1. Introduction
General dentistry is a term that describes the primary care and services that dentists provide to patients. At Premier Dental, general dentistry covers a wide range of patient needs. We aim to provide a comfortable environment for patients while offering the convenience of a local dental office in Chicago. Our staff is dedicated to educating patients on their oral health and ensuring that they have the knowledge to make the best choices for themselves and their families. We are capable of and experienced in providing various services to patients of all ages. Our main goal is to provide the highest quality of care to our patients. In doing so, we are constantly evaluating the latest dental methods and technology in order to provide the most efficient and comfortable services available. Because your oral health is a crucial part of your overall health, we believe that by providing general dentistry services we are helping to improve and sustain the overall wellness of our patients. Whether it’s just a routine cleaning or a more complex procedure, Premier Dental is determined to provide the best service to its patients.
1.1. Importance of General Dentistry
In conjunction, the procedures are primarily aimed at preventing dental disease or diagnosing it before it can become a major issue. Also included are procedures to repair or replace damaged teeth. If you are ever experiencing pain, you may have a cavity or a broken tooth. Another pain-associated ailment is the dreaded root canal. General dentistry can offer root canal therapy, which can save your natural tooth with the use of a crown to restore the original tooth form. If the procedure is not effective, there are also dental bridges and implants that are great options for replacing missing teeth. All of these procedures in general dentistry serve to preserve the natural tooth structure as this is always the best option for the health and appearance of your teeth.
General dentistry is essential to an individual’s overall health. Dental procedures that can prevent or treat tooth decay and periodontal disease are considered to fall within the scope of general dentistry. These procedures are important to prevent the spread of oral disease and are key to maintaining oral health. If said oral diseases are not taken care of, it can often be very costly to treat the more serious problems that can arise from this. It is more cost-effective to prevent oral diseases than to treat the conditions that can happen from these diseases. This is why it is vital to seek preventive and early treatment in general dentistry. Early treatment can limit the damage to your teeth and limit the cost to your wallet.
1.2. Accessible Dental Care in Your Neighborhood
The general dentists is able to provide services for patients consistent with the because they are trained in medical management, as well as surgical procedures and anesthesia. Through extensive experience and understanding of the relationship between oral and systemic health, general dentists are able to provide patients with treatment and referrals to specialists when necessary to improve their overall health. With the integration of the modern healthcare system, it is understood that proper management of chronic disease and maintenance of general health often can be done by treating and maintaining oral health. This is a philosophy that is well understood by general dentists.
From an examination of the data, a comprehensive general dentistry practice can boost the health of an entire community. The availability of preventive services can provide benefits such as fewer emergency room visits for dental pain, a lower incidence of dental abscesses, and fewer cases of oral infections and oral cancers. These are problems that adversely affect persons from lower socio-economic groups, as well as the elderly and disabled. Such groups will profit the most from the services of a general dentist. By offering all these services under one roof, general dentists aid in reducing the public health burden. The high incidence of these diseases and the lack of access to care has resulted in the US Public Health Service to recommend that general dentistry be included in federal and state programs for the underserved, the elderly, and the disabled.
2. Services Offered by General Dentistry
A general dentistry practice focuses primarily on the patient’s oral hygiene and the prevention of oral diseases such as tooth decay and periodontal disease. Routine dental check-ups and dental cleanings are key factors in maintaining great oral health. During a dental examination, the dentist or hygienist will check for cavities. If cavities are found, they should be removed as soon as possible before further damage is caused. If not treated, cavities can cause severe pain, infection, and tooth loss. A dental cleaning, also known as an oral prophylaxis, is the removal of plaque and tartar (calculus) from the teeth in an effort to prevent cavities, gingivitis, and periodontal disease. It is recommended that a dental cleaning and routine check-ups should be performed every six months to prevent incurring further costs in the future. Restorative Dentistry is the study, diagnosis, and integrated management of diseases of the teeth and their supporting structures and the rehabilitation of the dentition to functional and aesthetic requirements of the individual.
2.1. Routine Dental Examinations
A routine dental examination is important to the maintenance of oral health. A thorough oral examination, including x-rays, is the best way to prevent dental problems. During the examination, the doctor will check the health of the gums, teeth, mouth, and throat for any abnormalities. X-rays will be taken to reveal problems that cannot be seen by visual examination, such as damage to jawbones, impacted teeth, abscesses, cysts or tumors, and decay between teeth. This portion of the examination is critical to diagnosing potential problems. If they are caught early through routine examinations, many dental problems can be prevented from worsening and becoming more costly to treat. An examination should also include counseling about diet, smoking, and how to keep the mouth clean. This will aid in preventive dental care and any other related health problems you may have. Overall, the visit will allow you to become familiar with the dentist and feel more comfortable with asking any questions you have about your oral health.
