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Why Does My Pediatric Dentist Insist on X-Rays Every Visit?

August 20, 2016

I am diligent to take my children to visit the dentist every six months, even though we don’t have a lot of money. One thing that troubles me is the fact that they insist on x-rays every single visit. My insurance only covers it once a year. If it was necessary, I would think that they’d cover it twice. Is it that important or can I skip the next ones?

Mallory F. – New Hampshire

Mallory,

I wouldn’t say that x-rays every six months are necessary, with the exception of a high risk patient.  If you have a child that has a greater than normal chance of developing a cavity, based on genetics or habits, it would be appropriate to do x-rays at every six months. Other than that, every year would be more the norm.

I’d talk to your pediatric dentist about your concern.  It may be he’s noticed something about your children’s teeth that make him extra cautious. Barring that, I’d just tell him you’d prefer to only do the x-rays once a year.

It’s always difficult making ends meet, especially when you have children, so any way you can save some money and still carry out your child’s best interest, is helpful.

This blog is brought to you by Dr. Don Swearingen.

My Lumineers Don’t Match My Other Teeth

August 6, 2016

I had four Lumineers done. I like them and they’re a beautiful shape and color, but they don’t match the teeth next to them. My regular teeth are darker than the Lumineers. Can I whiten them to match?

Celeste E. – Oregon

Celeste,

I’m glad you’re pleased with the Lumineers. I think the bigger problem here is you went to an inexperienced cosmetic dentist. Four Lumineers aren’t enough in your case and that obvious because the teeth next to them are visible.

Now, let’s say that four was absolutely all you could afford. In that case, your dentist should have had you whiten your teeth BEFORE the Lumineers were made. That way you could whiten them to the brightness you’d like and then your dentist would match the Lumineers to them.

Now, you can still whiten your teeth, and it may help, but they will not be an exact match to your Lumineers.  If you want an exact match, I would get a two to four more Lumineers to put on the adjacent teeth. You’d only need four more if you have a very wide smile.

This blog is brought to you by Dr. Don Swearingen.

Can I wait to see my old gentle dentist?

July 25, 2016

I had a great dentist. He was so kind and gentle and used to brag that he “caters to cowards”, of which I was the biggest. I had to move a few hours away. I have visited a dentist in my new area, but she was rough and impatient. I had quite a bad experience. Now I’ve had a filling come out. I’ll be going home over Thanksgiving. Can I wait to see my old dentist or do I have to get it taken care of right away?

Olivia J. – Branson, MO

Olivia,

There are few things worse than having to leave a loved and trusted care giver. Unfortunately, it is too distant a time to wait until Thanksgiving holiday for you to get this looked at. There is a reason the filling fell out. It could even mean that there is a new infection.  However, even if it was just a fluke that it fell out, leaving your tooth exposed that long could be quite dangerous.

That doesn’t mean that you have to go to the insensitive dentist. You can mark her off your list. There are too many kind, gentle dentists for you to have to waste your time and money on one that isn’t.

If you’ll do an internet search for a “cater to cowards” dentist or a “sedation dentist”, you’re more likely to have a good experience.

This blog is brought to you by Dr. Don Swearingen

Does A Toddler Need to See A Dentist for Teeth Grinding?

July 11, 2016

My three year old has started grinding his teeth. Do I need to take him to see a dentist?

Brooke L. – New Jersey

Brooke,

It is not uncommon for children your son’s age to grind their teeth, though we aren’t really sure of the reasons behind it yet. Most children outgrow it and it shouldn’t be a problem.  You should watch for signs that he’s having jawpain.  Children that age don’t always articulate they’re in pain, but you may see him rubbing his jaw.

Even if he wasn’t grinding his teeth, at three years old, it is time for him to visit with a dentist that treats children. He needs to have a check up.  It’s especially important that children see a dentist for the first time before there are any real dental issues.  You want their first experience to be a positive one.

Usually the first appointment is no big deal. They get a fun cleaning and the dentist ahs a look around to make sure everything is developing properly. Dentists who regularly work with kiddos make it lots of fun.

This blog is brought to you by Dr. Don Swearingen.

Can a 17 Year Old Go to an Emergency Dentist Themselves?

June 8, 2016

I’m 17 years old and have been doing parkour. My mom hates it when I do it, because “I’m a girl” and she doesn’t like me doing things she thinks is dangerous. Well, I fell and chipped a tooth. She’s out of town for a week.  I’d like to get this fixed without her knowing. She’s good friends with our family dentist so if I go to him she’s sure to find out. I know what needs to be done.  I just need some dental bonding to fix the chip. Can I go to an emergency dentist without a parent?

Aimee L. – Detroit

Aimee,

For most states, including Michigan, that is 18 when it comes to medical care. It’s great that you’re wanting to take responsibility for your actions. It’s also impressive you know what will treat the chipped tooth.

However, there are a couple of things you ought to be aware of. First, though most dentists are honest, a less than ethical dentist might be tempted to take advantage by overtreating (and overcharging) a teen trying to do something on the hush-hush. You’re not wanting to go to your family dentist, so you’d just have to take your chances with whatever emergency dentist you get.

