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 develop.
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.
Plaque is essentially the start of gum disease problems. Plaque is a build-up from bacteria in the mouth and particles from the foods you eat every day.
Once sugars are introduced to plaque, it turns into a tooth eating acid that sits just above the gum line. If regular oral care isn't standard, the acid will start eating at the teeth producing cavities and the plaque can cause gum disease.
Plaque that is allowed to sit for a prolonged period of time can cause cavities, gingivitis, and other problems in your mouth. If it's left longer than that, serious dental procedures may be required to restore your decaying smile.
Step 1 - Place bristles along the gum line at a 45 degree angle. Gently brush using a circular motion along the outer and inner tooth surfaces.
Step 2 - Brush each tooth individually. Tilt brush vertically behind the front teeth. Using the front half of the brush, use the same circular motion.
Step 3 - Place the brush against the biting surface of the teeth and use a gentle back-and-forth motion. Brush the tongue to remove odor-producing bacteria.
Break off about 18 inches of floss and wind some of it around your middle finger (3 turns). This finger will take up the floss as it becomes dirty. Shorten the length between the two fingers to 6 inches and wind some floss (1 turn) around the opposite middle finger. Hold the floss tightly between your thumbs and index fingers.
Guide the floss between your teeth using a gentle rubbing motion. When the floss reaches the gum line, curve it into a C shape against one tooth. Gently slide it into the space between the gum and the tooth. Hold the floss tightly against the tooth as you gently rub the side of the tooth with an up and down motion. Before retrieving it, clean the adjacent tooth surface.
As you finish cleaning each contact wind the dirty floss once around the first middle finger and slide more new length of floss to proceed to the next contact.
Fluoride is an important part of healthy tooth development and will help prevent cavities.
Fluoride can provide protection from tooth decay in a couple ways:
1) It helps to strengthen the tooth's enamel so it can repel the acid that is formed by plaque.
2) Teeth that have been damaged by plaque can repair and re-mineralize themselves with the help of fluoride.
Fluoride is incapable of repairing already formed cavities, but it does assist in reversing low levels of tooth decay and helps in preventing new cavities from forming.
In order to remove plaque, tartar and calculus deposits from your teeth, a tooth scaling must occur. In some cases plaque and tartar are present below the gum line and a sub-gingival tooth scaling must occur.
After scaling the teeth, roots may need to be planed to smooth the root surface. Soft tissue will re-attach itself to a smooth tooth surface.
Dr. Clements may also recommend medications to help control infection, pain, or to encourage healing.
Dr. Clements treats children. One of the best ways to keep a child cavity free is with proper home care instruction and with sealants. Sealants have been proven to prevent cavities but they do not replace proper hygiene. Ask Dr. Clements, your dentist in Danville if sealants are right for your child.