Patient FAQ's
DENTOPHOBIA: REST IN PEACE
- I am petrified of visiting my dentist. Why is dentistry so painful?
Dental anxiety stems from several causes, such as negative conditioning in childhood
by parents, memories of an unpleasant past experience, transferred anxiety from
the experiences narrated by others, negative impressions perpetuated by media, associations
of dentistry with other unpleasant environments like hospitals, and the perception
of having no control over the situation. Dentists today can help mitigate all these
concerns to make it easier for you!
- Can’t it be made painless?
Modern dentistry is largely painless- Potent local anesthetics and refined injection
systems are used liberally to render profound numbness for virtually every procedure
to eliminate pain. Dental clinics also focus on minimizing ambient stressors by
providing warm décor, soothing music and even hi-tech eye wear to keep your
mind off the surroundings. If you are extremely anxious, anti-anxiety premedication
or even treatment under general anesthesia is a safe option.
DENTAL ED: TOUR OF THE MOUTH
- Apart from chewing, why are my teeth important?
While chewing is their primary role, teeth play multiple other roles too- they assist
in your speech, support the face structure, preserve the health of the jawbones,
and make you look and smile better!
- Aren’t my teeth dead structures?
They are definitely not dead structures- they have a tough exterior coated with
the hardest substance in the body, the enamel-but deep inside each of your teeth
is soft core (known as the pulp), which contains blood and nerve supply to nourish
the tooth from within.
ORAL HYGIENE: BRUSH OFF YOUR WORRIES!
- Flossing is a pain- is there any alternative?
Flossing takes some practice, but is extremely effective, and has no alternative
yet. It is, therefore, worth your effort to learn the right way to floss!
- Can I regularly use a mouthwash to preserve the teeth?
Mouthwashes are good for occasional use or during certain therapeutic phase where
tooth brushing is difficult. As such, regular use of mouthwashes can upset the healthy
balance of good and bad bacteria present in your mouth, and is best avoided.
SUGAR: FOOD FOR ROT
- I don’t eat much of chocolates or sweets, why do I still get cavities?
Sugar is present in many foods (not just chocolates or sweetmeats) - high carb items
like cakes, fruit juice, ice-cream, sweetened tea/coffee, jam, biscuits---all contain
sugar! Every time your teeth are exposed to sugar, there are chances of an acid
attack –so, apart from reducing the use if sugar, you also need to cut back
on the number of times you consume it through the day.
- Are there any foods which protect against cavities?
Cheese, nuts, unsweetened dairy products, tea, and even coca have anti-cavity properties!
Maybe you can treat yourself to an occasional bitter chocolate without guilt!
NUTRITION: EAT TO LIVE
- Can I take calcium to make my teeth stronger?
Calcium is the building block of teeth and bones, and gives them their hardness.
Calcium supplements are most helpful for expectant mothers and young children, as
it helps in new teeth formation. Adults don’t need calcium for their teeth,
as their teeth have already formed, but they need calcium for their bones! Balanced
diets provide sufficient daily intake of the most important nutrients needed for
dental health: Calcium, Phosphorus, Vitamin D, Fluoride, Vitamin C, etc.
- What would be the best diet for dental health?
A diet containing seasonal & green leafy vegetables, nuts, whole grains, lentils,
eggs, dairy, fish and lean meat provides nearly all the nutrients needed for your
overall as well as dental health. Raw, crunchy foods also provide exercise for your
teeth, and clean them in the bargain! Surgery and processed foods are best avoided.
MILK TEETH: NO KIDDING!
- Can milk bottles cause cavities in my child’s teeth?
Baby bottles left in the mouth when your child dozes off are an major source of
cavity formation- the milk, usually sweetened, pools around the upper front and
all the back teeth, causing severe decay.
- Do milk teeth need dental treatment? Aren’t they going to all off
anyway?