2.2. Dental Cleanings and Hygiene
Dental cleanings are the removal of dental plaque and tartar in order to prevent cavities, gingivitis, and gum disease. The dentist or dental hygienist uses specialized instruments to gently remove these deposits without causing harm to the teeth. The instruments which may be used during the cleaning, scaling, and polishing process include the ultrasonic scaler, which consists of a vibrating metal tip that provides a cool mist of water, and a fine handheld tool which is called a sickle scaler. The ultrasonic scaler is more effective at removing tartar and plaque compared to handheld scaling tools and is used to remove the larger deposits from your teeth. It also uses a coolant mist and is less likely to cause damage to the teeth. Handheld scaling tools are calibrated for specific purposes and are used to remove small deposits of plaque and tartar. Once the scaling is complete, the dentist will then polish the teeth. Dental polishers are similar to an electric toothbrush and are used to polish the teeth with a rubber cup and prophylaxis paste. Dental cleanings are recommended every six months, but some patients may require more frequent cleanings based on their dental health. This may include patients who have gum disease, smokers, and those who have diabetes.
2.3. Restorative Dentistry
Dental crowns and bridges are used to restore missing or damaged teeth. A crown is used to completely cover a damaged tooth. Crowns can be made from metal, porcelain, or porcelain fused to metal. The life expectancy of a crown will range from 5-15 years. The longevity of a crown depends on the amount of tooth remaining, opposing bite forces, and oral hygiene. Maintaining a crown with regular checkups and hygiene appointments can increase the life of a crown. A bridge is used to replace a missing tooth and is attached to the teeth adjacent to the space. Dental implants can also be used to replace missing teeth.
The cornerstone of restorative dentistry is the use of composite fillings and inlays/onlays. In days gone by, if you had a cavity, you would most likely have it filled with an amalgam (silver) filling. Amalgam fillings past their best are being replaced with composite fillings. The advantage of composites over amalgam fillings is that composites can be matched to the color of the existing teeth and are adhesive in nature. This means that the composite filling will hold the restored tooth together, compared to the traditional amalgam filling which locks the tooth together, yet acts as a wedge and can cause the tooth to split over time. Inlays and onlays can also be created from composite materials, or for increased strength, they can be made from gold or porcelain. These are aesthetic alternatives to conventional metal fillings and are used to restore larger cavities within the tooth.
The concept of restorative dentistry is the process of replacing and restoring teeth to a healthy state. Teeth that have been damaged by decay or trauma can be repaired by restorative dentistry. In the past decade, there have been dramatic changes in the field of restorative dentistry, and these have led to long-lasting and aesthetically pleasing treatments.
3. Preventive Measures for Dental Health
A fluoride treatment is a process where a high concentration of fluoride is applied to the teeth in order to aid in the prevention of tooth decay. For the majority of patients, a fluoride treatment is typically performed following a cleaning. This helps to remove any food debris that may exist on the teeth, giving the fluoride a better opportunity to work. Fluoride is a mineral that helps to prevent tooth decay and can actually reverse a cavity in its early stages. It can also prevent the buildup of plaque and is known to strengthen tooth enamel. Enamel is the outer layer of the crown of a tooth; it is the hardest tissue in the human body and has to last a lifetime. A fluoride treatment is a quick and painless process that can benefit any individual to assist in the prevention of tooth decay and the possible loss of teeth.
One of the most effective ways to prevent tooth decay and cavities is to make a conscious effort to maintain a rigorous oral hygiene routine. Tooth brushing removes plaque from the surfaces of the teeth, whilst flossing removes debris that a toothbrush cannot reach. Regular tooth brushing and flossing is a very cost-effective way to maintain a clean and healthy mouth. Plaque is a sticky, almost invisible film which forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. These bacteria produce toxins that affect the surface of the tooth. When you do not regularly clean your teeth, the toxins will irritate and inflame the gum around the tooth, leading to gingivitis. This then results in the loss of the surface of the tooth and if this continues, the loss of the actual tooth. Regularly cleaning your teeth will prevent any long-term damage to the surfaces of the teeth and the onset of gingivitis.
3.1. Importance of Oral Hygiene
Special needs patients are those who have physical, emotional, developmental, cognitive, and sensory impairments. They may also suffer from chronic medical conditions, and it can be more of a challenge for these individuals to maintain good oral health. Depending on the patient, some do have the ability to maintain their own oral hygiene. If not, a caregiver can assist or take responsibility for their oral care. In some cases, the patient may have to seek help from a professional. An informed dentist may have to provide oral care education, a more in-depth clean, or use of special products.
A daily oral hygiene routine only needs a small amount of your time and not much effort or money, in comparison to the time, effort, and cost that you will spend if you were to have to treat the problems that can be caused by not maintaining a clean mouth. Step one would be tooth brushing. It’s an obvious task and an effective technique for preventing plaque buildup. Both electric and manual toothbrushes are good as long as the bristles aren’t hard or abrasive. Brush once in the morning and last thing at night for at least two minutes using small and gentle circular movements. Grit and determination do not equal effectiveness, so don’t be too tough or abrasive. What’s important is that you get into an effective routine. Step two would be using fluoride toothpaste when brushing. This helps to harden tooth enamel and helps prevent tooth decay. Step three would be flossing. It is the most efficient way of removing plaque and food particles from between the teeth and around the gum line. The final step would be the use of mouthwash. It is good for cleaning the areas that couldn’t be reached by a toothbrush but an unsuitable replacement for brushing.
