Choosing a dentist who “clicks” with you and your family is important, and you may wish to consider several dentists before making your final decision. During your first visit, you should be able to determine if the dentist is right for you. During your appointment, consider the following:

• Is the appointment schedule convenient?
• Is the office easy to get to and close by?
• Does the office appear to be clean and orderly?
• Was your medical and dental history recorded and placed in a permanent file?
• Does the dentist explain techniques for good oral health?
• Is information about cost presented to you before treatment is scheduled?
  Is your dentist a member of the ADA (American Dental Association)?

• ALWAYS remember to brush your teeth at least three times a day after meals, and floss at least once!
• Make sure to use toothpaste that contains fluoride, and ask your dentist if you need a fluoride rinse. This will help prevent cavities.
• Avoid foods with a lot of sugar, including most sodas, energy drinks, and juices (sugar increases the amount of bacteria that grows in your mouth causing more plaque and possibly cavities)
• Avoid tobacco (this can stain your teeth, cause gum disease, and eventually lead to oral cancer)
• Don’t be afraid to brush your tongue! By brushing your tongue, you will remove food particles and reduce the amount of plaque-causing bacteria. Tongue brushing also helps keep your breath fresh.
• Be sure to schedule your routine checkup. It is recommended that you visit the dentist at least every six months.

The American Academy of Pediatric Dentistry (AAPD) recommends that children first see a dentist as early as six-months-old and no later than one-year-old. During this time, your child’s baby teeth will be coming in, and your dentist can examine the health of your child’s first few teeth. After the first visit, be sure and schedule regular checkups every six months.

Children, teens, and adults should all see the dentist for a regular checkup at least once every six months. Patients who are at a greater risk for oral cancer or gum disease may be required to see the dentist more than just twice a year. You doctor will help determine how often you should visit the dentist for regular checkups.

A cavity is a small hole that forms inside the tooth and is caused by tooth decay. Cavities are formed when plaque and tartar build-up on the outside of the tooth combines with sugars and starches in the food you eat. This can produce an acid that can eat away the enamel on your tooth. If a cavity is left untreated, it can lead to more serious oral health problems. Cavities can be prevented by remembering to brush your teeth with an electric toothbrush at least three times a day and floss at least once.

A filling is a synthetic material that Dr. Whitmer uses to fill a cavity after all of the tooth decay has been removed. Fillings do not generally hurt because she will gently numb your mouth with an anesthetic. Fillings are made from a variety of different materials, including composites (tooth colored), silver (amalgam), gold, or ceramic. If you need a filling, be sure and talk to Dr. Whitmer about what type is best for you and your teeth.

Over the years there has been some concern as to the safety of amalgam (silver) fillings. An amalgam is a blend of copper, silver, tin and zinc, bound by elemental mercury. Dentists have used this blended metal to fill teeth for more than 100 years. The controversy is due to claims that the exposure to the vapor and minute particles from the mercury can cause a variety of health problems.
According to the American Dental Association (ADA), up to 76% of dentists use silver containing mercury to fill teeth. The ADA also states that silver fillings are safe and that studies have failed to find any link between silver containing mercury and any medical disorder.

The general consensus is that amalgam (silver) fillings are safe. Along with the ADA’s position, the Center for Disease Control (CDC), the World Health Organization, the FDA, and others support the use of silver fillings as safe, durable, and cost effective. The U.S. Public Health Service says that the only reason not to use silver fillings is when a patient has an allergy to any component of this type of filling. The ADA has had fewer than 100 reported incidents of an allergy to components of silver fillings, and this is out of countless millions of silver fillings over the decades.

Although studies indicate that there are no measurable health risks to patients who have silver fillings, we do know that mercury is a toxic material when we are exposed at high, unsafe levels. For instance, we have been warned to limit the consumption of certain types of fish that carry high levels of mercury in them. However, with respect to amalgam fillings, the ADA maintains that when the mercury combines with the other components of the filling, it becomes an inactive substance that is safe.

There are many options other than silver fillings, including composite (tooth-colored), porcelain, and gold fillings. We encourage you to discuss these options with Dr. Whitmer so you can determine which is the best option for you.