If milk teeth are lost before time, it obviously affects your child’s ability
to chew, leading to poor food habits. It also causes embarrassment for your child,
affecting speech and appearance. Very importantly, milk teeth “hold”
the space for permanent teeth that are yet to arrive, and early loss of milk teeth
can cause future alignments to go wonky. So, treating them is a must!
To keep milk teeth in good health, the dentist’s role is invaluable: milk
teeth can receive preventive treatments to avoid decay, and therapeutic treatments
to treat decay (like fillings and root canal treatments), misalignments, and so
on. Dentists can also provide you credible information regarding proper diet, correct
oral hygiene techniques, etc.
- When should tooth-brushing be started for milk teeth?
You need to start brushing your child’s teeth as soon as they arrive in the
mouth- starting in the early days with a soft cloth, you can move to a baby toothbrush
when more teeth arrive. By the age of two, when the molars are in place and adjacent
molars are touching each other, you can start flossing too.
TOOTH DECAY: STEM THE MESS
- Why do I get cavities?
The root cause of cavity formation is the deposition of bacteria on your teeth in
a sticky film( Known as dental plaque.) Plaque can be brushed or flossed away, but
it is allowed to remain undisturbed on the teeth, and gets to feed on sugar from
our diet, it can set the stage for cavity formation. Acids produced by plaque bacteria
start dissolving tooth enamel, allowing access to the deeper layers of the tooth.
- My dentist says I have cavities, but I have no pain- is this possible?
Pain is not a reliable an indication of the severity of cavity formation- early
cavities in the enamel layer are usually painless, with symptoms of sensitivity
or pain occurring when deeper layers are affected. However, depending on the response
of your tooth to the cavity, you may have no discomfort with even deep cavities.
- How do I know if I have cavities?
Cavities often form on the chewing surface of the back teeth, where you can see
them as blackish discolorations or as depressions where food particles collect.
However, many cavities occur in between adjacent teeth, and these are not easy for
you to detect- they are best diagnosed by a dentist.
GUM DISEASE: MOVES AND SHAKERS
- How do I know if I have gum disease?
Most sufferers are unaware of the presence of gum disease, but the commonest symptom
of gum disease is bleeding gums. Bad breath, itchiness in the gums, gum-boils and
looseness of teeth are other indications of gum disease you can watch out for. Most
stages of gum disease are usually painless.
- Why is it important to keep the gums healthy?
Healthy gums are vital to keep the teeth well anchored in the jawbone, and to keep
them firm and functioning well over the years. Healthy gums ensure that you don’t
suffer bad breath or tooth sensitivity, and they also enhance the beauty of your
smile!
- Is gum disease treatable?
Gum disease is treatable- early stages respond well to periodic cleaning by the
dentist (a procedure known as scaling). Progressive stages of gum disease may need
gum surgery, medications, etc. The success of gum treatments hinges on good daily
maintenance of oral hygiene, which are in your hands!
- What are the consequences of not treating gum disease?
Untreated gum disease can lead to loss of the supporting jawbone, which in turn
can cause looseness of teeth, and eventually, loss of the tooth. There is also a
dark association between untreated gum disease and increased risk of cardiovascular
disease, so don’t ignore gum disease!
TOOTH SENSITIVIY: ENJOY YOUR ICE-CREAM!
- Why do my teeth feel so sensitive?
The outer layer of enamel on our teeth protects against unpleasant sensations from
reaching the sensitive inner layers get exposed, either due to gum recession, exaggerated
wear & tear, or erosion of the enamel, you start feeling the sharp discomfort
to cold, sour or sweet stimuli, which dentist term as ‘’ dentinal hypersensitivity.’
- Can dental procedures cause sensitivity?
Teeth can become sensitive in the aftermath of certain procedures, such as tooth
whitening, scaling, or fillings. Your dentist can advise you on how to counter this.
- Are commonly advertised desensitizing toothpastes effective against tooth
sensitivity?
