Frequently Asked Questions

• A dentist is a specialist who works to diagnose, treat, and prevent oral health problems. Your dentist has completed at least eight years of schooling, and received either a DDS (Doctor of Dental Surgery) degree, or a DMD (Doctor of Dental Medicine) degree. If your doctor is a pediatric dentist, this means that he or she specializes in caring for children from infancy through their teen years. A pediatric dentist has received the proper education and training needed to work with young kids. Other specializations include:
• Endodontics (root canals)
• Oral and maxillofacial (including pathology, radiology, and surgery)
• Orthodontics and dentofacial orthopedics
• Periodontics (gum disease)
• Prosthodontics (implants)

• Visiting the dentist regularly will not only help keep your teeth and mouth healthy, but will also help keep the rest of your body healthy. Dental care is important because it:
• Helps prevent tooth decay
• Protects against periodontal (gum) disease, which can lead to tooth and bone loss
• Prevents bad breath – brushing, flossing, and seeing the dentist regularly will help reduce the amount of bacteria in your mouth that causes bad breath
• Gives you a more attractive smile and increases your self-confidence
• Helps keep teeth looking bright by preventing them from becoming stained by food, drinks, and tobacco
• Strengthens your teeth so that you can enjoy healthy, beautiful smiles for the rest of your life!

• Many factors work to destroy the naturally white smile you were born with. Tobacco, certain foods, and certain drinks actually stain teeth. These substances continually work on our teeth causing our white smile to gradually fade. Hot coffee and tea are especially hazardous to your smile because they change the temperature of teeth. This temperature change – hot and cold cycling – causes the teeth to expand and contract allowing stains to penetrate the teeth. Cutting down on coffee and tea can go a long way to creating a great smile. Foods that are slightly acidic are also dangerous to your white smile. These foods open up the pores of the tooth enamel allowing stains to move more easily into the tooth.
• Your dentist can help you with more tips on keeping a white smile.

• Commercial whitening toothpastes vary greatly in their ability to whiten teeth. They work by removing surface stains from the teeth with the use of mild abrasives. However, unlike professional whitening, some whitening toothpastes do not alter the intrinsic color of the teeth. Toothpastes that are effective in removing stains can also destroy tooth enamel in the process. These toothpastes use harsh abrasives. With repeated use, harsh abrasives begin to damage tooth enamel and can contribute to increased tooth sensitivity. If you would like to try a whitening toothpaste, consult with your dentist first.

• Like other investments, if you whiten your teeth, the length of time you can expect it to last will vary. If you smoke, drink red wine or coffee, or consume other acid-containing foods, your bright smile may begin to yellow more quickly than you expect. In general, a teeth whitening procedure can last up to a few years. And even though the results can fade, occasional touch-ups can be done to regain luster.

• Sensitivity toothpaste, which contains strontium chloride or potassium nitrate are very effective in treating sensitive teeth. After a few weeks of use, you may notice a decrease in sensitivity. Highly acidic foods such as oranges, grapefruits and lemons, as well as tea and soda can increase tooth sensitivity, and work against sensitivity toothpaste. If you do not get relief by brushing gently and using desensitizing toothpaste, see your dentist. There are special compounds that can be applied in-office to the roots of your tooth to reduce – if not eliminate – the sensitivity. High-fluoride containing home care products can also be recommended to help reduce tooth sensitivity.

• Fluoride is a mineral that occurs naturally in many foods and in water. Some natural sources of fluoride are brewed tea, canned fish, cooked kale and spinach, apples, and skim milk. Some city water contains fluoride, so by drinking tap water you will acquire fluoride. If drinking water does not have fluoride, supplements are available.
• The lack of exposure to fluoride places individuals of any age at risk for dental decay. Fluoride is important to dental health because it helps prevent tooth decay by making your tooth enamel more resistant to acid attacks from plaque bacteria in your mouth.
• Studies have shown that children who consumed fluoridated water from birth had less dental decay. Fluoride can reverse early decay and help prevent osteoporosis, a disease that causes degenerative bone loss. Talk to your dentist or dental hygienist about whether you’re getting the daily amount of fluoride you need.

• Many diseases of the teeth and surrounding tissues cannot be seen when the dentist examines the mouth. An X-ray examination may reveal:
• small areas of decay between the teeth or below existing restorations (fillings)
• infections in the bone
• periodontal (gum) disease
• abscesses or cysts
• developmental abnormalities
• some types of tumors
• Finding and treating dental problems at an early stage can save time, money and often unnecessary discomfort. X-rays can detect damage to oral structures not visible during a regular exam. If you have a hidden tumor, X-rays may even help save your life. Dentist will evaluate your need for X-rays based on the conditions present in development. There are many benefits to having X-rays taken. Any additional questions or concerns should be discussed with your dentist.