Also known as periodontal disease, gum disease is mostly caused by plaque and bacteria buildup that is not treated in its early stage. Other causes of periodontal disease include tobacco use, teeth grinding, some medications, and genetics. It is usually painless and symptomless until it develops into late stages that are much more difficult to treat. Gingivitis is the beginning stage of gum disease, and, if detected, is treatable. Gingivitis left untreated may turn into gum disease. Advanced gum disease will lead to tooth and bone loss, and is a permanent condition. Brushing your teeth regularly, and visiting the dentist every six months will help prevent gingivitis and more severe cases of periodontal disease. Common signs of gum disease:

• Red, irritated, bleeding, or swollen gums
• Chronic bad breath
• Loose teeth, or loss of teeth
• Extreme tooth sensitivity
• Receding gum line
• Abscessed teeth

If you have a broken tooth, see Dr. Whitmer as soon as possible. She can figure out how extensive the break is, present options to repair it (if possible), and determine if the tooth’s nerve is in danger.

There are several types of tooth fractures and breaks, each of which requires different treatments. These include:

• Minor cracks — Also called “craze lines,” these are surface cracks that affect only the outer white surface of the tooth, called the enamel. Minor cracks rarely need treatment. However, your dentist may lightly polish the area to smooth out any rough spots.
• Cracked tooth — This type of fracture involves the whole tooth, from the chewing surface all the way down to the nerve. The pieces remain in place, but the crack gradually spreads. Cracks can sometimes be repaired with filling material. The tooth often will need a crown to prevent the crack from getting worse. If the nerve and other live tissues are damaged, you may need a root canal as well.
• Chips — Minor chips don’t always need treatment. Your dentist may suggest repairing the damage with filling material to prevent it from getting worse or to make the tooth look and feel better. If the chip is very small, the dentist may polish and smooth out the chipped area.
• Broken cusp — These breaks affect the pointed chewing surfaces (the cusps) of the teeth. They usually do not affect the pulp and are unlikely to cause much pain. Your dentist may repair the damage to restore the tooth’s shape. Frequently, however, an onlay or crown will be required.
• Serious breaks — These breaks go deep enough to expose the nerve. They almost always cause the tooth to hurt and be sensitive. Usually, the broken part of the tooth will bleed. You will need root canal treatment to remove the exposed nerve and probably a crown to restore the tooth to normal function so you can eat and chew properly.
• Vertical breaks or split tooth/root — These cracks start in the root of the tooth and extend upward toward the chewing surface. These breaks are often painful because the area around the root may be inflamed or infected. In most cases, the tooth will have to be removed.
• Cavity-induced break — In this case, the tooth has broken or crumbled because a cavity weakened it from the inside out. Your dentist will evaluate the cavity and recommend the best way to restore the tooth. In some cases, if the decay is extensive and goes down to the bone, the tooth may have to be removed.

According to your dentist and the American Dental Association, you should be brushing your teeth at least two times a day. Brushing keeps your teeth, gums, and mouth clean and healthy by removing bacteria-causing plaque. It is also recommended that when you brush your teeth, you use a soft bristle toothbrush and toothpaste that contains fluoride. You should spend at least a minute on the top teeth and a minute on the bottom teeth, and remember to brush your tongue; it will help keep your breath smelling fresh!

Your toothbrush will eventually wear out, especially if you are brushing your teeth twice a day for two to three minutes each time. Your dentist recommends that adults and children should change their toothbrush every three months. If you are using an electric toothbrush, be sure to read the directions, because you may not need to change toothbrush heads as frequently. Patients with gum disease are encouraged to change their toothbrush every four to six weeks in order to keep any bacteria from spreading. After brushing, rinse your toothbrush with hot water to kill germs and keep the bristles clean. If you’ve been sick, be sure to change your toothbrush as soon as possible.

Yes! In fact, it’s even more important that patients receiving orthodontic treatment visit their dentist regularly. With braces, food may be caught in places that your toothbrush can’t reach. This causes bacteria to build up and can lead to cavities, gingivitis, and gum disease. Your dentist will work closely with your orthodontist to make sure your teeth stay clean and healthy while wearing braces.

Simply call our practice! Our front desk staff will be happy to help schedule your next dental checkup at your convenience. If you are a new patient, please let us know, and we will provide you with all the information you need for your first dental visit.