Q&A

Question and Answer

Question:

Is it necessary that my child brush his teeth since they are only baby teeth and are going to fall out anyways?

Answer:

Yes. All teeth should be brushed whether they are adult teeth or baby teeth. Baby teeth get cavities and children experience pain and develop abscesses in their teeth just like adult teeth can. Brushing should begin as soon as the baby's first teeth erupt. The parent or guardian should be brushing the child's baby teeth for them as most young children do not have the dexterity to do a proper job with their brushing at this stage. Most children are ready to visit the dentist at age three. Regular check-ups at the dentist allow the dentist to educate both parent and child on proper oral hygiene, ensure proper tooth development and growth as well as early intervention when cavities arise.

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Question:

What type of toothbrush should I be using?

Answer:

There are many different kinds of toothbrush on the market today which can confuse you and make your choice difficult. Many of these toothbrushes promise to fulfill every possible oral hygiene function with things sticking out of them in every direction. They are starting to look like a Swiss army knife! This is where the the K.I.S. (keep it simple) principle makes sense. A simple (just the bristles) toothbrush that has a soft or extra soft bristle “head” should be used. A smaller size “head” is better than a larger “head” to encourage overlap when brushing. The toothbrush should be discarded when the bristles become splayed (usually around 3 months) as it will no longer function properly. The toothbrushes function is to remove plaque, the soft sticky substance that collects on the tooth surface, you do not need anything fancy to do this- just a straightforward, boring old toothbrush.

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Question:

My New Year's resolution is to have great looking smile. Where should I start?

Answer:

What a great way to start a new year! We are here to help you get your teeth polished and shined, straightened and cavity free. We can help you get your gums to stop bleeding and freshen your breath. We can help you overcome any anxiety you may have. We can help you understand and maximize your insurance plan if you have one. The first thing to do is to make an appointment to come right in. We will assess your teeth and gums and come up with a personalized plan that fits you and your needs.
Let us help you star this new year with a great smile!!

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Question:

Why do I need to see the dentist on a regular basis if I am not having any pain ?

Answer:

I hear this question quite often. It is a common misconception that a person will feel pain when a dental problem is occurring. Cavities and gum disease are diseases that often progress quietly and may not be painful until the problem is quite severe. By this point, the tooth or teeth may need root canal therapy or may even have to be extracted due to severe tooth or gum infection. Dental problems do not go away or tend to clear up on their own. Routine visits to the dentist allow the dentist and his/her team to help maintain your teeth and gums in good health and detect problems while they are small. Problems caught early are generally easier to treat, more comfortable, and less expensive.

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Question:

At what age should my child get his baby teeth and when should we start taking him to the dentist?

Answer:

Many children start getting their first teeth around the age of 6 months. Each child develops at their own pace and will get their teeth in their own time. Most children will have all their baby teeth by 3 years of age. This is a good age to start bringing your child to the dentist for regular check-ups. Brushing and flossing and caring for your child's teeth begins when the teeth first come in. Baby teeth are extremely important for the obvious reasons of chewing and appearance but also because they hold the space in the jaw for the adult teeth. If they get rotten or decayed and are not treated, this may pose problems to the permanent teeth. If you are concerned about your child's teeth at any age, it is prudent to bring them to the dentist for a quick check to set your mind at ease and make sure everything is okay. Feel free to bring your child in for a tour of the dental office so they will get familiarized with the setting.

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Question:

I brush my teeth twice a day but I can't be bothered to floss. Is flossing really such a big deal?

Answer:

Brushing your teeth is wonderful for the parts of the tooth you can see, but what about all those areas in between your teeth that your toothbrush CANNOT get to? Sticky, stinky plaque (bacteria coating) is constantly building up on your teeth. More than 30% of each tooth's surface cannot be reached by your toothbrush. If you scrape your tongue at the end of the day and smell the bacteria, it will give you an idea of what is sitting in between your teeth. The longer it sits there, not only does it smell bad, it produces acid which causes cavities and gum disease. Flossing is cheap and easy and will make all the difference in the world in helping you keep 28 teeth for life. Remember, only floss the teeth you want to keep!

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Question:

I have heard that I shouldn't get my teeth cleaned during pregnancy. Is that true?

