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dental crown new westminster

Frequently Asked Questions About Dental Crowns & Bridges

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1. Will people be able to tell if I have a dental crown or bridge?

Today’s crowns and bridges are made of natural-looking composite materials that make them virtually indistinguishable from your natural teeth.

2. How Long Will They Last?

Both dental crowns and bridges will last a good long while, though how long depends on a few factors.
Good oral health requires you to brush and floss on a regular basis because oral hygiene should be your number one priority if you want the procedures to last and be effective in the long run.

You also need to avoid eating unhealthy foods that have a hard surface because it might damage the crown or bridge. Avoid sticky foods to prevent decay and your crown or bridge should last from five to fifteen years.

3. How are crowns placed on teeth?

Crown placement is typically completed in two visits. First, we will remove a thin layer of enamel coating and shape the tooth to provide room for the crown. This process allows the crown to be placed without crowding neighboring teeth or creating an uneven bite. Then we make an impression of the teeth, which is sent to an on-site lab where the crowns will be made from the most advanced materials for long-lasting durability.

The dentist will fit a temporary crown, which is crafted from resin, to protect your tooth while the permanent crown is being made. At the second visit, the temporary crown will be removed and the tooth will be carefully cleaned before the permanent crown is applied using a strong adhesive.

4. Some people having Crowns with black, darkened lines in between their gums and teeth. Are they cause by Crown or Bridges?

The newer all porcelain crowns are an esthetic improvement over older, porcelain fused to metal crowns as if the gumline would recede, the older crowns often showed a metal edge to the crown that originally was hidden from view. Since all porcelain crowns have no metal, no markings are evident if the gum line recedes.

5. If having a root canal and it is quite discolored, can Porcelain Crown be the best approach?

If a tooth that requires root canal therapy discolors, it is an indication that the nerve inside the tooth had died and blood pigments have broken down and been absorbed into the calcified tooth structure. By placing an all ceramic porcelain crown on the tooth, it can restore the tooth to match its neighbors.

6. Should I replace my old crowns?

If your crowns are worn down or damaged, give us a call so that we can plan replacements. We may need to remove the crown and provide you with a new temporary crown until your new permanent crowns are complete.

If you’ve had your crowns for several years, you may be troubled by their aesthetics. Older materials used to create crowns were not as natural-looking and lifelike as today’s modern crowns. Metal crowns and porcelain-fused-to-metal may be a giveaway that you’ve had dental work done, and we completely understand that you want your smile to look its best.

We are happy to examine your teeth and provide a recommendation as to whether your crowns should be replaced. Give our Sapperton Dental Clinic in New Westminster, BC a call to schedule your evaluation.

7. Which foods should avoid for not damaging your Bridges?

Patients fitted with dental bridges are advised by dentists to avoid chewing extensively on foods such as raw vegetables, hard candies, and ice. These foods can cause damage to the bridge, which may require replacement if it cannot be repaired.

8. How many types of Dental Bridges?

There are three types of dental bridges:

  1. Traditional Fixed Bridge: A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.
  2. Resin Bonded Bridges: The resin bonded bridge is primarily used for your front teeth. Less expensive, this bridge is best used when the abutment teeth are healthy and don’t have large fillings. The false tooth is fused to bands that are bonded to the abutment teeth with a resin which is hidden from view. This type of bridge reduces the amount of preparation on the adjacent teeth.
  3. Cantilever Bridges: In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. This procedure involves anchoring the false tooth to one side over one or more natural and adjacent teeth.

9. Which foods should avoid with a temporary dental crown?

Because temporary crowns are made from acrylic, which is less strong than the metal, ceramic or porcelain material of a permanent crown, you must take extra precautions. Limit the amount of chewing you do on the side of your mouth where your temporary crown is located. Avoid chewing on hard candies, nuts and very crunchy fresh vegetables such as carrots on the same side of the mouth as your temporary crown. Until your permanent crown is in place, don’t eat sticky desserts or candy, including caramels, licorice, jelly beans, taffy, toffee and gummy bears, as they could pull the temporary crown off your tooth. Avoid chewing gum for the same reason.

10. Which foods should avoid for permanent dental crowns?

  • Hot foods: Some individuals experience a mild-to-severe sensitivity in and around a crowned tooth when eating hot foods, particularly if they are affected by gum recession. If the problem persists, consult your dentist as the crown’s fit may require adjustment.
  • Cold foods: Although they do not harm your crown, such foods can trigger sensitivity similar to that caused by hot foods if any part of your gum recedes enough to expose the root above a crowned tooth. Your dentist may suggest that you use a toothpaste made especially for sensitive teeth; such toothpaste work by blocking the sensation traveling from the tooth to the nerves.
    Sugary foods: Avoid constant exposure to sugary drinks, candy or gum, keep snacking to a minimum, and brush or rinse your teeth after eating chewy or sticky foods such as dried fruit.

11. How do I care for my crowns and bridges?

It is important to maintain excellent oral hygiene, making sure to brush and floss twice a day. Avoid biting on hard foods like nuts and candy that can potentially fracture the restoration.

new westminster dentist factchecking

FactCheck: Misconceptions about Dental Health?

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Without a doubt, the biggest misconception the public has about dental health is that the effects of dental diseases are limited only to the teeth and gums. It can and does negatively impact the overall health of the body. Yet, as destructive as dental disease can be, most people, including many dentists and physicians, still believe that the damage it does is limited to the oral cavity. But the fact is that numerous scientific studies no longer support that long-held assumption.

Are Amalgam (Silver) Fillings Safe?

new westminster dentist filling

No, they are not safe because elemental mercury makes up 50% of an amalgam filling and it continuously releases mercury vapor – much more (as you will see) when it is stimulated by many common actions, such as tooth brushing, grinding and eating. Eighty percent of the mercury released enters the body and every atom of mercury that enters it is harmful.

Mercury is the most poisonous, naturally occurring, non-radioactive substance on our planet. The World Health Organization, WHO, says there is no safe level of mercury and has stated that amalgam fillings are the greatest single source of mercury exposure, surpassing fish and other sources of mercury. Three European countries, Norway, Denmark and Sweden have permanently banned amalgam fillings and they can no longer be used as a filling material.

