Cleanings & Prevention

Cleanings & Prevention
Cleanings & Prevention Dental Services near Canandaigua, Victor & Geneva, NY

Woman Flossing Teeth, Dental Care in Naples NY
A preventive (recare) program is a joint cooperative effort between you and our team to preserve your natural teeth, gums, and bones of the oral area by preventing the onset, progress, and recurrence of dental diseases and conditions. Preventing dental disease starts at home with good oral hygiene and a balanced diet. It is continued in our dental office by the efforts of Dr. Tanoory, Dr. Marshall and the dental hygienists as they promote, restore, and maintain your oral health. 

Regular dental exams, cleanings, and x-rays are all part of an effective prevention program. Other great preventive treatments include sealants and fluoride. Prevention helps avoid serious and costly dental problems and is the key to having a healthy, confident, and beautiful smile.

Learn about plaque control on our How to Brush and How to Floss pages.
Fluoride Information

Toothpaste & Toothbrush, Dental Care in Canandaigua NY
Dental decay is a common condition all over the world. One way to help prevent cavities from occurring is through the use of fluoride. Fluoride helps harden the tooth enamel and make it more resistant to tooth decay. A small cavity can be stopped and even reversed by the remineralization process enhanced by fluoride. Fluoride can be delivered to the teeth in 2 ways: topically (direct contact on the teeth) and systemically (enters the blood stream).
Systemic Fluoride
Systemic fluoride is delivered to the tooth surface via the bloodstream. Systemic fluoride can be derived from a food source, water source, or dietary supplements (pill, tablet, lozenge, drop). Fluoridated water is an effective way to reduce the problem of dental decay. It has been shown that fluoridated water and dietary supplements can reduce up to 60% of tooth decay. Some water supplies naturally contain fluoride, but for others fluoride is added to the water supply. If you would like to know if your community's water supply contains fluoride, call your local water or health department. Children from birth to 16 years of age will benefit the most from systemic fluoride. Sixteen is currently the age at which the American Dental Association recommends children can discontinue fluoride vitamin supplements. This is because when fluoride is ingested, it circulates through the bloodstream and into developing teeth. The fluoride is then built into the enamel structure of the developing tooth, making the tooth more resistant to acids.

Topical Fluoride
Even though the benefits of fluoride are maximized before the teeth erupt (come in), fluoride is still very beneficial for children and adults after the teeth are fully erupted. Topical fluorides are applied directly to the tooth structure to delay or slow down the tooth decay process.

Topical forms of fluoride include:
  • Toothpaste - used daily, must have an ADA or CDA Seal of Acceptance on the label
  • Professional fluoride application - this is a gel that is applied for 1 to 4 minutes, usually in a tray at the end of a dental appointment. Not everyone is given a professional fluoride application; it depends on your oral health needs.
  • Fluoridated home mouth rinses - can be purchased over-the-counter and used for children over 6 years of age and adults who are susceptible to cavities.
  • Home care fluoride gels - applied by trays or by brush, these gels are for those who are highly susceptible to cavities. These people would include:
    • Adults with a high incidence of root cavities.
    • Those who experience an extremely dry mouth.
    • People who wear braces or orthodontic appliances.
    • Those who have rampant or excessive cavities.
Even though the benefits of fluoride are maximized before the teeth erupt, fluoride is still very beneficial as a daily defense against decay. Fluoride gels can be purchased over-the-counter or by prescription. Ask us for a daily home fluoride program that is individualized for your needs.

Fluoride Safety
  • Fluoride is very effective in controlling dental decay when used properly. If not used in the proper doses, fluoride toxicity and dental fluorosis can occur.
  • Fluoride toxicity occurs when large amounts of fluoride are ingested over a short period of time. This can be dangerous to your health.
  • Symptoms of fluoride toxicity may include nausea, diarrhea, vomiting, abdominal pain, increased salivation or increased thirst.
  • These symptoms generally begin 30 minutes after ingestion and can last up to 24 hours.
  • Depending on the amount of the toxic overdose of fluoride, certain emergency procedures should be implemented. If you feel nausea, drink milk or try to induce vomiting and call us or physician. If these symptoms do not subside, or the conditions worsen (difficulty breathing), call an emergency service to transport you to the hospital.
  • Dental fluorosis is an excess of fluoride intake during the stages of tooth development. Dental fluorosis ranges from mild (white specks on teeth) to severe (brown staining and pitting of enamel). 
To ensure your child does not experience any adverse effects from fluoride, follow these basic rules:
  • Fluoridated products should not be swallowed.
  • Only a small amount of toothpaste, the size of a small pea, is needed for a child.
  • Fluoridated products, especially mouth rinses should not be given to a child under 6 years of age, or to anyone who cannot rinse and spit (those you suspect are swallowing some of the product).
  • Keep fluoridated products out of reach of children.
  • Parental supervision is needed for children when brushing or using any fluoridated substances.
Bruxism (Habitual Grinding of Teeth)

Pain for Tooth Grinding, Dental Care in Naples NY
Have you ever been told that you grind your teeth? Tooth grinding [bruxism] is an oral habit which involves clenching and grinding of the teeth. It is not uncommon in our society. Approximately 50% to 96% of adults experience bruxism and 15% of children acquire this behavior. Most often, this habit goes unnoticed by the person. Bruxism can occur during the day or night.
    What causes bruxism?

