Grand Rapids Dental Care
220 SE 21st Street
Grand Rapids, MN 55744
Phone: 218-326-3438
Fax: 218-327-1475
Email:  smile@grdental.com

Questions & Answers

Grand Rapids Dental Care is dedicated to the goal of providing professional dental care for your entire family.  To accomplish that we believe that we must involve our patients in their own dental treatment plans.  A well-informed patient is better able to ask questions and participate in treatment decisions.  For that reason we have put together a list of commonly asked questions and their answers.  The information presented is meant to be generally informative and should not be used for self-diagnosis.  Click on each question on the left to see its answer....

Why See A Dentist Regularly?

As the saying goes...An ounce of prevention is worth a pound of cure! Your general dentist is the first line of defense against many serious but common oral ailments including tooth decay, periodontitis, gingivitis and oral cancer. Regular visits to the dentist to receive examinations, x-rays and dental cleanings will ensure that you have a beautiful, healthy smile for a lifetime.

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What is Gingivitis?

Gingivitis is the most common periodontal disease. It is an infection of the gums caused by bacteria that form plaque. In small amounts (when it is newly formed) plaque is invisible.  When left to accumulate, plaque increases in volume and the proportion of harmful bacteria grows.  These bacteria release toxins that result in inflammation of the gum tissue.  If not properly treated, gingivitis may progress to periodontitis, a periodontal disease in which there is loss of the bone that supports the teeth.

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What Is Periodontitis?

Periodontitis is a periodontal disease in which there is loss of the bone that supports the teeth.  Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed.  Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.  Early detection and adequate diagnosis require measurement of pockets (the crevice between the tooth and gum) with a periodontal probe. While treatment for periodontal disease is available, the damage caused as the disease progresses is irreversible.  Early detection and treatment is critical to prevent tooth loss and disfigurement.  Some signs of periodontal disease are: bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, mobility of teeth.

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What Causes Bad Breath?

While bad breath or "Halitosis" might be a symptom of some other disorder, it most often stems from dental decay, gingivitis or periodontitis.  Periodontitis is a disease affecting the gums and bone that support the teeth.  The irritated gums pull away from the teeth forming pockets in which bacteria and pus form and emit a foul odor.  Bad breath is more than an embarrassment - it can be a warning of a more serious problem.

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What is a Crown?

A crown is a cover for a tooth made of porcelain or gold.  It completely covers the portion of the tooth that is exposed to the mouth.

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Why Do I Need A Crown?

Crowns (caps) are recommended for various reasons. Often crowns are needed to restore fractured and/or unattractive teeth.  Teeth are often restored with fillings of silver or composite resin.  However, fillings require that a portion of the natural tooth be healthy and strong enough to hold the filling.  Crowns must be used when damage to the tooth has required the removal of too much tooth structure to hold a filling.  Crowns strengthen and restore the entire top of a tooth and can also be part of the attachment of a fixed bridge for the replacement of teeth.  The tooth is strengthened because it is covered from the outside with a casting of metal or ceramic that will wrap up and splint the tooth.  Chewing with the tooth can be made comfortable because the crown can be reshaped to match more efficiently with the opposing teeth.  Crowns an create a more aesthetically pleasing effect through the use of modern ceramic processes that produce translucency and color more like natural teeth.

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What Is A Crown Made of?

Dental crowns are most often made of porcelain or gold.  Crowns also can be made of stainless steel.  Stainless steel crowns are temporary and not designed for long-term wear.  Porcelain crowns are usually built on a metal base, which fits snugly over the natural tooth and are chosen in a shade that matches the color of your natural teeth.  Crowns can also be made entirely of gold.  Gold crowns are are not subject to fracture and are used where cosmetics are not an issue.  The most cosmetic option currently available is the all ceramic crown.  Because they contain no metal, these crowns are difficult to distinguish from natural teeth.  Grand Rapids Dental Care is committed to helping restore your smile by finding the best and most natural option for you.

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How Do I Care For My Crown?

Once your crown is in place, take care to brush the area well and floss below the gum line.  While the crown protects your remaining tooth from further decay, you must protect the base of the crown from bacterial growth and gum disease.  Care for your crown as you would your natural teeth with regular brushing and flossing.

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When Should I Start Cleaning My Children's Teeth?

You should begin cleaning your children's teeth with a damp washcloth or toothbrush as soon as they begin to erupt.  Tooth brushing is an important job for parents of preschoolers.  Children are usually unable to brush their own teeth well until they reach  8 years of age.  Be sure to check your child's teeth regularly for any chalky white or brown spots which could be the beginning of tooth decay.