The Occupational Safety and Health Administration (OSHA) has a ceiling limit of 100mcg/Hg/m3 (micrograms/mercury/cubic meter of air) for facilities using elemental mercury. If the levels of mercury vapor in the building reach 100mcg/Hg/m3 the employees have to leave as it is considered toxic and unsafe for employees. (Just one microgram of mercury contains 3 trillion atoms of it.) Yet the simple act of brushing just one amalgam filling can release more than 250mcg/Hg/m3. This can never be considered a small amount and this is just from one tooth!

Bleeding gums is normal. It happens to everyone!

bleeding gums new westminster

FACT: Bleeding gums is a sign of gum disease, which means there’s nothing normal about it. It only means that you haven’t visited your dentist for quite some time now and that a lot of calculus (hard deposits stuck on your teeth) have already accumulated, making your gums swell and bleed. Gum disease if left untreated may cause the loss of your teeth.

I brush properly, I don’t need to floss.

FACT: Wrong. Brushing cleans only 65% of your teeth. What about the other 35%? These are the surfaces in between your teeth which the toothbrush cannot reach (even if you use ultra-thin bristles). Only a dental floss can remove food debris stuck in those areas. Neglecting to floss (which you should do at least every night) may lead to cavities you won’t even notice because…yes, you guessed it right..they are formed in between your teeth and can be detected only by dental x-rays.

It’s just baby teeth..it will be replaced anyway. No need for my kid to see the dentist.

FACT: Baby teeth are as important as permanent teeth. A lot of parents are misinformed about this. Imagine your child experiencing severe toothache just because you haven’t brought him/her to the dentist before. Cavities on baby teeth should be filled and restored before they lead to a toothache or infection. They also play a big role in guiding the erupting permanent teeth to the right position. If a baby tooth is removed too early (might be due to severe decay), the space for the erupting permanent tooth is usually lost resulting in misalignment.

Dentist = Pain

FACT: So many people are afraid of the dental office. Dental phobia is a common reason why patients don’t go to their appointments. They always associate the dentist as to someone who inflicts pain…a lot of it. Well, this is not true. Most routine dental procedures such as scaling, polishing, and tooth fillings can be done without anesthesia. Though some might experience some sensitivity and discomfort, these procedures are often well-tolerated.

Well-aligned teeth have only an aesthetic value.

FACT: A beautiful smile can boost a person’s confidence at any stage in his/her life. But, having straight teeth also means an easier-to-maintain good oral hygiene which is a habit we all want to develop at an early age. When there’s crowding of the teeth, some surfaces (the overlapping parts) are not brushed properly, eventually leading to gum disease and/or tooth decay. In addition, correction of a bad bite produces an even distribution of biting forces on all the teeth, reducing the risk of trauma to the jaw joints as compared to someone whose teeth do not occlude properly or do not touch at all (open bite). Getting an orthodontic assessment from your dentist will determine if you have a malocclusion that needs correcting.

Dental scaling will abrade my teeth.

FACT: Everything done in excess is bad for you. Dental scaling and polishing if done at the right intervals will not do any damage to your teeth. This interval is usually 6 months apart unless otherwise recommended by your dental clinic. Patients who are prone to gum disease may need to see their dental health practitioner every 3-4 months.

It’s alright to wear my dentures 24/7.

FACT: Removing your dentures before going to bed at night is recommended. This lets your gums breathe from the constant pressure of the dentures. It also gives you the opportunity to care for your dentures by soaking them in a denture cleaning solution. Dentures if left unclean might become home to a lot of bacteria causing sores and irritation to the gums and palate.

Dental treatments cost a fortune.

FACT: The only reason you will have to spend so much on a dental treatment is that you didn’t take care of your teeth as much as you should have. As the old saying goes, “Prevention is better than cure”. Neglect, or rather, the result of neglect is always costlier than the routine dental appointments that pop up on your calendar twice a year.

What do the Dentists Say?

We gathered some quotes from dentists practicing in BC to see what they think. You can see their comments below.

Dr. Sandeep Sachdeva

The biggest misconceptions in dentistry are: “There is only a problem if I have pain” and “If it’s not broken, don’t fix it.” There’s often no pain associated with oral cancer, endodontic problems (tooth pulp), and periodontal disease (gum disease). The other problem is that many patients are afraid to take X-rays. Often, the only way to diagnose a dental problem is with an X-ray.

Dr. Sarika Sachdeva

People take their teeth for granted. Good dental health doesn’t just happen. Many of us need to take simple steps on a regular basis — steps like brushing, flossing, and minimizing the frequency and volume of the sugars that we consume. Others have a harder time simply because of genetics, traumatic events, congenital problems, or systemic diseases. But whatever the personal situation, the simple fact remains that each individual needs to truly consider the importance of their teeth for appearance, for speech, and for eating. Without teeth, we truly are handicapped. Developing the right habits and following them regularly will help each individual maintain his teeth and oral health for a lifetime.

new westminster dentures

Dentures – Frequently Asked Questions

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Dentures are extremely durable and can last for many years, but eventually, they might need to be repaired, adjusted, or replaced. This is because, just like your regular teeth, they need to be properly taken care of. Use a toothbrush with gentle bristles to carefully brush dentures, as well as make sure they are kept moist at all times when not in use. Keeping your dentures moist and your tongue and gums clean is important because of the harmful bacteria that can form otherwise.

