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A dental filling replaces and restores the health of a tooth that has been damaged. Often, the need for a filling results from a cavity due to a large amount of decay in a tooth.

Teeth may also require repairs after cracking from chewing on hard objects, trauma to the mouth, grinding or clenching of your teeth, uneven chewing pressure, or exposure to extreme hot and cold temperatures.

Over time, a filling may have to be replaced after normal wear and tear has occurred. There are signs and symptoms to watch out for if your tooth may need a replacement filling, or a new filling. Whitley Family Dental performs various types of filling treatments, depending on the damage to the tooth.

Common signs and symptoms to watch out for if you have a cracked tooth can include sharp pain when you bite down, pain that comes and goes, discomfort when eating or drinking, or a constant feeling that something is stuck in your teeth. The crack may not be visible to the eye, which makes it hard to tell whether a tooth is actually cracked.

Pain may come and go quickly when you bite down because you’re expanding the crack with the combined pressure of your teeth. If you notice this happening, contact Dr. Bill Whitley right away so we can get X-rays of your mouth and quickly fix the problem.

If you’ve had a filling in your mouth in the past, you could be due for a replacement. The seal between the tooth and the filling may break down over time, after which bacteria can build up underneath the filling and cause more decay.

It’s vital to catch this early so a filing can fix the problem. If you wait too long, a crown or a root canal may be the only option. You may not notice that a long-time filing is cracked or worn down, because it can take a long time to feel any discomfort. This is one of the reasons we recommend a dental checkup every six months.

If you need a tooth filling or a replacement filling, different filling choices vary in price. Gold fillings and porcelain fillings are more expensive options that last longer -- typically around 20 years. Porcelain fillings match the color of the rest of your teeth, however, which makes them less visible.

Another option is amalgam, or silver fillings, that less expensive but may be more noticeable in visible areas of your mouth. Composite, or plastic fillings, are another affordable option that can be matched to the color of your teeth. Composites are more likely to wear out over time and not last as long: usually around three to ten years.

If you think a past filling might be due for replacement, schedule an appointment at our Dallas office. Make sure to stay on top of your routine dental appointments in order to prevent decay from breaking down problem teeth.

If we catch the problem early, we can save you both money and time. Fillings can be a great way to resolve any existing teeth issues, and prevent extensive dental care practices from becoming necessary in the future.

You never know when a dental problem may arise. Unfortunately, they don’t necessarily occur during office hours. Dr. Bill Whitley can provide you with the proper information and treatment options to prevent the problem from becoming worse.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Though antibiotics are not always necessary, you should be seen by Dr. Bill Whitley as soon as possible. If left untreated, the infection may grow and cause more serious issues.

Toothache

Toothaches can have many causes. Sometimes it’s as simple as food lodged between your tooth and gums. Rinse your mouth with warm water and try flossing the area to dislodge the particle. If your gums begin to bleed, stop flossing.

Fractures or cavities can also cause toothaches as well as sensitivity to heat or cold. Please schedule an appointment to ensure a minor problem doesn’t develop into a serious one. You may require acetaminophen or another pain reliever before your visit.

If you can’t be treated right away, keep these tips in mind:

• If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
• A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
• Do not apply aspirin directly to a damaged tooth or gum area, because this can cause tissue irritation.
• If you suspect your jaw has been broken, go to an emergency room immediately.
• If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, seek other medical attention right away.

If you experience an emergency, please contact our Dallas office and provide us with as much information as possible. This way, we can offer recommendations that will assist you until you’re able to arrive for an appointment.

Remember: procrastinating about getting treatment can turn a minor problem into a major one!

Toothpaste no longer comes in simple choices of fluoride and fresh breath. Paste is not even the only option! You can choose gel forms and even some with ribbons of color and flavor. With so many varieties available, it may be difficult to know which features or combinations of ingredients are best for your mouth. Dr. Bill Whitley and our team are here to help!

Fluoride

The majority of all dental patients should use toothpaste with fluoride. Fluoride helps to strengthen the enamel on your teeth; it makes them stronger and more resistant to cavities. Even if you live in an area that adds fluoride to your drinking water, the fluoride protection in toothpaste is necessary.

