Advanced Dental Technology

Dental Technology

Advanced Dental Technology

When you seek care at our office, you are assured that Dr. Trembath and staff utilize the latest in technology to enhance the quality and fit for your dental care.

Dr. Trembath chooses carefully which and when radiographs are taken. There are many guidelines that we follow. Radiographs allow us to see everything we cannot see with our own eyes. Radiographs enable us to detect cavities in between your teeth, determine bone level, and analyze the health of your bone. We can also examine the roots and nerves of teeth, diagnose lesions such as cysts or tumors, as well as assess damage when trauma occurs.

Dental radiographs are invaluable aids in diagnosing, treating, and maintaining dental health. Exposure time for dental radiographs is extremely minimal. Dr. Trembath utilizes Digital Imaging Technologies within the office. With digital imaging, exposure time is about 50 percent less when compared to traditional radiographs. Digital imaging can also help us retrieve valuable diagnostic information. We may be able to see cavities better.

Digital imaging allows us to store patient images, and enables us to quickly and easily transfer them to specialists or insurance companies.

Digital X-rays offer more precision since we view the image on a computer monitor, instead of holding up a 35mm film up to the light. Digital X-rays results in 1/6th the radiation exposure to you.

For patients who do not look forward to needles, drilling, or numbness, Laser Dentistry may be the right choice.

Laser dentistry is one of dentistry’s latest advances. The laser delivers energy in the form of light. Depending on the intended result, this energy travels at different wavelengths and is absorbed by a “target.” In dentistry, these targets can be enamel, decay, gum tissue, or whitening enhancers. Each one absorbs a different wavelength of light while reflecting others. Laser dentistry can be used for both tooth and soft tissue related procedures. Oftentimes no local anesthesia is required. Unlike with the dental drill, with laser dentistry there is no heat or vibration, making the procedure quite comfortable for most patients. For soft tissue (surgical) procedures it eliminates the need for suturing and healing is much faster.


Areas of dental care that benefit from laser technology:

Dental lasers have been shown to be safe and effective for treating both children and adults.

Many patients, especially younger patients, are very familiar with the latest technology and are comfortable with the high tech practice. Computers and TV screens are their primary method of information processing.

Dr. Trembath utilizes Intraoral Camera technology that helps enhance your understanding of your diagnosis. An Intraoral Camera is a very small camera – in some cases, just a few millimeters long. An Intraoral Camera allows our practice to view clear, precise images of your mouth, teeth and gums, in order for us to accurately make a diagnosis. With clear, defined, enlarged images, you see details that may be missed by standard mirror examinations. This can mean faster diagnosis with less chair-time for you!

Intraoral cameras also enable our practice to save your images in our office computer to provide a permanent record of treatments. These images can be printed for you, other specialists, and your lab or insurance companies.

Our CEREC allows us to make and place your crown on the same day. This technology allows us to skip the temporary, so you don’t have to worry about the temporary coming off. You can leave the office with your permanent crown in place.

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Dental Specialties

Dental Specialties

Dental Specialties

The Endodontist examines, diagnoses and treats diseases and destructive processes, including injuries and abnormalities of dental pulps and periapical tissues of the teeth.

Endodontists examine patients and interpret radiographs and pulp tests to determine pulp vitality and periapical tissue condition. They evaluate their findings and prescribe a method of treatment to prevent loss of teeth.

The prosthodontist examines and diagnoses disabilities caused by loss of teeth and supporting structures. They formulate and execute treatment plans for the construction of corrective prostheses to restore proper function and esthetics of the mouth, face, and jaw.

A pediatric dentist has at least two additional years of training beyond dental school. The additional training focuses on management and treatment of a child’s developing teeth, child behavior, physical growth and development, and the special needs of children’s dentistry. Although either type of dentist is capable of addressing your child’s oral health care needs, a pediatric dentist, his or her staff, and even the office décor are all geared to care for children and to put them at ease. If your child has special needs, care from a pediatric dentist should be considered.

Periodontists are dentists who specialize in the diagnosis and treatment of periodontal (gum) disease. They have had extensive training with two additional years of study after dental school. As specialists they devote their time, energy and skill to helping patients care for their gums. A periodontist is one of the eight dental specialists recognized by the American Dental Association.

