Nitrous Oxide

Choosing a dentist who “clicks” with you and your family is important, and you may wish to consider several dentists before making your final decision. During your first visit, you should be able to determine whether the dentist is right for you. During your appointment, consider the following:

• Is the appointment schedule convenient?
• Is the office easy to get to and close by?
• Does the office appear to be clean and orderly?
• Was your medical and dental history recorded and placed in a permanent file?
• Does the dentist explain techniques for good oral health?
• Is information about cost presented to you before treatment is scheduled?
• Is your dentist a member of the ADA (American Dental Association)?

Also known as periodontal disease, gum disease is mostly caused by plaque and bacteria buildup that is not treated in its early stage. Other causes of periodontal disease include tobacco use, teeth grinding, some medications, and genetics. Gingivitis is the beginning stage of gum disease, and, if detected, is treatable. Gingivitis left untreated may turn into gum disease. Advanced gum disease will lead to tooth and bone loss, and is a permanent condition. Brushing your teeth regularly and visiting the dentist every six months will help prevent gingivitis and more severe cases of periodontal disease. Common signs of gum disease:

• Red, irritated, bleeding, or swollen gums
• Chronic bad breath
• Loose teeth, or loss of teeth
• Extreme tooth sensitivity
• Receding gum line
• Abscessed teeth

A cavity is a small hole that forms inside the tooth because of tooth decay. Cavities are formed when plaque buildup on the outside of the tooth combines with sugars and starches in the food you eat. This produces an acid that can eat away the enamel on your tooth. If a cavity is left untreated, it can lead to more serious oral health problems. Cavities can be prevented by remembering to brush your teeth at least two times a day and floss between teeth at least once.

• 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.

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.

Your toothbrush will eventually wear out, especially if you are brushing your teeth twice a day for two to three minutes each time. Your dentist recommends that adults and children change their toothbrush every three months. If you are using an electric toothbrush, be sure to read the directions because you may not need to change toothbrush heads as frequently. Patients with gum disease are encouraged to change their toothbrush every four to six weeks to keep any bacteria from spreading. After brushing, rinse your toothbrush with hot water to kill germs and keep the bristles clean. If you've been sick, be sure to change your toothbrush as soon as possible.