Common Questions:
Why do I need X-Rays ?

X-Rays are a necessary part of regular dental checkups. They give your
dentist vital information that he/she can’t get from any other source. Your
dentist use them to:

  • Find cavities between the teeth
  • See tartar on the roots
  • Find worn-out fillings and cavity under fillings
  • Locate receding bone levels from periodontal disease.
How should I brush my teeth?

Following are three important points to remember while brushing.

  • A soft toothbrush
  • Toothpaste with fluoride
  • With 45 degree angle move the brush over the entire surface of two or three
    teeth at a time in small, circular motions
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Which toothbrush is the best ?

"A toothbrush should have soft, rounded bristles; medium, firm and hard
bristles damage your gums. The head should be the correct size for your mouth,
and the handle should feel comfortable in your hand. While some manufacturers
would have you believe that power toothbrushes can perform tooth-cleaning
miracles, research by Consumer Reports magazine showed that nothing at
home cleans better than a plain, manual toothbrush and dental floss. Be sure to
replace your toothbrush every three months."

Why should I floss my teeth ?

Most cavities and periodontal disease begin between the teeth. While brushing
is important, the bristles of your brush simply don't reach between teeth. You
must remove the plaque between your teeth at least once a day. That's why your
dentist recommends dental floss.

All floss work pretty much the same. Wind about 18 inches of floss around the
middle fingers of each hand, leaving about five inches between your hands. Pinch
the floss between your thumbs and index fingers and leave about one inch in
between to work with. Gently guide the floss down between the teeth using a side
to side motion. If your teeth are too tight to floss, or if it catches or tears,
let your dentist know about it. These are problems that need to be fixed

If your gums are infected, they'll bleed when you floss. That's to be
expected if you are just beginning to floss. After a week or so of regular
flossing the bleeding should go away. See your dentist if it
doesn't.

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What’s cavity & how does it form?

Cavity is a tooth decay. It is primarily caused by acids in mouth. Plaque is
the sticky film of food and bacteria that forms constantly on your teeth. It's
hard to see plaque without staining it. If you don't remove the plaque every
day, these bacteria produce acid that which eventually create a hole in your
tooth. That is what a cavity is – a small hole in the outer layer of your
tooth.

Finding cavities is sometimes easy, but sometimes it is more difficult. For
hard-to-find cavities, a dental explorer and X-rays are used. cavities show up
as dark spots

It's far better to catch and restore decayed areas while they're still small
and in the enamel layer of the tooth. Once they're in the softer dentin layer,
they really grow quickly. If they make it to the pulp chamber, we have a whole
new set of problems and a different treatment to discuss - root canal
therapy.

What is root canal ?

The white outside portion of a tooth is called the enamel. Inside the enamel
is another hard layer, the dentin. There's a small chamber at the center of the
dentin called the pulp chamber. Inside the pulp chamber is the tooth pulp, a
soft tissue made up of nerves, arteries, and veins. The pulp extends from the
pulp chamber all the way to the tip of the root, through a narrow channel called
the root canal

When the nerve of a tooth becomes infected, root canal treatment can save the
tooth. Germs causes infection in root canal and that builds up pus at the root
tip. This can create a hole in the bone.

An infected tooth will never heal on its own, and as it gets worse, it will
continue to be a source of infection that weakens your immune system. This can
affect your entire body. This damage to the bone and the swelling inside the
bone can also be excruciatingly painful, and even life-threatening. Years ago,
an infected tooth would have to be extracted, but today, we can save your tooth
with root canal treatment.

In root canal treatment

  • First dentist removes the infection.
  • Next, he places a post to strengthen the tooth
  • Finally he crowns the tooth to protect it.

 

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When do I need a crown ?

Small cavities can be fixed with fillings because there is still plenty of
healthy tooth structure. However that is not the case with large cavity

When there is a large cavity in the tooth or previously filled large cavity
starts breaking they should be fixed by crown. Without a crown to strengthen it,
the tooth can break. A crown strengthens a damaged tooth by covering and
protecting it.

