Visit the Patient Center to learn what to expect from your first visit, forms, financial policies, and frequently asked questions!
Family Dentistry
Frequently Asked Questions
What is an oral cancer exam, and why is it important?
An oral cancer exam is part of a routine dental check-up, where your dentist inspects the soft tissues of your mouth, neck, and face for any abnormalities in color or texture that could indicate a pathological issue like oral cancer. Early detection is critical for successful treatment, as the survival rate for oral cancer is around 80% if diagnosed early.
What are some common pathological conditions affecting the oral region?
Common pathological conditions include geographic tongue (a map-like appearance with missing papillae), median palatal cysts (fluid-filled sacs that develop in the palate), and hairy tongue (a bacterial or yeast overgrowth). While many of these conditions are not life-threatening, prompt diagnosis and treatment can alleviate discomfort and prevent complications.
What is TMJ, and what are the common symptoms?
Temporo-Mandibular Joint Dysfunction Syndrome (TMJ) is a condition that affects the jaw joint and surrounding muscles, causing symptoms such as severe headaches, jaw pain, teeth grinding, and intermittent ringing in the ears. Many people are unaware that these issues are related to TMJ, but a dentist can diagnose and effectively treat the condition to alleviate the discomfort.
How is TMJ treated by a dentist?
TMJ treatment often involves non-surgical methods, such as realigning the teeth (also known as bite adjustment) to stop teeth grinding and alleviate jaw pain. Dentists may also create a custom bite guard to prevent nighttime grinding or recommend relaxation techniques to reduce stress-related symptoms. In more severe cases, muscle relaxants or restorations may be suggested to correct the bite and improve dental health.
How does fluoride help prevent tooth decay?
Fluoride is a mineral that strengthens teeth and makes them more resistant to decay. It works in two ways: topical fluoride, found in products like toothpaste and mouth rinses, strengthens the tooth enamel after the teeth have erupted. Systemic fluoride, found in foods and water supplies, helps strengthen both erupted teeth and those still developing beneath the gums.
When might a dentist recommend additional fluoride treatments?
A dentist may recommend home or professional fluoride treatments if a patient has deep pits in their teeth, exposed roots, poor oral hygiene, frequent intake of sugary foods, or if they have a history of tooth decay. Fluoride treatments are also advised for individuals with low saliva flow due to medical conditions or medications.
What types of facial trauma can Oral & Maxillofacial Surgeons treat?
Oral & Maxillofacial Surgeons specialize in managing and treating a wide range of facial injuries, including lacerations, fractured teeth, broken jaws, facial bone fractures, knocked-out teeth, and intraoral lacerations. These injuries often result from accidents, falls, automobile crashes, and other forms of trauma.
What does the process of facial trauma reconstruction involve?
Reconstructing facial trauma may involve procedures such as wiring or placing small plates and screws to stabilize fractured bones, suturing soft tissue lacerations, and re-implanting or splinting knocked-out or displaced teeth. Depending on the severity of the injury, root canal therapy or prosthetic tooth implants may also be required to restore functionality and aesthetics.
What are the side effects of dental antibiotics?
Common side effects of antibiotics may include upset stomach, diarrhea, and allergic reactions. It’s important to follow your dentist’s instructions and notify them if you experience any adverse effects during your treatment.
Are antibiotics always necessary after a dental procedure?
Not always. Antibiotics are typically recommended when there is a high risk of infection, such as in cases of severe periodontal disease, oral surgery, or for patients with specific medical conditions. Your dentist will assess your individual needs and determine if antibiotics are appropriate.
Is scaling and root planing painful?
Scaling and root planing is typically performed under local anesthesia, so you shouldn’t feel pain during the procedure. Some mild discomfort or sensitivity afterward is normal, but it usually subsides within a few days.
Can same-day CEREC® technology be used for any dental treatment?
CEREC® dental technology in {City, State}, is used by {Doctor Name} to streamline the process of applying crowns, veneers, inlays, and onlays and completing other dental procedures in a less invasive way. However, CEREC® is not right for every situation or dental need. We will discuss your options during an in-office consultation.
Is CEREC® a new type of dental technology?
We utilize CEREC® technology in {City, State}, at our practice because it is a proven and reliable approach to dental care – but it’s not a new dental trend. In fact, this technology has been around for a few decades now. It has, however, improved over the years thanks to new technical capabilities.
How do patients benefit from CEREC® dental technology?
CEREC® technology often allows for single visit results with our dentist in {City, State}. This alone makes it easier to take advantage of these techniques and processes without having to schedule multiple appointments.
What kind of customization is possible with CEREC® technology?
