New patients receive a comprehensive examination which includes a screening for oral cancer, gum and bone disease, blood pressure, and systemic disorders. A routine oral exam is performed on established patients to determine any changes in dental and health status since the previous visit.
Your gum tissue is measured with a fine instrument ruler to calibrate in millimeters pocket depth between the tooth and the connective gum tissue around the tooth. Pocket depths more than 4 millimeters could indicate disease and infection. The deeper the pocket, the greater the extent plaque bacteria collects and infection in gum disease develops.
X-rays are taken as needed.
Tooth scaling and root planing occur as needed.
Routine cleanings also include a professional polishing (Prophy) that removes only the soft sticky plaque that is above the gum line.
For most people, a complete radiographic survey should be done every 3 years, and a "check up" or "recall" set every 6 to 12 months. A complete set of x-rays is estimated to expose you to the same amount of radiation you get on a flight from San Francisco to Seattle.
Doctors use x-rays as an aid in diagnosing problems. Without x-rays, "seeing" the problem will be difficult if not impossible.
Floss is cheap, so don't be stingy! Tear off about a forearm's length to start. Wrap one end around the middle finger of one hand to "anchor" it and pick up the other end about 4-6 inches away with the middle finger of the other hand. This allows you to manipulate the floss with your thumb and fore finger. As you soil a section of floss, "reel" in another 4-6 inches of clean floss with the anchor finger as you release the floss with the other finger.
Once you get the floss past the tooth contact, move the floss up and down, perpendicular to the tooth. Never shoe-shine the teeth in a back-and-forth motion! You will either notch your teeth or cut your gums, or both!
Cavities generally develop in the "hard-to-see" places in your mouth. These are normally the places where you need to floss. When bacteria combine with food particles, they form plaque that adheres to your teeth.
As long as plaque remains on the tooth, acid produced by bacteria will eat away the tooth structure. Once through the enamel, the acid attacks the dentin, which is that part of the tooth containing sensitive nerve fibers.
If the tooth decay reaches the dentin, a filling is needed to halt the degenerative process. Otherwise, it continues at an accelerated rate becoming larger and larger.
If not detected and repaired with a filling, the decay can reach the tooth nerve and cause the need for a root canal. With the decay removed and a filling in place the tooth is restored to its original contour.
Tooth decay happens when plaque or bacteria come in contact with the tooth and is allowed to sit. The bacteria, once fed with sugars, will begin eroding the enamel.
Causes of tooth decay include:
- Poor oral hygiene (brushing / flossing)
- Poor diet
Adults tend to get cavities around old fillings, which may be cracked, rough around the edges or loose in the tooth. Another common form of tooth decay in adults is root cavities. These are likely to occur in adults who have receding gums due to age or periodontal disease. As the gum line recedes, the tooth root becomes exposed. Since root tissue is softer than enamel, it decays more easily.