Some individuals can have an allergic reaction to fluoride. Fluorosis can occur in children or adults that swallow too much toothpaste while brushing. If swallowing cannot be prevented, fluoride use should be reduced. The American Dental Association has updated guidelines that recommend fluoride be used as soon as the first teeth erupt in children. However, the amount should be minimal and swallowing should be prevented.

Sensitivity Protection

If your teeth are sensitive to temperatures, toothpaste with sensitivity protection can work wonders for your discomfort. Ingredients in these pastes or gels work to block the pathways to the nerves that react to hot or cold. Do not give up on this type of toothpaste after a few days; the full results may take a few weeks.

Plaque, Tartar, and Gingivitis Protection

Everyone has bacteria in his or her mouth, and this bacteria is normal. Unfortunately, some bacteria also cause plaque. If the plaque remains on your teeth, it hardens into tartar or calculus. Tartar is an almost cement-like substance that cannot be removed by brushing alone. When bacteria and tartar are left behind, the deposits will form under the gum line. This leads to gingivitis and gum disease.

Since there is a wide variety of toothpastes and ingredients for preventing tartar and gingivitis, ask Dr. Bill Whitley and our staff what the best choice is for your teeth. We can help you select the right combination of ingredients.

Whitening

White teeth are desirable, and manufacturers are heavily marketing whitening toothpastes. Most brands do not contain bleaching ingredients; they use abrasives to polish stains away. Unfortunately, too much abrasive use can be damaging to your teeth. If you’re interested in teeth whitening, our Dallas team can recommend a number of safe and effective options.

Feel free to ask Dr. Bill Whitley and our staff at Whitley Family Dental about the best choice in toothpaste to meet your individual needs. Remember to look for the ADA approval seal on any toothpaste you are considering.

When it comes to gum disease and your child, it’s a good news/bad news situation. The very good news is that children rarely suffer from advanced gum disease, or periodontitis. The not-so-good news? Early gum disease, called gingivitis, is unfortunately an all-too-common childhood problem.

• What does gingivitis look like in children?

Childhood gingivitis has the same causes and symptoms as the adult version. Healthy gums are firm and pink. When bacteria and plaque accumulate on the teeth, your child’s gums become irritated and inflamed. Call our Dallas office right away if you notice any of these symptoms of gingivitis: bleeding gums, puffiness, redness, gum tissue receding from the teeth, or bad breath even after brushing.       

• How to Prevent Gingivitis

The most common cause of gingivitis is poor dental care. Creating a regular dental routine is the best way to prevent gingivitis from ever developing! Brushing and flossing with your child for two minutes twice a day from the very beginning helps make healthy cleaning a lifelong habit. Care should be taken to gently brush teeth at the gum line to make sure plaque doesn’t get a chance to build up there and cause gum irritation. And when your child comes in for regular cleanings, Dr. Bill Whitley can be sure that any plaque that might remain on the teeth is removed.

Two additional notes: as your child approaches adolescence, hormone fluctuations can make gums more sensitive and easily irritated. This is a time to really emphasize careful and gentle brushing and flossing. Also, some medical conditions may make children more pre-disposed to gum problems, so be sure to make us aware of your child’s medical history.

• Uncommon Gum Diseases

While gingivitis is very preventable with proper dental hygiene, there are some rare gum conditions that can occur around the time of puberty that are quite different from gingivitis. Aggressive Periodontitis can cause severe bone loss around the first molars and incisors, even without any kind of plaque build-up, and Generalized Aggressive Periodontitis leads to inflammation of the gums, heavy plaque, and, eventually, loose teeth. Again, these conditions are rare, but if you have a family history of these diseases, let us know. Checkups and cleanings are a great way to catch any potential gum problems, so be sure to bring your child in for regular visits.

Almost all childhood gingivitis is preventable. With careful brushing and flossing at home, and visiting us regularly for checkups and cleanings, your child can enjoy healthy gums and teeth now and learn habits that will keep those gums and teeth healthy for a lifetime. And that is a good news/great news situation!