A majority of dental problems can be prevented through the practice of oral hygiene. This is an everyday routine of cleaning the mouth, teeth, and gums in the correct manner to prevent tooth decay and gum disease. Tooth decay is a destroyer of teeth. It occurs when certain types of bacteria produce acid that destroys the tooth’s enamel and the dentine beneath it. The acid is produced from the food we eat, which contains sugars and starches. If plaque – a sticky substance that forms on teeth – isn’t removed through washing and rinsing, then it can attack the tooth and cause decay. Plaque also contains harmful bacteria that lead to gum disease. Gum disease will become more and more serious if the plaque isn’t removed and can cause long-term issues such as sore or bleeding gums or gingivitis. If it isn’t treated and is allowed to develop, it can cause damage to the tissue and bone that supports the teeth, which will result in tooth loss. By maintaining good oral hygiene habits, this can prevent the destruction of tooth decay and gum disease, ensuring throughout your life you will keep a high-quality set of teeth.
3.2. Fluoride Treatments
Fluoride treatments that are applied in the dentist’s office are in a much higher concentration than that contained in toothpastes, rinses or over-the-counter fluoride supplements. These treatments are a gel or foam and are applied via a mouthguard that is worn for 1 minute. At times, a fluoride varnish may be painted on the teeth. These treatments are quick and comfortable for the patient. Fluoride treatments will greatly reduce a person’s risk of cavities and also help to decrease tooth sensitivity. They are recommended for all ages and should be done every 3, 6, or 12 months. The frequency is determined based on your current oral health and your susceptibility to developing cavities.
Fluoride is a natural mineral that has been proven to be an effective tool in fighting dental cavities. It is found in many foods and in water. For those individuals who may have a deficiency of this important mineral, i.e. individuals with dry mouth or gum disease, or those who are cavity-prone, a fluoride supplement may be recommended by your dentist or physician. These supplements are available in liquids and tablets and are typically taken once a day.
3.3. Dental Sealants
The application of a sealant is a simple procedure. It takes only a few minutes per tooth. First, the teeth are cleaned. Then the chewing surfaces are roughened with an acid solution to help the sealant adhere to the tooth. Then the sealant is ‘painted’ onto the tooth where it bonds and hardens. Often, a special light is used to help the sealant harden.
Children and teenagers are the prime candidates for sealants. It is best to apply them to the 6-year and 12-year molars as soon as possible after they erupt, which can protect them during the cavity-prone years of ages 6 to 14. It is still a good idea to seal permanent premolars and molars, which are due to erupt at ages 11 to 14. In some cases, adults without any cavities or fillings in their molars may benefit from sealants. This is possibly attributed to the fact that some people are more prone to decay than others due to the nature of their oral structure. However, since most insurance companies do not cover sealant procedures for adults, it is a cost that is usually taken into consideration by the patient. A study on the efficiency of sealants on adults has not yet been conclusive.
A sealant is a thin plastic-like coating that is painted on the chewing surfaces of the back teeth. The ridges and grooves (on your teeth) are prime areas for plaque accumulations. The bristles on the toothbrush cannot get into the deeper grooves to extract the food and plaque. That is where the sealant comes in, it ‘seals’ the surface to block food and plaque.
4. Common Dental Problems and Treatments
Gum disease is an inflammation of the gum line that can progress to affect the bone that surrounds and supports your teeth. It is caused by the bacteria in plaque, a sticky, colorless film that constantly forms on the teeth. If not dealt with, over time the plaque can lead to a more serious infection in the form of periodontitis, which can cause the teeth to become loose and fall out. The most common and non-surgical treatment for gum disease is to have the root planed and scraped, a deep clean under the gumline all the way to the root. It helps smooth out any rough spots on the root that can promote irritation and bacteria accumulation.
Tooth decay and cavities can lead to a range of dental health problems if not dealt with. The most common treatment is to have the decayed portion of the tooth removed and filled with a restorative material. For example, if a small to medium-sized portion of the tooth has been affected, the dentist will use a local anesthetic and a drill to remove the decay. Once the decay has been removed, the dentist will shape the space to ready it for the filling. An “amalgam” filling is the most common type of filling and is usually silver in color. Another option is a “composite” filling which is tooth-colored. The choice of filling material is very much up to the patient. If the decay occurs on a surface that is used to chew food, a stronger, more hard-wearing filling will be used. If the decay has been neglected and a large portion of the tooth has been lost, especially around the sides or in between teeth, a dental inlay may be used. If decay has almost destroyed the tooth, a crown may be needed.
4.1. Tooth Decay and Fillings
How much a carbohydrate is broken down by oral flora in the mouth to create acids is dependent on the consistency of the food. For example, a liquid containing sugar will be more easily broken down to create acids compared to a solid food containing the same amount of sugar. The duration for which a food is stored in the mouth is relevant to the progression of tooth decay. This is due to the frequency of snacking or sipping on sugary drinks throughout the day, and can greatly increase the risk of children getting tooth decay. In the prevention of cavities, reducing the amount and frequency of sugary/starchy food and drink consumption is advised. A neat way of reducing decay is to have a designated mealtime followed by brushing and flossing one’s teeth. This will limit the exposure to food and the amount of time food particles are left in the mouth. This ultimately reduces the risk of decay and maintains a cleaner mouth. Implementing the use of fluoride is also beneficial in the prevention of tooth decay. This is due to the fact that fluoride helps to remineralize enamel and make teeth more resistant to acid attacks. High-risk patients, i.e., those already dealing with early signs of tooth decay or prone to cavities due to medical conditions, can benefit from extra protection in the form of a fissure sealant. This is a plastic-like substance applied to the pits and fissures of back teeth in order to act as a barrier to food and bacteria and protect the enamel from acid. Although there are many ways to prevent tooth decay, there are cases where progression has led to the formation of a cavity and will require treatment.