 
Why is your dentist referring you to a Periodontist?

Your dentist has determined that your gums require special attention. The periodontist and dentist work together as a team to provide you with the highest level of care. They will combine their experience to recommend the best treatment available to you while keeping each other informed on your progress. By referring you to the specialist, your dentist is showing a strong commitment to your dental health.

Oral and maxillofacial surgeons are dentists specializing in surgery of the mouth, face and jaws. After four years of dental school, surgeons receive four to seven years of hospital-based surgical and medical training, preparing them to do a wide range of procedures including all types of surgery of both the bones and soft tissues of the face, mouth and neck.

An orthodontist prevents and treats mouth, teeth, and jaw problems. Using braces, retainers, and other devices, an orthodontist helps straighten a person’s teeth and correct the way the jaws line up.

Orthodontists treat kids for many problems, including having crowded or overlapping teeth or having problems with jaw growth and tooth development. These tooth and jaw problems may be caused by tooth decay, losing baby teeth too soon, accidents, or habits like thumb sucking. These problems can also be genetic or inherited.

 
Why would you go to the orthodontist?

Your dentist or one of your parents might recommend it because they see a problem with your teeth or jaws. Or a kid who doesn’t like the way his or her teeth look might ask to see an orthodontist.

questions about your dental issues or treatment? we're here to help!

Dental Dictionary

Dental Dictionary

Dental Dictionary

Abscess

A collection of pus. Usually forms because of infection.

 
Abutment

A tooth or tooth structure which is responsible for the anchorage of a bridge or a denture.

 
Amalgam

A silver filling material.

 
Anesthetic

An agent that causes temporary loss of sensation/feeling.

 
Anterior

The front position.

 
Apex

The end of the root.

 
Asepsis

No micro-organism.

 
Attrition

Wear of teeth due to activities such as chewing.

 
Avulsed

An injury that causes a tooth to be completely knocked out of the mouth.

Bitewing

A kind of dental x-ray which is taken with the teeth bite together. The main function of this kind of x-ray is to detect cavities in between teeth and height of bone support.

 
Bleaching

Whitening of teeth.

 
Bridge

A prosthesis which is fixed inside the mouth to replace missing teeth.

 
Bruxism

Teeth grinding.

Canine

The third tooth from the middle of the jaw. There are four of them. They are the longest teeth in humans.

 
Canker sore

An ulceration with yellow base and red border in mouth. It can be caused by trauma or herpes simplex virus.

 
Caries

Tooth decay.

 
Cavity

A hole on the tooth.

 
Cast

A model of teeth.

 
Cementation

The process of “gluing” the appliance/prosthesis on the associated area.

 
Chlorhexidine

An anti-microbial agent. It is available in many forms such as gels and rinses. It is an effective agent in controlling gum diseases.

 
Clasp

A metal arm extended from a removable partial denture. It helps to hold onto natural tooth structure and thus provide anchorage for the denture.

 
Cold sore

An ulcer or blister on lip. A form of herpes simplex.

 
Composite

White filling.

 
Cross-bite

An abnormal bite relationship of upper and lower jaw. The lower teeth/tooth align toward the check/ lip side more than the upper teeth/tooth.

 
Crown (porcelain/plastic/metal)

A crown is almost like a “cap” on a tooth. It covers the tooth partially or totally above the gum to restore its function and outlook.

Decay

A soft substance caused by the bacterial demineralization of enamel and dentin. An infection within a tooth. Must be treated.

 
Dentistry

A branch of medicine that involves diagnosis, prevention, and treatment of any disease concerning teeth, oral cavity, and associated structures.

 
Dentition

The position, type, and number of teeth in upper and lower jaw.

 
Denture (Immediate/complete/partial) (overdenture, temporary)

An artificial object to replace missing teeth and their neighboring structures. There are many different types of denture to satisfy different treatment requirements and patient preferences.

 
Denturist

The person who specializes in fabricating dentures. A Denturist is not responsible for making any type of diagnosis or carrying out any other treatment (e.g. removing teeth).

 
Desensitization

A procedure to reduce the sensitivity of teeth.

 
Diagnosis

The process of identifying dental disease.

 
Diastema

The space between two adjacent teeth.

