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Frequently Asked Questions

You've got some questions about dentistry and we're here to help! Learn more about the terms, procedures, and other information below.

Oral Surgery Overview

While the removal of wisdom teeth is the most well-known type of oral surgery, there are many reasons why oral surgery may be required. For example, to:

  • Diagnose, repair, or treat serious conditions affecting a patient’s teeth, palate, lips, jaw, or face
  • Alleviate problems due to obstructed sleep apnea, infections, or facial pain
  • Augment a treatment plan prescribed by a Dentist or Specialist
  • Repair maxillofacial region damage caused by a serious accident or injury
About Oral Surgeons

Oral Surgeons, also known as Oral and Maxillofacial Surgeons, are qualified Dentists who have completed an additional 4-6 years of surgical residencies. Their advanced education and training includes anesthesiology and the diagnosis and surgical treatment of defects, injuries, and diseases of the mouth, jaw, teeth, neck, gums, and other soft tissues of the head. An Oral and Maxillofacial Surgeon will work closely with your Dentist to improve your oral health.

Reasons for Referral

Based on an examination or a dental treatment plan, your Dentist or Orthodontist may refer you to an Oral and Maxillofacial Surgeon for a consultation.

Your Dentist may recommend that you or your child see an Oral Surgeon when:

  • A tooth is impacted. This means that a permanent (adult) tooth has not yet erupted from the bone but is moving into or pushing against an adjacent tooth. This commonly occurs with wisdom teeth.
  • A lesion, tumor or other tissue of the mouth or jaw requires biopsy or removal, or if oral cancer is suspected
  • A dental implant is required to replace a missing tooth or support a bridge
  • One or more teeth must be removed
  • A tooth breaks off at the gum line and it (or its root fragments) must be removed
  • Corrective surgery to soft tissues or bones in the maxillofacial region is needed
  • Diagnosis and treatment of infections in the maxillofacial region are needed
  • Facial pain exists, including pain suspected from TMJ (Temporomandibular Joint Disease)
  • Obstructive sleep apnea is suspected
Most Common Surgeries
Tooth Extraction

After the application of anesthetic to the area, special tools are inserted between the tooth and gum that surrounds the tooth. The tooth is moved back and forth within its socket (the bone that encases the tooth’s root) until it separates from the ligament that holds the tooth in place. Sometimes a tooth is cut into small pieces (sectioned) before it is removed.

Impacted Tooth Extraction

The method for removing an impacted tooth will depend on how many roots it has and its location under your gum. Patient sedation is often used in addition to the application of an anesthetic to the impacted area.

A gum tissue flap is created to access bone tissue, and a small opening is made in the bone that covers the impacted tooth. The impacted tooth is then cut into small pieces (sectioned) and removed through the opening. The gum tissue flap is then repositioned and sutured in place.

Wisdom Teeth Extraction

Third molars, also called wisdom teeth, are the last set of permanent teeth to erupt in a person’s mouth and are the ones least needed for good dental health. Wisdom teeth can endanger a patient’s dental health when:

  • They erupt through your gum but your jaw is too small to hold them. As a result, they force other teeth out of alignment and can damage your bite.
  • They do not erupt through your gum and are not in a normal position. As a result, they crowd the roots of other teeth, force them out of alignment, and can damage your bite.

When your jaw is too small to accommodate normal wisdom teeth, gum or jaw discomfort and swelling often occur. In addition, there is a greater risk of developing gum disease. Surgery to remove wisdom teeth is typically the best course of action. If a wisdom tooth has fully erupted through the gum, a standard tooth extraction is performed. If the tooth has not erupted through the gum, an impacted tooth extraction method is used.

Dentures Overview

A Denture (also known as false teeth) is a custom-made removable replacement for multiple missing teeth. Full dentures replace most or all of your teeth, and partial dentures replace one or more missing teeth. Both types of dentures support facial muscles and lips, and keep them from sagging and receding which will make you look younger, improve speech, and improve your health by enabling you to eat properly.

Dentures are custom made in a dental laboratory from impressions taken of your mouth

With proper care and good oral hygiene, full dentures can last 10-15 years. Over a period of time as your mouth naturally changes shape, dentures need to be relined, remade, or rebased. (Rebasing a denture means a new base is created utilizing the teeth on your current denture).

When Prescribed

Full dentures may be prescribed by your Dentist if you have lost, or are about to lose, all of your teeth as a result of disease, decay, injury, or surgery.