Within the mouth, continually formed dental plaque is a whitish sticky film consisting of food particles and bacteria. When the bacteria digest carbohydrates, they produce acid that causes tooth decay, and when left overtime, the plaque can mineralize into tartar (calculus) often at the gumline, and continue to cause tooth decay. To keep tooth decay at bay and halt progression of bacteria damaging the tooth, we dentists have several methods at our disposal. A complex carbohydrate is a single sugar molecule or a chain of several sugar molecules, depending on the type. Simple sugars are broken down very quickly in the mouth by bacteria, creating an acid environment, and several different types of acids are produced as by-products of the bacterial digestion of sugars. These acids can then begin to dissolve the enamel surface of the tooth, which marks the beginning of a cavity.
4.2. Gum Disease and Periodontal Treatments
Gum disease is one of the most common dental problems adults experience. With different severities of the disease, it is a widespread problem that can be resolved simply or can lead to a variety of complicated dental concerns. Initially, there are two forms of gum disease: gingivitis and periodontitis. Gingivitis is an inflammation of the gum tissue without loss of bone. The gums become swollen and red, and they can bleed. Although it’s usually painless, even slight bleeding during brushing is a sign of gingivitis. Gingivitis can typically be resolved with a thorough cleaning and improved home care. Periodontitis is much more severe. It’s usually a progression of untreated gingivitis and involves loss of the bone that supports the tooth. With a greater loss of bone around a tooth, that tooth will become loose and may need to be removed. Uncontrolled periodontitis can result in the loss of multiple teeth. It is also associated with certain medical conditions such as heart disease and diabetes. Treatment of periodontitis is more extensive, usually requiring a referral to a gum specialist called a periodontist. Plaque and tartar that has accumulated on the root surfaces must be removed to allow the affected gum tissue to heal. In some cases, this is all that is needed. Scaling and root planing is a common non-surgical procedure to rid the tooth’s surface of plaque and tartar, with a plan to have the patient return for a follow-up visit to ensure healing has occurred. If the pockets do not heal after scaling and root planing, periodontal surgery may be necessary to reduce pocket depths. With various treatment options and different severities of gum disease, it is important to catch a problem early as to prevent further complications. Maintenance following the treatment of gum disease is crucial. With the assistance of a dentist or dental hygienist, patients can learn to control any recurrence of the disease. This is done by instructing the patient on improving the standard of their home oral hygiene, and monitoring the patient on a regular basis to ensure that the disease stays under control. Changes in certain behaviors such as smoking and eating habits may also assist in preventing the recurrence of gum disease.
4.3. Tooth Loss and Replacement Options
Several reasons for tooth loss: periodontal disease, tooth decay, and injury. When one or more teeth are lost, there are a number of consequences. Firstly, appearance is affected. The face can begin to look prematurely aged, and the cheeks sag, and the jawline becomes thinner. There are also repercussions for the remaining teeth. It is now much easier for remaining teeth to move or tilt into the spaces created by lost teeth. This can lead to a change in the bite, which may result in damage to the joints in your jaw and difficulty chewing. It is therefore important to replace lost teeth, and there are a number of options available. A fixed bridge is the most common alternative to partial dentures. It involves preparing the teeth at either side of the gap for crowns and then taking an impression of the gap, which is used to fabricate the replacement tooth. The downside to this procedure is that the prepared teeth lose some of their healthy enamel, and the bridge may only last 8-10 years, and they can be difficult to clean. The most recent advance for fixed tooth replacement is the introduction of dental implants. This involves minor oral surgery to insert a titanium screw into the jaw onto which a crown is attached. This is the most expensive alternative but has the benefit of not affecting the healthy teeth either side of the gap, being a long-lasting solution, and most similar to a natural tooth in both appearance and function.
5. Cosmetic Dentistry for a Confident Smile
Method 3: Lasers – This method is becoming increasingly popular. A translucent peroxide gel is applied to teeth, and a laser light is used to enhance the catalyzing effect of the gel, which speeds up the process of teeth whitening. This is often chosen as the preferred method as the custom trays and gel can be used at home.
Method 2: Air Abrasion – This is a relatively new method that your San Antonio cosmetic dentist may use. A machine is used to emit small aluminum oxide particles, which will clean and polish teeth. The machine aims to remove discoloration from teeth. This method is noiseless and does not create heat, vibration, or sound.
Method 1: Bleaching – This is a common method used in San Antonio teeth whitening. The dentist will first clean and remove plaque that has an impact on the discoloration of teeth. Then, a mold of your teeth will be made to create custom trays. Using these custom trays at home, a peroxide solution, similar to bleach, is spread across the tray and placed onto your teeth. This solution should be used twice a day for 30 minutes for two weeks.