 
Distal

A direction indication in the mouth. It indicates the direction away from the middle of the jaw.

Edentulous

No teeth.

 
Endodontics

A department of dentistry involving diagnosis, prevention and treatment of dental pulp (where the nerves and blood vessels are inside the tooth).

 
Eruption

The process of the tooth appearing in the mouth.

 
Excision

The action of cutting something off.

 
Extruded

When a tooth may be pushed partially out of the socket.

Filling

A restoration placed on a tooth to restore its function and appearance.

 
Flipper

A temporary denture to replace missing teeth during the waiting period for long term treatment.

 
Floss

A thread/tape that goes in between teeth for cleaning.

 
Fluoride

A compound of fluorine (an element) which be put in different forms such as water, gels, and rinses to strengthen teeth.

 
Fluoride Treatment

Teeth treatment with fluoride agents like gel or rinse. It helps to prevent tooth decay.

 
Fracture

When a cusp of a tooth becomes weakened, a fracture may result. It is possible for the crack to extend further into the root and damage to the pulp is commonplace.

 
Framework

A metal skeleton of a removable partial denture to support the false teeth and the plastic attachments.

Gingivitis

The mildest form of gum disease: inflammation of gum. The earliest sign is bleeding gum.

Hemorrhage

Bleeding

 
Hemostasis

Stop bleeding.

Impaction

A condition where a tooth is not able to come in normally or is stuck underneath another tooth or bone.

 
Implant

A device (usually “screw-like”) put in the jaw bone to support a false tooth, a denture or a bridge.

 
Impression

A mold taken by some jelly-like material loaded on a tray.

 
Incisal

The cutting edge of front teeth.

 
Incisor

The four upper and lower front teeth.

 
Inlay

A restoration (usually gold, composite or ceramics) fabricated in the lab that cements on a tooth like a missing puzzle piece. It helps to restore the normal function and outlook of the tooth.

 
Interproximal

The space between two adjacent teeth.

Lingual

The side of the tooth towards the tongue.

Mesial

The side of the tooth towards the middle of the jaw.

 
Molar

The last three upper and lower teeth on both sides of the mouth.

 
Mouthguard

A device to be worn in the mouth. Depending on the design of it, it prevents injury to teeth and/or jaw during teeth grinding or sport events.

Nightguard

A mouthguard which is worn at night time.

Occlusal

The biting surface of the back teeth.

 
Occlusion

The way how the upper and lower teeth close together.

 
Onlay

A restoration covers the entire biting surface of a tooth.

 
Open bite

The situation where the upper teeth not able to contact the opposing lower teeth.

 
Orthodontics

A special field in dentistry which involves diagnosis, prevention, and treatment of bite abnormalities or facial irregularities.

 
Over bite

The overlap of upper teeth and lower teeth when they close together.

 
Overhang

The portion of filling material that hangs beyond the border of the cavity.

Palate

The roof of the mouth.

 
Panoramic Radiograph

An x-ray film used to obtain the wide view of upper and lower jaw and their associated structures.

 
Perforation

An opening on a tooth or other oral structure.

 
Periapical

The surrounding of the bottom of the root of a tooth.

 
Periodontics

A specialty of dentistry involves diagnosis, prevention, and treatment of gum (periodontal) disease.

 
Permanent teeth

Adult’s teeth. The first permanent tooth usually comes in around 6 years old.

 
Pin

A piece of “nail-like” metal. It usually is used for better retention of a filling.

Polish

A process to make the tooth or filling or other denture smooth and glossy.

 
Pontic

The false tooth in a bridge or denture to replace the missing tooth.

 
Post

A big pin which can be made with different materials such as metal or carbon. Its function usually is to support a big buildup on a tooth.

 
Posterior

Located at the back.

 
Pre-authorization

An approval from the particular authority (usually insurance company in dentistry) before any action (treatment) is carried out.

 
Pre-medication

Medication needing to be taken before treatment.

 
Premolar

The two teeth located in front of the molar.

 
Prescription

A written statement (from a doctor to a pharmacist) regarding the type, the amount and direction of the use of a medication for a patient. In dentistry, a prescription can also be a written statement for preparation of an appliance from a dentist to a lab technician.

 
Primary teeth

Baby teeth.