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Is My Baby Teething?

With the eruption of the primary baby teeth parents can expect their baby to display increased salivation, restlessness, fretful behavior and an increased tendency to put fingers and hands in his or her mouth.  Other symptoms can include fever and systemic disturbances such as croup or diarrhea.  These symptoms occur with eruption and should be treated as advised by your pediatrician or dentist.

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How Can I Provide Relief From Teething Symptoms?

From the age of six months to three years discomfort from teething can occur periodically and last for several days with each eruption.  You can attempt to alleviate discomfort by offering your baby something clean to bite on such as a teething ring, cool spoon, wet washcloth or toothbrush.  You can also try massaging your baby's gums with your clean finger.

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When Should My Child Start Seeing The Dentist?

Dental problems can begin early so early examination and preventive care will ensure your child's healthy smile and instill good oral care habits.  Your child should visit a dentist for the first time between the ages of 18 and 24 months or sooner if you have concerns.

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What is Baby Bottle Tooth Decay (BBTD)?

Baby Bottle Tooth Decay is a common yet preventable problem. It can result from a baby's teeth being exposed for long periods of time to liquids containing sugar.  Common culprits include breast milk, formula, cow's milk, and juice.  Make sure you never allow your baby to sleep with a baby bottle containing sugary liquid in his or her mouth.  Limiting sweet or sticky snacks can also help prevent BBTD.  Children with healthy teeth can chew food well, speak clearly and share precious smiles.

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How Can I Prevent Tooth Decay in My Children?

Tooth Decay is entirely preventable through parental awareness and the development of good oral hygiene habits.  Make sure you always remove your baby from the breast and/or remove the bottle from his or her mouth when he or she falls asleep.  Hold your baby while bottle feeding and always take a bottle filled with milk or juice away from a sleeping child.  If your child requires a bottle at bedtime provide a bottle filled with water or try comforting your child with a pacifier or a favorite toy or blanket.

Fluoride has been proven to reduce the incidence of tooth decay.  Many municipal water systems supply fluoridated water.  However, if your water supply is not fluoridated or contains less than recommended amounts of fluoride - supplements may be necessary for your children.  If necessary, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age).  Check with your health care provider to make sure your child is getting the right amount of fluoride.

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What About Soft Drink Consumption?

The recent large increase in soft drink consumption in our society has caused a huge increase in tooth decay, especially among young people.  Soft drinks in general have approximately 10 teaspoons of sugar per 12 ounce can.  They also generally are very acidic.  These two factors dissolve tooth enamel very quickly.  The dentition of a young person can go from decay free to hopelessly decayed in a matter of a few years.  It is an unprecedented public health disaster which was acknowledged by the Surgeon General recently.  Because of the marketing efforts of soft drink manufacturers we now have a whole generation of Americans who believe that the only option when thirsty is to reach for a can of pop.  So…Please be aware of this and protect your children and yourself.  If you or someone you know has a problem with soft drink (or sweetened fruit juice) consumption, we can help with information and strategies to getting unhooked from the soft drink addiction. Reach for a glass of water instead!

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How Can I Protect My Athlete's Teeth From Injury?

A mouth guard is worth its weight in gold!  It protects your smile by cushioning blows to the face and neck.  They reduce the possibility of a concussion and protect teeth and soft tissue.  Children and adults alike should make a mouth-guard a mandatory part of their sporting equipment.  A custom-fitted Pro-Form mouth guard is available from Grand Rapids Dental Care and will provide the best protection for teeth, braces and fixed bridges while causing little interference with speaking or breathing.  While ready-made mouth guards can be purchased at sporting goods stores - they are the least effective and least comfortable option.  Never wear removable appliances like retainers when playing sports.

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What Do I Do in the Case of Accidental Tooth Loss?

Proper first aid can save your smile!  If the tooth is loose but still attached to the gums in any way - leave it in place and call Grand Rapids Dental Care immediately; do not remove it.  If the tooth is out of its socket completely but remains in the mouth, it is best to have the person hold it there, if possible, until re-implantation can be attempted.  If the tooth is out of the mouth, do not let it dry out.  Handle it as little as possible and make no attempt to clean or disinfect the tooth or to remove any tissue attached to it.  If it is recovered from the ground or other soiled area, rinse it off in lukewarm water.  Preserve it in milk until it can be examined by a dentist.  If milk is not available, lukewarm water will suffice.  Time out of the socket is critical in the long-term success of re-implantation.  After 30 minutes, the potential for a successful outcome begins to decline.  However, re-implantation is possible even after several hours so an attempt can still be made even if the tooth has been out-of-socket for a long period of time.  Call Grand Rapids Dental Care at 218-326-3438 immediately in the event of an accidental tooth loss.