Denture Types

There are two main types of full dentures, conventional and immediate:

  • Conventional dentures are fabricated and placed in the patient’s mouth after all or most teeth have been removed and tissues have healed. (If tooth extraction is required, several months of healing must take place before conventional dentures can be provided.) Conventional dentures can replace:
  • All of your teeth on your upper arch, lower arch, or both.
  • Most of your teeth. In this case, an over denture is fabricated to fit over one or more natural teeth or dental implants for support.
  • Immediate dentures are inserted in the patient’s mouth as soon as any remaining teeth are removed. With immediate dentures, the wearer has teeth to use during the healing period. After the healing process, the immediate denture will be permanatly relined in order to achieve a proper fit.
Patient Experience

After a thorough exam of your teeth, gums and supporting bone structure, your Dentist will discuss treatment options with you and answer your questions. If the agreed-upon treatment includes dentures, here’s what to expect:

  • It is common that some oral surgery may be required to prepare your mouth for full dentures. Sometimes teeth must be extracted or the bony ridge of your gum must be improved to provide your dentures with optimum stability.
  • A putty-like material is used to make an impression of your arch. Your dentures will be fabricated based on this impression. Sometimes a try-in appointment is required to ensure the tooth color, shape, and to customize the fit.

Dentures and oral tissues must be checked annually. Damage to oral tissue can occur without any pain or other symptoms. Early detection and elimination of inflammation is important to minimize shrinkage of the supporting bone and tissues.

Bridges Overview

A bridge (or fixed partial denture) is a custom-made replacement for one or more missing teeth that literally “bridges the gap.”

With proper care, the life of a bridge is 5-20 years. Typically, two office visits are required to prepare, complete, and fit a permanent bridge.

Warning Signs
  • A noticeable difference in your ability to speak or chew
  • A change in the shape of your face or the self-confidence of your smile

Left untreated, missing teeth will:

  • Produce an unstable bite and dental stress that can damage teeth and gums or cause headaches
  • Increase your risk for periodontal disease and tooth decay
Patient Experience

After a thorough exam of your teeth, gums and supporting bone structure, your Dentist will discuss treatment options and answer your questions. If the agreed-upon treatment is a fixed bridge, here’s what to expect:

  • A local anesthetic is applied so your Dentist can prepare the abutments. If an abutment tooth is decayed or broken, your Dentist may first need to rebuild and protect it with a crown.
  • A putty-like material is used to make an impression of your prepared teeth. Your bridge will be fabricated for a precise fit based on this impression.
  • To protect your teeth and gums until your permanent bridge is ready, your Dentist will fit you with a temporary bridge.
  • During a second office visit, your Dentist will fit and attach your permanent bridge.
Bridges Overview

A dental crown restores a tooth’s shape, size, and strength. It fully encases the visible portion of your tooth or dental implant. Once it is permanently cemented in place, only a Dentist or Specialist can remove it.

With proper care and good oral hygiene, the life of a crown can range from 5 to 15 years.

When Prescribed

A crown may be prescribed by your Dentist to:

  • Restore and protect a tooth that is worn, decayed, cracked, or broken
  • Protect and support a tooth after a very large filling or root canal treatment
  • Cover a dental implant
  • Hold a dental bridge or other prosthetic device in place
  • Improve your smile by covering a misshapen or severely discolored tooth
Crown Types

Your Dentist will recommend the best type of crown for your dental restoration needs based on the chewing placement and structure of the tooth or implant that requires protection.

Patient Experience

After a thorough exam of your teeth, gums and supporting bone structure, your Dentist will discuss treatment options with you and answer your questions. If the agreed upon-treatment is a dental crown, your Dentist will:

  • Apply a local anesthetic to prepare your tooth or dental implant
  • A putty-like material is used to make impression of your prepared teeth. Your crown will be fabricated for a precise fit based on this impression.
  • You will be fitted with a temporary crown to protect your tooth/implant and gums until your permanent crown has been fabricated.
  • During a second office visit, your Dentist will fit your permanent crown and bond it to your tooth or dental implant.
Veneers Overview

A veneer improves the appearance of a tooth by covering the visible front surface with a custom-made, tooth-colored porcelain overlay.

Our Dentists can complete a porcelain veneer treatment in just one office visit. With proper care and good oral hygiene, a veneer has a lifespan of 15-20 years.

When Prescribed

A veneer is often prescribed for a tooth that is:

  • Discolored or stained
  • Worn down, chipped or broken
  • Misaligned, uneven, or irregularly shaped

It may also be prescribed to “fill the gap” between two otherwise healthy teeth.

Patient Experience

After a thorough exam of your teeth, gums and supporting bone structure, your Dentist will discuss treatment options with you and answer your questions. If the agreed upon treatment is a dental veneer, your Dentist will:

  • May remove a small amount of enamel from the front of your tooth to make place for the veneer
  • Clean and polish the tooth’s front surface
  • Bond the veneer in place to permanently affix it
  • Expose the veneer to special hand-held light to harden the repaired surface of your tooth
Preventive Dentistry Overview
Routine Dental Check-ups

Routine dental checkups are vital to good oral hygiene and are the best way to detect problems at their earliest stages. Early detection and treatment saves unnecessary discomfort, time, and money.

The Academy of General Dentistry recommends checkups twice a year. Oral needs change with age and the condition of your teeth and gums. Your Dentist may recommend a checkup schedule that is more or less frequent than twice a year.

