Are silver fillings, fluoride or X-rays a danger to my health? What are the alternatives?

Dental amalgam, or silver filling material, is a mixture of mercury, and an alloy of silver, tin and copper. The release of mercury in silver fillings is so small that it is much less than what patients are exposed to in food, air and water. There are, however, other materials that can be used for restorations. These include gold, porcelain, and composite resins.

Fluoride is a compound of the element fluorine, which is found universally throughout nature in water, soil, air and in most foods. Fluoride is absorbed easily into the tooth enamel, especially in children's growing teeth. Once teeth are developed, fluoride makes the entire tooth structure more resistant to decay and promotes remineralization, which aids in repairing early decay before the damage is visible.

Radiographs, or x-rays, help your dentist determine the presence or degree of periodontal disease, abscesses, and many abnormal growths such as cysts and tumors. They can help pinpoint the location of cavities and other signs of disease that may not be possible to detect through a visual examination. All health care providers are sensitive to patients' concerns about exposure to radiation. Your dentist has been trained to prescribe radiographs when they are appropriate and to tailor the radiograph schedule to your individual needs. By using state-of-the-art technology, such as digital radiography, and by staying knowledgeable about recent advances, your dentist knows which techniques, procedures and X-ray films can minimize your exposure to radiation.

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Are there any alternatives to dentures?

Dentures are no longer the only way to restore a mouth that has little or no non-restorable teeth. Strategically placed support, or implants, can now be used to support permanently cemented bridges, eliminating the need for a denture. The cost tends to be greater, but the implants and bridges more closely resemble the "feel" of real teeth. Dental implants are becoming the alternative of choice to dentures, but not everyone is a candidate for implants. Call your dentist for advice.

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At what age are my children supposed to see a dentist?

The general rule is between 18 and 24 months. Some children require a bit more time to be comfortable. If an area of concern is noticed, then the child should see a dentist as soon as possible.

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Do over-the-counter bleaching products work?

There is some evidence that over-the-counter bleaching products do whiten teeth, however, many of the products are too abrasive and can damage the teeth with extended use or misuse. Supervision by your dentist is always the safest and most effective way to whiten your teeth.

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Do water irrigation systems replace the need for flossing?

Water irrigation systems should not be used as a substitute for brushing and flossing. These devices are effective in removing retained food from hard to reach areas, but do not remove plaque. Dentists frequently recommend these devices with the addition of antibacterial solutions to maintain the oral health of periodontal patients.

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Does teeth whitening damage the teeth?

No. When carbamide peroxide, the active whitening agent, contacts water, hydrogen peroxide is released which whitens the teeth. Bleaching does not soften, demineralize or weaken the teeth.

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How can I stop grinding my teeth at night?

Grinding your teeth can be very damaging to the teeth and also difficult to stop. If vigorous grinding occurs at night, teeth can be worn down to the gumline because the instinctive reflex to stop does not work while you are sleeping. Grinding due to stress can only be cured by removing the stress trigger. If grinding continues, a nightguard may be prescribed to prevent ultimate damage to the teeth.

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How often should I see my dentist?

You should visit your dentist at least every six months or more frequently to get your teeth cleaned. By seeing your dentist twice a year, your dentist can monitor your oral health and help you prevent any problems that may arise before they became uncomfortable or require more comprehensive or expensive treatment. The dentist may suggest more frequent visits, depending on the diagnosis.

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My gums bleed when I brush. What does it mean?

Bleeding gums is an early indicator of gingivitis, or swollen gums,usually caused by plaque and/or calculus accumulated under the gumline. If left untreated, gingivitis can lead to bone loss and eventual tooth loss. Gingivitis can be reversed by proper brushing and flossing within a few weeks. If bleeding persists two to three weeks, consult your dentist.

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Should my child wear a mouthguard while playing sports?

It is strongly recommended that children wear a mouthguard while playing any contact sport. It is always better to prevent an injury than to repair one. The earlier a child begins to wear the mouthguard, the easier it is to become comfortable and continue to wear it as they get older.

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