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Frequently Asked Questions

A friend of mine recently had some crowns done on his front teeth. When he smiles they are dark at the gums. Is this going to happen to me?

It will depend on what your new dental crowns are made of. Your friend's crowns are probably made of porcelain fused to metal, which does not allow light to travel through, and thus, creates the darkness at the gum. Crowns made of all porcelain allow light to pass through the crown to the tooth below and illuminate the tooth, thus avoiding the darkness you have concerns about.

I know that there are different ways to bleach my teeth. Which is the best for me?

You are right, there are several ways to go about getting that bright, white smile you are looking for. The least effective whitening method is the strips you can get at your local pharmacy. They are difficult to keep tightly adhered to your teeth, but that is not to say they don't work at all.

We offer two different teeth whitening methods at our office, which are take-home whitening kits and in-house whitening The most predictable method for the best result is the take-home kit which includes custom-made trays that fit accurately to teeth. The results we have been seeing from in-house whitening are fantastic. In-House whitening is a two-step procedure with immediate results. I highly recommend this method to my patients, and we can even make custom trays for those who opt for this type of whitening. These trays allow our patients to be able to periodically enhance and maintain their whitening at home.

My jaw pops when I yawn. Do I have "TMJ"?

A popping sound can be a sign of a temporomandibular joint dysfunction (TMJ), but it is only one of many symptoms that could indicate that you are experiencing TMJ.

Many people with TMJ also relate that they hear sand paper or rice crispies-like sounds. Additionally, having great difficulty opening your mouth to its fullest extent is another possible symptom of TMJ. Unfortunately, most people do not seek treatment until there is pain associated with the abnormal joint sound.

It is possible that the popping can worsen over time. You should be examined to have an appropriate diagnosis to prevent further damage to your temporomandibular joints.

I have to have a tooth extracted. Can I get an implant to replace the missing tooth?

The answer is yes, in all likelihood. You should be able to have an implant placed to replace your extracted tooth. Some questions to ask Dr. Kenneth A. Mogell include when to place the implant, do you have enough bone to support the implant, and how will the dental implant be restored. It is rare that an implant cannot be utilized to replace missing teeth. Implants are the best means that dentistry has today for replacing lost teeth.

Do I really have to floss daily?

Yes, next to brushing, flossing is the most important thing that you can do to ensure good oral health. By brushing and flossing we eliminate the bacteria that leads to bad breath, gingivitis, and periodontal disease.

Which is the best toothbrush to use?

It does not matter which brand of toothbrush you use as long as you brush properly twice a day and floss once a day. However, it is recommended that you use a soft bristle toothbrush and that you replace it every 3 months.

What is fluoride and why is it so important?

Fluoride is a natural mineral that safely strengthens teeth. Both adults and children benefit from fluoride when used daily. Fluoride has been proven to strengthen tooth enamel, which reduces dental cavities as well as slow down the growth of bacteria in the mouth.

What is the difference between the fluoride in my toothpaste and the prescription fluoride that I receive at the dental office?

Fluoride that is found in over the counter toothpastes contains only 0.243% fluoride and is usually rinsed out after brushing. Prescription fluoride contains 1.1% fluoride and the directions recommend that you wait 30 min before rinsing, eating, or drinking. Patients with multiple restorations, exposed root surfaces, or with dry mouth are especially at risk for increased decay. A prescription toothpaste with high fluoride content is most helpful for these patients.

What is periodontal disease?

Periodontal (gum) disease is a chronic infection of the gums which is characterized by a loss of attachment between the tooth and the jawbone. It is the leading cause of tooth loss among adults in the United States.

What is periodontal therapy or scaling and root planing?

Scaling and root planing and periodontal therapy are the most common and conservative forms of treatment for periodontal disease. Scaling is the removal of calculus (commonly called tartar) and plaque that attach to the tooth surfaces. The process especially targets the area below the gum line, along the root. Plaque is more likely to stick to rough surfaces. For this reason, the root surface is smoothed down in a process called root planing. Root planing removes any remaining calculus and smooths irregular areas of the root surface. For most adults, it may take several appointments to complete a full mouth treatment.

What is ARESTIN®?

ARESTIN® is an effective antibiotic treatment that comes in powder form. This powder is easily placed inside infected periodontal pockets just after the dental professional finishes the scaling and root planing (SRP) or periodontal therapy procedure.

How does ARESTIN® work?

ARESTIN® contains "microspheres", which are tiny, bead-like particles that are smaller than grains of sand and are not visible to the naked eye. The Microspheres are filled with the antibiotic Minocycline, and they release the drug over time into the infected periodontal pocket, killing bacteria that live there for up to 21 days.

How often should adults get their teeth professionally cleaned?

It is recommended that most adults should get a professional cleaning every 3 to 4 months in order to prevent and or maintain periodontal disease.