What To Expect

Your dental checkup includes:

  • A visual exam of your mouth, face, jaw, and neck
  • X-rays, as determined by your Dentist
  • A gingival pocket exam
  • Professional cleaning of your teeth
Visual Examination

During a visual exam, your Dentist looks not only for cracked and decayed teeth, but also for growths and sores on the roof and floor of your mouth, tongue, lips, gums, and the mucous membranes that line your cheeks and gums. Then your Dentist will check the lymph nodes of your head, jaw, and neck for pain, tenderness, and flexibility.

Diagnostics
  • X-Rays:  Detect dental problems that cannot be found during a visual exam.  Your Dentist determines how often you need to have x-rays.
  • Gingival Pocket Exam: Healthy teeth require healthy gums. A gingival pocket exam determines the presence or risk of gum disease.

Healthy teeth require healthy gums. A gingival pocket exam determines the presence or risk of gum disease.

What To Know
  • Each tooth sits inside a gingival pocket of gum tissue. Food debris and plaque naturally collect inside this pocket.
  • Daily tooth brushing and flossing remove food debris and plaque from the gingival pocket. If not removed, harmful bacteria penetrate the gumline and deepen the pocket.
  • As the depth of a gingival pocket increases, so does the risk of tooth damage and infection that leads to gum disease.
  • During your exam, a hand-held instrument is gently placed between gums and teeth (sulcus) to measure the depth of each pocket.
  • In its earliest stage, gum disease may be reversible. Since it rarely has symptoms of pain, it is possible to have gum disease and not know it.
Professional Cleaning

Your teeth are cleaned using special instruments to remove plaque from above and below the gumline. Afterwards, your teeth are polished. Tooth polishing makes your teeth look and feel great. It also smoothes tooth surfaces so plaque is less likely to accumulate.

Good Oral Hygiene

The key to healthy teeth and gums is keeping plaque and food decay from building up in your mouth. Plaque and food decay attract harmful bacteria that cause cavities, gum disease, and persistent bad breath.

Your tongue attracts bacteria, too. During the normal process of eating, tiny fragments of food collect on your tongue. As these fragments decay, bacteria create a filmy white coating on the top of your tongue.

Practice the four-step routine to keep plaque and harmful bacteria from building up in your mouth.

Easy Four-Step Routine To keep your teeth and gums healthy:
  1. Brush your teeth and use an antiseptic mouthwash twice daily (after breakfast and before bedtime)
  2. Use dental floss daily
  3. Clean your tongue regularly by using a toothbrush or a tongue scraper
  4. See your dentist for routine dental checkups
Benefits of Good Hygiene

When you practice good oral hygiene, you will:

  • Have less plaque to remove during routine dental checkups, so professional cleanings will be faster and more comfortable
  • Minimize your need for dental procedures due to tooth decay or gum disease
  • Minimize your annual dental budget
  • Feel healthier
  • Enjoy fresher breath
  • Be more confident about your smile
Infants & Small Children

The American Academy of Pediatrics recommends that a child’s first visit to the Dentist be around age three unless any of these dental health risk factors exist:

  • Sleeping with a cup or bottle
  • Thumb sucking
  • Teeth staining
  • Down Syndrome
Children’s Oral Hygiene

When your child’s teeth begin to erupt, wipe them daily with a moist washcloth to remove tooth plaque.

As s/he grows more teeth, use a soft child’s toothbrush with non-fluoride toothpaste until s/he is able to spit out the toothpaste.

When your child is ready to use fluoridated toothpaste, use only a small pea-size amount on the toothbrush. Swallowing too much fluoridated toothpaste can lead to staining of children’s teeth(dental fluorosis).

Cosmetic Dentistry Overview

Your smile is important for your overall personal appearance and how the world sees you.

You can experience no-pain, no grind, no shot perfect smile service and learn permanent, pleasant, and painless ways to reshape and whiten your smile. You can achieve this through Lumineers by Cerinate or Zoom! ignite the white. These teeth whitening systems can whiten 6 shades in one weekend.

Cosmetic Dentistry Overview

Dr. Gregory J. Smith has been serving the area for more than 26 years and is dedicated to providing you with the most reliable dental care available.

Get the memorable smile you want:

✔ Lumineer veneers
✔ Crowns
✔ Dental implants
✔ Teeth whitening
✔ Zoom! Ignite The White
✔ Tooth colored fillings

General Dentistry Overview

You don’t have to fear the dentist anymore! Bring your entire family to Gregory J Smith, DDS PC for extremely gentle dental care and keep your smile bright and healthy.

Emergency Service Available

Doctor Smith and his friendly, caring staff have been providing friendly and gentle dental care for families throughout the area for more than 26 years. You can trust our knowledge and experience to give you the healthy, bright smile you are looking for.

Offering your entire family affordable dental care:

  • Complete dental care for adults and children
  • Preventive Dentistry
  • Tooth colored fillings
  • Root canals
  • Extractions
  • Bridges
  • Crowns
  • Dentures-repairs-relines
  • Implant retained dentures
  • Nitrous oxide