When do I need a bridge ?

Like other things, teeth need each other for support. When one tooth is lost,
the biting force changes on the teeth next to the space, and they begin to
shift. When a tooth no longer has anything to chew against, it begins to extrude
out of the socket. You can eventually end up losing the tooth.

As your bite changes, it gets harder and harder to chew your food. This can
cause damage to your jaw-joint – the TMJ. It's much harder to clean teeth that
have shifted. Harmful plaque and tartar accumulate in these new hard-to-reach
places, which can result in cavities, gum disease, and permanent bone loss. Like
other bridges, a dental bridge uses abutments for support to hold it in place.
Bridges are custom-crafted in a dental laboratory to precisely fit your teeth. A
missing tooth really changes a person's smile, but a bridge is a good way to get
your smile back!

 

What are the advantages of all porcelain crowns and bridges?
 

The crowns used to be made of porcelain and metal. But with the new
technology available today, they can be made entirely of porcelain.

To have enough strength to withstand biting forces, porcelain crowns used to
always be built upon a metal core. The dark metal inside the porcelain/metal
crown causes a dark blue line to show at the edge of the crown.

All-porcelain crowns maintain a translucency that makes them hard to tell
from natural teeth. Without metal, the problem of the dark blue line at the edge
of the gums is eliminated. This allows your dentist to place the edge of the
crown above the gum line, which is healthier for your tooth and gums.

When you want to improve your smile, all-porcelain crowns are a beautiful and
natural-looking choice

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Would you please tell me about teeth whitening?
 

Teeth darken over time as minerals penetrate the tooth's enamel. Whitening
agents work by forcing oxygen through the enamel of the tooth. Stains quickly
disappear, without damaging the tooth's structure.

First, impressions of your teeth are taken, and a model is created. A custom
whitening tray is constructed from this model.

The trays are filled with a gentle whitening solution, and are inserted and
worn over the teeth at night.

The process is safe and fast. You will see a change in as little as 14 days !
Cosmetic whitening is easy and dependable way to a more beautiful
smile

What are Periodontal (gum) diseases ?

Periodontal (gum) diseases, including gingivitis and periodontitis, are
serious infections that, left untreated, can lead to tooth loss. The word
periodontal literally means "around the tooth." Periodontal disease is a
chronic bacterial infection that affects the gums and bone supporting the
teeth.

Periodontal disease can affect one tooth or many teeth. It begins when the
bacteria in plaque (the sticky, colorless film that constantly forms on your
teeth) causes the gums to become inflamed.

In the mildest form of the disease, gingivitis, the gums redden, swell and
bleed easily. There is usually little or no discomfort. Gingivitis is often
caused by inadequate oral hygiene. Gingivitis is reversible with professional
treatment and good oral home care.

Untreated gingivitis can advance to periodontitis. With time, plaque can
spread and grow below the gum line. Toxins produced by the bacteria in plaque
irritate the gums. The toxins stimulate a chronic inflammatory response in which
the body in essence turns on itself, and the tissues and bone that support the
teeth are broken down and destroyed. Gums separate from the teeth, forming
pockets (spaces between the teeth and gums) that become infected. As the disease
progresses, the pockets deepen and more gum tissue and bone are destroyed.
Often, this destructive process has very mild symptoms. Eventually, teeth can
become loose and may have to be removed.

There are many forms of periodontal disease. The most common ones include the
following.

Aggressive Periodontitis
A form of periodontitis that occurs in
patients who are otherwise clinically healthy. Common features include rapid
attachment loss and bone destruction and familial aggregation.

Chronic Periodontitis
A form of periodontal disease resulting in
inflammation within the supporting tissues of the teeth, progressive attachment
and bone loss and is characterized by pocket formation and/or recession of the
gingiva. It is recognized as the most frequently occurring form of
periodontitis. It is prevalent in adults, but can occur at any age. Progression
of attachment loss usually occurs slowly, but periods of rapid progression can
occur.