  1. What should I expect on my first visit?
    Our Dentist’s goal during the first visit is to assess your condition to see if you’re a good candidate for dentures and give you a reasonable expectation of the function, appearance, and cost of those dentures. Our Dentist will perform an examination of your mouth as well as a general health assessment. They will ask if you’re under a Physician’s care or if you have any health conditions or allergies that may affect the denture process. Your information will not be shared with anyone and is taken in the strictest confidence. After the examination, our Dentist will give you a detailed overview of the results you can expect from new dentures, including an approximate cost.
  2. What is the average cost of dentures?
    Denture fees vary widely based on many factors including the complexity of your particular treatment and the time required to accomplish the treatment. The best way to determine the fees is to contact our Sapperton Dental Office in New Westminster so we can discuss the payment and care you may need.
  3. What are different types of dentures available? There are four main types of dentures to consider.
    Complete Dentures: When most people think of dentures, they tend to picture complete dentures, which are full replacements for all of your teeth. This can be a full set of either upper or lower teeth or a combined set for your entire mouth.
    Complete dentures have to be properly fitted for optimum comfort and can last 5 to 10 years given proper care. These can typically be made six months after tooth extraction, once your gums have had time to heal.
    Immediate Dentures: Immediate dentures are put into place immediately after tooth extraction and are used as a temporary set while your bone and tissue stabilize following tooth extraction. There are a number of benefits to immediate dentures, although they may require frequent adjustments while your jaw heals into place.
    Overdentures: Overdentures are similar to complete dentures. The difference is that not all teeth are extracted and one or more natural teeth are used for support. This type of denture provides greater stabilization during chewing. Overdentures can be more costly than complete dentures and usually require more appointments to get them properly fitted in place.
    Partial Dentures: Partial dentures are designed to correct the gaps in your smile when only some of your teeth are missing. Metal attachments anchor the dentures to your natural teeth. Partial dentures maintain tooth alignment by preventing your remaining teeth from shifting. Partial dentures can also help you prevent further tooth loss due to decay or gum disease.
  4. When will I receive my dentures?
    The length of time it takes to receive a completed set of dentures depends on your individual condition. Our Dentist will give you an estimate based on your individual situation.Our Dentist needs time to ensure the new set is properly crafted and fitted, but they also understand your desire to have them fast, and they will do their best to balance these two factors.
  5. Do I have to wear denture adhesives?
    Dentures are custom-designed for a comfortable and good fit for you. As a result, they often don’t require the regular use of an adhesive. Poor-fitting dentures must be checked by your dentist as soon as possible to eliminate discomfort and the potential for irritation.
  6. Will the dentures fit properly?
    Our Dentist will skillfully assess your personal physical characteristics to create a pair of customized dentures that will support and protect your delicate gums; allow you to speak, chew and use your mouth naturally; blend in with existing teeth; and compliment your natural facial structure and characteristics. The base materials, tooth materials, and colors of teeth are all chosen based on the shape of your face, your natural complexion, and the presence of existing teeth, and are completely unique to you.Our Dentist is a highly skilled craftsman, and you can be sure your new dentures not only fit well, but look natural, complimenting your existing facial features.
    Well crafted dentures are designed to feel as natural as possible in your mouth, however, there may be a brief adjustment period. Most patients find that after a week of continuous wear, the oral cavity has adjusted to the new teeth perfectly, although it can take a bit longer for others. Be patient and continue to wear your dentures. They will feel as if you’ve been wearing them forever in no time.
  7. When can I wear my dentures?
    This is personal preference, however, we recommend that you wear your dentures as much as possible. It is widely agreed upon that you should sleep without your dentures, however, if you choose to sleep with them it is important to keep your denture extremely clean. Remove them at least once a day and brush the tissues underlying the dentures with a soft toothbrush. This removes any plaque build up along with any food debris; it also stimulates the blood vessels which is an essential part of healthy tissue.
  8. Will dentures affect the way I eat?
    Like anything new, you need time to adapt to your new denture. Chewing is one of the skills that need to be adapted when you receive either replacement dentures or you are first dentures. You can help yourself accommodate by taking smaller portions and chewing slowly and avoiding sticky or tough foods for a little while. You should soon see an improvement due to the new dentures being more efficient as the chewing surfaces have less wear.
  9. How do I care for my dentures?
    Whitening: It is not possible to whiten dentures like natural teeth because dentures are made of plastic. To minimize staining, properly clean your dentures daily to remove food and plaque bacteria. Brushing with a denture brush or soft toothbrush will prevent dentures from becoming permanently stained and keep your mouth healthy. Moisten the brush and apply a non-abrasive soap or denture paste (regular toothpaste is too abrasive). Brush every surface, inside and out, scrubbing gently. A variety of over-the-counter denture cleanser products may be safely used (by following the manufacturer’s instructions) to remove most stains. Do not use bleach on your dentures unless your dentist or prosthodontist gives you special instructions on using bleach. Dilute household bleach can be used to clean and disinfect your dentures, but don’t use bleach until you see your prosthodontist for instructions. More stubborn stains may require removal by your prosthodontist.
    Brushing: Do not brush your dentures with normal toothpaste. Toothpaste are designed to be used on teeth, and they often contain materials and chemicals that help whiten and strengthen teeth but may harm dentures, which are made of a very durable plastic. Even though the plastic is strong, it is not as strong as the enamel of teeth and may be scratched by using toothpaste to clean your dentures. You should use a dishwashing liquid and a special denture brush to clean your dentures by hand every day. After rinsing them thoroughly, soak your dentures in water-based cleaning solution overnight.
    Moreover, it is advisable to rinse your dentures and your mouth after every meal however at least once a day the dentures should be brushed to remove any plaque accumulation and food debris, and then use a denture soak. It is also advisable to brush your gums to remove any debris including any residual dental adhesive.
    Repairing broken dentures: The best solution is to return to the prosthodontist who made your dentures and have the cracked denture repaired professionally. It may seem easy to fix, but it is important that the repair is done correctly to prevent problems with chewing and to avoid any sore spots. The prosthodontist also needs to check the denture and adjust it after it is repaired. The denture may be too old and may no longer fit closely to your gums, and you may need a new denture.
  10. What kind of denture cleaner should I use?
    There are many brands of denture cleaners on the market and what brand to use is usually down to personal preference. However, it should be noted that household bleach and everyday toothpaste can harm the denture. If you notice a lot a tartar or plaque buildup you may also use white vinegar to soak your dentures and then brush off any residual build up. Remember that you can have your denture professionally cleaned by a Dentist in a matter of minutes.
  11. How often should I visit my Denturist after getting my dentures?
    You should have a check-up with your Dentist once a year for optimal performance of your dentures. During this annual visit, you Dentist can spot any issues or abnormalities that need to be taken care of, and they can recommend you to a specialist should you require further medical attention.
new westminster oral health

Oral Health in New Westminster: Which Symptoms Shouldn’t be Ignored?

