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Dental Care: Frequently Asked Questions

Q. How does one care for primary teeth?

A. As soon as the first tooth erupts, primary teeth may be cleaned with a clean, wet wash cloth or wet gauze. The gums should also be gently wiped. If a toothbrush is used, it should be an appropriate size.

Q. Where does decay on the primary teeth occur most often?

A. With inappropriate or prolonged use of the baby bottle, decay may occur on the upper front teeth (incisors). The second most-often occurring site are the upper primary molars, which are found furthest back in the mouth. If there is no spacing between the primary teeth, there is a much greater chance of decay between the primary molars. These teeth should be flossed as soon as they come in.

Q. Why are dental sealants beneficial for children?

A. Dental sealants are protective coatings for the chewing surface of permanent molars. They protect the teeth from decay. Read on for more information.

Q. What is a dental implant?

A. A dental implant is a permanent artificial tooth replacement after a tooth loss.

Q. What is the procedure for receiving dental implants?

A. Dental implats are inserted surgically in two steps. The first step is to insert a "post" into or onto the jawbone. This post will then become the "anchor" for the artificial tooth that will be placed over the "post."

Q. How long is the procedure for dental implants?

A. Getting a dental implant is a two step process. Once te "post" is inserted into the jawbone, the patient will have between three and six months with a temporary restoration. During this period, the bone and gum area around the post will heal to create a strong and healthy bond. Once this bond is complete, an additional set of smaller posts is attached to the original post and then the artificial tooth is secured to the posts. The entire procedure could take anywhere from three to ten months.

Q. Can I eat regularly while the implants are bonding?

A. While th "post" is bonding with your jaw and gums, your dentist will place a temporary artificial tooth on the post. During the bonding period, you will need to eat soft foods.

Q. Do implants require special care?

A. Yes and No. Dental implants need to be brushed, flossed and checked regularly ba dentist, just as you would do with your regular teeth. But dental implants don't need special brushes or pastes.

Q. Can you eat and chew normally with dental implants?

A. Yes. Consider that natural teeth can absorb up to approximately 540 lbs. per square inch of biting pressure and properly placed dental implants can withstand up to approximately 450 lbs. per square inch of the same pressure.

Q. How long should a dental implant last?

A. With proper placement, excellent home care, regular dental visits, and good overall health, dental implants should be permanent.

Q. What are wisdom teeth?

A. Wisdom teeth are the third molars.

Q. Why is it necessary to remove wisdom teeth?

A. It is necessary to remove wisdom teeth to avoid problems, such as an impacted tooth destroying the second molar.

Q. Why do wisdom teeth cause problems?

A. Wisdom teeth generate problems because the shape of the modern human mouth is too small to accommodate these teeth, and they become impacted or unable to come in or move into their proper place.

Q. What problems occur from impacted third molars?

A. Partially erupted wisdom teeth are breeding grounds for bacteria and germs that may cause infection. Cysts and tumors may grow on trapped wisdom teeth.

Q. How is a wisdom tooth removed?

A. Wisdom teeth are remove by surgery. The gum tissue over the tooth is removed, the connective tissue is stripped gently away from the tooth and bone, the tooth is removed, and the gum sutured.

Q. When are lasers used in dentistry?

A. Lasers are used in oral surgery, gum surgery, tooth whitening, cancer sore treatment, and the treatment of gums that have been diseased.

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Dental Care and Pregnancy

Thinking about your baby and prenatal care is normal during pregnancy; however, thinking about your teeth and dental care may not be forefront on your mind. Women need to pay special attention to their teeth and gums especially during pregnancy to avoid the increased risk of dental problems.

Your Changing Body and Changing Dental Needs

Pregnancy brings a change in hormones, especially increased levels of estrogen and progesterone, which are linked to plaque buildup on teeth. Plaque that is not removed can cause gingivitis and swollen gums that are tender and prone to bleed. Most pregnant women experience gingivitis to some degree, but it doesn't usually surface until the second trimester. If you had gingivitis before becoming pregnant, your condition will likely be aggravated; untreated gingivitis can lead to a more serious problem -- periodontal disease. Swollen gums that become irritated can also lead to pregnancy tumors, benign growths that will usually shrink and disappear without treatment. However, if the tumor causes discomfort or interferes with chewing or brushing, the dentist may suggest removing it.

Special Preventive Tips

• Brush at least twice a day with fluoride toothpaste and after each meal, if possible.
• If brushing your teeth causes morning sickness, rinse with anti-plaque and fluoride mouthwashes or water.
• Pay close attention to your gum line and keep it clean.
• Floss daily.
• Focus on nutrition, including plenty of vitamins C and B12.
• Visit your dentist for a check-up and cleaning in both your first and second trimesters to control plaque and maintain good oral health.

Handling Dental Emergencies During Pregnancy

If you experience dental problems causing pain, you can be treated at any time; however, consult your doctor if anesthesia is required or a medication is prescribed to you. Avoid X-rays during pregnancy, unless they are critical to emergency treatment. It is recommended to schedule elective procedures after your baby's birth. While you're expecting, have great expectations for maintaining good oral health. By doing so, you'll keep your beautiful smile and share it with your baby!

By Brian J. Gray, DDS, MAGD, FICO