Periodontitis as a Manifestation of Systemic
Diseases

Periodontititis, often with onset at a young age, associated
with one of several systemic diseases, such as diabetes.

Necrotizing Periodontal Diseases
An infection characterized by
necrosis of gingival tissues, periodontal ligament and alveolar bone. These
lesions are most commonly observed in individuals with systemic conditions
including, but not limited to, HIV infection, malnutrition and
immunosuppression.

Would you please tell me about teeth whitening?
 

Teeth darken over time as minerals penetrate the tooth's enamel. Whitening
agents work by forcing oxygen through the enamel of the tooth. Stains quickly
disappear, without damaging the tooth's structure.

First, impressions of your teeth are taken, and a model is created. A custom
whitening tray is constructed from this model.

The trays are filled with a gentle whitening solution, and are inserted and
worn over the teeth at night.

The process is safe and fast. You will see a change in as little as 14 days !
Cosmetic whitening is easy and dependable way to a more beautiful
smile

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How do I know if I have periodontal ( gum ) disease                                                                

                                              

 

                        

You may not realize that persistent swollen, red or bleeding gums, tooth
sensitivity, and bad breath are warning signs of periodontal (gum) disease -- a
serious infection that, left untreated, can lead to tooth loss.

Jot down your answers to the following questions to find out if you have the
symptoms of periodontal disease.

  1. Do you ever have pain in your mouth?
  2. Do your gums ever bleed when you brush your teeth or when you eat hard food?
  3. Have you noticed any spaces developing between your teeth?
  4. Do your gums ever feel swollen or tender?
  5. Have you noticed that your gums are receding (pulling back from your teeth)
    or your teeth appear longer than before?
  6. Do you have persistent bad breath?
  7. Have you noticed pus between your teeth and gums?
  8. Have you noticed any change in the way your teeth fit together when you
    bite?
  9. Do you ever develop sores in your mouth?
What is deep cleaning ?

The space between the tooth and gums (called the sulcus) increases when you
have gum problems. When it becomes more than 3 mm, it is called pocket. Pockets
are notorious hiding places for plaque and bacteria.

It requires different tools and techniques to thoroughly remove the plaque
between your teeth and gums. This is called deep cleaning

How should I take care of my baby’s teeth ?

As soon as your child gets his first tooth, you should begin cleaning the
teeth and gums after feedings with a moist gauze pad or washcloth

When your child is comfortable with a toothbrush, brush their teeth twice a
day with a special, extra soft infant toothbrush. Use a small dab of toothpaste
if your child likes it and if you're sure he won't swallow it. Otherwise it's
fine to brush without toothpaste. Gently floss your child's teeth each
day

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What is "Bottle Syndrome"?

Bottle syndrome is the severe decay of baby teeth caused by the constant
presence of milk, formula or juice in a child's mouth

Every time a child drinks anything containing sugar, bacteria in the mouth
produce acids that attack the tooth enamel for at least thirty minutes which
causes forming of cavities

You should avoid leaving bottle in your baby’s mouth for long time.

X-Rays are a necessary part of regular dental checkups. They give your
dentist vital information that he/she can’t get from any other source. Your
dentist use them to:

  • Find cavities between the teeth
  • See tartar on the roots
  • Find worn-out fillings and cavity under fillings
  • Locate receding bone levels from periodontal disease.

Dental Checklist for Infants and Toddlers

Birth to 6 months

____ Clean mouth with gauze after feedings and at bedtime.
____ Ask your pediatrician or pediatric dentist about fluoride
supplements.
____ Regulate feeding habits.

6 to 12 months

____ First tooth should appear; time to see the pediatric dentist for an
exam.
____ Begin to brush teeth after each feeding and at bedtime with small,
soft-bristled brush.
____ Baby begins to walk; be alert to dental injuries.
____ Wean from breast or bottle by first birthday.