The level of customization possible with CEREC® technology is very precise. There are also infinite choices with designs and other personalized touches that can result in an even more comfortable and confident smile. What’s more, existing teeth can be copied with impressive accuracy.
How long will results last with CEREC® treatments?
It depends on the specific procedure for dentistry in {City, State}. However, results can last longer if you adhere to follow-up care recommendations and remain mindful of basic dental hygiene habits.
Will insurance cover procedures involving cosmetic and restorative dentistry?
Given the many factors associated with restoration and cosmetic dentistry, the balance between insurance coverage and out-of-pocket expenses will vary. However, we may work with you to put together a treatment plan that fits your needs and works within your budget. We also submit claims to all dental insurance plans for our patients. Financing options are available, as well.
Why see a specialist in cosmetic and restorative dentistry?
From having a missing tooth to wishing to address and correct multiple dental issues, there are many reasons to visit Petrie, Storer & Associates, D.D.S. Find out if you may benefit from any of our procedures for cosmetic or restorative dentistry in Chicago, IL.
How long will results from cosmetic or restorative procedures last?
The answer depends on what you have done. Teeth whitening, for instance, will need to be done again when results start to fade. Dental implants, on the other hand, can last indefinitely. The longevity of dental bridges, inlays, overlays, veneers, and crowns will vary based on your diet, oral hygiene habits, and similar factors.
How long does it take to complete cosmetic or restorative procedures?
For some treatments for cosmetic dentistry in Chicago, IL, pre-procedures may need to be done before the procedure is done. Other times, however, the treatment may be completed in a single visit. With a full restoration, the entire process may take a year or more since multiple procedures are involved.
What can be expected with cosmetic or restorative dentistry?
Every situation is different. Therefore, what you can expect with cosmetic or restorative dentistry in Chicago, IL, from us is a personalized experience and a treatment plan specific to your needs, preferences, and goals.
What are porcelain veneers, and how do they enhance my smile?
Porcelain veneers are thin, tooth-shaped shells made of durable porcelain that cover the front of your teeth. They are designed to improve the appearance of your smile by addressing issues like discoloration, chipped teeth, uneven spaces, and slight crowding. Veneers are custom-made to fit each patient’s smile and can dramatically enhance the look of your teeth. Since they resist staining and are long-lasting, veneers are a popular cosmetic solution for achieving a natural, beautiful smile.
What dental conditions can porcelain veneers correct?
Porcelain veneers can be used to correct a variety of dental conditions, including:
- Severely discolored or stained teeth
- Unwanted or uneven spaces between teeth
- Worn or chipped teeth
- Slight tooth crowding
- Misshapen teeth
- Teeth that are too small or large
The process of getting veneers usually requires two visits, during which your dentist will take impressions of your teeth, prepare them by lightly buffing the surface, and bond the custom-made veneers to your teeth.
What cosmetic dentistry treatments are available to improve my smile?
Cosmetic dentistry offers various treatments to enhance your smile, depending on your specific needs. These include:
- Teeth whitening to remove stains and brighten your smile
- Composite (tooth-colored) fillings to repair cavities or damaged teeth
- Porcelain veneers to correct discolored, misaligned, or misshapen teeth
- Porcelain crowns to restore severely damaged or decayed teeth
- Dental implants to replace missing teeth with durable, natural-looking alternatives
- Orthodontics (braces or clear aligners) to straighten misaligned teeth
With advancements in cosmetic dentistry, these treatments can significantly enhance both the appearance and health of your teeth, giving you a more confident smile.
How can Cosmetic Dentistry help improve the appearance of my smile?
If you’re feeling somewhat self-conscious about your teeth, or just want to improve your smile, cosmetic dental treatments may be the answer to a more beautiful, confident smile.
Cosmetic dentistry has become very popular in the last several years, not only due to the many advances in cosmetic dental procedures and materials available today, but also because patients are becoming more and more focused on improving their overall health. This includes dental prevention and having a healthier, whiter, more radiant smile.
There are many cosmetic dental procedures available to improve your teeth and enhance your smile. Depending on your particular needs, cosmetic dental treatments can change your smile dramatically, from restoring a single tooth to having a full mouth make-over. Ask your dentist how you can improve the health and beauty of your smile with cosmetic dentistry.
Cosmetic Procedures:
Teeth Whitening: Bleaching lightens teeth that have been stained or discolored by age, food, drink, and smoking. Teeth darkened as a result of injury or taking certain medications can also be bleached, but the effectiveness depends on the degree of staining present.
Composite (tooth-colored) Fillings: Also known as “bonding”, composite fillings are now widely used instead of amalgam (silver) fillings to repair teeth with cavities, and also to replace old defective fillings. Tooth-colored fillings are also used to repair chipped, broken, or discolored teeth. This type of filling is also very useful to fill in gaps and to protect sensitive, exposed root surfaces caused by gum recession.