Yes, there are several ingredients in desensitizing toothpastes that are effective
in controlling the sensitivity. However, it is best to see your dentist to identify
the sources of the problem, which may need both dental treatment, as well as desensitizing
pastes to control.
BAD BREATH: FUME AND FRET
- What causes bad breath?
Your mouth is home to more than 600 types of bacteria – many are harmless,
but some of these (called anaerobic bacteria), thrive in the absence of oxygen.
These culprits cause putrefaction of residues in the mouth, leading to foul- smelling
by- products. While this is the main source of bad breath, there are many more!
- Where do these odor-causing bacteria thrive in the mouth?
These anaerobic bacteria thrive at the rear portion of the tongue, under the gumline
in gum disease, in crevices found in damaged teeth or fillings, in unclean dentures,
and so on.
- How can I avoid bad breath?
The most important step is to maintain good oral hygiene, which definitely includes
a thorough tongue- cleaning! Attending to the source of bad breath is very important-
clean the dentures, avoid smoking and alcohol, shun smelly foods, and let your dentist
attend to cavities and gum disease.
- Does using a mouthwash help?
Temporarily, yes, it masks the odour. However, prolonged use of mouthwashes can
aggravate the problem (ironically, some alcohol-based mouthwashes actually dry the
mouth, leading to more bad breath).
BRUXIM- BACK TO THE GRIND
- Does my tooth- grinding habit damage the teeth?
Yes, it causes exaggerated wear-and tear on the chewing surfaces, as well as loss
of protective enamel along the necks of the teeth, leading to lots of teeth sensitivity.
The damage also extends to the joints where the lower jaw meets the skull bones
(known as the TMJ or temporomandibular Joints) - these joints get worn down, leading
to headaches, earaches, pain in the jaws, soreness in the neck muscles, etc.
- Can my tooth-grinding habit be controlled?
Most of the grinding happens in deep sleep, when it is impossible to have knowledge
of the habit, or to exercise voluntary control. The dentist can help by making a
customized “night-guard’ for you to wear on the teeth, which will prevent
the grinding. Psychological stress is a leading trigger for tooth-grinding, so relaxation
techniques and lifestyle changes will help in the long term.
FILLINGS: RESTORE AND REJOICE
- My dentist said I have a cavity, but he drilled out a huge hole to put in
a filling….. Isn’t this causing more damage to my teeth?
Tooth decay often looks like a small hole, but cavities tend to spread a lot under
the surface. Before filling a cavity, your dentist needs to remove all the decayed
tooth substance, and this may seem like a huge hole is being drilled- but rest assured,
your dentist will never remove healthy tooth substance, just the rotten part.
- Silver fillings were cheaper than cosmetic fillings my dentist recommends-what’s
wrong with silver fillings?
Silver fillings have been used for nearly two centuries, and are strong, yet relatively
inexpressive. However, to be strong enough, they need a minimum thickness, needing
the dentist to remove some healthy tooth structure beyond the decayed areas, especially
in shallow cavities. Secondly, they look blackish, and don’t really bond to
your tooth. One of the main concerns with silver fillings is that they have significant
mercury content, and mercury is a toxic material, and may have long-term health
implications.
- Are cosmetic fillings strong and durable?
Today’s default filling material is known as Composite Resin-its colour can
be perfectly matched to your teeth, and it is very strong and durable too. It is
firmly bonded onto your tooth, and doesn’t come off easily. Most often, these
are placed directly into the cavity and set into place- but some versions can be
prefabricated outside, and then bonded into your tooth. Irrespective of the type
of filling you opt for, do remember that a filled tooth can also decay further,
and it needs periodic monitoring by your dentist.
ROOT CANAL TREATMENT : NAVIGATING DOWN UNDER
- Why have I have only heard horror stories about Root Canal treatment?
Versions of Root Canal Treatment have been around for centuries, when preventing
pain was never really possible. Today, most Root Canal treatments (known as Endodontic
treatment) are uneventful, painless procedures (caution: you may even get bored!)