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No oral symptom should be ignored – ever! Every oral health symptom is a warning that something abnormal is happening in the oral cavity and, if that warning isn’t heeded, it could lead to something far more serious. The important thing to be aware of here is that what happens in the mouth is not just limited to the teeth and gums – and far too many people aren’t aware of that fact. Because many oral health issues, such as gum disease and infected root canals, can dramatically affect overall health, not to pay attention to the early oral warning signs is to literally put your overall health at risk. So let’s look at some of the more common oral symptoms you should know about.

Pain – pain of any kind; mild, moderate, severe, occasional, sharp, aching, dull, deep – is not normal and is an indication that something is wrong, possibly seriously wrong. Pain can be an indicator of decay, a possible root canal infection, an abscess, a jaw infection, or gum disease. Pain is a wake-up call and even if it goes away you should make an appointment and have it diagnosed by a dentist. (Exceptions to this is if you bite your tongue or lip, or eat something that is too hot and burns your lips or palate.)

Sensitivity – to heat, cold, acidic foods, even brushing is another warning sign that should not go unattended. It can indicate decay, exposed root surfaces due to gum recession, a leaky filling, and even gum disease.

Bleeding – a little, a lot, occasionally, consistently, only when brushing or flossing and eating, or for no apparent reason – isn’t normal and never should be considered to be so. Bleeding is usually an indicator of gum disease but can indicate other oral problems, such as an abscess. As with any oral symptom, the determination of its cause and severity should always be done by a dentist. Self-diagnosis should never be attempted by the patient nor should the dental appointment be put off.

bleeding gums vancouver

Swelling – any lumps, or bumps, ridges, pimples, or any other type of swelling – anywhere in the oral cavity (lips, gums, or any other area of the mouth and face) is definitely a warning signal. There could be many causes of this and only the dentist can diagnose it. This should be dealt with ASAP.

Ulcerations and Discolorations – any ulceration, discoloration, redness, or sore spot on the lips, tongue, inside of the mouth, face or neck must be considered as not normal and checked out by a dentist, especially if it doesn’t resolve itself within 10 days to two-weeks. (For example, an ulceration such as herpes may show up suddenly, heal itself within two-weeks and may not need to be treated by a dentist.) There could be many causes to consider, some benign but others could be much more serious. This is not a symptom to put off until tomorrow!

Loss of Feeling – loss of feeling in any area of your mouth or face can be cause for concern as it could indicate nerve damage. This must be looked at by a dentist immediately.

Persistent Coughing or Difficulty in Swallowing – Either, or both, of these symptoms could be related to an oral health issue but could also be an indicator of a more serious medical issue. This should be dealt with by a dentist or a health practitioner if it persists for more than a week and there doesn’t seem to be an obvious cause, such as a cold.

Other Diseases of the Mouth – There are over 20 other health/medical issues whose early signs and symptoms can be found in the oral cavity. These can range from a drug reaction to serious cancers, such as oral cancer, squamous cell carcinoma, and leukemia. Any of the symptoms listed above could also be related to a medical problem and you should be acutely aware that any oral symptom, whether listed here or not, that appears and stays should be examined by a dentist and if necessary referred to the proper medical specialist. Early detection of these signs is also the reason why everyone, even if free of dental disease, should have a complete oral examination at least once a year.

Oral Health Problems without Symptoms

Please don’t think that if you don’t have an oral symptom you don’t have an oral problem! There are also a number of oral health problems that can exist even before a recognizable symptom appears. Far too many people believe that they couldn’t possibly have an existing oral problem if an observable symptom doesn’t manifest itself. This belief has led to an untold number of dental emergencies that could have easily been avoided by regular dental check-ups. The main thing to consider here is that many oral health problems may reach a serious stage before a symptom appears, such as pain.

For example, in many people decay can progress deeper into the tooth before pain shows up. So can gum disease and an infected root canal, even an abscess. Thus, while you should be aware of the various signs and symptoms of oral problems – if you wait for them to appear you could be putting your teeth and overall health at risk – unnecessarily.

Of course if a symptom appears, or whether it comes and goes, or seems to have gone away (however minor you think it is), you must schedule an appointment to have it professionally diagnosed and treated. If you are one of the tens of millions who haven’t had regular dental check-ups you cannot afford to wait until an emergency situation is created. For those of you who have put off regular dental treatment –  for whatever reason – the only way you are going to be able to know what is going on in your mouth and catch something before it becomes serious, is to schedule an examination with the dentist.

Prevention – Prevention – Prevention

People find many reasons for putting off going to the dentist. Fear, no time, the expense, and a host of other seemingly legitimate reasons. Yet there is no doubt that no matter what excuse you use, the longer you put off a dental examination, or treatment for any existing problems, the more it will end up costing you in time, suffering and money! Given the direct relationship of oral health to overall health – the medical costs incurred because of untreated oral health issues will only add to the total cost. There can be no doubt; ‘an ounce of prevention is worth a pound of cure!’

Do your mouth a favour and book an appointment with Sapperton Dental Clinic where our highly skilled dental professionals can examine your oral cavity and make recommendations so you can have a healthier mouth. Our Dentist and Dental Office is located in Fresno, CA. To schedule your next appointment, please call: (604) 544 0894.

Educational Video for your Kids

dental implants new westminster

Dental Implant Maintenance

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The daily care of dental implants is very similar to the care of natural teeth. Restored dental implants should be kept clean and plaque free twice a day using a brush and floss. Cleaning is especially important after meals. This is accomplished by gently brushing, giving special attention to all sides of the implant.

Oral hygiene aids may include:

  • Small, soft, manual toothbrush or an electric brush
  • Low-abrasive, tartar-control toothpaste
  • Dental floss for cleaning around the abutments

Other supplies that may be recommended by the doctor can include:

  • Antimicrobial mouth rinses
  • Inter-dental brushes or other aids for removing plaque between the teeth on either side of the implant(s)
  • Disclosing tablets to stain the locations of plaque accumulation

You must be committed not only to the daily performance of dental hygiene at home but to regular visits to your dentist (Sapperton Dental Clinic in New Westminster, BC is currently accepting new patients). It is recommended that you see your dentist every 3-6 months for a professional exam and cleaning. The implant(s) should be examined with an x-ray annually.