Porcelain Veneers: Veneers are thin custom-made, tooth-colored shells that are bonded onto the fronts of teeth to create a beautiful individual smile. They can help restore or camouflage damaged, discolored, poorly shaped, or misaligned teeth. Unlike crowns, veneers require minimal tooth structure to be removed from the surface of the tooth.
Porcelain Crowns (caps): A crown is a tooth-colored, custom-made covering that encases the entire tooth surface restoring it to its original shape and size. Crowns protect and strengthen teeth that cannot be restored with fillings or other types of restorations. They are ideal for teeth that have large, fractured or broken fillings and also for those that are badly decayed.
Dental Implants: Dental implants are artificial roots that are surgically placed into the jaw to replace one or more missing teeth. Porcelain crowns, bridges, and dentures can be made specifically to fit and attach to implants, giving a patient a strong, stable, and durable solution to removable dental appliances.
Orthodontics: Less visible and more effective brackets and wires are making straightening teeth with orthodontics much more appealing to adult patients. Also, in some cases, teeth may be straightened with custom-made, clear, removable aligners that require no braces.
Thanks to the advances in modern dentistry, cosmetic treatments can make a difference in making your smile shine!
What is cosmetic gum shaping and why might I need it?
Cosmetic gum shaping, also known as gum contouring or gingival sculpting, is a dental procedure that reshapes the gum line to improve the appearance of your smile. You might need it if you have a “gummy” smile, uneven gum line, or excessive gum tissue covering your teeth. This procedure enhances the symmetry and aesthetics of your smile by exposing more of your teeth and creating a more balanced gum line.
How long does it take to see results from cosmetic gum shaping?
Results from cosmetic gum shaping are typically visible immediately after the procedure, as the reshaped gum line reveals more of your teeth and creates a more aesthetically pleasing smile. However, full healing and the final appearance of your gums can take a few weeks. During this time, it’s important to follow your dentist’s care instructions to ensure optimal healing and achieve the best results.
How long do composite dental fillings last?
Composite fillings can last anywhere from 5 to 15 years, depending on factors such as your oral hygiene, diet, and the location of the filling. Regular dental check-ups will help ensure your fillings remain in good condition.
How can I tell if I have a cracked tooth?
Common signs of a cracked tooth include pain when chewing, sensitivity to temperature changes, and swelling around the affected tooth. If you experience any of these symptoms, it’s important to see a dentist for an evaluation.
Can a cracked tooth heal on its own?
Unfortunately, a cracked tooth cannot heal on its own. Dental treatment is necessary to repair the crack and prevent further damage. Depending on the severity of the crack, your dentist will recommend the most appropriate treatment option.
How long do dental bridges last?
Dental bridges can last between 10 to 15 years or longer with proper care, including good oral hygiene practices and regular dental check-ups. The longevity of your bridge will depend on factors such as your bite, diet, and maintenance routine.
Are dental bridges removable?
Traditional dental bridges are fixed in place and cannot be removed. They are bonded securely to your adjacent teeth or implants. However, there are removable bridge options known as partial dentures, which function differently.
How long will results from cosmetic or restorative procedures last?
The answer depends on what you have done. Teeth whitening, for instance, will need to be done again when results start to fade. Dental implants, on the other hand, can last indefinitely. The longevity of dental bridges, inlays, overlays, veneers, and crowns will vary based on your diet, oral hygiene habits, and similar factors.
What is the difference between partial and complete dentures?
Partial dentures are designed to replace a few missing teeth and are used when some natural teeth still remain in the mouth. They are secured by attaching to your remaining teeth. Complete dentures, on the other hand, replace all of the teeth in either the upper or lower jaw and are used when there are no natural teeth left. Both types help restore function and improve the appearance of your smile.
How long do partial and complete dentures last, and how should I care for them?
With proper care, partial and complete dentures can last anywhere from 5 to 10 years. To keep them in good condition, you should clean them daily using a soft toothbrush and denture cleaner, soak them overnight in a denture solution, and handle them with care to avoid dropping or damaging them. It’s also important to schedule regular dental visits for adjustments and to ensure a proper fit over time.
How long does dental bonding last, and how can I maintain it?
Dental bonding is a durable and long-lasting solution for enhancing your smile, typically lasting between 3 to 10 years, depending on your oral habits and the location of the bonding. To maintain your dental bonding and extend its lifespan, follow these tips:
Practice Good Oral Hygiene: Brush twice a day and floss daily to keep your teeth and gums healthy.
Avoid Hard Foods: Chewing on hard objects like ice or pens can damage the bonding material.