Pain-management is a prime priority for today’s dentists, and they will take
every measure to keep all procedures painless.
- Once a tooth has received Root Canal Treatment; doesn’t it become
a dead tooth?
In Root Canal treatment, the contents of the central core (pulp) of the tooth, i.e.
the nerve and blood supply, are totally removed, and replace with a filling material.
However, by virtue of its physical structure, and the fact that the tooth is still
firmly anchored within the jawbone, the tooth remains fully functional for chewing.
This is the greatest benefit of Root Canal treatment- it saves teeth that would
otherwise need to be pulled out!
- Haven’t I read that Root Canal treatment leaves toxic dead material
and bacteria within the roots, which can lead to many other bodily ailments?
These are unsubstantiated, unscientific reports, which are nothing short of scare
mongering. Root Canal Treatment protocols ensure thorough cleansing of all residues
from within the tooth. Additionally, the roots of our teeth are surrounded by a
robust network of blood vessels- this keeps protective blood cells and antibodies
in close proximity to this eliminate any chances of bacteria or toxins from persisting
inside the roots.
- My dentist has recommended a cap for my molar tooth after the root canal
treatment- in view of cutting costs, can this not be avoided?
After Root Canal treatment, the tooth undergoes dehydration, and is prone to brittle
fracture- a cap, or crown, by covering the entire visible part of the tooth, provides
protection against this. Your dentist can offer crowns across price ranges –from
low-cost metal caps to premium Zirconia crowns.
DENTAL EXTRACTIONS: PLUCK-ME-NOT
- I don’t want to lose any of my teeth- but my dentist has recommended
a tooth extraction…can’t all teeth be saved with modern technology?
Here’s a little secret: dentists hate removing teeth! If you dentist has recommended
getting a tooth pulled, it must be damaged beyond salvage, either due to decay,
gum disease or injury, or it may be stuck within the jaws, causing an infection
(common in wisdom teeth)
- How long will my extraction take? How soon will I recover?
Tooth extractions can take anywhere from a few minutes to over an hour, depending
on the condition of your tooth. All extraction are preformed painlessly after the
tooth is numbed, and you can get back to your activities almost immediately. Your
dentist will give you detailed instructions on post- extractions care, and healing
is mostly uneventful. Minor dietary modifications, wound care instructions and pain-
killing medications are usually advised.
- A part of my root broke inside the jaw when my dentist removed my tooth,
but he has left it behind. Will this be a problem?
Dentists rarely leave behind any fragments during a tooth extractions, as they have
various instruments and techniques to retrieve these. However, dentists occasionally
decide to leave a fragment behind if they judge that it is safe to do so, especially
if the attempt to remove such fragments can damage the jawbone or nerve/blood supply
within the jaw.
TOOTH REPLACEMENT: AN EYE FOR AN EYE, A TOOTH FOR A TOOTH
- I Have a couple of missing teeth, but I’m managing perfectly well.
Why should I get them replaced?
Your teeth work together as a unit, with each performing a separate role. A wheel
with missing spokes can still roll, but have no assurance of reliability- similarly,
missing teeth put extra load on the remaining teeth, which may fail over time
They also lead to creation of gaps in adjacent teeth, tilting or overeruption of
neighbouring or adjacent teeth, and unbalanced chewing forces. Missing teeth can
also cause esthetic or speech issues, so it is best to replace them.
- If I have just one or two missing teeth, can they be replaced?
Yes, your dentist can replace one or more missing teeth, and even the entire set.
A few missing teeth can be replaced with partial dentures, which may be removable
of fixed, or your dentist may suggest dental implants.
- I can’t handle removable dentures- can’t I always get fixed
tooth replacement?
Your dentist will always prefer to give you fixed teeth- however; this is subject
to certain conditions, such as health of the neighbouring teeth, or the health of
the bone in the area of the missing teeth. If your dentist judges that fixed teeth
are not possible for you, you may have to accept removable dentures.