Answer:

No. It is not true. In fact, sometimes we often recommend increasing the frequency of cleanings during pregnancy to reduce the plaque build-up which results in gingivitis. Hormonal changes during pregnancy cause the gums to react differently to the bacteria found in plaque and may cause a condition called pregnancy gingivitis. Symptoms include swollen, red gums and bleeding of the gums when you brush. If you already have gingivitis (inflamed gums) it will most likely worsen during pregnancy. New research also suggests a link between pre-term, low birth weight babies and gingivitis during pregnancy. Brushing twice a day, flossing, visiting your dentist for cleanings will help avoid plaque build up which causes gingivitis and thus the symptoms noted above.

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Question:

Sometimes when I brush my teeth I notice they bleed, what could be the problem?

Answer:

Your teeth are not bleeding but the gums around them are. You may have gingivitis – the first stage of gum disease! Gingivitis is often caused by not flossing or missing the gum line when you brush your teeth. Luckily it can be reversed with professional gum treatment and improved home care. Untreated gingivitis can advance to periodontitis, an irreversible form of gum disease where the bone holding you teeth is destroyed. Sadly, this disease can be silent. You may not be aware that you have it until you get a painful gum infection or your teeth become loose. Once the bone is destroyed around your gums we can not put it back! Don't wait until it is too late!!! Let our office help you get your gums in good health

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Question:

Can I use mouthwash instead of flossing?

Answer:

No, mouthwash is not an alternative to flossing. Rinsing with a mouthwash will not magically rinse away the plaque or kill all the bacteria that causes decay and gum disease. Plaque is a sticky coating that can not be rinsed away. The toothbrush and floss are used to help remove the plaque from the tooth surface. Since the toothbrush cannot clean the surfaces in between the teeth, floss is used to remove the plaque where the toothbrush cannot get to. Flossing isn't exciting or glamorous but having a beautiful smile is! Flossing will help you “keep 28” teeth for life! Happy holidays and Happy new year!!

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Question:

I have heard a lot of talk about gingivitis and periodontal (gum) disease. What are these diseases and how do I know if I have this disease?

Answer:

Gum disease generally results from poor dental habits. The mildest form of gum disease,is called gingivitis. With gingivitis the gums redden, swell and bleed easily. There is usually little or no discomfort. Gingivitis is often caused by inadequate oral hygiene. And luckily can be reversed reversible professional treatment and good oral home care. Untreated gingivitis can advance to periodontitis, an irreversible form of gum disease. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response in which the body in essence turns on itself, and the tissues and bone that support the teeth are broken down and destroyed. Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed.

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Question:

I have recently noticed that my teeth are more sensitive to cold, especially when I brush my teeth, what could that be?

Answer:

While cold sensitivity can indicate different things, the most common cause is root sensitivity. The root of the tooth is the part of the tooth that anchors the tooth in the bone. The root is generally hidden under the gums and is not visible and therefore protected from any hot or cold stimulus in the mouth. If, however, the root of the tooth becomes exposed above the gum, the tooth will then respond to a cold stimulus (and hot as well) in the mouth. The most common causes of root exposure are gum disease, improper brushing technique, and the use of a hard bristled toothbrush. Treatment for the symptoms can be as simple as using toothpaste! There are many toothpastes on the market today that treat root sensitivity, and they actually work! The toothpaste should say “for sensitive teeth” on the box. Good luck and be patient, these toothpastes can take 1-2 weeks to start working

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Question:

I've heard that medical problems can be diagnosed from problems in the mouth-is that true?

Answer:

The dentist has skills and expertise not only to treat the teeth and gums, but also to help spot emerging medical problems that are not directly related your teeth. Some health related conditions that show up in your mouth include diabetes, oral cancer, HIV/AIDS, thyroid problems, leukemia, and eating disorders (bulimia,anorexia). These conditions cause changes to the teeth, gums, and other tissue's in the mouth. If the dentist believes these changes are the result of a medical problem, they may recommend a referral to the family physician for further follow-up. Your dentist understands the relationship between good oral health and good overall health and can help you manage both.

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Question:

Does tooth whitening work?

Answer:

Yes, Tooth whitening works. In our office we make custom plastic trays from models of your own teeth. A gel is then placed in these trays to whiten them. The trays can be used during the day or at night while you sleep. The process takes about a week to complete.

Most people will see an improvement of at least 2-3 shades. Some people will see improvements of more than 3 shades! Most people who do the whitening in our office see significant improvement and are happy with the results achieved. It is important to remember than only natural tooth structure will whiten. Old fillings, caps, denture teeth will not change color.