Limit Staining Foods and Drinks: Foods and beverages like coffee, tea, red wine, and berries can stain the resin material over time. Try to consume these in moderation and rinse your mouth with water afterward.
Regular Dental Check-Ups: Visit us at Petrie, Storer && Associates D.D.S. for routine cleanings and examinations. We can check the condition of your dental bonding and perform any necessary touch-ups.
Is dental bonding suitable for children and teenagers?
Yes, dental bonding can be an excellent option for children and teenagers who need minor cosmetic improvements or repairs to their teeth. It is a minimally invasive procedure that can effectively address issues like chipped or cracked teeth, gaps, and discoloration. The benefits of dental bonding for younger patients include:
Non-Permanent Solution: Unlike some other dental treatments, dental bonding can be easily adjusted or replaced as your child’s teeth grow and change.
Quick and Painless: The procedure is typically quick and painless, making it a comfortable option for young patients.
Natural Appearance: The resin material used in dental bonding can be perfectly matched to the natural color of your child’s teeth, ensuring a seamless and natural-looking result.
If you’re considering dental bonding for your child or teenager, schedule a consultation with our experienced team at Petrie, Storer & Associates D.D.S. We’ll assess their dental needs and help determine if bonding is the right choice for them.
When Is a Dental Crown Needed?
A dental crown is recommended when a tooth is too damaged or decayed to be restored with a filling. Crowns preserve as much of the natural tooth as possible and restore its function and appearance. They are custom-made caps that cover the entire tooth, restoring it to its original shape and size. Dental crowns can be made of materials like porcelain, gold, or porcelain fused to metal. If your tooth is weak, fractured, or has undergone root canal treatment, a crown can protect and strengthen it.
What Are the Benefits of Dental Crowns?
Dental crowns serve both restorative and cosmetic purposes. They can protect teeth after root canal treatments, anchor dental bridges, and complete dental implants. Crowns can also improve the appearance of misshapen or discolored teeth, and strengthen weak or fractured teeth. Additionally, crowns are used to support large fillings when only a small amount of natural tooth remains. Porcelain crowns are especially popular for their ability to blend with your natural teeth, enhancing your smile’s beauty.
Who is considered a good candidate for dental implants?
Almost anyone with one or more missing or damaged teeth may benefit from dental implants in Chicago, IL. Our doctors will examine your teeth and let you know if implants are right for your situation.
How long do dental implants last?
Dental implants look and function like natural teeth; which also means they may be affected by sudden trauma or similar circumstances. Otherwise, it is entirely possible for implants to last a lifetime.
Are dental implants susceptible to decay?
You will want to take care of all your teeth on a regular basis, including any implants you have inserted. However, dental implants are made of titanium, so they are not susceptible to decay.
Are dental implants covered by insurance?
In some instances, dental implants may be covered to some extent by dental insurance. Every situation is different, however, so you will want to check with your insurance provider to determine what applies to your coverage for dentistry in Chicago, IL.
Can implants be a substitute for dentures?
Dental implants are fixed to the bone and not removable, so they are not an exact substitute for dentures. But if there is a need to stabilize existing dentures, it might be possible to insert implants underneath them. Whether or not this is appropriate for your situation can be discussed during your initial visit to our dentist in Chicago, IL.
How long do dental sealants last?
Dental sealants can last up to 10 years with proper care. Regular dental check-ups will help ensure that the sealants remain intact and continue to provide protection. If a sealant becomes damaged or worn, it can be easily repaired or replaced.
Are dental sealants safe for children?
Yes, dental sealants are safe for children and are highly recommended for protecting their newly erupted permanent molars. Sealants are made from biocompatible materials and have been widely used for decades to help prevent cavities in children and teenagers.
Are dental X-rays safe?
Yes, dental X-rays are safe. They use a very low level of radiation, and modern technology has made them even safer by minimizing exposure. We also take precautions such as using lead aprons and thyroid collars to protect your body. The benefits of dental X-rays, such as detecting issues early, far outweigh the minimal risk associated with the radiation.
Why are dental X-rays necessary?
Dental X-rays are an essential diagnostic tool that helps us identify problems that may not be visible during a regular dental exam. They can detect cavities, bone loss, infections, and other issues at an early stage, allowing for timely and effective treatment. Regular X-rays are important in maintaining your overall oral health and preventing more serious problems down the line.
How often should I visit the dentist?
We recommend scheduling dental cleanings and exams every six months for optimal oral health. However, your dentist may suggest more frequent visits based on your specific needs.
Do you accept my insurance?
We work with a wide variety of dental insurance providers. Please contact our office or visit our Insurance & Payment page for a full list of accepted plans.
What should I expect during my first visit?