5.1. Teeth Whitening
Teeth whitening is an effective way to lighten the natural color of your teeth while still maintaining their health. Over the years, the enamel on your teeth can become discolored due to various reasons such as diet, coffee/tea drinking, tobacco use, or medication. This can all cause staining to the teeth. Teeth whitening is such an easy way to remove these stains and discoloration while also being a cost-effective way to improve your dental appearance. Over the years, there have been many different types of whitening procedures and products, all of which are designed to improve the appearance of your smile. These products and procedures include: – Professionally dispensed take-home custom whitening kits – Over-the-counter whitening systems – Professionally applied laser treatments – Natural whiteners
5.2. Dental Veneers
Dental veneers are custom-made shells that cover the visible portion of the teeth. They are typically constructed of porcelain or resin composite material and are used to change the size, shape, and color of the teeth. Veneers have a longer life expectancy and color stability than bonding, and the color of a porcelain veneer can be selected such that it makes dark teeth appear whiter. Veneers are a better solution than crowns, which are more aggressive in changing the shape and position of the teeth. Veneers are an ideal procedure for teeth that are in need of slight position alterations or alterations in shape. They are also ideal for discolorations that do not respond to whitening, especially tetracycline. Tetracycline-stained teeth often have brown-gray stains that are very difficult to remove but can be covered with a veneer. The process of placing veneers may require a couple of appointments depending on how many teeth are receiving veneers. The dentist will diagnose whether or not the patient is a good candidate for veneers by examining x-rays, photographs of the patient’s mouth, and possibly an impression of the teeth and mouth. A good diagnostic and artistic plan is crucial to the success of a veneer procedure. The dentist will then prepare the teeth by conservatively removing a small amount of enamel, usually less than a millimeter, to allow room for the veneer layer. Using an impression, the dentist will then make a model of the teeth and mouth which is sent out to a dental laboratory. The laboratory will construct an accurate model of the patient’s mouth and teeth upon which the veneers are made. This process at the laboratory can take several days, so it is important that the veneer placement is not rushed. Bonding of the veneers to the teeth is done with resin cement adhesives. This is a very critical step because the color and shade of the cement are easily influenced by the adjacent tooth structure. Once the veneers are positioned on the teeth, it is important that they are all lined up and positioned to the patient’s satisfaction. The veneer is then polished to an ideal smile.
5.3. Orthodontics and Invisalign
Braces are made up of individual components: the brackets (which are placed on the front of each tooth) and the bands (which are fixed around each tooth). They are held together using a connecting wire and small elastic bands. The brackets are small and are designed to reduce friction. At the start of each treatment, the orthodontist will discuss the most appropriate option for the individual.
One of the most common dental appliances are braces. Braces are fixed or removable appliances that are worn in order to help straighten and improve positions of teeth. Braces are put in place to apply pressure that will help move the teeth into a straighter position. The time it takes to apply braces can vary between a few months to a few years. This is dependent on the patient’s age as well as the current state of the teeth. Younger patients and teens usually have a shorter period of treatment, while the average time frame for adults may be longer.
Orthodontics is a field of dentistry that specializes in treating patients with improper alignment of the teeth, when the mouth is closed (malocclusion), which results in an improper bite. Orthodontics also includes treating and controlling various aspects of facial growth (dentofacial orthopedics) and the shape and development of the jaw. An orthodontics specialty is defined after receiving a general dental degree (BDS or equivalent). A dentist would then undertake further post-graduate study to become a Master of Science in Orthodontics. At this stage, they are registered as a specialist orthodontist.
6. Emergency Dental Care
There are four main types of dental emergencies: potentially life threatening, needing immediate treatment, needing treatment within 24 hours, and minor injuries. If you are in pain or have suffered an injury to your mouth, you can contact a dentist and they will do their best to see you as soon as possible. If the injury is potentially life threatening or you have suffered a severe injury, it is advisable to go to the hospital. The A&E department is usually equipped to deal with these cases and will arrange for the most appropriate treatment, taking advice from an oral surgeon or maxillofacial surgeon. Dental injuries are considered potentially life threatening if ignoring them could be a threat to your life in the future, for example, an abscess or spreading infection. Ignoring a dental infection may cause septicemia or meningitis, and fractures to the head or neck area are potentially life threatening if they have restricted the movement of the jaw. An accident and emergency department for a non-life threatening injury would still refer to the most appropriate dental treatment, but they could also take advice from a pharmacist or a GP. If you need immediate dental treatment for a serious injury, your dentist is usually the first point of contact. In some cases, they may refer you to a specialist such as an oral surgeon who may already be treating you in the hospital. Your own dentist or another dentist in the area can usually organize to see an emergency patient at their own surgery, even if it is out of hours. This means it can be more convenient to arrange than going to an A&E department and can save you waiting around in pain for a long time.
6.1. Dealing with Dental Emergencies
Contacting a specialist in paediatric dentistry or a paediatric dental specialist is often an impractical solution for such emergencies. The majority of specialist services have long waiting lists and operate within scheduled working hours. When the patient finally gets the opportunity to seek treatment from the specialist, it is often difficult to get the same patient back to their regular family dentist due to the complexities and locations of specialist services. Every patient and every emergency is unique, but what is common is the need for a simple, efficient, convenient, immediate solution that can resolve the pain and distress of the emergency, and also lead the patient on to further general dental treatment if required. At such times, it would be most convenient to find a service that is able to offer immediate treatment at the location and time when the emergency has occurred.