What can happen if I don’t take care of my Dental Implants?

vancouver implant problemsDental Implants can develop problems without consistent daily care. The earliest sign of a problem begins with the observation of bleeding. This is known as mucositis. The current scientific evidence suggests that this may be successfully treated and is reversible if caught early. Unfortunately, if it progresses to bone loss, also known as peri-implantitis, the bone loss is not reversible. If peri-implantitis is not treated it can lead to advanced bone loss and the removal of the implant.

What should my Dentist check for at every cleaning visit?

For an accurate assessment of implant health, dentists and hygienists need to probe and measure the gums around the implant the same was as around teeth, check and compare x-rays annually, look for looseness, check the bite and check all of the components that are attached to the implants to make sure that they are functioning properly.

new westminster dental x ray

New Westminster Dentist Addresses Dental X-Rays

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For immediate concerns regarding our x-ray procedures and machine, feel free to contact Sapperton Dental in New Westminster at: (604) 544 0894 to speak with one of our dentists.

1. What are Dental x-rays?

Dental x-rays are a form of imaging test that dentists use to learn more about the health of your teeth. A dentist can discover a lot about your teeth and gums simply by examining them with the naked eye. However, dental problems such as tooth decay and infections can often only be properly diagnosed by looking beneath the surface. x-rays use small amounts of radiation to create images on the film called radiographs. As x-rays pass through the mouth, they’re absorbed by the tissue. Some tissue, as well as denser objects, absorb more x-rays than others. Teeth appear in lighter shades on a radiograph, while cavities and tooth decay show up in darker patches. These images help dentists to identify problems with the teeth.

2. What is Digital x-rays?

Digital radiography (digital x-ray) is the latest technology used to take dental x-rays. This technique uses an electronic sensor (instead of x-ray film) that captures and stores the digital image on a computer. This image can be instantly viewed and enlarged helping the dentist and dental hygienist detect problems easier. Digital x-rays reduce radiation 80-90% compared to the already low exposure of traditional dental x-rays.

3. Who needs dental x-rays?

Dental x-rays are just another tool in the oral care arsenal. The cleaning and visual examination of your teeth, gums, and the rest of your mouth serve to keep the exposed portions of your mouth healthy.

However, a lot can go on beneath the gum line or inside of teeth themselves that dentists cannot see without x-rays. While you might wonder why you need x-rays when there’s no outward indication that something is wrong, this tool can provide early warning of potential problems (like small cavities), allowing for treatment before they become much bigger issues.

4. How often should patients get x-rays?

The frequency of x-rays varies by dental office and by the patient. Some patients may only need x-rays annually, while others need them every six months, or even more frequently, depending on developing conditions.

Frequency depends on the current condition of your mouth and your dental history. Do you frequently get cavities? If you answer yes, then you may require x-rays annually. If you haven’t had a cavity in five years, then you can go years between x-rays.

Dentists make careful assessments about if and when patients need x-rays, carefully weighing the benefits and potential risks before deciding on any tests or courses of treatment. If x-rays are recommended, it is likely with good reason.

5. Who will need x-rays every 6 months?

Children – Many children need x-rays every six months, depending on age, because they are highly likely to develop caries and the nerve inside their teeth is much larger than an adult. This means that a very small amount of decay can cause large problems very quickly. X-rays also help monitor tooth development.

Adults with extensive restoration work, including fillings. Previous dental work indicates high risk for new decay.

Anyone who drinks sugary sodas, chocolate milk or coffee or tea with sugar – Even mildly sugary beverages create an environment in the mouth that’s perfect for decay, so anyone who drinks these beverages regularly will need to have more regular x-rays.

People with periodontal (gum) disease – Periodontal treatments may need to be stepped up if there are significant or continuing signs of bone loss.

People who are taking medications that lead to dry mouth, also called xerostomia – Saliva helps keep the acid levels (pH) in the mouth stable. In a dry mouth, the pH decreases, causing the minerals in the teeth to break down, leaving them prone to caries. Medications that can decrease saliva are those prescribed for hypertension, antidepressants, antianxiety drugs, antihistamines, diuretics, narcotics, anticonvulsants and anticholinergics.

People who have dry mouth because of disease, such as Sjögren’s syndrome, or because of medical treatments that damaged the salivary glands, such as radiation to the head and neck for cancer treatment.

Smokers, because smoking increases the risk of periodontal disease.

6. Should patients be worried about radiation?

This is a concern for many patients, but the amount of radiation involved in dental x-rays is minimal and patients are provided with all possible protections, including a lead-lined apron to cover portions of the body that could be exposed to x-rays. Plus, you’ll only receive x-rays when necessary so as to avoid undue risk.

Many countries have adopted the International Commission on Radiological Protection (ICRP) recommendation of 20mSv per year.

Digital x-rays produce a very low level of radiation and are considered safe. The average person gets 3mSv per year, which is well below the average recommendation for a safe level. Half of this radiation comes from background radiation, such as natural radiation from radon in the air.

7. What are the types of X-rays?

There are a few different types of dental x-rays, each with different benefits. You may need multiple types of x-rays in order to create a complete assessment of your oral health.

Bite-wing x-rays are the most common, and they are so called for the plastic wing you bite on to hold the film in place while the x-ray is taken. This type of x-ray shows hard-to-reach molars and bicuspids, where cavities are most likely to form.

There are also periapical x-rays that show an entire tooth all the way to the root; panoramic x-rays that display the entire mouth, including both jaws; and a variety of other x-rays with specific purposes.

8. Is it safe for Children to have dental X-rays?

Many parents are concerned about the impact of dental x-rays on children. Children are more sensitive to radiation. However, the amount of radiation in a dental x-ray is still considered safe for a child. As children’s jaws and teeth are continuously changing, it’s important to keep an eye on their development. These x-rays perform many important purposes for young patients. They help dentists to:

  • Make sure the mouth is large enough to accommodate incoming teeth
  • Monitor the development of wisdom teeth
  • Determine whether primary teeth are loosening properly to accommodate new permanent teeth
  • Identify decay and gum disease early
  • It’s important for children to visit the dentist regularly, and to get x-rays as recommended by the dentist. The exact schedule for these x-rays will vary depending on the child’s individual needs.

