacterial deposits in your mouth. Practice good oral hygiene, brushing, flossing, and rinsing with a mouthwash daily. Attending your scheduled dental recall cleanings will also help. If bad breath persists, contact us. We will be able to determine if you need to be referred to a physician for further examination (i.e. tonsil removal or GERD treatment).

How often should I change my toothbrush?

Adults and children should usually change their toothbrush every 3-4 months or sooner if the bristles begin to bend or fray. When a toothbrush becomes worn it does not remove plaque as effectively as a new brush. Some electric rechargeable toothbrushes only need to be changed every 6 months. If you have severe gum disease, you should change your toothbrush every 4 – 6 weeks because bacteria can harbor in the bristles. You should always rinse your toothbrush out with hot water after every use and change it after you have been sick. If you notice that the bristles on your brush are bending or fraying in one or two months, you may be brushing with too much force or with improper technique. We can gladly give you more custom advice on brushing technique and brush replacement frequency at your next visit.

What is dry mouth?

Dry mouth (Xerostomia) can cause difficulty in speech and eating. It also leads to halitosis and a dramatic increase in the incidence of tooth decay. Saliva has a natural protective effect on the teeth and gums by remineralizing enamel and flushing bacteria from the oral cavity. There are several methods to treat dry mouth. If you are experiencing dry mouth, contact us and we will help you develop a plan to keep your mouth healthy and stable.

Canker sores - when to see the dentist?

There are several different theories on the etiology (cause) of canker sores. They are thought to be related to an immune response and can be triggered by trauma, stress, chemicals, foods, nutritional deficiencies, hormonal changes, etc… These sores can be recurring. Depending on the size, location, or cause of the ulcer, different modalities can be used to treat them. Usually, if the ulcer is large or in a location that causes constant aggravation it can be treated with chemical cauterization, or numbing agents. Most canker sores heal within 7 to 10 days. If the sores persist for more than 10 days or you feel you need treatment, please contact us.

How do I know when my child is teething?

The normal range for the first teeth to erupt through the gums into the mouth is from months four to eight. It is usually the lower front teeth (incisors), though there is a wide range for normal eruption patterns. The twenty baby teeth usually finish erupting by age two and a half. The baby teeth consist of eight incisors (front teeth), four canines (fangs), and 8 molars. Even though these teeth will fall out, it is important to keep them clean and in good repair so the mouth will stay healthy and the child will develop good habits.

The first permanent molars usually appear around the age of six and erupt into the mouth behind the last baby molars (permanent molars do not replace any baby teeth). Between the ages of six and seven, your child will probably start loosing his or her front baby teeth, followed by eruption of their permanent replacements. By the age of thirteen most children have twenty eight permanent teeth. The other four teeth (the “wisdom teeth” or “third molars”) are usually removed in the late teenage years as a preventative measure or due to impaction.

How can I get a copy of my dental records?

All patients have the right to view their dental records at any time. Just ask our office and we can get a copy for you. Download the release form here.

If you have just moved or changed dentists, we will be happy to request your records from your previous dentist. Most dental offices will provide you with a copy of your records at no charge. Download the recieve form here.

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