- What is a bridge?
When one or more teeth are missing, and dental implants cannot be planned, your
dentist may recommend a bridge—a tooth replacement that is permanently fixed
onto the neighbouring teeth. The neighbouring teeth will need to be shaped down
to accept a bridge.
- My teeth need lots of dental treatment- isn’t it better to remove
all of them and have a new set?
There is no substitute for natural teeth- everything your dentist does is a repair
Job! Replacement teeth come with their own set of issues- they can be expressive,
cumbersome, need lots of maintenance, are prone to breakages, and so on. Here’s
an eye-opener: the chewing efficiency of conventional Complete Dentures is barely
15-20% of that of natural teeth! The shape of your jawbone is also determined by
your natural teeth, and preserving the jawbone after teeth are removed is an extremely
challenging issue. Many of these issues can be addressed by opting for dental implants,
which begs the next question!
DENTAL IMPLANTS: FEEL IT IN YOUR BONES
- I’m doubtful about new technologies- are dental implants time tested?
Dental implants have evolved from research started way back in 1964! A dental implant
is much like a thick metallic screw, made primarily of titanium, which is inserted
into the jawbone, and unites with the bone in due course. Over this implant, teeth
can be fixed rigidly.
- I see many ads claiming to provide fixed in a day- is this possible?
Yes, it is possible to have your teeth removed, and on the same day have implants
put in, which will be able to support a preliminary set of usable fixed teeth. However,
these are complex procedures, and are not everyone - in any case; dental professionals
are not allowed to advertise their services in India.
- Inserting a foreign body inside the jawbone, is it no dangerous?
Titanium, the metal used for manufacturing dental implants, is one of the most bio-
friendly materials, and rarely manifests any adverse reactions. Well- maintained
implants can last for years with no adverse effects.
- Can implants replace one or two teeth, or are they meant for replacing the
whole set?
Implants are versatile- individual teeth can be replaced, or a pair of implants
can support a bridge to replace more teeth, or set of implants can be used to support
fixed replacement teeth for the entire jaw.
- Are there any drawbacks in getting dental implants?
The first hurdle is the cost factory- implants usually cost more than other options
for tooth replacement. The success of implants depends largely upon the strength
of the jawbone, which needs to be closely assessed by your dentist. Some people,
like those with uncontrolled diabetes, or smokes, are poor candidates for implants.
ORTHODONTICS: GET IT STRAIGHT
- My Child’s teeth seem to be growing crooked- what’s the best
time to consult the Orthodontist?
For Children, the best age for their first orthodontic consultation is between seven
and eight. Early problems can be identified and nipped in the bud, or some therapy
can be initiated to set the stage for later treatment.
- I missed the bus for getting braces as a child- now, as an adult, will orthodontic
treatment work for me?
There is no age bar for getting orthodontic treatment! Teeth can be realigned at
any age, but in adults, the treatment is slower. Additionally, adults may feel embarrassed
to show a wired mouth, or their work & travel schedule may not permit the regular
visits needed for the treatment.
- My upper front teeth are protruding quite a bit- my dentist advises orthodontic
treatment, but can’t I get a cosmetic quick- fix instead?
Orthodontic treatment works best for permanent, successful correction of teeth alignment.
Cosmetic alternatives work best for certain types of corrections, and cannot always
be an alternative for orthodontic treatment.
- I have read about invisible braces- are these for me?
Invisible braces, or clear aligners, require your dentist to fabricate a sequence
of aligners (clear plastic moulds) to be worn over the teeth for a few hours each
day. After one aligner has induced a minor tooth movement in a few weeks, you switch
to be the next one in sequence, which continues the work, and so on. These are removable,
and near invisible when worn. However, they work best for minor corrections, and
are not universally applicable. They also cost significantly more than conventional
orthodontic therapy.
AESTHETICS IN DENTISTRY
GLOWING WITH HEALTH
- Which types of routine dental treatment can make me look better?