9. How often should a child have dental x-ray films?

Since every child is unique, the need for dental x-ray films varies from child to child. Films are taken only after reviewing your child’s medical and dental histories and performing a clinical examination, and only when they are likely to yield information that a visual examination cannot.

In general, children need x-rays more often than adults. Their mouths grow and change rapidly. They are more susceptible than adults to tooth decay. For children with a high risk of tooth decay, our New Westmisnter Dentists recommends x-ray examinations every six months to detect cavities developing between teeth. Children with a low risk of tooth decay require x-rays less frequently.

10. Why should x-ray films be taken if my child has never had a cavity?

X-ray films detect more than cavities. For example, x-rays may be needed to survey erupting teeth, diagnose bone diseases, evaluate results of an injury or plan orthodontic treatment. x-rays allow dentists to diagnose and treat conditions that cannot be detected during a clinical examination. If dental problems are found and treated early, dental care is more comfortable and affordable.

11. Is it safe for pregnant women to have dental x-rays?

Pregnant women are generally advised to avoid dental x-rays. Though the radiation is minimal, it’s best to avoid all exposure when possible for the health of the developing fetus. For this reason, it’s important to tell your dentist if you are or may be pregnant.

However, there are some instances where pregnant women should still have dental x-rays performed. If you have a dental emergency or are in the middle of a dental treatment plan, you may still need x-rays during your pregnancy. Discuss the issue with your dentist to determine the best way to proceed. It’s crucial that you balance both your dental and prenatal health. Women with periodontal disease are at a higher risk of adverse pregnancy outcomes, so you should not neglect your teeth during pregnancy.

Your dentist can take greater precautions, such as using a leaded apron and thyroid collar, for all x-rays taken during your pregnancy if the procedure is deemed necessary. Keeping your dentist informed at all times is the best way to proceed.

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Can Oral Health affect Other Health Issues?

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Oral health can no longer be separated from overall health. Unless you are free of dental disease, particularly gum disease – and the other oral health issues that harm overall health – you can never be truly healthy.

Gum Disease

Gum disease can increase the risk and severity of many more serious health problems, including heart disease. Thus, you must be clear about this; the effect of dental disease on overall health is far more serious than its relationship to teeth and gums. In fact, moderate to severe gum disease can;

  • Severely stress the immune system
  • Lower resistance to other infections
  • Increase the severity of diabetes
  • Contribute to respiratory disease
  • Contribute to low preterm birth weights
  • Interfere with proper digestion
  • Actually reduce life expectancy

If gum disease is not acknowledged as an obstacle to achieving overall health, any efforts to treat other existing diseases, improve health, and extend life will not be effective and will fall short of desired goals. Every person who cares about his or her health and every dentist in New Westminster, BC who wants to successfully treat patients must understand this important relationship. The reality is that ‘you cannot be healthy without healthy gums and teeth!’

Other Oral Health Issues that can Harm Overall Health

Along with amalgam fillings and gum disease, there are other oral health issues that can negatively affect systemic health, including:

  1. Infected root canals
  2. Jawbone infections
  3. Non-biocompatible dental materials

The impact of these oral health issues on overall health is determined by the seriousness and duration of each, and how many are present in an individual.

The fact is that is that a large percentage of the population is affected by some, or all of the above oral health problems. For example, an individual could have periodontal disease (the most serious form of gum disease), suffer from chronic mercury poisoning, have an infection from a failed root canal, a jawbone infection, and allergic reaction to dental materials – all present at the same time. Of course, many variables exist, as someone can have advanced gum disease and only have a few amalgam fillings. In that scenario, the effects of gum disease on overall health would be much greater than the effects of mercury. I’m sure you can imagine all of the possibilities that exist – none of them good.

But what is important to consider here is that if you are dealing with any, some, or all of the oral health issues that can damage overall health you should let your New Westminster dentist know about them as he or she may be looking for other causes of your health problems than those related to these oral health issues. That can be frustrating for both you and your dentist. Although there is no way of knowing exactly how much these oral health issues are contributing to your medical problems but that isn’t the point – as there is no doubt they are contributing to them to some degree. If you want to do all you can to improve your oral and overall health it means that you will have to take the necessary steps to work with your dental office in New Westminster, BC to eliminate these oral health problems and repair the damage done by them.

New Westminster Dentist Addresses Tooth Loss

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There are two basic ways to have a tooth removed: You can go to your nearest New Westminster dentist for a careful extraction, or you can take a serious blow to the face. Unfortunately, many people end up going with option number two. They catch a stray elbow during a basketball game, fall face-first on the sidewalk, or — in rare cases — get in a fist fight.

What should I do if I lose a permanent tooth?

A knocked-out (or, in dental speak, “avulsed”) tooth is an emergency. If you don’t get help soon, it will be impossible to salvage the tooth, and the socket can become badly infected. By taking quick action, you can save both the tooth and the socket.

Here’s what you need to do:

  • Find that tooth!
  • Pick it up by the crown, not the fleshy root. If the root looks dirty, give it a quick rinse with a sterile saline solution, milk, or saliva. Don’t scrub it or touch it — you could wind up losing vital tissue.
  • As unappealing as it sounds, try to put the tooth back in its socket. Then hold it in place with gauze or a clean washcloth until you get to a dentist.
  • If the tooth won’t go back in place, put it in a glass of milk or sterile saline solution. Don’t put it in water. (Water doesn’t preserve the tooth as well, which can make it more difficult to reimplant.) You can also carry the tooth tucked between your gum and cheek until you get to the hospital or dentist’s office.
  • Get to a dentist immediately. (And don’t forget to bring the tooth!) If a dentist isn’t available, go to a hospital emergency room.

What if my child knocks out a baby tooth?

