Faq's

Symptoms of periodontal disease include:

  • Red, swollen or tender gums, or other pain in your mouth
  • Bleeding while brushing, flossing or eating hard foods
  • Gums that are receding or pulling away from the teeth
  • Loose or separating teeth
  • Pus between your gums and teeth
  • Sores in your mouth
  • Persistent bad breath
  • A change in the way your teeth fit together when you bite
  • A change in the fit of dentures or other removable appliances

Many people only visit the dentist when they have a noticeable problem. While they may think that they are saving money, the reality is that the treatments to repair and restore their teeth and smiles cost more money and time than it does to visit the dentist at regular intervals. Visiting the dental office regularly ensures that you receive preventive care to stop problems in the earliest stages of development and hopefully prevent them from developing in the first place. We can monitor your oral health and help you learn the best ways to care for your teeth so that they remain healthy. You should visit our office twice each year for routine maintenance.

You should brush at least twice each day. It is especially important that you brush your teeth before going to bed. Use an ADA-approved soft-bristled toothbrush and fluoridated toothpaste. You should floss daily. We also recommend that you use a mouthrinse. Contact our office if you have questions.

Cosmetic dentistry is a dental field that focuses on improving the appearance of your teeth so that you can enjoy a more beautiful smile. It includes preventive care as well as restorative treatments. Some common cosmetic dental treatments include:

  • Teeth whitening
  • Dental veneers
  • Composite (tooth-colored) dental fillings
  • Dental bonding
  • Dental crowns and bridges
  • Dental implants
  • Orthodontics

There are several options available to replace your missing tooth. When you visit our office, our dentists will examine your mouth, discuss your oral health needs and smile goals with you, and review your treatment options. We will design a customized treatment plan to restore your tooth and your smile. Some of the tooth replacement options we may discuss include:

  • Dental implants
  • Dental bridges
  • Complete or partial dentures

No! While the majority of patients who receive orthodontic treatment are children or teenagers, more and more adults are seeking orthodontic treatment to improve their smiles and oral health. As long as your teeth and supporting structures are healthy, you can receive treatment.

Halitosis (bad breath) may be caused by any number of factors, including:

  • Morning time
  • Poor oral hygiene
  • Cavities
  • Periodontal disease
  • Poorly fitted appliances
  • Dry mouth
  • Tobacco products
  • Medical conditions or illnesses
  • Dehydration, hunger or missed meals
  • Certain foods

POST OP INSTRUCTIONS

These are general Post Op instructions for the following procedures.
If you are having symptoms that are not covered here or have a dental emergency, please contact the office directly.

Healing following Dental Implant placement is usually fast and uncomplicated if you follow the directions below.

  • Often with Dental Implants there is very little bleeding. To control any bleeding you may have, bite on gauze with firm pressure for 30-60 minutes or as directed, to encourage bleeding to clot. Remove the gauze and if site if still bleeding, replace with a new gauze, Repeat as necessary until heavy bleeding stops. Remember that Blood and saliva mix in the mouth and make it look like more bleeding than there actually is. The site could ooze for as long as 24-48 hours.
  • Certain medications can make you bleed for longer periods. Elevate your head with a towel on your pillows to reduce bleeding and swelling. If you notice Swelling and bruising, Ice packs can be used, 20 minutes on-20 minutes off, for the first 24 hours.
    If you wear or were given a removable prosthetic (Denture or Partial) we will give you specific instructions about wearing it while you heal.
  • We encourage NO SMOKING for several months to ensure the long-term success of Dental Implants. Absolutely NO SMOKING or use any Tobacco Products for at least 72 HOURS. Tobacco slows healing and increases the risk that your body will reject the implant(s).
  • Do not spit, suck on the wound or drink through a straw for 72 hours.
  • Do not Blow your nose Hard. Do not sneeze, if you must, do so with your mouth open.
  • In most cases you will be given a rinse specially to use while healing. Start using this rinse the day after your implant is placed and rinse 2 times per day for 1 week. Do not rinse vigorously or spit, instead hold the rinse in your mouth and allow it to fall out gently. After the first week you can use warm salt water (1 tablespoon to a small glass of warm water) 2-3 times per day if necessary. Do not brush the area for 1 week or until directed. You can use a gauze or thin cloth to wipe the surrounding teeth if necessary.
  • Do not drink Alcoholic drinks (No Mouthwash unless directed), No Carbonated drinks or Hot Drinks.
  • Avoid chewing until the numbness has worn off completely to prevent possible injury to soft tissue. For the first 48 hours chew on the opposite side and eat soft foods. Avoid spicy and crunchy foods such as chips, nuts, popcorn for 7 days.
  • Limit activities such as exercise, heavy lifting or activities that require you to bend for 48 hours. It is normal to experience some pain for several days after surgery.
  • If you were prescribed medications to control discomfort take it before the anesthetic has worn off, then as recommended or needed. You can also control pain with Over the Counter Ibuprofen or Tylenol. If Antibiotics were prescribed take them as directed until gone, even if symptoms and signs of infection are gone. If Sutures were placed, you will be given an appointment to return. Some sutures may come out or change position while healing. This is normal.