Your first visit typically includes a comprehensive exam, X-rays, and a discussion about your dental health goals. This helps us create a personalized treatment plan for you.
How often should I brush my teeth, and what is the proper technique?
You should brush your teeth at least twice a day, especially before bed, using a soft-bristle toothbrush and an ADA-approved toothpaste. For the best results:
- Hold the toothbrush at a 45-degree angle to your gums.
- Use gentle, circular motions to brush the outer, inner, and chewing surfaces of each tooth.
- Don’t forget to brush the inside of your front teeth and your tongue to remove bacteria and freshen your breath.
Electric toothbrushes are also recommended as they can efficiently remove plaque by simply guiding the brush while it works on multiple teeth at a time.
How often should I floss, and what is the correct way to do it?
You should floss daily to remove plaque and food particles between your teeth and under the gumline, where a toothbrush can’t reach. Follow these steps for effective flossing:
- Use about 12-16 inches of dental floss, wrapping it around your middle fingers, with 2 inches of floss between them.
- Gently insert the floss between your teeth using a sawing motion.
- Curve the floss into a “C” shape around each tooth, sliding it up and down to clean the side of each tooth and below the gumline.
If you find regular floss difficult to use, floss holders are a helpful alternative.
How often should I schedule dental cleanings and exams?
It is generally recommended to schedule dental cleanings and exams every six months. Regular visits help prevent common issues like cavities, gum disease, and plaque buildup. They also allow your dentist to catch potential problems early. However, depending on your oral health, your dentist may suggest more frequent visits. Always follow your dentist’s advice based on your individual needs.
What happens during a routine dental exam and cleaning?
During a routine dental exam and cleaning, your dentist or hygienist performs several important checks, including:
- Reviewing your medical history to understand any conditions or medications that may affect your dental health.
- Taking x-rays to detect issues like decay, tumors, cysts, or bone loss.
- Conducting an oral cancer screening, examining your face, neck, and mouth for any signs.
- Evaluating for gum disease and checking the health of your gums and bone.
- Examining your teeth for decay and inspecting any existing restorations (like fillings or crowns).
In addition, they will remove calculus (tartar) and plaque, polish your teeth to remove stains, and offer personalized oral hygiene recommendations and tips on improving your diet for better dental health.
What are the signs and risk factors of Periodontal Disease?
Signs of Gum Disease include:
- Red, puffy, or bleeding gums
- Persistent bad breath
- New gaps or spacing between teeth
- Loose teeth
- Pus around gums
- Receding gums
- Gum tenderness or discomfort
Risk factors include smoking, crowded teeth, defective dental work, certain medications, hormonal changes (pregnancy, puberty), systemic diseases (diabetes, HIV), and genetics. If any of these signs or factors apply, it’s important to see your dentist for an evaluation.
How do I know if I have an impacted wisdom tooth?
During your regular dental checkups, Our team will perform a thorough examination and take x-rays to look for any early signs of problem areas. He will be able to identify if your wisdom teeth have become impacted before they cause any side effects.
An impacted wisdom tooth may cause the following symptoms:
- Jaw or face pain
- Numbness
- Bad breath
- Swollen neck glands
- Bleeding gums
- Headaches
- Difficulty fully opening the jaw
What’s an impacted wisdom tooth?
Oftentimes, patients’ mouths and jaws simply aren’t large enough for their wisdom teeth to grow in properly. This is called impaction, when the wisdom tooth fails to erupt, partially erupts, or even grows at an angle so that eruption is impossible.
If you avoid getting your impacted wisdom teeth removed, they can cause jawbone damage, nerve damage, infection, and other side effects. It’s best to receive treatment for an impacted wisdom tooth through oral surgery so they don’t affect your other teeth in the future.
How often should I brush and floss?
Brushing and flossing help control the plaque and bacteria that cause dental disease.
Plaque is a film of food debris, bacteria, and saliva that sticks to the teeth and gums. The bacteria in plaque convert certain food particles into acids that cause tooth decay. Also, if plaque is not removed, it turns into calculus (tartar). If plaque and calculus are not removed, they begin to destroy the gums and bone, causing periodontal (gum) disease.
Plaque formation and growth is continuous and can only be controlled by regular brushing, flossing, and the use of other dental aids.
Toothbrushing – Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.
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Brush at a 45 degree angle to the gums, gently using a small, circular motion, ensuring that you always feel the bristles on the gums.
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Brush the outer, inner, and biting surfaces of each tooth.
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Use the tip of the brush head to clean the inside front teeth.
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Brush your tongue to remove bacteria and freshen your breath.
Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.
Flossing – Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.
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Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
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Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
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Curve the floss into a “C” shape around each tooth and under the gumline. Gently move the floss up and down, cleaning the side of each tooth.
