A: Depending upon the reason your teeth are discolored, the current shade of your teeth, and your expected outcome of color; we have several treatment options. For teeth that are gently yellowed or stained, at home or in office laser bleaching may be the best choice. For teeth that have stained older restorations in them, replacing them with newer state of the art restorations is an option. For teeth that are crooked and broken down in appearance, maybe some veneers or crowns would be in their future. We offer a complimentary cosmetic consultation for anyone who is looking to improve their smile! This is a very personal and individual decision we can assist you in making at this appointment, and give you an idea of the procedure and costs involved.



A: Dental x-rays are a very important source of diagnostic information about the health of your mouth. Did you know that two- thirds of your mouth's story lives under the gum and bone? What we can't see, we can't diagnose, prevent or treat. Not all dental disease hurts in it's early stages, so discovering small problems early is important to both your health and treatment recommendations. For most patients, annual bite wing x-rays are taken to look between teeth and under restorations in back teeth where clinical examination is difficult. A full mouth series of x-rays are taken on average every three to five years, more often or less often depending upon your unique dental health situation. Our office uses digital radiography which exposes our patients to about 90 % less radiation than traditional film x-rays!



A: Bad breath is a very common and embarrassing problem caused by a variety of reasons including: Smoking/chewing tobacco usage, spicy foods, poor dental home care, untreated gum disease, specific diets, untreated cavities in your mouth, dehydration or dry mouth, medical conditions such as post nasal drip, seasonal allergies, sinus conditions, side affect from taking certain medications, and night time mouth breathing. There can be other factors, everyone is unique. Some ways of addressing this problem are obvious, such as stop smoking/chewing tobacco! Others can be solved by thorough and attentive home care with the addition of maybe a recommended mouth rinse. A compressive dental exam should be done to reveal any dental situations that can contribute to this problem. Remember to stay hydrated with lots of drinking water.



A: Treatment of this condition is directly related to the severity of the disease. Proper diagnosis is where it starts, then good patient education is needed to prevent future disease. For some patients who have minor gum issues, a simple professional cleaning and consistent and thorough home care may be the treatment of choice. For others, their disease is more advanced and require more hands on therapy. A procedure called scaling and root planning in combination with more frequent dental visits may be advised. In some instances, we may introduce the laser for deep pocket therapy, and yet for others, we may need to do a variety of surgical procedures to stabilize the problem. We do know that gum disease can be controlled, but can also be a recurrent issue, therefore, follow up dental visits on a regular interval are necessary.



A: The dental lasers we have today are truly safe and amazing! We can now treat teeth, gums, and bone situations with the same laser! With extensive training, we have been able to do fillings, gummy overgrowth removal, biopsy, deep pocket gum therapy for gum disease, excess bone removal, biostimulation for increased wound healing, teeth bleaching and much more. We find that laser treatment is much kinder to the tissues, and therefore much easier on the patient. It has been shown that lasers can decrease post operative swelling, and therefore, decrease any discomfort as a result of treatment.



A: This is an exciting time in dentistry! We have many options for a missing tooth,and or, missing teeth replacement. Traditionally, if a tooth needed replacement, a removable partial denture or a fixed (cemented) bridge were the options. Now, dental implants can replace single or multiple missing teeth. They feel more like real teeth, they do not damage adjacent teeth, and are cared for much like your own natural teeth. For those with all of their teeth missing, a removable full denture can be made, and now we can support them with dental implants so they are very stable. Another option instead of wearing a full denture is a hybrid denture. This is totally implant supported (multiple implants needed) and does not need to cover the roof of your mouth! Every patient has different needs and expectations, and now we have options to meet those requirements.



A: For individuals with healthy teeth and gums, every 6 months is the recommended interval. For individuals with gum issues, every 3 to 4 months may be the best choice. This decision is made based on your individual need, and to stabilize your oral health conditions. It is very important to keep on schedule, varying from it can lead to further tooth and gum problems. For patients with gum disease, this is not optional, it is a must!



A: This is a difficult question to put a number to. The reason for this is, we both have a shared responsibility to the outcome. As the doctor, I have to make sure they are done well and achieve our expected outcomes. Your responsibility starts once you leave the office. If your teeth are used as "nut crackers,ice chewers, clenchers, grinders and tools", these new restorations are at great risk of breakage and premature loss. Normal foods should not bother these restorations. Well done and cared for restorations should last years, nothing lasts forever! Make sure you follow up with any and all recommended visits so we can help these restorations last as long as possible.



A: For patients struggling with ill fitting dentures, there are several options. If your existing denture is still in reasonably good shape, a simple denture reline could be the answer. This will put todays shape into the old fit. If it is a very old denture, maybe it's time for a new one! The materials have improved along with the esthetics. Lastly, dental implants can be placed to stabilize both older and new dentures. Patients can eat normal type foods again, and enjoy their meals.



A: My material of choice depends on the area of the mouth I am treating, and the reason I am treating. Most fillings in our office are done in composite, a tooth colored material that is bonded to your teeth. This can be used in both the front and back teeth and has shown good longevity and esthetics. If the tooth is in need of a larger restoration, say an inlay or onlay or a crown, we can use gold or certain types of porcelain materials. Veneers are only done in porcelain materials, usually solving cosmetic needs. You will be given material options when indicated, your expectations are important to us.


A: The honest answer is as early as possible. Most Pediatric dentists like to see children about the age of one. We like parents to bring their child in to their routine cleaning appointment to observe what is going on. This way, the child gets to see that it is not a scary place, and how the equipment is used. If Mom or Dad sees a concern with their child's mouth while helping them brush at home, bring them in at anytime and we'll take a look.



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Arizona Dental Association

  *Services provided by Arizona Licensed General Dentist
Copyright ©  2014 Jeffery A. Kohler D.D.S., Pc All Rights Reserved.