• Flossing reduces the number of bacteria in your mouth. There are millions of these microscopic creatures feeding on food particles left on your teeth. These bacteria live in plaque which can be removed by flossing. Brushing your teeth gets rid of some of the bacteria in your mouth. Flossing gets rid of the bacteria the toothbrush can’t get to. That’s the bacteria hiding in the tiny spaces between your teeth. If you do not floss, you allow plaque to remain between your teeth. Eventually it hardens into tartar. Plaque can be removed by brushing. Only the dentist can remove tartar.
• Ask your dentist to show you the proper way to floss. You will both notice the difference at the next cleaning appointment.

• ALWAYS remember to brush your teeth at least two times a day, and floss at least once!
• Make sure to use toothpaste that contains fluoride, and ask your dentist if you need a fluoride rinse. This will help prevent cavities.
• Avoid foods with a lot of sugar (sugar increases the amount of bacteria that grows in your mouth causing more plaque and possibly cavities) and avoid tobacco (this can stain your teeth, cause gum disease, and eventually lead to oral cancer).
• Don’t be afraid to brush your tongue! By brushing your tongue, you will remove food particles and reduce the amount of plaque-causing bacteria. Tongue brushing also helps keep your breath fresh.
• Be sure to schedule your routine checkup. It is recommended that you visit the dentist every six months.

• Your teeth may feel fine, but it’s still important to see the dentist regularly because problems can exist without you knowing. Your smile’s appearance is important, and your dentist can help keep your smile healthy and looking beautiful. With so many advances in dentistry, you no longer have to settle for stained, chipped, missing, or misshapen teeth. Today’s dentists offer many treatment choices that can help you smile with confidence, including:
• Professional teeth whitening
• Fillings that mimic the appearance of natural teeth
• Tooth replacement and full smile makeovers

• It’s very important to schedule regular cleanings. There are many problems with can exist without knowing. Not only can we identify problems before they become a painful and expensive but we can also help to keep your smile looking fantastic. We know how important it is to feel comfortable with your smile. This is why we offer many treatments to help improve patient aesthetics.

• Children, teens, and adults should all see the dentist for a regular checkup at least once every six months. Patients who are at a greater risk for oral cancer or gum disease may be required to see the dentist more than just twice a year. Your doctor will help determine how often you should visit the dentist for regular checkups.

• Yes! In fact, it’s even more important that patients receiving orthodontic treatment visit their dentist regularly. With braces, food may be caught in places that your toothbrush can’t reach. This causes bacteria to build up and can lead to cavities, gingivitis, and gum disease. Your dentist will work closely with your orthodontist to make sure that your teeth stay clean and healthy while wearing braces.

• The American Academy of Pediatric Dentistry (AAPD) recommends that children first see a dentist as early as six months of age and no later than one year of age. During this time, your child’s baby teeth will be coming in and your dentist can examine the health of your child’s first few teeth. After the first visit, be sure to schedule regular checkups every six months.

• Make it fun! If you are enthusiastic about brushing your teeth, your children will also be enthusiastic. Children want to do the things their parents do. If your children see you brushing your teeth and displaying good dental habits, they will follow. Ask the dentist for other creative ways to get children to brush their teeth.
• Getting your children to brush starts with taking them to the dentist at an early age. All children should be seen by their first birthday or 6 months after the eruption of the first tooth.

• It is safe to see a dentist when you are pregnant. Make sure to tell your dentist that you are pregnant and about any changes you have noticed in your oral health. In some cases, pregnancy can actually make some dental problems worse. Brushing and flossing contributes to your overall health, too, and if your mouth is healthy, it’s more likely that your baby’s mouth will be healthy. It’s important to continue to see your dentist during pregnancy for oral examinations and professional teeth cleanings. Good daily care is vital. That means always brushing your teeth twice a day with fluoride toothpaste, cleaning between your teeth once a day, eating a balanced diet and limiting between-meal snacks.

• About half of women who are pregnant experience a condition called pregnancy gingivitis. This condition can be uncomfortable and cause swelling, bleeding, redness or tenderness in the gum tissue. A more advanced oral health condition called periodontal disease (a serious gum infection that destroys attachment fibers and supporting bone that hold teeth in the mouth) may affect the health of your baby. Studies have shown a relationship between periodontal disease and preterm, low birth-weight babies. In fact, pregnant women with periodontal disease may be seven times more likely to have a baby that’s born too early and too small. The likely culprit is a labor-inducing chemical found in oral bacteria called prostaglandin. Very high levels of prostaglandin are found in women with severe cases of periodontal disease.

The only way to determine if implants are right for you is to schedule a consultation with Dr. Trilli to identify whether you have adequate bone and healthy gums to support the implant.

In the dental implant procedures typically take a total of 6-7 months to complete all stages. It begins with a titanium rod being placed where the previous natural tooth root once was. The gum is sutured over the implant, where it will stay for 4-6 months as the bone fuses around the implant. IN some cases, the patient may need grafting material placed to help secure the implant. A removeable temporary tooth or teeth can be made to place over the implant during healing. This procedure can take 1-2 hours to complete with local anesthetics. Oral sedation is an option to help patients with clinical anxiety feel more relaxed during the surgery.

It is normal to have some discomfort; however pain should be manageable with over the counter medication. In some cases pain medication may be prescribed by Dr.Trilli.