Floss holders are recommended if you have difficulty using conventional floss.
Rinsing – It is important to rinse your mouth with water after brushing, and also after meals if you are unable to brush. If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.
Do you offer payment plans?
We work with third-party financing companies to provide you with more options to pay for your dental procedures. Learn more about our financial policies.
What if I have a dental emergency?
If you experience a dental emergency, please call our office immediately. We prioritize urgent cases and will do our best to schedule you for a same-day appointment.
Have more questions? Feel free to contact us directly—we’re here to help!
What do I do in the case of an emergency and what constitutes an after hours emergency?
If you or a family member experiences swelling and severe pain, do not hesitate to contact our office. Such symptoms usually indicate an infection and should be treated as soon as possible. Chipped teeth and re-cementation of crowns can be treated during regularly scheduled office hours.
What can I do to prevent and treat bad breath?
To prevent bad breath, practice good oral hygiene and make lifestyle adjustments:
- Brush your teeth at least twice a day and floss daily to remove food particles and plaque.
- Clean your tongue with a brush or tongue scraper, especially focusing on the back.
- Stay hydrated by drinking water frequently to wash away bacteria.
- Avoid smoking and using tobacco products and seek help from your dentist to quit.
- Use mouthwash or antiseptic rinses to reduce bacteria and freshen breath, but avoid relying on them solely to mask odor.
Additionally, visit your dentist at least twice a year for check-ups and cleanings. If bad breath persists despite good oral care, your dentist may refer you to a physician to explore other underlying health issues.
What causes bad breath, and how can I identify the issue?
Bad breath, or halitosis, can be caused by various factors, with the most common reason being microbial deposits on the tongue, especially at the back. Morning breath is common because saliva production slows during sleep, allowing bacteria to grow. Other causes include:
- Certain foods like garlic and onions
- Poor oral hygiene
- Gum disease
- Dental cavities or poorly fitted dental appliances
- Dry mouth (Xerostomia), often due to medications or mouth breathing
- Smoking or tobacco use
- Dehydration, missed meals, or certain diets (such as low-carb)
- Underlying medical conditions like diabetes, liver or kidney issues, and chronic sinus infections
Keeping a record of your diet, medications, and any recent illnesses or surgeries can help your dentist identify the cause of bad breath.
What are the stages of gum disease?
Gum disease progresses through several stages:
- Gingivitis: The early stage with symptoms such as gums that bleed easily during brushing and inflammation or sensitivity in the gums.
- Early Periodontitis: Gums start to pull away from the teeth, bleeding becomes more pronounced, and bad breath may develop. Probe depths may exceed 4mm during an examination.
- Moderate Periodontitis: Teeth may appear longer due to gum recession, and x-rays may show bone loss. Probe depths may reach up to 6mm.
- Advanced Periodontitis: Teeth become loose or mobile, and constant bad breath and gum sensitivity occur. Probe depths can range between 6mm and 10mm, with severe bone loss.
How can I prevent gum disease?
The best way to prevent gum disease is through proper oral hygiene. Brush and floss at least twice daily to remove plaque buildup, especially at the gum line where gingivitis begins. Flossing is essential for cleaning between teeth, and using a mouth rinse can also help maintain gum health. Regular dental check-ups and professional cleanings are also crucial in preventing gum disease progression.
How can I tell if I have Gingivitis or Periodontitis (Gum Disease)?
Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms. Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.
Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums. The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone. Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.
Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:
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Smoking or chewing tobacco – Tobacco users are more likely than nonusers to form plaque and tartar on their teeth.
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Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.
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Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives. Some medications have side affects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.
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Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.
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Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc.
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Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums.
Signs and Symptoms of Periodontal Disease
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Red and puffy gums – Gums should never be red or swollen.
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Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
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Persistent bad breath – Caused by bacteria in the mouth.
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New spacing between teeth – Caused by bone loss.
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Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
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Pus around the teeth and gums – Sign that there is an infection present.
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Receding gums – Loss of gum around a tooth.
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Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.
Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.
What is gum grafting and how does it benefit me?
Gum grafting is a surgical procedure used to treat receding gums by taking tissue from the roof of your mouth or a donor source and attaching it to the affected areas. This helps cover exposed roots, reduce tooth sensitivity, improve the appearance of your gums, and protect your teeth from further damage. By restoring your gumline, gum grafting enhances both your oral health and the aesthetic appeal of your smile.
What can I expect during the recovery period after gum grafting?
Recovery from gum grafting typically takes a few weeks. During this time, you may experience some discomfort and swelling, which can be managed with prescribed medications and following post-procedure care instructions. It’s important to eat soft foods, avoid strenuous activities, and maintain good oral hygiene as directed by your dentist. Most patients can return to their normal routines within a few days, but full healing and integration of the graft can take several weeks.