 
Prophylaxis/prophy

The procedure of teeth polishing. It also means the prevention of diseases.

 
Prosthesis

An artificial part to replace missing teeth and their associated structures.

 
Prosthodontics

A specialty of dentistry involving diagnosis, treatment planning, and fabrication of artificial parts to replace missing teeth and their associated structures.

 
Pulp

The innermost part of a tooth. It contains nerves and blood vessels inside a tooth.

 
Pulpectomy

The removal of the whole pulp inside a tooth.

 
Pulpotomy

The removal of the top part of the pulp inside a tooth.

Radiograph

An x-ray picture.

 
Recall

The regular checkup and teeth cleaning appointment.

 
Recementation

The process of “gluing” the appliance/prosthesis back on the associated area.

 
Restoration

An item a dentist uses to restore the normal function of a tooth or an area in the mouth. It can be a filling, a crown, a bridge, etc.

 
Retainer

A device used for maintaining the position of teeth in the jaw in orthodontic treatment.

 
Retreatment

The process of repeating the root canal treatment.

 
Root

The bottom part of tooth. It anchors the tooth to its supporting units.

 
Root canal

The canal that runs inside the root of the tooth. It contains the nerves and blood vessels inside the tooth.

 
Root canal treatment

A treatment for the root canal inside the tooth.

 
Root planing

The action of cleaning the root area of teeth.

 
Rubber dam

A rubber sheet that fits around teeth. It isolates the treatment area from the rest of the oral cavity.

Scaling

The action of cleaning teeth below the gumline.

 
Sealant

A thin layer of plastic-like material covering the grooves and pits on a tooth to prevent cavity.

 
Sedation

The use of medication to calm a patient.

 
Space Maintainer

An appliance to maintain the space between teeth.

 
Splint

An appliance or a material to prevent movement of a mobile part.

Tempromandibular Joint (TMJ)

The joint that links the two parts of the jaw.

 
Torus

An outgrowth of bone. It usually develops on the roof of the mouth or around the premolar area on the lower jaw.

Veneer

A layer of tooth-colored material (can be porcelain, composite, or ceramics) that attaches to the front of the tooth. It is usually used to improve the appearance of the tooth.

Wisdom tooth

The eighth (also the last) tooth from the middle of the jaw.

Xerostomia

Dry mouth

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Dental Exams & Checkups

Dental Exams & Checkups

Dental Exams & Checkups

Oral hygiene is necessary for eliminating bacteria in the mouth. Bacteria builds to form plaque that can harden and lead to long-term ailments such as gingivitis, a mild form of gum disease, and periodontal disease if it is not removed. A good dental care routine and regular check ups will keep your mouth healthy and prevent inflammation, infection, decay, and tooth loss.

Why Do You Need Dental Exams?

Dental exams give us the opportunity to evaluate your current methods of dental care and provide suggestions for future care in order to protect you from complications such as cavities and gum disease. They also allow us to detect problems early so they can be fixed quickly and easily.

What To Expect During Your Exam

At a typical dental exam, our team will thoroughly clean your teeth, removing any surface stains or deposits, called tartar or calculus, that are more difficult to remove than plaque and require the assistance of professional dental instruments. We will also check for signs of decay or gum disease. An X-ray may be performed to provide a more detailed summary of your oral health and to more closely identify any problems. We will ask you questions about your current methods of dental care, such as how often you brush your teeth, and floss, as well as whether you use a toothpaste with fluoride. With this information in mind, we will demonstrate proper dental care and provide suggestions on how to improve your habits to promote optimal oral health.

Preparing For Your Dental Exam

The best way to prepare for a dental exam is to practice good dental care. Brushing your teeth twice a day and flossing at least once a day is recommended. Be sure to clean your teeth before you arrive at your appointment. Our team will be cleaning your teeth for you, but it is helpful to remove food and plaque beforehand so we can focus on the more difficult-to-clean areas. You also want to make sure you are prepared to share pertinent information such as your medical history, insurance coverage and current dental care methods with us. Don’t be embarrassed to be honest about your oral health habits – our team is not here to judge you, but to work with you to improve your habits and ensure dental health! Lastly, be prepared to schedule a follow-up appointment or future check-up at the end of your dental exam.

How Often Should You Get A Dental Exam?