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Can My Smile Be Whitened?

There are many causes of tooth discoloration; substances like coffee, cola and smoking.  Some medications and ageing can also cause your teeth to stain over time.  The professionals at Grand Rapids Dental Care can determine the source of your discoloration, then recommend the best whitening system for you.  In most cases the results are striking!  Options for whiter teeth include an in-office whitening procedure (Zoom!) as well as an at-home technique to make your smile more beautiful.

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Is Tooth Whitening Right For Me?

Teeth bleaching or whitening to lightens the color of teeth whether darkened by age or stained by coffee, tea or tobacco.  Its brightening effects can last up to five years after the treatment depending on your personal habits.  It has a higher than 90% success rate and bleaching is tough on stains but gentle on teeth.  Results vary depending on the reason for the staining and bleaching will not lighten fillings or artificial materials such as crowns, porcelain veneers, fillings etc.  You may be discouraged from bleaching treatment if you have sensitive teeth, periodontal disease, worn enamel or if you're pregnant or breast-feeding.

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What Whitening Technique is Best For Me?

Zoom! whitening is an in-office procedure which produces quick results.  This is the whitening technique used on the TV show “Extreme Makeover.”   Alternatively, an at-home bleaching systems produce the same results when closely supervised by your dentist.  While at-home bleaching is more economical, results take longer to achieve.  The type of stain and its cause determine the best type of whitening option to be used.  At Grand Rapids Dental Care we work with our patients to determine the best technique to achieve the desired effect.

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How Does The Tooth Whitening Process Work?

Grand Rapids Dental Care begins with a thorough examination of your teeth and gums and then discusses the procedure best suited to your individual needs.  Any problems such as cavities or gum problems must be treated before bleaching can begin.  The in-office method generally takes one to two hours and results in an immediate noticeable change.  The at-home method requires the creation of special molds of your teeth which are used to make custom-fitted flexible trays.  These trays hold the bleaching gel against your teeth.  The at-home method requires adherence to guidelines communicated to you by our dental professionals.

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Is Tooth Whitening Safe?

Research over the last five years has proven bleaching to be both safe and effective.  The American Dental Association has given its approval to a wide range of tooth whitening products.  Generally, sensitivity to hot and cold foods is the only side-effect of treatment and will normally disappear within 48 hours.

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Can My Silver Fillings Be Replaced With Something More Attractive?

Traditionally cavities have been repaired with silver fillings called amalgams.  The amalgam material is used to fill the space where the decayed tooth has been removed.   Unfortunately the amalgam eventually corrodes causing the silver (and oftentimes the tooth) to blacken.  The result is an obvious, unsightly and embarrassing tooth.  To combat the problem new technology has resulted in the advent of composite fillings.  Made of a porcelain-like material, they are an attractive alternative for the problems associated with silver amalgam fillings.  These fillings bond to the tooth for a tight seal and provide a strong and stain-resistant option.  Best of all Grand Rapids Dental care will make them "invisible" by matching the color filling to the natural tooth.  Composite fillings may be more comfortable than their amalgam cousins since they lack the sensitivity often associated with silver fillings and they are well-suited for smaller cavities and/or patients who are allergic to metal fillings.

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How Can Grand Rapids Dental Care Help My Broken Tooth Look Better?

Bonding is a technique involving the placement of a thin plastic coating on the surface of the tooth.  A putty-like material is sculpted and tinted to match the natural tooth.  Application of a high-intensity light causes the plastic to harden allowing it to be smoothed and polished.  Bonding can be used to close gaps, alter crooked teeth and lighten stains through a technique that can be painless but yields dramatic results.

Oftentimes porcelain veneers are used for the same reasons as bonding, however, they are considerably more durable and stain resistant than bonding.  The veneer is a thin piece of porcelain approximately the size of a fingernail. The veneer is bonded to the tooth.  Veneers blend very well with the remaining tooth structure so that it is invisible to the naked-eye. Once in place, it looks, feels, and functions like a regular tooth.

Grand Rapids Dental Care can use bonding and porcelain veneers to change the shape and color of a single tooth or to recreate your entire smile.  Our professionals will be happy to discuss the best option for revamping your smile.