Unlike permanent teeth, baby teeth can’t be replaced. If your child knocks out a baby tooth prematurely, don’t waste any time looking for it. Instead, comfort your child and help her rinse her mouth out with cold water. Then call a pediatric dentist right away. The dentist won’t be able to save the tooth, but he can give your child pain relievers to make her feel better, and antibiotics to prevent an infection. Your child may also need a spacer, a device that keeps the other teeth from crowding into the newly formed gap. This gives future permanent teeth room to grow.

If my tooth isn’t knocked out but just loosened, should I still see a dentist?

It’s a good idea. Even if the accident left you with only a loose tooth, a dentist’s attention can help reduce the risk that the tooth will die or fall out later.

How can I keep my teeth where they belong?

Sports injuries are a leading cause of knocked-out teeth. If you or your child play any sport with a risk of falls or blows to the face, helmets, face masks, and mouth guards should be standard equipment. According to the American Academy of Pediatric Dentistry, that list includes football, basketball, baseball, soccer, hockey, skateboarding, gymnastics, and martial arts. If store-bought mouthguards aren’t comfortable, you can get a customized one from your dentist.

The Unseen Effects of Tooth Loss

The most obvious effect of missing teeth is aesthetic. The way you look affects the way you feel, and the psychological and social consequences of tooth loss can also be profound, as we shall see. But it’s not just about unsightly gaps; there’s something less apparent going on in the area of a lost tooth that can affect function, health, facial aesthetics — just about everything.

Believe it or not, in the beginning, and at the end — it’s not so much about teeth as it is about bone, which needs stimulation to maintain its form and density. In the case of alveolar (sac-like) bone which surrounds and supports teeth, the necessary stimulation comes from the teeth themselves. Teeth make hundreds of fleeting contacts with each other throughout the day. These small stresses are transmitted through the periodontal ligament (“peri” – around; “odont” – tooth) that suspends each tooth in its socket, prompting the bone to remodel and rebuild continually.

When a tooth is lost, the lack of stimulation causes loss of alveolar bone — its external width, then height, and ultimately bone volume. There is a 25% decrease in width of bone during the first year after tooth loss and an overall 4 millimeters decrease in height over the next few years.

As bone loses width, it loses height, then width and height again, and gum tissue also gradually decreases. Ability to chew and to speak can be impaired. The more teeth lost, the more function is lost. This leads to some particularly serious aesthetic and functional problems, particularly in completely edentulous (toothless) people.

And it doesn’t stop there. After alveolar bone is lost, the bone beneath it, basal bone — the jawbone proper — also begins to resorb (melt away). The distance from nose to chin decreases and with it, the lower third of the face partially collapses. The chin rotates forward and upward, and the cheeks, having lost tooth support, become hollow. Extreme loss of bone can also make an individual more prone to jaw fractures as its volume depletes more and more.

So-called bite collapse can occur when only some of the back teeth, which support the height (vertical dimension) of the face, are missing. This can cause the front teeth to be squashed or pushed forward. They were not designed to support facial height or to chew food — only to hold and incise or tear it. Toothless people appear unhappy when their mouths are at rest because their lips, too, have sagged; unsupported by teeth and gum tissues they just cave in. Without teeth present, the tongue spreads into the space and the face collapses. The same is true of self-confidence.

The First Teeth To Go

In Canada, 70% of the population is missing at least one tooth, usually a back tooth. The first, or “6-year molars” are the first permanent (adult) teeth to erupt into the mouth and, unfortunately, are often the first teeth to be lost — as a result of decay, failed endodontic (root canal) therapy or fracture. In addition, they often have one or more crowns, which are still susceptible to recurrent decay. Longevity reports for crowns vary widely. The mean life span at failure of a crown has been reported as 10.3 years. Other reports range from a 3% failure rate at 23 years to a 20% failure rate at 30 years. Ultimately heavily restored and root canal treated teeth fail to recurrent decay, infection, structural failure or fracture. These teeth are at risk for extraction as a result of these complications, which are the leading causes of single posterior (back) tooth loss in adults.

Up until now, the most common — but not necessarily the best — option for replacing a single back tooth has been a three-unit fixed partial denture (FPD), also called a fixed bridge. In this case, the two teeth on either side of the gap, known as abutment teeth, are crowned and the two crowns together support a “pontic” — a false tooth in the middle (from the French word for bridge). This type of prosthesis (false replacement) can be fabricated within one to two weeks and provides normal shape, function (eating, talking and smiling), comfort, aesthetics and health. Because of these benefits, FPDs have been the treatment of choice for the last six decades. Every dentist is familiar with how and when to use them; they are widely accepted by the profession, the public, and dental insurance companies.

FPDs are not invariably successful over time. If not well maintained, the pontics can act as reservoirs for bacterial biofilm and the abutment teeth can decay. As a result, the supporting abutment teeth are susceptible to structural failure from decay, failed endodontic therapy and/or fracture, increasing their risk of loss.

The abutment teeth of FPDs may be lost at rates as high as 30% within 14 years. Such unfavorable outcomes of FPD failure include the need to replace them and the loss of an abutment tooth or teeth.

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Top 10 Dental Questions You Should Ask

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From a very early age, you’re encouraged to ask questions – to parents, in school and especially in the dentist’s office. But when in medical environments, asking dental questions is an important part of your long-term healthcare. Here are 10 you should ask.

1. How Can I Improve the Whiteness of My Teeth?

A beautiful smile showing clean, white teeth give a tremendous boost to your confidence. Most people experience some discolouration of teeth over the years, either from surface or extrinsic stains or internal ones. Treat stains caused by coffee, wine, tobacco and pigmented foods with at-home whitening or have a professional, in-office whitening done regularly. For intrinsic discolouration, consider composite bonding or the application of veneers to the affected teeth, which provides a more permanent solution.

Professional, in-office teeth whitening is the most popular cosmetic dental procedure in the world today. Unlike home-use systems that incorporate low-dose bleaching agents, in-office whitening takes place under carefully monitored conditions which allow for the safe, controlled, pain-free use of a relatively high concentration of bleaching gel – yielding results that are visible immediately.