Dental exams should generally take place every six months. However, consult with our team to decide how often you should be examined; we may suggest you visit more frequently based on factors such as smoking, frequency of cavities, and genetic susceptibility to tooth and root decay as well as gum disease.

questions about your dental issues or treatment? we're here to help!

Teeth Cleaning (Prophylaxis)

Teeth Cleaning

Teeth Cleaning

A dental prophylaxis is a cleaning treatment performed to thoroughly clean the teeth and gums. Dental prophylaxis is an important dental treatment for stopping the progression of gingivitis and periodontal disease.

Dental prophylaxis is an effective procedure in keeping the oral cavity in proper health and halting the progression of gum disease.

The Benefits of Professional Teeth Cleaning Include:

  • Plaque removal.

    Tartar (also referred to as calculus) and plaque buildup, both above and below the gum line, can result in serious periodontal problems. Unfortunately, even with a proper home brushing and flossing routine, it can be impossible to remove all debris, bacteria and deposits from gum pockets. The experienced eye of a dentist or hygienist using specialized dental equipment is necessary to catch potentially damaging buildup.

  • A healthier looking smile.

    Stained and yellowed teeth can dramatically decrease the esthetics of a smile. Prophylaxis is an effective treatment in ridding the teeth of these unsightly stains.

  • Fresher breath.

    Bad breath (or halitosis) is generally indicative of advancing periodontal disease. A combination of rotting food particles (possibly below the gum line) and potential gangrene stemming from gum infection, results in bad breath. The routine removal of plaque, calculus and bacteria at our facility can noticeably improve halitosis and reduce infection.

Prophylaxis As a Preventative Measure

We recommend prophylaxis be performed twice annually as a preventative measure, but should be completed every 3-4 months for periodontitis sufferers. It should be noted that gum disease cannot be completely reversed, but dental prophylaxis is one of the tools Dr. Trembath can use to effectively halt its progression.

questions about your dental issues or treatment? we're here to help!

Children’s Dentistry

Your Childs First Dentist Visit

Children's Dentistry

Your child’s first dental visit should be scheduled just after your child’s first tooth. The first dental visit is usually short and involves very little treatment. We may ask you to sit in the dental chair and hold your child during the examination. You may also be asked to wait in the reception area during part of the visit so that a relationship can be built between your child and your dentist.

We will gently examine your child’s teeth and gums. X-rays may be taken (to reveal decay and check on the progress of your child’s permanent teeth under the gums). We may clean your child’s teeth and apply topical fluoride to help protect the teeth against decay. We will make sure your child is receiving adequate fluoride at home. Most important of all, we will review with you how to clean and care for your child’s teeth.

What About Preventative Care?

Tooth decay and children no longer have to go hand in hand. At our office we are most concerned with all aspects of preventive care. We use the latest in dental sealant technology to protect your child’s teeth. Dental sealants are space-age plastics that are bonded to the chewing surfaces of decay-prone back teeth. This is just one of the ways we will set the foundation for your child’s lifetime of good oral health.

Cavity Prevention

Most of the time cavities are due to a diet high in sugary foods and a lack of brushing. Limiting sugar intake and brushing regularly, of course, can help. The longer it takes your child to chew their food and the longer the residue stays on their teeth, the greater the chances of getting cavities.

Every time someone eats, an acid reaction occurs inside their mouth as the bacteria digests the sugars. This reaction lasts approximately 20 minutes. During this time the acid environment can destroy the tooth structure, eventually leading to cavities.

Consistency of a person’s saliva also makes a difference; thinner saliva breaks up and washes away food more quickly. When a person eats diets high in carbohydrates and sugars they tend to have thicker saliva, which in turn allows more of the acid-producing bacteria that can cause cavities.

Tips for Cavity Prevention
  • Limit frequency of meals and snacks.
  • Encourage brushing, flossing and rinsing.
  • Watch what your child drinks.
  • Avoid giving your child sticky foods.
  • Make treats part of meals.
  • Choose nutritious snacks.

Baby Teeth

The first baby teeth that come into the mouth are the two bottom front teeth. You will notice this when your baby is about 6-8 months old. Next to follow will be the 4 upper front teeth and the remainder of your baby’s teeth will appear periodically. They will usually appear in pairs along the sides of the jaw until the child is about 2 1/2 years old.

