06 Jun
Cavity Fillings, Dental Sealants, Pediatric Dentistry, Wadesboro Family Dentist

Everything You Need to Know About Dental Sealants from a Family Dentist in Wadesboro

What is a sealant?  

A sealant is a tooth-colored resin material that is placed on chewing surfaces of teeth to help them stay cavity-free.

Why do teeth need sealants?

Molar and premolar teeth often have very deep pits and fissures.  While bacteria can easily enters these groves, toothbrush bristles are often too large and therefore ineffective.  As a result, these areas become the perfect breeding ground for bacteria to multiply which can lead to dental decay. A sealant does just what its name suggests…it seals off the grooves so that bacteria can’t enter.  After a sealant is placed these areas can no longer harbor bacteria and your tooth brushing once again becomes effective.

What teeth need sealants? 

Any teeth that have deep groves or pits can benefit from sealants.  These are most often found on molar and premolar (teeth right in front of the molars) permanent teeth, but varies from one individual to another.  One person might benefit from sealants on all molars and premolars (16 teeth), while another may only need their molars (8 teeth) sealed.

Once a tooth has a dental filling in it, it no longer benefits from a sealant.

People often think that only children benefit from sealants.  That is because sealants are typically placed on a child’s molars when they first erupt.  The reality is that any teeth with deep pits and fissures (that do not already have fillings) can benefit from sealants because they  will help prevent future cavities.

How is a sealant applied?

No tooth structure is removed in order to place a sealant.  Instead it is kind of like painting your fingernails: resin material is only added, nothing is taken away.  The tooth is thoroughly cleaned with a pumice and etch.  The tooth is then washed thoroughly. Finally, the sealant material is applied and then cured with a light in order to harden it.

How long do sealants lasts?

Sealants typically last two to five years.  Although, it is not uncommon to see sealants in adults that were placed in childhood and are still intact.

Avoiding sticky, chewy, and hard foods can potentially prolong the life of a sealant.

If a sealant is no longer fully intact then it is no longer effective and should be replaced by your dentist.  If it has been less than two years since the sealant was placed, ask if your Wadesboro family dentist offers a warranty for sealants.

04 May
Cavity Fillings, General Dentistry, Restorative Dentistry, Wadesboro Dentist

Tooth-Colored Fillings vs. Silver Fillings: Which Should I Choose? Ask a Wadesboro Dentist

So you have a tooth that has a cavity and needs a filling. Now what?

Most people know that the two most common options are tooth colored fillings (called composite fillings) and silver fillings (called amalgam fillings).  And most people would agree that the composite fillings are much more aesthetically pleasing than the amalgam fillings.  Some patients prefer not to have amalgam fillings because they contain mercury.  However, it is important to note that ongoing scientific studies conducted over the past 100 years continue to show that amalgam fillings are not harmful.  Sometimes the aesthetic outcome is reason enough to choose a tooth colored filling, especially when the tooth is one that is visible when the patient smiles.

But there are other important reasons that most Wadesboro Dentists these days are choosing to use tooth colored composite fillings rather than amalgam.  And these reasons have to do with the major difference in the way they are placed in the mouth.

Composite fillings are resin-based and are chemically bonded to the tooth.  Amalgams are not.  They are held in place due to a physical retention.  This means that after the dentist removes the decay, he also has to remove additional healthy tooth structure in order to create the proper undercuts and retention grooves to hold the amalgam in place.  This process leaves less remaining tooth structure.

The good thing is that amalgams usually lasts for a really long time.  The bad news is that when they do wear out, they tend to cause larger problems because there is less tooth structure remaining to work with. That is why it is common for a very large amalgam to be replaced with a crown.

If a tooth has a composite filling, the dentist is able to be very conservative in how much tooth structure

he/she removes other than the decay.  This could mean that years later when the composite filling eventually wears out, hopefully another larger composite filling can be placed, rather than a crown.

Another common issue is that teeth with old amalgams tend to develop more cracks.  Because the amalgam filling is not bonded to the tooth, the enamel surrounding the filling is unsupported.  Over time, that unsupported tooth structure microscopically flexes when stress is placed on the tooth.  Years of this flexing can cause cracks to form. These cracks can lead to more extensive (and expensive) treatment, such as a crown,  a root canal, or even loss of the tooth depending on the severity of the fracture.

Whether you have composite or amalgam fillings it is important to maintain your regular cleaning and check-up appointments with your Wadesboro dentist. He/she can keep you informed about the condition of your fillings. That way when one does wear out (and they will, because unfortunately no dental work lasts forever), you can be pro-active, which typically leads to a less expensive and more conservative outcome.

07 Apr
Wadesboro Cosmetic Dentist, Wadesboro Emergency Dentist, Wadesboro Family Dentist, Wadesboro General Dentist

4 Things to Consider When Choosing a Dentist in Wadesboro NC

Are you new in town or looking for a different dental experience?  There are many dentists to choose from in the Wadesboro area and so sometimes it can be overwhelming as you try to find a good fit for you and your family. It is important to choose a dentist who you feel you can trust. Look for a dentist who…

 1)  Is an Active Listener

You should feel like your dentist gives you a customized dental experience. Not a one size fits all appointment.  This can only be done if the dentist takes time to not only look in your mouth, but to listen to you.  The dentist might be an expert on what is going on in your mouth, but you are the expert on why.  What’s is going on in your life and how is that effecting your overall and dental health?  Are you a mom who is busy doing a fabulous job taking care of your children but tend to put yourself on the back burner?  Are you a bride preparing for your wedding and want the best smile of your life?  Did you just get your first job, have dental insurance for the first time since before college and want to get back on track? How do you feel about your smile?  If there is something you could change about your smile, what would it be?

Your dentist should be interested in you.  Not just your mouth.

2) Respects Your Time and Your Resources

A dentist should not keep you in the waiting room too long and should be punctual for appointments.  Scheduling coordinators should give you options for appointments that are convenient for you. If taking off work is difficult, find a dental office that offers appointments on Saturdays or late weekday hours.

 A dentist should also offer different billing options so that your financial resources can be optimized.  For example, hopefully they file your insurance, have financing options, and/or offer a cash discount if you are a cash paying patient.

3)  Educates You about all aspects of your appointment

The entire dental team should be good educators.

The dentist will educate you on all matters related to your oral health and how it effects your overall health and well being. This includes performing oral cancer screenings as a part of a head and neck exam.

The dental hygienist should educate you on what you can do daily to keep your teeth healthy and maintain your smile.

Insurance can get confusing.  What you will pay, what insurance will pay? Do you pay up front?  Or only the difference? The financial coordinator’s job is to help you understand all aspects of your financial arrangement.

4)  Stays Current with Technology and Continuing Education

You wouldn’t use a phone from 15 years ago.  So why go to a dentist who does not stay up to date with current technology?  Advancements in technology in the dental field offer many of the same benefits as those outside the field.  More comfort, less time, better results. For example, same day CEREC crowns mean less wait time for patients. They also mean no annoying temporary crown while you wait for the permanent one to come back from the lab.

Continuing education allows dentists to stay current with technology and procedures.  It gives them an opportunity to brush up on procedures they are already comfortable with and expand their scope of practice.

Not sure what your dentist does to stay up to date?  Just ask!  If your dentist is already doing this, he/she would most likely love the opportunity to share this information with you!

Overall, just remember to trust your gut.  Taking some time to find a dental practice that meets your specific needs is worth the effort. Perhaps that means calling to ask for an office tour and to meet the dentist and staff before scheduling your first appointment.  Once you find the right fit, you will be glad you did!

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