If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue. This will also allow the temporary restorative material to harden.
You will most likely feel soreness in the area as well as pressure when you bite down. For this reason, you should avoid hard and chewy foods. Do not eat on the treated side of your mouth for at least 24 hours. The soreness should decrease within a week.
If the doctor prescribed medications take the medications as prescribed to you by the doctor as this will eliminate any remaining infection in the tooth.
If you notice any of the following symptoms please contact our office:
- A reaction to the medication
- Loss of the temporary filling material
-Tooth fracture

If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

1. Please avoid rinsing the day of the procedure. Begin rinsing the following day with warm salt water (1/2 t. salt to 1 cup water) every 2 to 3 hours for 3 days, then after meals and at bedtime for the next 2 weeks.
a. You may begin brushing your teeth the following day.
 
2. Bite on cotton gauze for the first 30 minutes. If after 30 minutes bleeding persists then replace with fresh pieces of gauze & continue biting for 30 more minutes.
 
3. Keep your head elevated at all times for the first 5-7 days following surgery. This will help decrease swelling and pain.
 
4. DO NOT SMOKE. Smoking in any amount in the first few weeks can cause dry socket, leading to infection and will dramatically delay wound healing.
 
5. You may eat or drink what you feel up to once the local anesthetic has worn off. Avoid drinking through a straw for 7 days. Avoid hot foods or hot liquids for 24 hours. Soft foods like eggs, pastas, warm soups and yogurt are recommended. (Avoid anything coarse like seeds or rice.)
 
6. The surgical site may continue to bleed slightly for a day or two. This is no cause for alarm. If heavy bleeding occurs, fold a piece of gauze or use a wet or dry tea bag, and place over the bleeding area. Maintain firm pressure for 30 minutes. Avoid frequent pack changes, rinsing, and spitting or physical exertion until the bleeding has ceased. Please also refrain from touching the area with your tongue or fingers.
 
7. DO NOT drink alcoholic beverages, operate machinery, or lift heavy items for 12 hours following general anesthesia. DO NOT combine pain medication with alcohol. Avoid Sun exposure for a minimum of 72 hours.
 
8. Some discomfort is to be expected and may be rather uncomfortable for the first few hours or days. 
Please:
a. Take the prescribed medication with food as directed.
b. Allow 45 minutes for the medication to work. Therefore, take the medication before the pain becomes too severe.
 
9. Swelling is to be expected and usually reaches its maximum during the first three days. Apply ice to the side of the face 15 minutes on and 15 minutes off as often as possible for the first 48 hours. Frozen vegetable bags wrapped in dish towels work nicely as they contour to the jaw. Change to heat (a heating pad or hot water bottle) 48 hours after surgery. Continue to use heat until the swelling has receded.
 
10. Bruising may occur, especially along the jawline. This is not unexpected and should disappear soon.
11. Tightness of the jaw muscles may make it difficult for you to open your mouth for up to two weeks.
12. If you have been prescribed an antibiotic and are currently taking oral contraceptives you should use an alternate method of birth control for the remainder of this cycle.
 
If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.
Temporary: Please be careful when cleaning around the temporary restoration. Do not pull up on the temporary when flossing this area. Make sure to brush this area gently and not to chew any hard or sticky foods on the restoration.
If your temporary comes off between appointments, please call our office so that we can reapply it for you.
Sensitivity: Sensitivity to hot and cold is to be expected following treatment.
For the first few days, try to avoid extremely hot or cold foods and beverages.
It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an over the counter pain relivers if the discomfort persists.
Permanent Crown /Bridge: When the final restoration is placed, your bite may feel a little different. This is just your mouth adjusting to the new addition. If it still feels off in a few days, please call the office for a slight adjustment.
Home Care: It is important to resume regular brushing and flossing immediately.
A consistent daily home care routine will increase the longevity of the restoration.

If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.
Sensitivity: Sensitivity to hot and cold is to be expected following treatment.
For the first few days, try to avoid extremely hot or cold foods and beverages. It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an over the counter pain medication if the discomfort persists.

Home Care: It is important to resume regular brushing and flossing immediately. A consistent daily home care routine will increase the longevity of the restoration.

If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

After your scaling or root planning, it is best to rinse your mouth 2-3 times per day with warm salt water. One teaspoon salt / 8 oz. water. You should start home care immediately, although you should be extremely gentle with the treated areas.
If you feel discomfort in the gum tissue where you had treatment, an over the counter pain medication may be taken to relieve this feeling. The treated areas will probably be sensitive to hot and cold.
It is best to refrain from eating any hard or chewy foods for the next 48-72 hours while the treated area begins to heal.
You may also experience some swelling or jaw stiffness. If this does occur, you can place a cold compress on the swelling or a hot towel on the stiffness.
Smoking should be terminated for a period of 48-72 hours following these procedures. Please contact the office if the pain or swelling persists.

If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.

Temporary: Please be careful when cleaning around the temporary restorations. Do not pull up on the temporary when flossing this area. Make sure to brush this area gently and not to chew any hard or sticky foods on the restoration.

If your temporary comes off between appointments, please call our office so that we can reapply it for you.

