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• Brush your teeth every day with fluoride toothpaste (500 ppm)
• Clean between your teeth every day with floss or another type of between-the-teeth cleaner
• Always rinse after having food
• Snack smart - limit sugary snacks
• Don't smoke or chew tobacco
• Visit your dentist regularly for check-up

Regularly brushing, flossing and rinsing with antibacterial mouthwash is important for a patient after the procedure to maintain good oral hygiene. If there is any soreness, an over-the-counter pain medication can be taken. In some cases, due to wear and tear the replacement teeth may deteriorate and may need to be replaced. So a dental implant is extremely durable and should last a lifetime, if a patient practices proper oral hygiene and treats the implant with care. It’s advised to keep up to the regular dental checkups at our clinic.

Dental implants can fill in missing teeth for a more attractive appearance and make you proud of your smile again.

As soon as your child’s first tooth appears, it’s time to schedule a dental visit. The IDA recommends that the first dental visit take place within six months after the first tooth appears, but no later than a child’s first birthday. Don’t wait for them to start school or until there's an emergency. This gives us a chance to look for early problems with your child's teeth.

We can also spot issues with tooth eruption or jaw development at stages in which they can be more easily corrected.

At checkups, we enjoy teaching children proper brushing and flossing techniques to use at home so that they will have a healthy foundation of oral health. Establishing good oral care habits early will give your child the best possible chances of keeping his or her teeth for life.

To make the visit positive:

• Consider making a morning appointment when children tend to be rested and cooperative.
• Keep any anxiety or concerns you have to yourself. Children can pick up on your emotions, so emphasize the positive.
• Never use a dental visit as a punishment or threat.
• Never bribe your child.
• Talk with your child about visiting the dentist.

During this visit, you can expect us to:

• Inspect for oral injuries, cavities or other problems.
• Let you know if your child is at risk of developing tooth decay.
• Clean your child’s teeth and provide tips for daily care.
• Discuss teething, pacifier use, or finger/thumb sucking habits.
• Discuss treatment, if needed, and schedule the next check-up.

Cleaning Your Child’s Teeth

• Begin cleaning your baby’s mouth during the first few days after birth by wiping the gums with a clean, moist gauze pad or washcloth. As soon as teeth appear, decay can occur. A baby’s front four teeth usually push through the gums at about 6 months of age, although some children don’t have their first tooth until 12 or 14 months.
• For children younger than 3 years, caregivers should begin brushing children’s teeth as soon as they begin to come into the mouth by using fluoride toothpaste in an amount no more than a smear or the size of a grain of rice. Brush teeth thoroughly twice per day (morning and night) or as directed by a dentist or physician. Supervise children’s brushing to ensure that they use the appropriate amount of toothpaste.
• For children 3 to 6 years of age, use a pea-sized amount of fluoride toothpaste. Brush teeth thoroughly twice per day (morning and night) or as directed by a dentist or physician. Supervise children’s brushing and remind them not to swallow the toothpaste.
• Until you’re comfortable that your child can brush on his or her own, continue to brush your child's teeth twice a day with a child-size toothbrush and a pea-sized amount of fluoride toothpaste. When your child has two teeth that touch, you should begin flossing their teeth daily.

Teething
Teething is one of the first rituals of life. Although newborns usually have no visible teeth, most baby teeth begin to appear generally about six months after birth. During the first few years of your child’s life, all 20 baby teeth will push through the gums and most children will have their full set of these teeth in place by age 3. A baby’s front four teeth usually erupt or push through the gums at about six months of age, although some children don’t have their first tooth until 12 or 14 months. As their teeth erupt, some babies may become fussy, sleepless and irritable, lose their appetite or drool more than usual. Diarrhea, rashes and a fever are not normal symptoms for a teething baby. If your infant has a fever or diarrhea while teething or continues to be cranky and uncomfortable, call your physician.

Pacifiers
Infants and young children may suck on thumbs, other fingers or pacifiers. Pacifiers dipped in sugar, honey, juice or sweetened drinks, can lead to tooth decay. Tooth decay can also begin when cavity-causing bacteria pass from saliva in a mother or caregiver’s mouth to the baby. When the mother or caregiver puts the baby’s feeding spoon in her mouth, or cleans a pacifier in her mouth the bacteria can be passed to the baby.

We perform a root canal to save a dying tooth by replacing the pulp with filling material, cleaning and disinfecting it and replacing the pulp with filling material, sealing it.

What to Expect During a Root Canal

• X-ray– if we suspect you may need a root canal, we will first take X-rays or examine existing X-rays to show where the decay is located.
• Anesthesia– local anesthesia is administered to the affected tooth. Contrary to popular belief, a root canal is no more painful than a filling.
• Pulpectomy – an opening is made and the diseased tooth pulp is removed.
• Filling – the roots that have been opened (to get rid of the diseased pulp) are filled with gutta-percha material and sealed off with cement.
• Crown - Restoration of the tooth crown structure

There are two types of whitening procedures.

In Office Treatment
We first protect the gums with a barrier, then a gel is applied directly to the tooth surface. This product contains some form of hydrogen peroxide. A specialized light activates the gel and allows bleaching to happen faster. It usually takes 30 to 90 minutes. You will need 1 to 3 appointments. How severe your stains are and how white you want your teeth to be helps us decide the number. Different types of stains respond differently to the treatment. Subsequent treatments could be needed to maintain whiteness.