12 to 24 months

____ Follow schedule of exams and cleanings recommended by pediatric
dentist.
____ Start using pea-sized portions of fluoridated toothpaste when child is
able to rinse.
____ Most primary teeth have erupted.
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Should my wisdom teeth be removed ?

Wisdom teeth, or "third molars," are the last teeth to develop. If there's
room for them, they usually start to appear in the late teens or early 20's, and
that's when problems can begin.

An impacted wisdom tooth may push on other teeth. It can be excruciatingly
painful when a wisdom tooth that's partially erupted becomes infected. This is a
common dental emergency, and can cause pain for days, even after antibiotics are
started.

A misaligned tooth can also cause cavities. 
This X-ray shows a wisdom tooth
coming in sideways and causing a cavity in the second molar.

Wisdom teeth are nearly impossible to keep free of plaque. Plaque causes
decay, as well as periodontal disease, a serious condition which can start near
the wisdom teeth and spread throughout the mouth.

Sometimes cysts form around impacted wisdom teeth; they can destroy a
tremendous amount of bone before they're even noticed.

This dark area
is a cyst that required surgery to repair. With time, the roots of wisdom teeth
may grow around a nerve in the jaw which can be damaged during the extraction.
This could leave your lip and chin permanently numb.

Because of these many serious potential problems, it's usually better to
remove wisdom teeth early, even before they break through the gums.

There are many advantages to removing wisdom teeth in the mid-teen years:

  • The roots of the teeth are still short
  • There's still a space around them, making them easier to remove
  • There's less risk of nerve damage
  • Bone will fill in better behind the second molar

All of this adds up to less pain and faster, easier
healing.

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What are the alternatives to extracting a single tooth?
 

Sometimes there is no suitable alternative to extraction; your tooth may have
to be removed.

But, sometimes a tooth can be saved, using either of these
treatments:

1. Root canal therapy, followed by placement of a crown.

2. Surgery - usually bone grafting or root amputation.

Another alternative, delaying treatment, is not recommended. The
problem will only worsen over time.

If the tooth is decayed, the cavity will get deeper and move into the nerve.
And if the bone around the tooth is degrading, this condition will also
worsen.

When decay has progressed to the point where the tooth has to be removed, it
is crucial to treat the problem as soon as possible. Otherwise, the infection
will spread to other teeth, or worse yet, to the rest of your body. Jaw
infections can even be life-threatening.

Remember, it's important to replace a tooth after it's been extracted. A
missing tooth can set off a chain reaction in your mouth, resulting in many new
problems.

Are sealants really helpful for teeth?

Sealants are very effective on permanent back teeth, but their effectiveness
depends on how well they fill the very narrow, deep grooves of the sides and
chewing surfaces of each tooth. They don't coat the entire tooth surface, so
sealants don't guarantee that teeth will not decay. However, they certainly
decrease the chances of decay in the most vulnerable areas of the back
teeth.

Why antibiotics are prescribed during dental treatment?
 

During a dental procedure, the bacteria normally present in the mouth can
enter the bloodstream. For most people, these bacteria cause no problems.
However, if you have weak, damaged or replaced heart valves, or have had a joint
replaced, these bacteria can cause infections. Your dentist wants to make sure
that you are protected. Just be sure to tell her if you are allergic to certain
antibiotics.

Make an Appointment

Phone:

   510-796-3333

 

E-mail

 

generalplusdental@gmail.com

 

 

General Plus Dental

7332 Thornton Ave

Newark, CA 94560

  

 

Office hours 



Tuesdays   9:00am-6:00pm

Thursdays 9:00am-6:00pm

Fridays      9:00am-6:00pm

Some Wednesdays and Saturdays with appointment only

 

 



 

Outside our regular business hours, please note our emergency care information.

You can contact Dr. Moghaddam directly on her cell phone 510-363-4334

 

 

      

 

 

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