2. How Often Should I Get a Dental Checkup?

Dental health varies from person to person, but the Canadian Dental Association (CDA) recommends adult patients visit a dentist twice a year even if their mouth is in excellent condition. This enables you to get your teeth cleaned professionally on a regular basis and ensure that any potential problems are identified early.

Having to visit the dentist every six months may not be the appointment that everyone looks forward to, but it is one of the most important ones to keep. If you have found yourself wondering what the point of having regular dental checkups and cleanings really is, we’ve got something for you to think about.

If you are considering skipping a dental checkup because of cost or another factor like time or dental anxiety, make sure to consider all the risks. What you might end up paying in the long run for not visiting your dentist will likely be much higher, both for your wallet and your peace of mind.

3. What Are the Best Ways to Practice Good Oral Hygiene at Home?

It’s vital that all adults engage in daily brushing and flossing, but to take your oral hygiene to the next level, follow a handful of particular steps to good dental health. These include:

  • Using products that contain fluoride.
  • Limiting snacks that are high in sugar.
  • Eating a balanced diet of fruits and vegetables.
  • Avoiding tobacco in any form.

4. Why Should I Have Dental X-Rays Taken?

Your dentist takes a full set of dental X-rays early into the doctor-patient relationship. This helps to examine and record your mouth’s hidden areas for issues that need comparing against changes that occur between appointments. Most adult patients have bitewing X-rays every year and a full mouth series every four to five years. But those with a higher risk for dental caries problems may need them every six to 18 months.

Dental x-rays are a common diagnostic procedure that is considered extremely safe. Digital dental x-rays have very low doses of radiation, producing just a fraction of what you are exposed to in other imaging procedures. If you’re worried about whether you need dental x-rays, or wondering if you should forego this procedure due to other medical conditions, it’s helpful to dive a little deeper into what dental x-rays involve, why they’re performed, and how they’re best handled.

When these x-rays are performed properly with adequate safety precautions in place, there’s very little cause for concern. A routine examination with four bitewing x-rays exposes you to roughly the same amount of radiation you will experience during one to two hours on an airplane.

5. How Do I Prevent Tooth Decay, Gingivitis and Other Problems?

The best way to ensure a healthy mouth is to follow a balanced diet and visit the dentist regularly – while maintaining your oral care routine twice a day. Conditions such as diabetes or HIV/AIDS can also affect your dental health, as well as medications and certain types of chemotherapy. Protect yourself against problems that can advance quickly by discussing these dental questions with your practitioner.

  1. Brush your teeth twice a day: You should brush your teeth each morning and night, no exceptions. Teeth brushing is vital to prevent excessive plaque build-up that leads to cavities and periodontal disease. Use a manual or electric brush with soft bristles to gently brush the outer surfaces of your upper and lower arches, the inside surfaces of teeth, and the top chewing surfaces of teeth. Use up and down motions and take your time to carefully reach all areas.

  2. Use anti-bacterial mouthwash: The sugars and starches in your foods and beverages react with the bacteria in your saliva to form an acid that erodes your tooth enamel. Anti-bacterial mouthwash helps manage the bacteria levels in your mouth.

  3. Floss your teeth daily: Flossing is an effective way to prevent tooth decay and gum disease.Teeth brushing only does so much to clean your teeth. Flossing is essential to clean the small crevices, spaces between teeth and the gum line of food particles that lead to cavities and gum inflammation.

  4. Strengthen your enamel with fluoride products: Tooth enamel is your tooth’s natural defense, an outer protective layer. When the enamel wears away, your tooth becomes susceptible to cavities. Fluoride products like fluoridated water, fluoride treatment or fluoride toothpaste help prevent cavities.

6. What Is Tooth Sensitivity and Why Do I Have It?

Patients with tooth sensitivity feel pain when they consume items that are hot or cold, sweet or acidic. This comes from thinned tooth enamel, which doesn’t protect the tooth pulp or dentin from exposure to extreme temperatures. In some patients, this may be a result of:

  • Receding gums
  • Tooth grinding during sleep
  • Chipped or fractured teeth
  • Tooth whitening
  • Orthodontics and fillings

Your dentist will examine the affected teeth and recommend treatment to reduce your sensitivity.

7. Why Should I Consider Dental Implants?

Dental implants are the ideal way to replace missing or weakened teeth. Most adult patients are good candidates for implants because they can help to prevent the remaining teeth from moving or loosening as a result. Implants are permanent and serve as a good alternative to dentures for anyone with an otherwise healthy mouth and jaw.

A dental implant is an artificial root made of titanium metal. It is inserted into the jawbone to replace the root of the natural tooth. An artificial replacement tooth is attached to the implant. The implant acts as an anchor to hold the replacement tooth in place.

8. Should I Use Mouthwash Regularly?

Cosmetic mouthwashes are aimed at freshening breath and maintaining a healthy color, but they contain fluoride to help fight cavities as well. Therapeutic rinses can also treat conditions such as gingivitis, tooth sensitivity and inflammation caused by chemotherapy. For more advanced conditions, prescription mouthwashes often contain chlorhexidine gluconate to kill bacteria that cause bleeding, inflammation and the formation of plaque.

Mouthwash is not recommended for children younger than 6 years of age.  Swallowing reflexes may not be well developed in children this young, and they may swallow large amounts of the mouthwash, which can trigger adverse events—like nausea, vomiting, and intoxication (due to the alcohol content in some rinses). Check the product label for specific precautions and age recommendations.

9. At What Age Should My Child First See a Dentist?

Studies show children can develop their first cavities by two years old, so the Canadian Academy of Pediatric Dentistry recommends booking the first visit once their first tooth erupts – or, at the latest, their first birthday. This helps your dentist catch potential problems that can affect the child’s overall health and well-being as more teeth erupt over time.

10. When Do Their Baby Teeth Typically Fall Out?

Most children begin losing their baby teeth between the ages of six and eight, and they typically fall out in roughly the same order in which they erupted. Keep in mind that all patients are different. Children’s and adult’s oral condition depends on how long they’ve gone without an appointment, how long your kids’ baby teeth last and even some things to which you are naturally more sensitive. With these questions queued up, you’ll never be in doubt as to the state of your mouth’s health.