Important Information

Before Your Visit
What To Do After A Procedure
How To Keep Your Teeth Healthy
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Dental Terms and Procedures

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(989) 872-3870

6240 Hill Street
Cass City, MI 48726

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Copyright © 2003
James D. Thomas, DDS, PC
All Rights Reserved

Have you ever wondered what a dental procedure entails or a term means? Quite frequently in other dental practices, patients undergo procedures without fully knowing what's happening to them. We strive to avoid that by discussing the procedure with you first, ensuring that you completely understand and agree to it. In fact, we're providing this informative section to you to help you understand the terms and procedures we use in our office.


Bleaching
Bleaching lightens stains or discoloration and can be performed on living teeth or teeth that have undergone root canal treatment.


Bonding
Bonding restores chipped, cracked, miscolored or misaligned teeth by rebuilding the surface with a plastic or porcelain material.


Bridges
One or more replacement teeth anchored by one or more crowns on each side. Bridges are cemented into position and become permanent.


Calculus
Plaque which is not removed by regular brushing and flossing can harden into unsightly calculus (also called tartar). This crusty deposit creates a cohesive bond that can only be removed by a dentist. Calculus formation may also make it more difficult for you to remove new plaque and bacteria. The prevention of calculus buildup above the gumline has not been shown to have a therapeutic effect on gum disease.

You can help reduce the formation of calculus by:
• Brushing with an ADA-accepted tartar/calculus control toothpaste.
• Having your teeth cleaned professionally every six months, or more frequently as recommended by your dentist or hygienist.


Crowns
When a tooth is fractured, has a large, old filling, or is severely damaged by decay, your dentist may recommend the placement of a crown. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile. Types of crowns include the full porcelain crown, the porcelain-fused-to-metal crown, and the all-metal crown.


Implants
Dental implants can be an effective method to replace one tooth or several teeth. Each implant consists of a metal anchor that is insserted into the jawbone, and a protruding post, which is outfitted with an artificial tooth. Implants can also support a bridge, replace a partial denture or secure a fixed denture. The process requires surgery and may take up to a year to complete.


Inlays and Onlays
Tooth-colored restorations that are used on the chewing surfaces of the back teeth. They can be placed instead of silver fillings or to replace existing silver fillings.


Oral Irrigation
Directing anti-microbial (anti-plaque) liquid below the gumline to flush out and kill germs to allow the regeneration of healthy tissue.


Orthodontics
Orthodontics correct crowded teeth, misaligned teeth, and bite problems in children and adults.


Periodontal Disease
"Periodontal" comes from two Greek words that mean "around the tooth." Healthy gum tissue and bone form the supporting foundation of each tooth. Periodontal diseases are caused by bacterial infections that attack gums, ligaments, and bone. Although the body has some natural defenses that resist bacterial attacks, these may not fully protect gum and bone tissues from inflammation and infection.

There are several kinds of periodontal disease. Often painless, these diseases may develop slowly or progress quite rapidly, and they can occur at any age. Unless you have regular dental checkups, includinga periodontal exam, you may not be aware you have a problem until your gums and bone have been seriously damaged.

Types of Periodontal Diseases
Gingivitis: mild and often reversible, gingivitis makes gums red, tender, swollen, and likely to bleed easily. It can usually be eliminated by daily brushing, cleaning between teeth, and regular dental cleanings and checkups.
Periodontitis: Much more destructive and serious, this desease destroys the tissues that anchor teeth into bone. The gums detach from the teeth and form pockets. Exposed tooth roots become susceptible to decay and sensitive to cold and touch. The tooth may eventually become loose in its socket and fall out or require extraction.

Warning Signs
• Gums that bleed easily.
• Red, swollen or tender gums.
• Gums that have pulled away from the teeth.
• Pus between the teeth and gums when the gums are pressed.
• Persistent bad breath or bad taste.
• Permanent teeth that are loose or separating.
• Any change in the way your teeth fit together when you bite.
• Any changes in the fit of partial dentures.


Plaque
A sticky, colorless deposit of bacteria that is constantly forming on teeth. Saliva, food, and fluids combine to produce these deposits that collect on teeth and where teeth and gums meet.

Plaque buildup is the primary factor in periodontal (gum) disease. Fighting plaque is a life-long component of oral care. It begins forming on teeth 4 to 12 hours after brushing which is why it is so important to brush at least twice a day and floss daily.


Root Planing
Smoothing rough root surfaces so the gum can heal. Local anesthesia may be used.


Scaling
Cleaning the teeth to remove deposits above and below the gumline.


Sensitive Teeth
In healthy teeth, porous tissue called dentin is protected by your gums and your teeth's hard enamel shell. Microscopic holes in the dentin, called tubules, connect back to the nerve triggering pain when irritated by certain foods and beverages. Dentin can be exposed by:
• Receding gums caused
by improper brushing
or gum disease.
• Fractured or chipped teeth.
• Clenching or grinding your teeth.

Treatment
Depending on the diagnosis, your dentist may recommend one or more of the following treatments to relieve the symptoms of sensitive teeth:
• A soft-bristle toothbrush to protect gums.
• A special toothpaste for sensitive teeth that can either block access
to the nerve or insulate the nerve itself.
• A flouride rinse or gel for sensitive teeth, prescribed by your dentist.


Tartar
See Plaque


Veneers (Porcelain Laminate)
Porcelain laminate veneers bond custom-made tooth-shaped shells to correct or camouflage discoloration, damage, or misalignment.


Wisdom Teeth
Wisdom teeth, or third molars, are the final teeth to develop. Most of us have four wisdom teeth, one in each corner of the mouth. They usually emerge during our late teens or early twenties.

Often times, wisdom teeth become trapped, or impacted, in the jawbone and cause crowding, displacement, decay, infection, or gum disease. Impacted wisdom teeth can grow in many different directions — horizontally, vertically, or at an angle. In most cases, it is recommended that impacted wisdom teeth be extracted.