Second, I’m guessing your mom has some kind of insurance for you. If you do it without her knowledge, you won’t be able to use that insurance, which means more money coming out of your pocket.

One other thing to consider. While it seems like the problem is cosmetic. The dentist will likely want to do x-rays to make sure there isn’t any underlying damage.

This blog is brought to you by Dr. Don Swearingen.

 

Will A Dentist Ask To See My Marijuana Prescription?

May 31, 2016

I have dental anxiety. I was thinking if I could just smoke a joint before my appointment, it would relax me enough to get through the appointment. I live in a state will legal medical marijuana. If I told him I had a prescription would he ask to see it and turn me in if I don’t actually have a prescription?

Name Withheld

Dear Anonymous,

You’re not the first patient to ask about the use of marijuana before a dental appointment. I’m going to suggest something completely different, especially since you don’t actually have a prescription. Why risk it?

There is something your dentist can do to relax you during your appointment without any risk of illegal behavior. Have you ever heard of nitrous oxide?

Nitrous oxide is sometimes called laughing gas. It will relax you all while allowing you to be alert during your appointment. It has the added benefit of helping any local anesthetic of being more effective.

This blog is brought to you by Dr. Don Swearingen.

Is it normal for a baby’s teeth to have white spots?

May 17, 2016

I have a 12 month old. He has his bottom and top teeth. We do a little brushing and he’s just starting on some mild solid food. What worries me is he has white spots on his teeth. I thought that was a sign of decalcification. If we’re brushing, why would he have decalcification this soon?

Trish T. – Washington

Trish,

You’re right that the white spots are a sign of decalcification. It’s concerning on a child so young, especially when you say you’ve already started his oral hygiene. That’s a good thing that you have, because likely things would be worse if you hadn’t.

There may be an issue with the way your son’s teeth are developing. Don’t panic. It can usually be handled if dealt with sooner rather than later. It’s likely your pediatric dentist will recommend extra fluoride treatments as well as some sealings as your son’s molars develop.

Just be sure to be seen. It won’t be a full visit, such as an adult gets. It’s a quick young child’s appointment. There’s even a special billing code for it so you’re not charged too much.

This blog is brought to you by Dr. Don Swearingen.

How Do I Whiten My Lumineers?

April 29, 2016

I paid quite a large sum for Lumineers and they’re stained in just a few years. He never warned me that the composite bonding would stain so quickly. I can’t afford new ones. I thought he said they’d last for years. I know  that regular teeth whitening won’t work on veneers, but is their some special technique to whiten them?

Carly T. – Delaware

Carly,

Unfortunately nothing whitens cosmetic work, no matter what kind it is.  I’m a little concerned about what is going on in your particular case though.  You said you received Lumineers. Any type of porcelain veneer should last you for many years, some even your lifetime. They should not be picking up stains in just a few years.

I’m wondering if you didn’t get veneers, but maybe composite bonding as you mentioned that as well. Those will only last a few years and will need to be replaced.

Ask your dentist to be clear about which procedure you received. If it is Lumineers, something at your last check up damaged the glazing. Possibly they used something like a prophy jet on it, which would damage the Lumineers.

You may want to have another dentist look at them and give you a second opinion as to which procedure you actually received. If there was some incompetence or deception, the other dentist can help you in trying to get a refund.

This blog is brought to you by Dr. Don Swearingen.

Woke up Missing a Tooth

April 13, 2016

I went to an awesome party last night, but I woke up without a tooth. Do I see an emergency dentist?

Ben A. – San Jose, CA

Ben,

It sounds like quite the party. I’m not sure an emergency dentist will do you much good at this point. It will depend on two things:

  1. Do you have the tooth?
  2. How long has it been since the tooth was knocked out.

Generally, you need to get to the dentist within 30 minutes to have a decent chance of saving it. After that, the chances drop considerably.

What you’ll likely be looking at is tooth replacement. The ideal replacement is a dental implant, but they can be expensive. There are also things like dental bridges that are less money.

Speak to your dentist. He or she will give you all your options.

This blog is brought to you by Dr. Swearingen.

Marijuana for Dental Anxiety

March 30, 2016

Is it OK to go to the dentist after smoking marijuana or will it mess things up? Dentists make me nervous. I think it’s not big deal, but my wife wants me to check.

Lewis – Oregon

Lewis,

You should thank your wife. There can be serious health risks if certain medications are used together. One of those is marijuana and epinephrine, which is a common ingredient in some local anesthetics. If your dentist doesn’t know that you’ve ingested marijuana, then you could end up with heart problems. If he knows, it’s possible to give you and anesthetic that doesn’t contain epinephrine. There are also pain meds that won’t interact well with marijuana usage.

The key is communication. Make certain your dentist knows EVERYTHING you’re taking, including over-the-counter medications, because you never know how it will effect your dental care.

There is another option if you’re uncomfortable with dental work…or dentists. Have you considered sedation dentistry? This can give you pain free appointments, without the complications of trying to self medicate. Talk to your dentist about it ahead of time. He or she will likely work with you. If not, you can always find a different dentist who is willing to.

This blog is brought to you by Dr. Don Swearingen.

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