How long does Invisalign treatment take?
The duration of Invisalign treatment varies depending on individual needs, but most patients complete their treatment within 12 to 18 months. Your dentist will provide a more accurate timeline during your consultation.
How often should I wear my Invisalign aligners?
For optimal results, Invisalign aligners should be worn 20-22 hours per day, only removing them for eating, brushing, and flossing. Consistent wear is essential for the treatment to progress as planned.
How often should I replace my night guard?
The lifespan of a night guard depends on the severity of your bruxism and the material of the guard. On average, night guards last between 3 to 5 years, but it’s essential to bring your guard to your dental appointments for regular checks. If you notice signs of wear, cracks, or discomfort, it’s time to consider a replacement.
Can wearing a night guard change my bite?
A properly fitted night guard should not change your bite. It is designed to protect your teeth without altering your natural bite alignment. Our custom night guards are carefully crafted to ensure a snug, comfortable fit that does not interfere with your bite or jaw position.
At what age should my child first see a dentist?
The ADA recommends that your child’s first dental visit should occur within six months of their first tooth erupting or by their first birthday. Early visits help establish a dental home and allow the dentist to monitor your child’s oral development.
How often should my child have dental check-ups?
Children should have dental check-ups every six months to ensure their teeth and gums remain healthy. Regular visits help prevent cavities, catch issues early, and provide ongoing education for maintaining good oral hygiene.
Is pulp capping painful?
Pulp capping is typically a painless procedure. Local anesthesia is used to numb the area, ensuring that you remain comfortable throughout the treatment. Most patients experience minimal discomfort during and after the procedure.
How long does a pulp capping procedure take?
Pulp capping is a relatively quick procedure that can often be completed in a single visit. The exact duration depends on the complexity of the case, but most appointments last about 30 to 60 minutes.
Are Amalgam (Silver) Fillings Safe?
There has been concern over the years regarding the safety of amalgam (silver) fillings due to their mercury content. Amalgam is a mix of silver, copper, tin, zinc, and elemental mercury, used in dentistry for over 100 years. The worry stems from the potential health risks of mercury vapor and particles. However, according to the American Dental Association (ADA), silver fillings are safe. Studies have shown no connection between amalgam fillings and medical disorders. Most dentists still use silver fillings without health concerns.
What Do Health Organizations Say About the Safety of Silver Fillings?
The general consensus is that amalgam (silver) fillings are safe. The ADA, along with the Centers for Disease Control (CDC), World Health Organization (WHO), and the FDA, support their use, citing that they are durable, cost-effective, and pose no measurable health risks. The U.S. Public Health Service suggests avoiding amalgam only if the patient is allergic to one of its components. For those seeking alternatives, composite (tooth-colored), porcelain, and gold fillings are available. Discuss your options with your dentist to find the best choice for you.
What is involved in receiving an implant?
An initial consultation with an oral surgeon of your choice is the first step. We will be glad to refer you to a qualified doctor in your area if necessary. The initial phase of treatment begins with the oral surgeon. Your implant will be surgically placed, and our practice will fit and place the crown restoration for you. An implant generally takes several months to finish but is in most instances the healthiest, most reliable and longest lasting restoration option.
How painful is root canal treatment?
Root canal treatment is often no more painful than getting a filling. With modern techniques and local anesthesia, most patients experience little to no discomfort during the procedure. Some soreness afterward is normal, but it typically subsides within a few days.
How long does a root canal treatment take?
The duration of a root canal treatment depends on the complexity of the case, but most procedures can be completed in one to two hours. In some cases, multiple visits may be necessary, especially if a crown is required.
What is root canal retreatment and why might I need it?
Root canal retreatment is a procedure performed when a tooth that has previously undergone root canal therapy doesn’t heal properly or develops new problems. You might need retreatment if you experience pain, infection, or complications after your initial root canal. Common reasons include untreated narrow or curved canals, new decay, or issues with the crown or filling.
How long does the root canal retreatment process take?
The root canal retreatment process typically involves one or two visits to our office. During the first visit, we will reopen the tooth, remove the previous filling materials, clean and disinfect the canals, and place a temporary filling. A second visit may be necessary to place a permanent crown or restoration. The exact duration depends on the complexity of the case and the condition of your tooth.
How do I know if I have sleep apnea?
Common symptoms of sleep apnea include loud snoring, gasping for air during sleep, excessive daytime sleepiness, morning headaches, and difficulty concentrating. If you suspect you have sleep apnea, schedule a consultation with Petrie, Storer & Associates D.D.S. for an evaluation.
