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PATIENT F.A.Q.  









Moreno Dental
3115 Howe Place
Suite 101
Bellingham, WA
98226

360.676.0642

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Here are the answers to common dental questions we get asked.

How often do I need a checkup?
A double blind study completed in 1987 showed that effective maintenance against periodontal disease and decay required quarterly professional cleanings. Cleanings every six months allowed the same degree of breakdown as yearly cleanings. With the previous information as a guideline, we recognize that each person is unique and we will let you know if your particular situation requires being seen on a different schedule.

What happens if I get a severe tooth ache outside of office hours?
If you are a patient of Moreno Dental, you're in severe pain and we're not in the office, you can call our number, 360.676.0642, and our answering service will contact one of our Doctors.

At other times, you can go to an emergency room and get a prescription for pain relief that should take you to morning.

Why do you want to know that I have diabetes?
We need to know about illnesses that you have because many illnesses manifest their symptoms in your mouth.

Diabetics, for example, are at higher risk of oral infection and bone loss. And periodontal problems can make it harder for you to control your diabetes because they upset blood sugar levels and make it harder for you to eat properly.

A further complication is that infections in diabetics heal more slowly. Because of these possible problems, once we know that you have diabetes, we'll probably want to put you on a more frequent schedule of care.

Please alert the office if you have a medical condition that may be of concern (i.e. diabetes, high blood pressure, artificial heart valves or joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)

**If you are required to premedicate before a visit to the dentist, please inform us.**

Should I cancel my dental appointment if I have a cold?
Don't cancel your appointment if your only concern is not to spread your cold. Our gowns and masks serve their function by protecting us.

The only reason to cancel your appointment would be if your symptoms are so severe that you would be unable to tolerate the procedures. We ask that you give us as much notice as possible if you do have to make a cancellation.

What causes tooth decay?
As you eat and food passes through your mouth, it meets the germs, or bacteria, that live in your mouth. You may have heard your dentist talk about plaque. Plaque is a sticky film of bacteria.

These bacteria love sugars and starches found in many foods. When you don't clean your teeth after eating, plaque bacteria use the sugar and starch to produce acids that can destroy the hard surface of the tooth called enamel.

After a while, tooth decay occurs. The more often you eat and the longer foods are in your mouth, the more damage occurs.
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What is Plaque?
Many of the foods you eat cause bacteria in your mouth to produce acids. Sugared foods, such as cookies and candy, are not the only reason for plaque. Starches, such as cereal, bread, and crackers, also cause acids to form.

If you snack often, you could be having many acid attacks. After many of these acid attacks, your teeth may decay.

Plaque also produces substances that irritate the gums, making them red, tender or prone to bleed easily. After awhile, gums may pull away from the teeth. Pockets form and fill with more bacteria and pus. If the gums are not treated, the bone around the teeth can be destroyed. The teeth may become loose or have to be removed. In fact, gum disease is a main cause of tooth loss in adults.

One way to prevent tooth decay and gum disease is to eat a balanced diet and limit the number of between-meal snacks. If you need a snack, choose nutritious foods such as raw vegetables, plain yogurt, cheese or a piece of fruit. read more>>

What causes bad breath?
What you eat affects the air you exhale. Certain foods, such as garlic and onions, contribute to objectionable breath odor.

Once the food is absorbed into the bloodstream, it is transferred to the lungs where it is expelled. Brushing, flossing and mouthwash will only mask the odor temporarily. Odors continue until the body eliminates the food. Dieters may develop unpleasant breath from infrequent eating.

If you don't brush and floss daily, particles of food remain in the mouth collecting bacteria that can cause bad breath. Food that collects between the teeth, on the tongue and around the gums can rot, leaving an unpleasant odor.
Dentures that are not cleaned properly can also harbor odor-causing bacteria and food particles.