Dental emergencies are usually unexpected, often painful, and can be quite distressing. Examples range from a broken tooth while eating, a sports injury, a lost filling, to a broken crown or a toothache – which may have gradually worsened over time. Often, there is no immediate solution for the pain and the distress that such emergencies cause, and it is difficult for paediatric dentists or general dental practitioners to find time within their normal working day to see such patients on an emergency basis. The patient usually seeks help from their dentist only to find that they are unable to be seen, or the appointment offered is in a few days time.
6.2. Immediate Pain Relief and Temporary Solutions
If a tooth is fractured, it is imperative to see your dentist as soon as possible as there may be a chance of saving the tooth. Rinse your mouth with warm water and apply a cold compress to reduce swelling. Contact your dentist immediately and explain what has happened. Depending on the severity, you may be required to have immediate treatment or placed on the waiting list. Temporary solutions for damaged teeth can be the use of a sedative dressing such as calcium hydroxide, which can soothe an exposed pulp. This is a less painful and less costly alternative to root canal therapy. Temporary restorations or what a dentist may call a stabilization splint can be provided for mobile teeth to prevent them from moving. This is an alternative to removing the tooth and replacing it with a denture.
The most common cause of oral facial pain is a toothache, which can be caused by infection, injury, or tooth decay. It is important to clean the tooth that aches by rinsing with warm water. If the face is swollen, apply a cold compress and contact your general dentist immediately. Depending on the situation, your dentist may be able to see you for an emergency appointment. Normally dentists will be able to provide a temporary solution, whether it is a filling or an antibiotic for an abscess, but may require more treatment later on.
7. Importance of Regular Dental Check-ups
After an overall evaluation of your health, the dentist will then be able to identify problems and make a diagnosis. At this point, the dentist can discuss treatment options and their risks, as well as what the prognosis of the treatment will be. Treatments can range from simple to complex and may involve the general dentist or a specialist. By understanding your dental condition and the treatment options, you are in a position to make an informed decision about your treatment. This is paramount in achieving the best results, and the patient is a key participant in decision making.
During the general examination, the dentist will check your overall oral health for any changes since your last examination. This will include an evaluation of your risk of tooth decay, root decay, and gum or bone disease. These problems can indicate a systemic disease or may have originated from other factors. Erosion of the tooth enamel may be caused by an acidic diet and may be a sign of an eating disorder or excessive alcohol consumption. This would alert the dentist to investigate further into the patient’s habits, as it may be affecting their overall health. X-rays may be required to diagnose disease that is not visible during a regular examination, i.e., damage to jawbones, cysts, abscesses, tumors, or impacted teeth.
Obviously, the medical history is a review of your overall health. If you are a first-time patient, the dentist will want to know about your medical history to gain an understanding of your overall health since many health conditions can directly or indirectly affect your oral health. Even minor changes in your medical history can affect your dental treatment and oral health. Therefore, it is very important to keep your dentist informed.
“Check-ups” is a general term that implies an examination and assessment by a dentist. Comprehensive examinations are the best way to prevent dental problems and avoid long-term damage and costly treatments. As with anything that can go wrong with your health, the earlier a problem is detected and treated, the better. The same rule applies to the factors that affect your teeth and mouth. This can range from an abnormal bite to oral cancer. Many factors can alter your oral health; therefore, a variety of issues can arise. The general dentist is the person who can identify, diagnose, and treat the vast majority of problems at an early stage, which is why regular check-ups are a good idea. At an examination, the dentist can take a number of steps to identify what problems you may have. These will usually include updating your medical history, x-rays, a general examination, and a discussion about your oral health.
7.1. Early Detection of Dental Issues
Another important aspect of early diagnosis of dental issues is the prevention of gum disease. Gum disease is an infection in the gum tissues and bone that keep your teeth in place, and it is a major cause of tooth loss in adults. According to the Australian Dental Association, amalgam fillings have a life expectancy of 12 years, whereas composite resin fillings last five to seven years. If cavities and other dental issues are found early, this will lead to patients keeping their teeth longer and avoiding tooth loss. X-rays can also be used to detect initial bone loss that is a precursor to the onset of gum disease.
Dental x-rays are one of the most common diagnostic tools used in dentistry, with their exposure being very low. They are taken to identify issues within the teeth, mouth, and jaw that are not visible to the naked eye. X-rays can show abscesses or cysts, bone loss, cancerous and non-cancerous tumors, decay between the teeth, developmental abnormalities, and poor tooth and root positions. Dental x-rays are important as they help dentists detect damage and disease that is not visible during a regular dental examination. If dental problems are found and treated early, it can save you money, time, future dental discomfort, and can even save your teeth.
7.2. Preventing Future Dental Problems
To maintain oral health, it is crucial to adhere to regular six-monthly check-ups. During these visits, the dentist will check not only for cavities in the teeth, but also the health of the entire mouth, including oral cancer screening, checking the condition of the gums and teeth, and the functionality of previous dental work such as fillings and crowns. This is especially important because as age increases, various medical conditions often necessitate medication and these medications can often cause dry mouth. It is important to make the dentist aware of any medications being taken and to receive extra preventative measures such as fluoride treatment to fend off decay due to lack of saliva. Prior to the development of cavities and gum disease, it is difficult to impossible to notice oral health issues without a dental visit. Regular check-ups are vital to the prevention of oral health problems and their progression. The key to preventative dentistry is understanding the importance of maintaining oral health to keep the smile and function of the mouth at its very best. The treatments that are involved are usually simple and do not cause much discomfort or inconvenience and can save a lot of time, discomfort, and expense in the future. Preventative measures can actually eliminate the need for many treatments, such as extraction of decayed teeth or treatment of gum disease. Research has shown that there is a link between systemic health (conditions affecting the entire body) and oral health. Preventing oral disease can actually prevent various other medical conditions from developing. It is clear that the benefits of preventative dentistry are invaluable and can save a lot of physical, financial, and mental discomfort in the future.