At around 2 1/2 years old your child should have all 20 teeth. Between the ages of 5 and 6 the first permanent teeth will begin to erupt. Some of the permanent teeth replace baby teeth and some don’t. Don’t worry if some teeth are a few months early or late as all children are different.

Baby teeth are important as they not only hold space for permanent teeth but they are important to chewing, biting, speech and appearance. For this reason it is important to maintain a healthy diet and daily hygiene.

First Visit Tips
  • Take your child for a preview of the office.
  • Read books with them about going to the dentist.
  • Review with them what the dentist will be doing at the time of the first visit.
  • Speak positively about your own dental experiences.
First Visit Exam
  • Examine your child’s mouth, teeth and gums.
  • Evaluate adverse habits like thumb sucking.
  • Check to see if you need fluoride.
  • Teach you about cleaning your teeth and gums.
  • Suggest a schedule for regular dental visits.

questions about your dental issues or treatment? we're here to help!

Periodontal Maintenance

Periodontal Maintenance

Periodontal Maintenance

Periodontal diseases are infections of the gums, which gradually destroy the support of your natural teeth. There are numerous disease entities requiring different treatment approaches. Dental plaque is the primary cause of gum disease in genetically susceptible individuals. Daily brushing and flossing will prevent most periodontal conditions.

The Importance of Oral Hygiene

Adults over 35 lose more teeth to gum diseases, (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.

Periodontal disease and decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gum line. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.

Periodontal diseases can be accelerated by a number of different factors. However, it is mainly caused by the bacteria found in dental plaque, a sticky colorless film that constantly forms on your teeth. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus (or tartar).

Periodontal Disease

Bacteria found in plaque produces toxins or poisons that irritate the gums, which may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to tooth loss.

Preventing Gum Disease

The best way to prevent gum disease is effective daily brushing and flossing as well as regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.

Important Factors Affecting The Health of Your Gums Include:
  • Stress
  • Smoking
  • Diabetes
  • Medication
  • Poor Nutrition
  • Clenching & Grinding Teeth

questions about your dental issues or treatment? we're here to help!

Dental Anxiety & Phobia

Dental Anxiety & Phobia

Dental Anxiety & Phobia

Oral hygiene is necessary for eliminating bacteria in the mouth. Bacteria builds to form plaque that can harden and lead to long-term ailments such as gingivitis, a mild form of gum disease, and periodontal disease if it is not removed. A good dental care routine and regular check ups will keep your mouth healthy and prevent inflammation, infection, decay, and tooth loss.

We Can Help

Whatever your individual level of anxiety may be, our office is committed to making sure that your visit is as comfortable, quick and easy as possible. There are many solutions for dental anxiety, and we are ready to help.

Here are a few popular methods for easing anxiety in the dental office:

  • Communication:
    Informing us as to what you are afraid of is a great place to start. Often we can quell a fear simply by giving you correct or updated information. We will always keep you informed before, during and after your procedure, making sure that you understand what is going on and why we are doing it.

  • Calming Techniques:
    Many patients find it helpful to practice controlled breathing or to find distraction inside the room.

  • Listening to Music:
    With most procedures, the use of personal headphones and music is allowed. This is a great way to keep calm and pass the time while in the chair.

  • Watching a Movie:
    We have monitors above the patient chair for your convenience. We have lots of movies to choose from or you can bring your own.

  • Taking Breaks:
    Let us know if you would like to take a short break during your treatment by signaling with your left hand.
Dental Anxiety vs. Dental Phobia

Dental anxieties and phobias present themselves in a wide variety of ways, and specific fears vary from person to person.

Dental anxiety may be mild to moderate, and often takes the form of a general sense of worry and apprehension when thinking about an upcoming procedure.

Dental phobia is a more intense experience, with patients feeling an overwhelming, irrational fear of dental work. This can sometimes cause them to avoid care all together.

questions about your dental issues or treatment? we're here to help!

Oral Hygiene

Oral Hygiene

Adults over 35 lose more teeth to gum diseases (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.

Periodontal disease and decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gum line. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.