Whitening Trays (Home Bleaching)
After a thorough check up we will take impressions of your upper and lower teeth and will make custom mouthpieces to fit you for more even whitening. At home, you will fill each mouthpiece with a whitening gel that we provide. You will wear the mouthpiece for several hours every day. Many people achieve the amount of whitening they want within a week or two, depending on how severe the stains. However, you may need to wear the mouthpiece for four weeks or longer.

The most common reasons for teeth to get yellow or stained are:

• Using tobacco
• Drinking dark-colored liquids such as coffee, cola, tea and red wine
• Not taking good care of your teeth
• Certain Medicines

If you avoid these sources of staining, you may not need another whitening treatment for 6 to 12 months. Teeth whitening treatment care is extended through regular brushing with flossing and recommended toothpaste and mouth washes. Regular checkups should be a routine it will help clear the plaque and tartar.

There are two types of whitening procedures.

We ask you to describe in detail what you like and dislike about your smile, and what you want to change. You can bring photos of how you have looked in the past and wish to look in the future which are helpful to serve as general guidelines. After we get a thorough understanding of where you are starting from and where you want to end up, we can explain your treatment options (including how much it will cost and how long it will take to implement) and plan a course of action.

We recommend you aftercare instructions based on the procedure or procedures being performed. In general, it is important that you follow a good home oral health care regimen, including brushing, flossing, and mouthwash to maintain the results of their smile makeover. Proactive dental care will help your smile remain healthy, strong and beautiful.

You'll want to treat your new porcelain veneers just as carefully as you do your own teeth. To make sure the mouth is responding well to the veneers a follow-up appointment need to be taken.

For the first few days, you may be more sensitive to hot and cold it’s still a good idea to brush after consuming foods or drinks that stain the teeth, especially coffee, soda, tea, and red wine.

Keep your normal oral hygiene routine, but use fluoride toothpaste, which keeps you free of decay without aggravating the veneers themselves.

Tea, coffee, cigarette smoke and other substances can stain the resin used in bonding. To prevent or minimize stains, avoid eating or drinking these types of foods and drinks during the first 48 hours after any composite procedure. In addition, brush your teeth often and have them cleaned every six months.

How do Crowns Work?
We use porcelain or ceramic crowns that can be uniquely matched to the color of your natural teeth.Porcelain bonded to a metal shell is often used because it is both strong and attractive. To maintain a fully white smile, we recommend all-ceramic crowns.

We recommend a crown to:

• Replace a large filling when there isn't enough tooth remaining
• Protect a weak tooth from fracturing
• Restore a fractured tooth
• Attach a bridge
• Cover a dental implant
• Cover a discolored or poorly shaped tooth
• Cover a tooth that has had root canal treatment

How do Bridges Work?
Bridges are commonly used to replace one or more missing teeth. Bridges are cemented to the natural teeth or implants surrounding the empty space.
During the first appointment, we will begin to remove the enamel structure of the abutment teeth to prepare the teeth for a crown. Then impressions of your teeth will be taken and the dental bridge, crowns and pontic will be created by our dental laboratory. While the permanent bridge is being created, we place a temporary bridge for your tooth's protection.
At the second appointment, the temporary bridge will be replaced with the new permanent bridge that will be placed onto the area and checked for proper fit, but you may need to take more than one visit in a few weeks to have the fit and bite re-checked so that the bridge fits securely in your mouth.

By brushing twice a day, flossing, and using an antiseptic mouthwash daily you can keep their bridges, crowns and natural teeth healthy from bacterial growth. For the best results see us at least two times each year for cleanings and a preventive exam.

We’ll take photographic images, impressions and digital x-rays of your teeth and jaw. With this information, we work to develop a treatment plan that addresses your specific orthodontic needs. This treatment plan guides the development of your braces.

At Dr. Khanolkar's Smile Dental Clinic dental cleanings start with an examination of the patient’s teeth. We look for any signs of damage, cavities or decay. Scaling and root planing are the most common measures used to treat early stages of gum disease. Scaling consists of removing tartar from the tooth root below the gum line, and root planing is a procedure that smoothes out the root surface so that oral bacteria are less likely to collect there.
Your teeth are cleaned to remove any plaque and tartar buildup, followed by a deep clean and polish with professional dental tools.

For Advanced gum diseases, we also perform Flap surgical procedures (Gum Surgery)

You should maintain optimal oral hygiene using the recommendations provided by us during the treatment.You should brush your teeth twice a day, use mouthwash, and floss. If given special instructions or items to use, such as specific mouthwash or toothpaste, you should follow the directions given and schedule an appointment for follow-up.

We will ask you to bite down gently on a piece of dry, sterile gauze, which you must keep in place for up to 30 to 45 minutes to limit bleeding while clotting takes place. This clot is vital to your healing process, and if it is disturbed, you may develop a painful condition called dry socket. For the next 24 hours, you shouldn't smoke, rinse your mouth vigorously, or clean the teeth next to the extraction site. After 24 hours have passed, you may rinse your mouth with salt water and resume your normal oral hygiene routine, but you must avoid brushing the extraction area until it has healed.

A certain amount of pain and discomfort is to be expected following an extraction. In some cases, we may recommend a pain killer or prescribe one for you. It may help to apply an ice pack to the face for 15 minutes at a time. You may also want to limit strenuous activity, as well as avoid hot liquids and not drink through a straw. Under normal circumstances, discomfort should lessen within three days to two weeks. If you have prolonged or severe pain, swelling, bleeding or fever, do contact us immediately.