Are oral appliances effective for sleep apnea?
Yes, oral appliances are highly effective for treating mild to moderate obstructive sleep apnea. They work by repositioning the jaw and tongue to keep the airway open during sleep, reducing snoring and improving breathing.
How often should I replace my sports mouth guard?
It’s recommended to replace your sports mouth guard every season, after significant dental work, or if it shows signs of wear and tear. For growing children and teens, more frequent replacements may be necessary to accommodate changes in their teeth and jaw.
Can I wear a sports mouth guard if I have braces?
Yes, wearing a mouth guard is even more important if you have braces, as it helps protect both your teeth and orthodontic appliances from damage. We can create custom mouth guards designed to fit comfortably over braces.
Are brackets needed for SureSmile®?
Not at all, and there are no wires either! SureSmile® in Chicago, IL, corrects bite issues with a series of custom-molded, clear, plastic aligners. Dr. Goldstein will plan out your tooth movements so each set of aligners can be properly prepared.
How often will aligners need to be worn each year?
Our dentist in Chicago, IL will recommend a wearing schedule based on your individual needs and alignment goals. Aligners typically need to be worn for most of your day. They can be taken out to eat and when brushing and flossing, or playing sports that could result in facial contact.
Are there restrictions on food for SureSmile® wearers?
There are no food restrictions at all, as per the advice of your trusted team for dentistry in Chicago, IL. This is because the aligners are completely removable. However, we recommend brushing or rinsing after you eat and before you put your aligner back in.
Is there any discomfort when wearing SureSmile®?
You may feel some sensitivity for a day or two after you start wearing each set of aligners. This just means the aligners are working and helping to shift your teeth in the right direction.
How are the aligners cleaned?
All you’ll have to do is remove your aligners and brush them with a toothbrush and toothpaste. They can also be rinsed with warm water.
What can I do about stained or discolored teeth?
Since teeth whitening has now become the number one aesthetic concern of many patients, there are many products and methods available to achieve a brighter smile.
What are the options for teeth whitening, and how do they work?
Professional teeth whitening (or bleaching) is a simple, non-invasive dental treatment that enhances the color of natural tooth enamel, making it an ideal way to improve the beauty of your smile. Over-the-counter products are also available, but they are typically less effective than professional treatments and may not be approved by the American Dental Association (ADA). There are two main options for professional teeth whitening:
- Home Teeth Whitening Systems: These involve a gel placed in a custom-fitted mouthguard (tray), made from a mold of your teeth. The trays are worn twice a day for about 30 minutes or overnight while sleeping. Results typically take a few weeks, depending on the degree of staining and your whitening goals.
- In-Office Teeth Whitening: Performed in a dental office, this method provides immediate results, though it may require more than one visit. The process takes about 30 to 60 minutes per session, where a bleaching solution is applied to the teeth, sometimes enhanced by a special light.
What causes teeth discoloration, and how can I maintain my results after whitening?
Teeth naturally darken with age as the outer enamel wears down, revealing a yellowish layer underneath. Other common causes of discoloration include smoking, and consuming coffee, tea, wine, or certain medications. Even excessive fluoride exposure (fluorosis) during childhood can contribute to staining. It’s essential to consult your dentist to determine if you’re a good candidate for teeth whitening, as some stains, like those from tetracycline or fluorosis, may not respond well to bleaching.
Teeth whitening is not permanent, so you may need touch-ups every few years to maintain a bright smile. Your dentist can also recommend treatments like veneers or crowns for stains that are difficult to bleach. Additionally, whitening only affects natural tooth enamel, so any old fillings or crowns should be replaced after whitening to match your new shade.
How long do results last?
Teeth whitening in Chicago, IL, is not a permanent process. How long the results last will depend on several factors, including what kind of foods and beverages you enjoy. If you generally avoid stain-inducing foods, you may be able to wait for a year or more to have another treatment.
Will the treatments damage the enamel?
Several studies involving common substances used for teeth whitening procedures in dentistry in Chicago, IL, show there is no damage to the enamel surface or the hardness or mineral content of teeth.
Does teeth whitening affect dental restorations?
In the studies referenced above, no damage to restorations or implants was observed either. However, teeth whitening processes will not lighten bridges, veneers, crowns, or fillings that are tooth-colored. You may need to have highly visible restorations re-done to match your newly lightened teeth.
Are results immediate?
It depends on the process you prefer. In-Office Whitening, for example, results are typically immediate. The take-home kits and options we offer are more gradual, but they can produce noticeable results when used as directed.
Are teeth whitening procedures covered by insurance?
Typically, the answer is no. However, we offer several options with teeth whitening. Therefore, we can direct you towards a solution appropriate for your budget.
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