8. Choosing the Right General Dentist for You
Consider the extent to which you and/or your family might need treatment. If you are single and/or an adult, it may be worth considering a dentist who provides complete care with both a general and cosmetic dentist. Adult dentistry can also be more convenient for those with a busy lifestyle. On the other hand, you may have children and feel more comfortable taking them to a family dentistry. You may decide that your children require orthodontic treatment or that you are more comfortable knowing that your children are seeing a dentist who specializes in pediatric dentistry. Onward linkage to “Is your dentist right for your family? – dentistry for adults, seniors, and children.”
Having explained the necessity of good oral health and the how and why of general dentistry, you may be asking yourself “where do I find the right dentist and how do I decide on the best dentist for my needs?” The first thing to consider is what your needs are. Are you in need of a dentist who can provide maintenance and prevention? A dentist who can provide corrective general dentistry (fillings, crowns, etc.) or a dentist who can provide cosmetic dentistry procedures such as bleaching, veneers, or implants? By identifying your needs, you will be able to make a more informed decision.
8.1. Qualifications and Experience
With so many dentists to choose from, it’s important to find a dentist with the right qualifications and experience. Each dental patient is different, and the comfort level between the dentist and patient should be a top priority, so finding the right dentist requires a bit of comparing and contrasting. The procedures are usually not comfortable ones, especially considering the fact that a good dentist is one that considers the best interest of their patients regarding comfort and pain as they do the procedures. This goes hand-in-hand with the dentist’s experience, because while most close to retiring dentists may still do good work, typically it is best to find a dentist that is up to date with the modern dentistry environment. It’s expected that the practitioner takes an interest in the patient’s overall health, is extremely thorough, and is someone with a high integrity level. The average dental school graduate will have anywhere from $120,000 – $200,000 in student loans when they finally become a dentist, so with a high emphasis on money these days in the health care industry, some dentists are more focused on this as opposed to patient comfort and care. Unfortunately, but it’s a reality that comes with the fact that dental insurance programs are private, and that most patients pay out-of-pocket. Look for a dentist with a wide range of experience because a liberal arts college graduate, for example, will require a different type of dentist than someone working to maintain their dental health throughout senior years. A young family will likely require general dental care and a lot of maintenance and repair, so finding a dentist that has a broad range of knowledge is key. A seasoned dentist will likely have acquired a wealth of knowledge in various areas in dentistry and is someone who has made good use out of continuing education. Education is the next big factor when gauging a dentist’s experience level. A dentist with a thirst for knowledge is someone who will provide innovative procedures and state of the art technology to its patients, but the level of education is hard to gauge due to the fact that it’s an ongoing process.
8.2. Patient Reviews and Testimonials
Feedback shared by others can save you time and effort in finding a quality dentist. A good resource to help you decide can be by searching patient reviews and testimonials. This can give you a great insight into how the dentist runs his practice, whether he is good with children, etc. Another good way to find a dentist is by word of mouth. Your friends and family can give you a personal account of the service they received and whether they were satisfied with it. A person is more likely to refer someone to a good dentist if they were happy with the service that they received. If you have made an appointment and consulted a particular dentist that you are unsure about and you feel that you are not satisfied with the information that you found, an effective way to find out more about that dentist is to ask the right questions. Make sure you are well-informed and confident about that particular dentist, do not feel that it is a waste of time to investigate further about the dentist’s background. Remember that it is your right to know, and by having the right amount of information about a particular dentist will save you time, effort, and possible money in the future.
8.3. Convenience and Accessibility
We live in a fast-paced society where every hour of every day seems to be filled with something to do. Our lives are fuller than ever and one of the last things on our minds is making a dentist appointment for ourselves. Not to mention our children! It may take a month or more to get on the schedule with the children’s dentist, but when that appointment finally comes the parent is already overwhelmed with everything else on the ‘to do’ list. Wouldn’t it be convenient to schedule the family’s appointments all in one day? Then only one day of work or one day out of the kids’ school… A general dentist may be the answer to this situation. With a variety of services they can perform for both children and adults, the convenience of seeing only one dentist as well as the only one day out of work/school is a desirable factor! A family can get the appointments done and out of the way and not have to worry about making multiple trips to different dental offices on different days. This not only saves time, but cuts down on the stress a high-paced lifestyle can produce. With everyone’s busy schedules, the last thing we need is another thing to fit into our calendars!