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Question:

My 3 year old child still likes to use his pacifier, should I take it away?

Answer:

Pacifier and thumb sucking habits are completely normal for babies and young children. For most children there is no reason to worry as they tend to stop these habits on their own. Around age 3, 80% of children will have stopped on their own. At age 6, the front baby teeth get loose and fall out so many of those still sucking stop because it hurts. Unfortunately, prolonged thumb or pacifier sucking can affect the teeth and jaw formation. If your child is having difficulty giving up the habit, then it is wise to bring the child to the dentist for a friendly visit and chat. At this time, your dentist can discuss options with you including if and when to reassess for the need of a special mouth appliance. These appliances do not hurt your child at all and completely stop the sucking within a few short weeks. If you have any concern about your child's sucking habits, it never hurts to ask your dentist for his or her opinion.

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Question:

I am an adult and my teeth are crooked. What are my options to make them straight?

Answer:

There are several options available to adults to have their teeth straightened and their smiles enhanced. The most familiar method to straighten teeth is through wearing braces. Braces for adults have become very popular. There are many products now available that make adult orthodontics more appealing to the general population. Smaller sized brackets (the silver part on each tooth), clear coloured brackets, brackets that are placed on the inside (tongue side) of the teeth are some of the options. Also available is a new product called Invisalign which uses clear custom formed trays that move the teeth without the wires. If you do not like the idea of wearing braces,or trays, or spending the time to do the above (up to 2 years), you may be a candidate for porcelain veneers. Many people have seen this method on shows such as "Extreme Makeover" where one can straighten and whiten one's teeth in the span of a week. The variety of options has flourished over the last decade. Your dentist can help you decide which option would be appropriate for you.

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Question:

Is an electric toothbrush better for brushing than a regular toothbrush?

Answer:

A regular toothbrush will remove plaque and debris as effectively as an electric toothbrush. However, there are some situations where the electric toothbrush can be beneficial. People with poor dexterity can benefit from an electric toothbrush. This includes the elderly and young children. The electric toothbrush does not require the person to move the brush in a certain pattern in the mouth, you simply hold the electric toothbrush and let it do the work for you! The electric toothbrush can also eliminate poor brushing habits that can result in damage to the teeth and gums since it generally cannot be used in the same manner as a regular toothbrush (and shouldn't be). When looking to purchase an electric toothbrush one of the most important features it should have is the 2 minute timer. Most people who use a regular toothbrush do not brush long enough. A brush with a timer forces you to spend more time brushing and therefore more time removing the harmful plaque and debris!

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Question:

I have heard that headaches can sometimes be related to your teeth. Is that true?

Answer:

Headaches can be related to your teeth. Some people also experience sore facial muscles and sore teeth. These symptoms are common in people who clench, or grind their teeth, usually at night. Clenching and grinding can be caused by stress, anxiety, sleep disorders, an abnormal bite, missing or crooked teeth. Your dentist can help determine if you are clenching and grinding at night. If you are, he or she may recommend that you consider wearing a “nightguard” which can protect your teeth as well eliminate any pain or headaches that result from this condition. Often people go to their medical doctor for treatment of these symptoms and are then treated with medication unnecessarily. In a properly diagnosed patient a nightgaurd will relieve symptoms almost immediately without the need for medication.

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Dental myth – cavities and gum disease cause pain

Many people believe that if they get a cavity or gum disease they will have pain and therefore they will know that it's time to go to the dentist. Unfortunately, this is NOT true. Cavities and gum disease generally do not cause any pain in the early stages of the disease, which, by the way, is the easiest (and cheapest) time to treat these problems. Pain does come but usually in the later stages of decay or gum disease. By then treatment can be more lengthy and involved and will likely be more expensive. Why wait until you are having pain. Visit your dentist regularly to avoid these problems.

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Dental myth -tooth loss in inevitable

When I was much younger I believed that first you got baby teeth, then you got adult teeth, then you got dentures. Of course now I know that losing your teeth is not inevitable. We all understand that as are cars age they need more maintenance to keep running properly. Our mouths are no different! With the appropriate maintenance on our teeth there is no reason we can't keep our teeth for life!!!

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Newmarket Dentist - Keep 28 Dental Centre
17035 Yonge St. Newmarket, ON L3Y 5Y1 Canada

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