Common Questions

Q: I brush every day, but my breath is just not fresh. Is there anything I can do?

A: Millions of people struggle with halitosis, or bad breath, despite daily teeth brushing. Here is a checklist of procedures that can eliminate the problem:

  • Twice daily brushing
  • Daily flossing
  • Tongue cleaning
  • Regular professional cleanings
  • Careful cleaning of any dentures or removable dental appliances

However, if your hygiene is meticulous and the problem persists, we can offer several alternative solutions.

First, we can provide you with a plastic tool called a tongue scraper that cleans away bacterial build-up on your tongue, significantly alleviating odor. Or, we can recommend a specially-prepared rinse or toothpaste designed to actually break the odor-causing sulfur bonds that cause bad breath. Finally, we may also suspect a systemic or internal problem, such as an infection or underlying condition, in which case we may recommend a visit with your family physician or specialist to identify the cause.

Q: What is a crown, and why do I need one?

A: If Dr. Lang has recommended a crown to you, it is likely either to correct a broken or cracked tooth or to repair a tooth that has deteriorated due to cavities (decay). The decay in your tooth eats away healthy tooth structure much like rust eats away at metal. If not removed, decay will deteriorate the tooth to the point where extraction is the only viable treatment option. Sometimes, decay is removed leaving healthy tooth structure, but not much of it. A crown can then be placed, restoring the look and function of your tooth, while allowing you to keep your natural, underlying tooth structure. Most crowns are precision-milled porcelain or full metal (gold or silver) and are individually customized for each application in each patient, giving you a natural, long-lasting smile.

Q: I know I need X-rays, but I’d prefer not to be exposed to unnecessary radiation. Do you offer digital X-rays?

A: Yes, we do offer digital X-rays (radiographs) at Great Miami Dental Associates. Digital X-rays use less radiation and are safer for you than traditional film X-rays. You will find that Dr. Lang and his team research the latest trends in technology to find the solutions that promote your overall health, safety, and comfort.

Q: How does fluoride help my teeth?

A: Research shows that fluoride reduces cavities in both children and in adults by halting tooth decay. It also helps repair the early stages of tooth decay even before the decay becomes visible. Interestingly, many people continue to be misinformed about fluoride and fluoridation. Fluoride is a safe chemical component when used correctly. When your dentist applies fluoride to your teeth, usually in the form of a fluoride varnish, gel, or foam, that fluoride is more concentrated than the fluoride contained in toothpaste or mouthwash. The ADA recommends that dental professionals use any of the professional strength fluoride varnish, gel, or foam products carrying the ADA Seal of Acceptance.

Q: I just want my smile to look good. What are some options to help the appearance of my smile?

A: You are not alone. Most people want to have a nice smile since it is the first thing others notice about you. You may be interested in a few minor adjustments, or you may have concerns that need more attention. Some smiles can be enhanced with simple whitening or bonding treatments. Other smiles need porcelain veneers, crowns, or bridges; gum contouring; periodontal therapy; or, a combination of all these techniques. Dr. Lang will suggest a treatment plan for you based on your goals and areas of concern and on the overall condition of your oral health. Contact us for a complimentary smile evaluation to determine what course of action will produce the best results for you.

Q: I want my front teeth to look better, but I don’t want to wear braces. What would you recommend?

A: Dr. Lang has a number of ways to improve the look of your front teeth without the use of traditional braces. For slightly crooked or unevenly worn teeth, a bit of reshaping and the addition of porcelain veneers may be sufficient to give them a bright, uniform look. We would be happy to talk with you further about the option that best suits your individual situation. Attention to detail, respect for the individual, and a true concern for each patient are the hallmarks of our personal care and our quality product. We are committed to helping you fulfill your ultimate self-image.

Q: How can losing a back tooth affect my smile?

A: Losing a back tooth will darken your overall smile, making it look smaller and narrower. Your smile will appear to stop short, and the look will be exaggerated if your missing tooth has teeth on both sides of it. Function during chewing will be reduced, and function of many teeth can be affected by losing just one tooth. Additionally, when you are missing a tooth, you compensate by chewing differently, putting pressure on different parts of your mouth. This can cause your other teeth to shift, creating gaps and spaces and may even cause fractures that result in additional tooth loss or the need for restorations.

Q: What are my options for replacing a missing tooth?

A: By replacing missing teeth either with a bridge or implant, you will alleviate the problems associated with missing a tooth and give your smile back its beautiful, full appearance. A bridge is one solution for replacing a tooth. By using neighboring teeth as the supportive structure, Dr. Lang places a porcelain restoration into the vacant space, restoring the functionality and look of your smile. A dental implant is also an excellent solution. Dental implants involve the placement of a titanium post directly into the jawbone. Once the post has bonded to the bone, it can act as a new, solid support for a natural looking, porcelain restoration. Implants can replace a single tooth or an entire set of teeth, offering more function and permanence than traditional dentures.

Q: What can I expect during my first appointment?

A: During your first appointment, your overall dental and oral health will be assessed with a comprehensive oral evaluation. Upon completion of your medical/dental health form, we will ask you to tell us your goals regarding your smile, teeth, and gums. Digital photos and X-rays will be taken of your teeth to identify areas of decay, cracked teeth, and malfunctioning restorations. DIAGNOdent®, a specialized laser, will also be used on your teeth, notifying us of early areas of decay that are not visible on X-rays or digital photographs. Our goal is to preserve as much of your teeth as possible by catching decay in its earliest stages. We will also assess your gums and will recommend the appropriate hygiene treatment for you.

Q: Do you accept new patient referrals?

A: Over the years, patients have given us the compliment of referring family and friends to our practice. Great Miami Dental Associates’ reputation for excellent dental care depends on two things: our good work and your beautiful smile. Your confidence in our care motivates us to continue to strive for excellence. Thank you for your referrals. Your trust and support are greatly appreciated.

Q: My teeth keep chipping and cracking. What causes this, and what can I do about it?

A: Many people notice chipped or cracked teeth but don’t remember when the injury occurred. It is possible these teeth were damaged while sleeping. Grinding or clenching your teeth during the night will cause your teeth to chip, crack, and even break. To keep you from seriously damaging your teeth, we recommend a dental appliance called a nightguard. A custom-fitted nightguard protects your teeth from grinding and clenching in your sleep.

Do you suffer from headaches? You may find that a side benefit of your nightguard is headache prevention. Many headaches start during the night, caused by the extreme pressure generated as you grind and clench your teeth. Ask us about having a custom nightguard created just for you.

Q: I want and need a lot of dental work, but I’m afraid I can’t afford it. Do you offer monthly payment plans?

A: Yes, we do offer monthly payment plans through our financial partner, CareCredit. We provide a variety of ways for you to pay for your treatment so that it fits comfortably into your personal or family financial goals. The Great Miami Dental team works with you to create the solution that best accommodates you so you can have the beautiful, healthy smile you have always desired.

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