9. Dental Insurance and Payment Options
Private dental healthcare has rather a high value, and due to it being an elective procedure, private dentistry can be very much affected by a patient’s financial situation. For this reason, many patients choose to pay for their treatment using dental insurance. People who are employed may have dental insurance provided by their employer as part of their benefits package. Depending on the type of insurance and the agreement between the employer and the insurance company, the patient may be capable of claiming back the whole cost, or just part of it. The patient who is able to claim the whole cost may still feel limited by this as it may be on the provision that they only seek treatment from the cheapest source, which may sacrifice on quality. In cases of emergency, insurance companies too often enforce that the patient should seek NHS treatment first, and then the insurance will only cover the cost of private treatment if it is more expensive. It is good for the patient to be aware of this and really consider if the insurance policy is the most cost effective in the long run. For private dental treatment that is more expensive for various treatment options, it may be that there are limitations in the amount that can be claimed back, so it is again best to weigh up the options. If a person is not employed and does not have insurance provided for them, they may still choose to take out a private dental insurance policy so that covering costs for any future treatment will not be such a burden.
9.1. Understanding Dental Insurance Coverage
Dental insurance covers a variety of services, but this often depends on the specific type of insurance plan. Some plans only cover basic services and have limitations on the amount of coverage per year, while other more comprehensive plans may cover all major dental work. Many employers are now offering more comprehensive plans to their employees. More and more, dentists are becoming contracted with certain insurance companies. This means that the dentist has agreed to a fee schedule and a discounted fee for services rendered. This is a good thing for the patient, as it means that the patient can optimize the benefits from their insurance plan. Also, because the dentist will save by not having to bill the patient for the remaining portion of the bill, the dentist will often pass the savings onto the patient. From a patient’s perspective, it may be beneficial to find a dentist who is contracted with their insurance in order to maximize potential benefits.
Dental insurance plays a significant role in managing dental care since there is a lack of government assistance in this area. Proper dental insurance assists the patient and the provider in achieving optimal oral health care. It is important to understand that dental insurance and medical insurance are not the same. Typically, dental insurance companies are separate from medical insurance companies, therefore the coverage and benefits will differ. A general dentist’s office is the right place to start your quest for understanding dental coverage. General dentists often have extensive information regarding what dental insurance companies consider routine and preventive services, and can assist in answering questions. It is important to communicate with your employer regarding the specifics of the dental plan offered, as employers may offer more than one option.
9.2. Affordable Payment Plans and Financing
Financing programs act as a credit card for health care. Often times these programs offer zero percent interest for a set period of time, and can be used for services that are sometimes not covered by insurance. Approval for these programs is typically quite easy, and is usually based on the customer’s credit rating. If you’re already a credit card holder, you may be familiar with the marketing for such programs, as they are often promoted in credit card offers. While these programs can be a good option for people in need of dental care, make sure to initiate the financing prior to treatment, as it can sometimes be difficult to pay for a procedure retroactively.
In general, payment plans offered by a dentist allow for patients to pay for dental treatment over an extended period of time. Typically, these plans require a substantial down payment prior to treatment, and the remaining balance is paid through a series of installments. The duration of these plans can vary, but if you’re considering a payment plan, make sure the terms are clear and the payment schedule is easy to understand.
Paying for dental care can sometimes be a bit of a hassle. Fortunately, today many dentists offer payment plans as well as financing to help break down the cost of dental treatment. According to the Academy of General Dentistry, four out of five general dentists now provide such options, usually offered through a third-party patient financing program.
10. Conclusion
There is little if any evidence that the dental health status of those residing in rural United States compared to their urban counterparts has become equivalent. This, with the current state of the rural dental healthcare system in mind, illustrates that it is unlikely to fully address the dental health needs of the rural population to achieve health equity. A study by Howell and McCunniff on health professionals and health disparities describes dentists as being more influenced by location, income, and other personal reasons than by their social obligation to achieve health equity for all people. To some extent, this is reflected in the distribution of general dentists in Michigan, in which 22% practice in rural areas and only 7% of Michigan’s rural population receive care by these dentists. The dental healthcare system is a reflection of the distribution of dentists and has created a maldistribution of dental services. Requires further inquiry that is beyond the scope of this article but may include sufficient incentive programs to practice in rural areas and improving education and community programs that are aimed to increase the rural population’s perceived importance and knowledge of maintaining good oral health. In the future, an improved distribution of dentists and with changes to the current healthcare system, particularly with better access to preventive and routine services, general dentistry in rural United States may become more comprehensive and better address the needs of the rural population.
In many respects, this article has highlighted the strengths of the general dental healthcare system in the rural sector of the United States. The general dental healthcare system has adequately evolved to the current needs and demands of the rural and underserved populations. Citation of relevant literature suggests that, in comparison to urban populations, rural residents avoid seeking dental care until an oral health problem becomes serious. Dentists practicing in rural areas find that, in addition to usually having a higher incidence of dental caries and periodontal disease, their patients’ extent of disease is greater. This is in part due to lifestyles and a lack of education, particularly amongst the elderly. It has been shown that rural elders will refrain from seeking treatment and instead opt for extraction because they believe it to be more cost-effective. Dental care is often an unmet health need in rural communities due to reasons expressed by the Medicaid interviewees in this article. These factors brought to light have created a dental healthcare system based primarily on extractions with little provision of prevention or restorative treatment. This fills a need created by the population yet is not in their overall health interest. Just because there is little demand for treatment of dental caries and periodontal disease does not mean that it is of reduced importance. A study by Pohl and Kratochvil supports the belief that health interest is related to the availability of health services. In McCunniff’s 1978 article, he states that access to and utilization of health services are critical in preventing disease and maintaining and improving health. Preventative and routine care is in the interest of the rural population and the future of their oral health.
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