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General Dentistry Care: Frequently Asked Questions

Q. When would you consider tooth bleaching?

A. You would consider tooth bleaching if your teeth have yellowed with age or are stained from tobacco, tea, coffee or food.

Q. What are the practical expectations of tooth bleaching?

A. Every case is different, but generally there is a two-shade improvement as seen on a dentist's shade guide. The success rate relies on the types of stain involved, your compliance, and the material and method used.

Q. How long does tooth bleaching last?

A. Depending on your personal habits such as smoking and drinking coffee or tea, tooth whitening should last from one to five years.

Q. Do over-the-counter bleaching products work?

A. Some over-the-counter bleaching products do whiten teeth, but many of the products can damage teeth with extended use or misuse because they are too abrasive or use ill-fitting trays. Some materials contain titanium dioxide that actually put a temporary pigment coating on the teeth. Although small doses of titanium dioxide are considered safe, the net effect is to put a layer of "paint" on the teeth that is soon lost.

Q. What is orthodontics?

A. Orthodontics, also known as malocclusion or “bad bite”, is the branch of dentistry that specializes in the diagnosis, prevention and treatment of dental and facial irregularities.

Q. What is an orthodontist?

A. An orthodontist is a dentist who has undergone specialized training to require the advanced qualifications and specialized skills required to give their patients quality treatment.

Q. What causes orthodontic problems?

A. Most orthodontic problems are inherited, but some are acquired.

Q. What is the importance of orthodontic treatment?

A. Orthodontic treatment is important because crooked and crowded teeth are hard to clean and maintain. This may lead to conditions tooth decay, but eventually cause gum disease and tooth loss. Malocclusion (bad bite) can also lead to pain associated with TMD.

Q. What does orthodontic treatment involve?

A. Orthodontic treatment usually involves wearing braces prescribed and designed by the orthodontist. You may feel some tenderness as the teeth start to move. By placing a constant, gentle force in a carefully controlled direction, braces can slowly move teeth through their supporting bone to a new desirable position.

Q. How long does orthodontic treatment take?

A. Generally, orthodontic treatment time with braces ranges from 1 to 3 years. Early treatment procedures may take only a few months. The actual time depends on the growth of the patient's mouth and face, the cooperation of the patient and the how severe the problem is.

Q. How much does orthodontic treatment cost?

A. The actual cost of treatment relies very much on the individual case and depends largely on the length and complexity of treatment.

Q. What toothpaste should your child use?

A. You should use a match-head sized amount of toothpaste. The use of toothpaste should not begin until 2 years of age.

Q. When should you start taking children to see a dentist?

A. It is recommended that children see a dentist by age one and definitely by 16 months of age.

Q. How often should a child see a dentist?

A. It is recommended that the child be seen every six months after the initial examination.

Q. Why is it important to care for primary or baby teeth?

A. It is important to care for primary teeth because they are much more susceptible to tooth decay than the permanent teeth. There are many other reasons.

Q. How are digitized X-rays beneficial?

A. Digitized X-rays reduce the exposure of radiation to the patient, and eliminate the film and darkroom processing within the dental office.

Find A Dentist: Frequently Asked Questions

Q. If a pain in a tooth goes away, should you still see a dentist?

A. Either minor or severe pain that goes away may indicate that you have a cracked tooth. A cracked tooth hurts because the pulp, the soft inner tissue of the tooth, is irritated. If treatment is delayed, the tooth may split and be more difficult to treat successfully.

The sudden absence of pain also may be a sign that the nerves of the tooth have died. It might also be due to a chronic infection that is draining. Even if the pain stops, if the pulp is damaged or diseased, pain will likely return and the tooth will require treatment. It is important to find a dentist who can treat the situation.

Q. After a traumatic injury, if teeth aren't chipped or broken but there's bleeding in the gums, is dental care necessary?

A. It's not always easy for people to tell when to seek a dental evaluation. However, if the gums bleed, it's important to see a dentist because the trauma may have caused damage. The tooth may have been "jammed" into the socket and severe problems could develop.

Prompt treatment often prevents more serious problems or complications from developing later. A tooth can develop problems long after the injury, so it's very important to be checked.

Q. What might be the cause of a dull ache in your upper teeth and cheek?

A. It can indicate several conditions. It could be associated with a tooth or gum problem, bruxism (grinding teeth), TMD (temporomandibular disorder), a sinus infection, headache, or salivary gland infection.

Check with your dental provider first, and if it's not related to a dental condition, you will be referred to a physician. Click here to find a dentist who specializes in TMJ/TMD.

Q. What should you do when you have a toothache?

A. Clean your mouth by rinsing with warm water and remove any food that is trapped between teeth with dental floss. Do not apply aspirin on the aching tooth or gum tissues. See your dentist as soon as possible.

Q. What should you do if your tooth is knocked out?

A. If your tooth is knocked out, you should carefully rinse the tooth with water. You should attempt to place the tooth back in its socket and secure it with a wet wrap. If you cannot place the tooth back in its socket, put it in a glass with either saliva or milk. Then you should contact your dentist so you can be seen immediately.

Q. What are extruded teeth?

A. Extruded teeth are teeth that are forced out of position.

Q. What is the treatment for a broken tooth?

A. Rinse the mouth with warm water. Try to remove any dirt, blood, or debris from the injured area using sterilized gauze or a clean cloth and warm water. Apply cold compresses on the face next to the injured tooth to reduce swelling. Cover the tooth with cotton or gauze if the rough edges are cutting you or if it is sensitive to air, and see your dentist immediately.

Q. What should you do if your tooth is pushed out of position?

A. If your tooth is pushed out of place, you should reposition it to its normal alignment using very light finger pressure. You should hold the tooth in place with a moist gauze or tissue. Make sure that a dentist sees you ideally within a half-hour.

Q. What causes a constant throbbing pain in your jaw or tooth?

A. A throbbing pain is usually a symptom from two different causes: either the nerve inside the tooth or the ligament around the tooth is damaged, irritated, or inflamed. A cavity, traumatic injury, or other factor can damage or irritate the pulp inside the tooth.

Severe gum disease affecting the ligament that surrounds and cushions the tooth roots can result in throbbing pain. An erupting tooth, including a third molar or wisdom tooth and TMD are also potential sources of throbbing pain.

Q. What is considered to be a minor tooth fracture?

A. A minor fracture is considered to be a tooth that is only broken in the hard outer enamel part.

Q. How do you treat a minor tooth fracture?

A. Your dentist can smooth a minor fracture with a sandpaper disc or just leave it alone. You can also restore the tooth with a composite restoration if necessary.

Q. What do you consider to be a moderate tooth fracture?

A. A moderate fracture is considered to be damage to the enamel, dentin, and/or pulp of the tooth.

Q. How do you treat a moderate tooth fracture?

A. A moderate fracture can be restored with a full permanent crown if the pulp is not permanently damaged. Sometimes, an onlay or bonding will be appropriate as well. Occasionally, root canal treatment (endodontics) may be required.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.