One of the warning signs of periodontal (gum) disease is persistent bad breath or a bad taste in the mouth. Periodontal disease is caused by plaque, the sticky, colorless film of bacteria that constantly forms on teeth. The bacteria create toxins that irritate the gums. In the advanced stage of the disease, the gums, bone and other structures that support the teeth become damaged. With regular dental checkups, your dentist can detect and treat periodontal disease early.

Bad breath is also caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor. Dry mouth may be caused by various medications, salivary gland problems or continuously breathing through the mouth.

If you suffer from dry mouth, your dentist may prescribe an artificial saliva, or suggest using sugarless candy and increasing your fluid intake.

Tobacco products cause bad breath, stain teeth, reduce one's ability to taste foods, and irritate gum tissues. Tobacco users are more likely to suffer from periodontal disease and are at greater risk for developing oral cancer. If you use tobacco, ask your dentist for tips on kicking the habit.

Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract (nose, throat, windpipe, lungs), chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If your dentist determines that your mouth is healthy, you may be referred to your family doctor or a specialist to determine the cause of bad breath.

Eliminating periodontal disease and maintaining good oral health is essential to reducing bad breath. Schedule regular dental visits for a professional cleaning and checkup. If you think you have constant bad breath, keep a log of the foods you eat and make a list of medications you take. Some medications may play a role in creating mouth odors. Let your dentist know if you've had any surgery or illness since your last appointment.

Brush twice a day with a fluoride toothpaste to remove food debris and plaque. Brush your tongue, too. Once a day, use floss or an inter dental cleaner to clean between teeth. If you wear removable dentures, take them out at night. Clean them thoroughly before replacing them the next morning.

Mouthwashes are generally cosmetic and do not have a long-lasting effect on bad breath. If you must constantly use a breath freshener to hide unpleasant mouth odor, see your dentist. If you need extra help in controlling plaque, your dentist may recommend using a special anti microbial mouth rinse. A fluoride mouth rinse, along with brushing and flossing, can help prevent tooth decay.
Look for products that carry the American Dental Association Seal of Acceptance. Products that display the seal have undergone strict testing for safety and effectiveness.
How do I floss my teeth?
Break off about 18 inches of floss and wind most of it around one of your middle fingers. Wind the remaining floss around the same finger of the opposite hand. This finger will take up the floss as it becomes dirty. Hold the floss tightly between your thumbs and forefingers. Guide the floss between your teeth using a gentle rubbing motion. Never snap the floss into the gums.

When the floss reaches the gum line, curve it into a C-shape against one tooth. Gently slide it into the space between the gum and the tooth.

Hold the floss tightly against the tooth. Gently rub the side of the tooth, moving the floss away from the gum with up and down motions. Repeat this method on the rest of your teeth. Don't forget the back side of your last tooth.

People who have difficulty handling dental floss may prefer to use another kind of inter dental cleaner. These aids include special brushes, picks or sticks. If you use inter dental cleaners, ask your dentist about how to use them properly to avoid injuring your gums.
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At what age should I take my child to the Dentist?
The American Dental Association recommends that you take your child to the dentist by age one. The earlier, the better.

The dentist can see if there are any areas of decay, advise you on how to brush your child's teeth, and determine how much fluoride your child should get.
Since my baby doesn't have any teeth, do I still need to clean his mouth?
Yes. It is really important to clean your child's mouth after every feeding. Just take a damp washcloth and gently wipe the baby's gums. This takes away plaque and bacteria.
Can baby teeth get cavities?
Yes. As soon as teeth form, they are at risk for decay. One serious reason for this is baby bottle tooth decay.

This happens when babies are given bottles while they sleep or nap. The fruit juice, milk or sugar water pools around the teeth for long periods of time, and the teeth are attacked by the acids.

If you have to give your child a bottle to nap or go to bed, make sure it just has plain water in it.
Disclaimer:
The materials on this web site are informational only and not intended as a substitute for professional dental and/or medical advice. Accordingly you should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider.

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