How to Brush Your Teeth

Dr. Trembath recommends using a soft to medium tooth brush. Position the brush at a 45 degree angle where your gums and teeth meet. Gently move the brush in a circular motion several times using small, gentle strokes brushing the outside surfaces of your teeth. Use light pressure while putting the bristles between the teeth, but not so much pressure that you feel any discomfort.

When you are done cleaning the outside surfaces of all your teeth, follow the same directions while cleaning the inside of the back teeth.

To clean the inside surfaces of the upper and lower front teeth, hold the brush vertically. Make several gentle back-and-forth strokes over each tooth. Don’t forget to gently brush the surrounding gum tissue.

Next you will clean the biting surfaces of your teeth by using short, gentle strokes. Change the position of the brush as often as necessary to reach and clean all surfaces. Try to watch yourself in the mirror to make sure you clean each surface. After you are done, rinse vigorously to remove any plaque you might have loosened while brushing.

How to Floss Your Teeth

Periodontal disease usually appears between the teeth where your toothbrush cannot reach. Flossing is a very effective way to remove plaque from those surfaces. However, it is important to develop the proper technique. The following instructions will help you, but remember it takes time and practice.

Start with a piece of floss (waxed is easier) about 18” long. Lightly wrap most of the floss around the middle finger of one hand. Wrap the rest of the floss around the middle finger of the other hand.

To clean the upper teeth, hold the floss tightly between the thumb and forefinger of each hand. Gently insert the floss tightly between the teeth using a back-and-forth motion. Do not force the floss or try to snap it in to place. Bring the floss to the gum line then curve it into a C-shape against one tooth. Slide it into the space between the gum and the tooth until you feel light resistance. Move the floss up and down on the side of one tooth. Remember there are two tooth surfaces that need to be cleaned in each space. Continue to floss each side of all the upper teeth. Be careful not to cut the gum tissue between the teeth. As the floss becomes soiled, turn from one finger to the other to get a fresh section.

To clean between the bottom teeth, guide the floss using the forefingers of both hands. Do not forget the back side of the last tooth on both sides, upper and lower.

When you are done, rinse vigorously with water to remove plaque and food particles. Do not be alarmed if during the first week of flossing your gums bleed or are a little sore. If your gums hurt while flossing you could be doing it too hard or pinching the gum. As you floss daily and remove the plaque your gums will heal and the bleeding should stop.

Choosing Oral Hygiene Products

There are so many products on the market it can become confusing and choosing between all the products can be difficult. Here are some suggestions for choosing dental care products that will work for most patients.

Automatic and “high-tech” electronic toothbrushes are safe and effective for the majority of the patients. Oral irrigators (water spraying devices) will rinse your mouth thoroughly, but will not remove plaque. You need to brush and floss in conjunction with the irrigator. We see excellent results with electric toothbrushes called Rotadent and Interplak.

Some toothbrushes have a rubber tip on the handle, this is used to massage the gums after brushing. There are also tiny brushes (interproximal toothbrushes) that clean between your teeth. If these are used improperly you could injure the gums, so discuss proper use with your doctor.

Fluoride toothpastes and mouth rinses, if used in conjunction with brushing and flossing, can reduce tooth decay as much as 40%. Remember, these rinses are not recommended for children under six years of age. Tartar control toothpastes will reduce tartar above the gum line, but gum disease starts below the gum line so these products have not been proven to reduce the early stage of gum disease.

Anti-plaque rinses, approved by the American Dental Association, contain agents that may help bring early gum disease under control. Use these in conjunction with brushing and flossing.

When to Call Your Dentist

If you have any pain while brushing your teeth or have any questions about how to brush properly, please contact us.

Caring for Sensitive Teeth

Sometimes after dental treatment, teeth are sensitive to hot and cold. This should not last long, but only if the mouth is kept clean. If the mouth is not kept clean the sensitivity will remain and could become more severe.

If your teeth are especially sensitive consult with your doctor. They may recommend a medicated toothpaste or mouth rinse made especially for sensitive teeth.

Professional Dental Cleaning

Daily brushing and flossing will keep dental calculus to a minimum, but a professional dental cleaning will remove calculus in places your toothbrush and floss have missed.

Your visit to our office is an important part of your program to prevent gum disease. Keep your teeth for your lifetime.

questions about your dental issues or treatment? we're here to help!