Sensitivity: Sensitivity to hot and cold is to be expected following treatment.
For the first few days, try to avoid extremely hot or cold foods and beverages. It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an over the counter pain medication if the discomfort persists.

Permanent Veneers: When the final restoration is placed, your bite may feel a little different. This is just your mouth adjusting to the new addition. If it still feels off in a few days, please call the office for a slight adjustment.

Home Care: It is important to resume regular brushing and flossing immediately. It is very important to thoroughly clean the area between the veneer and the tooth at the gumline. A consistent daily home care routine will increase the longevity of the restoration.

If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

Congratulations on your new dentures! This information will assist you with your adjustment to new dentures. The adjustment period can last anywhere between a few weeks to few months depending on: the type of denture you receive, your dental history, and other factors. Even long-term denture wearers will undergo adjustment periods with a new set of dentures. Please remember that dentures are not permanent, as changes continue to occur in the bone and soft tissues of your mouth.
Periodically, your dentures will require adjustments and relines to ensure a long service life and comfort. If you have any questions about your new dentures please call our office.
BREAKING IN PERIOD: Most new dentures require a breaking in period before they become comfortable. This length of time varies with each individual patient depending upon their ability, determination, and perseverance to learn how to use them. First, you must learn to keep them in place, and then gradually begin to use them.
WHAT TO EXPECT: At first, it’s normal to feel awkward with your new dentures. Your appearance will probably undergo a slight change, your speech may seem altered, and some areas of your mouth may feel too full. You may also experience excess saliva initially until your mouth is used to wearing dentures. Time, patience, and some training will soon bring about a relaxation of the facial muscles and begin to alleviate some of the apparent problems.
SORE SPOTS: Soreness from uneven pressure on the gums may develop at any time. This is not unusual and should be expected, especially if you have not worn a denture before. Sore spots are best corrected if the dentures are worn for at least 3-6 hours before returning to the office for an adjustment appointment. This will allow a more precise detection of the offending areas inside the denture, which are corrected by trimming.
SPEAKING: Learning to talk with your new dentures in place requires some patience and perseverance. Reading aloud is a very good way to learn to enunciate distinctly, especially those sounds or words that are not clear. Try to avoid any movements of the lips and tongue that tend to displace the dentures or cause them to click. Careful practice and repetition may help to expedite the process and produce a return to your normal, confident speech.
EATING: Start with soft foods. Take small bites, chew slowly and try to overcome the difficulties as they arise. Keep the food distributed evenly on both sides and chew on the back teeth. To bite foods that normally require the front teeth, such as apples or corn on the cob, apply pressure backwards against the front when closing. If the denture begins to dislodge, biting with the side teeth may be an easier alternative. More difficult foods such as steak and carrots will require a gradual learning curve. Initially, it is recommended that you avoid eating sticky, hard, or chewy foods.
LOOSENESS: If you have had teeth removed immediately prior to placement of the denture, it will soon feel loose, mainly due to the gum shrinkage that occurs as the gums heal. Complete healing of the gums and the underlying bone takes many months. During this period, a temporary liner may be placed inside the denture to keep it relatively snug. In addition, denture adhesives will help to retain a loose denture, once healing is complete, a permanent reline will be needed. In some cases, a new denture may need to be made for the best fit and function. There will be an additional charge for any necessary future denture relines or replacements.
MOUTH AND DENTURE HYGIENE: It is extremely important to clean your dentures with a soft brush, a cleaning paste, or soapy water after each meal. Avoid using abrasive cleaners or bleach. Food particles that are trapped under the denture can cause inflammation of the gums and sore spots. Remove your dentures and rinse your mouth with water or mouthwash after each meal, if possible. If you had teeth removed immediately before insertion of your new denture, wear your denture day and night for the first 48 hours, removing only to clean them. Your denture will act as a bandage and promote healing. You should remove your dentures for at least 6 hours daily, usually when going to bed at night, to give your gum tissues a rest. During this time, the dentures can be cleansed and placed in a small tub of water to prevent them from drying out which can cause the denture to distort and not fit well. At least once a week, place them in an enzymatic or special denture cleaning solution to remove those otherwise insoluble stains and proteins. Because foods will stick to the soft tissues of your mouth, it is also beneficial to brush the roof of your mouth and your tongue daily. Massaging and stimulating these tissues will reduce the incidence of inflammation and sore spots.
BREAKAGE: Dentures are made of acrylic (plastic) material and can break easily when misused or dropped. Never wrap your denture in a tissue or napkin and put it in your pocket or purse. When going outside of the house, keep a denture case or container to stow away your denture safely if you need to remove it for a short period of time. At home, keep your denture in a tub of water to prevent warping.

REGULAR EXAMS: Be sure to have your dentures checked at least once annually as changes in the mouth, such as, bone loss, and wearing of the teeth will inevitably occur. When supporting gums and bone change, causing your denture to become loose or uncomfortable, your denture may need to be adjusted, relined or replaced. Careful and timely maintenance of the dentures and the supporting soft tissues, will help to slow down these changes.

If you have any questions or concerns, do not hesitate to contact our office for assistance at 209-523-2100.

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