    This condition has no specific cause, but is believed to be more prevalent in certain individuals such as:
    • People with emotionally stressed personalities characterized as being aggressive, controlling, precise, or having time urgency and achievement compulsion, tend to develop bruxism malocclusion (teeth that are not aligned properly).
    • Children whose parents brux are more likely to develop this habit than children whose parents do not brux
    Signs of bruxism:
    • tooth wear
    • fractures of the teeth and fillings
    • grinding noise noticed by a sleeping partner
    • facial muscle pain and fatigue
    • locking, cracking, and clicking of the jaws
    • headaches
    • tooth mobility
    • sensitive teeth
    Treatment of bruxism:
    • We can make you aware of the habit and suggest behavioral therapies to stop the bruxism. Stress reduction and coping techniques can be initiated to reduce the emotional stress you may be experiencing.
    • A removable intra-oral appliance can be made for you called a nightguard or bruxism splint. The mouthguard protects the teeth from the forces of clenching and grinding the teeth together. A mouthguard or nightguard is more practical for treating the night bruxer than for those who have daytime clenching and grinding habits. 
    Sealant Information

    Dental Sealant Before & After, Dental Implants in Geneva NY

    • Sealants are thin plastic coatings applied in the dental office on the chewing surfaces of back teeth, which are prime spots for cavities. Sealants act as a barrier to prevent bacteria and food from collecting and sitting on the grooves and pits of teeth.
    • Sealants are best suited for permanent first molars which erupt around the age of 6 and second molars that erupt around the age of 12. It is important to have the sealant applied as soon as the tooth has fully come in. They are also indicated on the pre-molars if there are deep pits and fissures present.
    • Before the sealant material is applied, the tooth surface is prepared by cleaning with a dental solution that helps the sealant stick to the tooth by penetrating the enamel.
    • Sealants may last for several years once applied, but should always be examined at the child's regular checkup. Even if the sealant becomes lost, the material that has penetrated the enamel will still provide protection. Sealants are easily replaced if lost.
    • Sealants are nearly 100% effective in preventing decay in the chewing surfaces of the back teeth. Fluoride helps fight decay on the smooth surfaces of the teeth.

    Smiling Woman, Dental Care in Canandaigua NY
    There are many reasons why adult teeth may need restorative treatment. The most common reason is decay, followed by fractured teeth, and old restorations needing replacement. If we recommend that a tooth with a cavity be treated and more than a few weeks pass after the initial diagnosis, the cavity will almost always get bigger and can cause pain. Once this happens, it will likely require more extensive and expensive treatment. The tooth may even have to be removed and replaced with a false (or artificial) tooth. If you have a cavity and it needs a restoration, there are different kinds of materials that may be used to restore the functionality of the tooth. Please remember that a tooth may need treatment before it causes pain. If a tooth causes pain, it may be able to be saved, but the treatment time and cost typically increase due to the complexity of the necessary procedures.
    How a Cavity Forms
    A cavity is a very small hole that forms on the surface, side, or root of a tooth. Cavities are caused when sugars in the food you eat combine with the bacteria in your mouth. This combination produces a mild acid that eats away at the enamel, the hard outer layer of your tooth. Cavities can occur at any age, but most occur during childhood when dental hygiene may be less thorough. There is a genetic component to dental health, including teeth, gums, and the bone that holds the teeth. No matter how good your genes are, if you don’t take good care of your teeth you may be prone to very serious consequences.

    Babies tend to get cavities on the front teeth, especially if they are given a bottle to sleep with. Even milk contains sugar that can harm teeth. This is referred to as baby bottle tooth decay. Children tend to get cavities on the chewing surfaces as well as in between teeth. Adults can be at risk for both new and recurrent cavities. New cavities tend to form between teeth as well as on the root surfaces. The cavities that form between teeth are typically related to a lack of flossing. Cavities on the root surfaces of teeth generally occur because this area is not covered with enamel and is softer and more prone to cavities. The exposed root may be the result of hard brushing or bone loss related to gum disease. Cavities that reoccur form next to existing restorations such as fillings, crowns, bridges, etc. As restorations get old, the filling material can shrink or wear away, causing the possibility of a small space forming between the tooth and the restoration. This provides a prime area for bacteria to accumulate and breed decay.

    Cavity Diagram, Dental Care in Naples NY
    Cavities and Restoration Choices
    As part of any visit to our office, we check all of your restorations such as crowns, fillings, bridges, veneers, etc. for any sign of decay or old age and we may recommend x-rays so that we can see inside and between your teeth. If we spot any cavities, we will recommend different options for restoring the tooth to full function. If the cavity is in the very early stages, we may decide to keep an eye on it and recommend a home fluoride rinse to help the tooth fight the cavity and possibly prevent the need for a restoration.
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