Here’s a surprise: a tooth extraction, especially of a crowded of disfigured
tooth, can produce cosmetic result too! Orthodontic treatment produces very pleasing
changes to your appearance by improving the alignment of your teeth. A routine session
of dental cleaning (scaling) leaves your teeth cleaner and brighter, removes dark
deposits, and gets your gums glowing healthily too. Some gum surgeries can improve
the contour or colour of your gums, leaving much more acceptable results. Cavities
look ugly, and fillings with tooth- coloured restorative materials can restore your
good looks. Even a simple denture to replace a missing front tooth can make you
look stunning!
COSMETIC DENTISTRY – BEAUTY LIES………
- Can I get the celebrity smile?
Your dentist can advise you can on the possibilities of enhancing your smile, and
give you a realistic assessment. The appearance of your teeth and your smile can
be changed within certain limits, and if you are lucky, yes, you could start rehearsing
your Oscar speech!
DENTAL CHECK-UP: TEETH AND MORE
- I see my dentist whenever I have a problem- how will preventive visits help?
Just as you are diligent in following servicing schedules for your car, your air-
conditioners, and even your water purifier, you shouldn’t miss a crucial biannual
schedule: your dental check-up!
Preventive Visits help your dentist detect problems early, resulting in simpler,
less- expensive treatment for you.
- Can the dentist detect anything else by examining my mouth?
Dentists frequently help diagnose cancer in the mouth- again a painless condition
in the early stages. Many other health conditions leave telltale signs in the mouth
which dentists are trained to decipher: diabetes, vitamin deficiencies, blood-related
disorders, heart diseases, skin diseases, HIV- nothing escapes the dental examination.
By pointing out the diagnosis, your dentist can pave the way for you to seek timely
treatment.
DENTIST AND PATIENTS: GREAT EXPECTATION
- Dental treatment is too expensive, shouldn’t it be cheaper? I have
got two very different estimates for the same job!
Surely you have heard of the axiom, ‘A stitch in time saves nine’? Procedures
to treat dental problems that are diagnosed early are really inexpensive! A routine
cleaning or small fillings are very affordable. The prime reason for the cost escalation
is delay!
Late- stage dental disease requires intensive, high-tech treatment spanning over
weeks, which obviously pushed up the cost. The field of dentistry is very space-and
capital intensive, and runs with high overheads. Quality materials, sourced from
high-class manufactures, can cost more than gold in terms of weight.
As a rule, treatment costs can be cut by using more basic materials, simpler procedures,
or when performed by less-experienced dentists, and in a facility that is not in
a prime location: which is why it is not possible to run cost-comparisons across
a range of dental clinics.
- I hate multiple visits to the dentist- can I not have something quicker?
In the last decade, there has been a sea change in the nature and speed of dental
procedure! Refinements in equipment, procedures and expertise have dramatically
shortened the time needed for extractions, scaling, root canal treatment, as well
as getting crowns, bridges or dentures fabricated. Dentists prefer to also schedule
more optimally, working an extended session for you to minimize visits. If you thought
dental treatment was like a soap opera, brace yourself: it can be a blink and-miss
job!
- I need to work and party, will my dental treatment come in the way?
During the course of dental treatment, teeth may have to be removed or shaped down,
and there may be a time lag while crowns or bridges are expected from fabrication.
However, your dentist will ensure that your appearance is not compromised- esthetic
temporary caps or bridges can be made on the spot in the dental clinic, so that
you are not left gap-toothed! Even orthodontic treatment can be planned with esthetic
opposite to minimize or eliminate the metal-wired look.
- Can I catch an infection at the dentist’s?
Dentistry falls under the category of surgical treatment- protocols for maintaining
strict hygiene are built into the routine. Disposables are widely used, and reusable
instrument go through processing and sterilization before reuse. This means that
at the dentist’s you can sit back and relax- the only thing you may catch
is an infectious smile!