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How Can I Fix a Missing Tooth?

You don't have to live with a lost tooth.  In fact, the gap caused by a missing tooth allows nearby teeth to move from their normal position.  When teeth tip into an empty space they are more susceptible to tooth decay and gum disease.  There is a loss of function as well.  Loss of teeth can result in severe bite problems which can lead to jaw pain and headaches.  The main cause of TMJ problems is loss of support due to missing back teeth.  Grand Rapids Dental Care can fix the bite problems as well as the obvious cosmetic problem through use of a fixed bridge or a dental implant.  Both of these treatments offer a good functional and cosmetic result.

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What is a Dental Implant?

A dental implant replaces the root of a missing tooth with a titanium metal replacement that is surgically implanted in the jawbone. The jaw bone fuses to the implant allowing the implant to be used to anchor crowns, bridges, or dentures. Dental implants are the most natural replacement for a missing tooth.

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What is the Dental Implant Process?

We begin with a thorough evaluation of the patient's medical and dental history as well as a full clinical examination of the mouth and x-rays.  After a comprehensive assessment by the professionals at Grand Rapids Dental Care and with input from the patient, a treatment plan is devised.  Implants are then surgically placed in the jawbone by an Oral Surgeon under local anesthesia.  After adequate healing has taken place the implant can be used to support a crown, bridge, or denture.

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How Many Dental Implants are Used?

This question is best answered after a full assessment has been completed.  Many factors figure into the equation including the quality and quantity of the patient's bone, the existing anatomy of the bone and the financial resources of the patient.  However, a good rule-of-thumb is one implant for each tooth replaced.

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Who Performs the Implant Surgery?

We have a close relationship with several oral surgeons in our area.  Generally the implant is surgically placed by one of these professionals.  Once the implant has healed, Grand Rapids Dental Care provides the restoration of the implant in our office.

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Is There Help for Sleep Apnea?

Sleep apnea is a potentially dangerous disorder in which breathing is interrupted intermittently while you sleep.  Breathing cessation, or apnea, can last from seconds to nearly a minute.  While the symptoms may seem benign: - loud, explosive snoring, morning headaches, daytime sleepiness - the cumulative effect can be devastating.  Sleep apnea is the result of an obstruction of the upper air passages in the mouth and throat.  Successful treatment may include use of an acrylic dental appliance during sleep to keep air passages open.  It's comfortable and easy to use.  If you suffer from loud snoring and/or other apnea symptoms call Grand Rapids Dental Care to schedule an examination today.  A good night's sleep can be your reward!

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Is It Safe to Pierce My Tongue?

Like other forms of body piercing, tongue piercing is risky business.  Serious risks are inherent in the procedure and include: local or systemic infection, allergic reactions, bleeding problems, choking hazards and damage to surrounding teeth.

Because the mouth is hard to sterilize and many piercing establishments do not maintain good sterilization procedures - local infection (infection at the piercing site) is a common occurrence.  Serious systemic infection is also a possibility including the contraction of hepatitis and/or AIDS.  Allergic reactions to the metals used are not uncommon if the materials are not of the highest quality.  Unlike other forms of piercing, the tongue caries an increased risk of bleeding problems since the tongue has many blood vessels.  The jewelry itself can pose a choking hazard if it becomes loosened for any reason.  Finally, tongue piercing carries the risk of damage to the surrounding teeth.  The hard jewelry can chip and break enamel or fillings as one talks and eats.  This damage can result in the death of the tooth's inner pulp if the trauma to the tooth is chronic.  The tooth may become so damaged that it requires expensive crowns or even a root canal to restore a smile.   Stripping of gum tissue and bone with eventual tooth loss is also a possibility.

It is important to remember that piercing establishments are not regulated by law nor are the operators licensed.  The operator's experience and competence can vary and are not guaranteed.  These are important matters to consider before undergoing tongue piercing.  If there is a problem after tongue piercing, it is important not only to contact the piercing establishment, but your physician or dentist as needed.

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How Can I Afford The Dental Care I Need?

Grand Rapids Dental Care is committed to your oral health. For that reason we offer patients financing options designed to take the financial worry over procedure costs out of the equation. Click here for more information.

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Searching for a Grand Rapids Dentist?

Call, stop by, or email us today to schedule an appointment.  Let us help you achieve a lifetime of health, happy smiles!

Grand Rapids Dental Care
220 SE 21st Street
Grand Rapids, MN 55744
Phone: 218-326-3438
Fax: 218-327-1475
Email:  smile@grdental.com

   
 


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