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Frequently Asked Questions

Yes, with routine dental and preventive care combined with excellent oral hygiene your teeth could last your entire life. Remember schedule and keep your cleaning appointments and floss every day. That will put you in the low risk group for gum disease, the number one reason for tooth loss.

No, when proper techniques are used, most dental care can be extremely comfortable and pain free. We use only the most modern and effective pain control techniques


Fluoride is the most effective agent available to help prevent tooth decay.  It is a mineral that is naturally present in varying amounts in almost all foods and water supplies.  The benefits of fluoride have been well known for over 50 years and are supported by many health and professional organizations.

Fluoride works in two ways:

Topical fluoride strengthens the teeth once they have erupted by seeping into the outer surface of the tooth enamel, making the teeth more resistant to decay.  We gain topical fluoride by using fluoride containing dental products such as toothpaste, mouth rinses, and gels.  Dentists and dental hygienists generally recommend that children have a professional application of fluoride twice a year during dental check-ups.

Systemic fluoride strengthens the teeth that have erupted as well as those that are developing under the gums.  We gain systemic fluoride from most foods and our community water supplies.  It is also available as a supplement in drops or gel form and can be prescribed by your dentist or physician.  Generally, fluoride drops are recommended for infants, and tablets are best suited for children up through the teen years.  It is very important to monitor the amounts of fluoride a child ingests.  If too much fluoride is consumed while the teeth are developing, a condition called fluorosis (white spots on the teeth) may result.

Although most people receive fluoride from food and water, sometimes it is not enough to help prevent decay.  Your dentist or dental hygienist may recommend the use of home and/or professional fluoride treatments for the following reasons:

•   Deep pits and fissures on the chewing surfaces of teeth.

•   Exposed and sensitive root surfaces.

•   Fair to poor oral hygiene habits.

•   Frequent sugar and carbohydrate intake.

   Inadequate exposure to fluorides.

   Inadequate saliva flow due to medical conditions, medical treatments or medications.

   Recent history of dental decay.

Remember, fluoride alone will not prevent tooth decay!  It is important to brush at least twice a day, floss regularly, eat balanced meals, reduce sugary snacks, and visit your dentist on a regular basis.

A sealant is a thin, plastic coating applied to the chewing surface of molars, premolars and any deep grooves (called pits and fissures) of teeth.  More than 75% of dental decay begins in these deep grooves.  Teeth with these conditions are hard to clean and are very susceptible to decay.  A sealant protects the tooth by sealing deep grooves, creating a smooth, easy to clean surface.

Sealants can protect teeth from decay for many years, but need to be checked for wear and chipping at regular dental visits.

Reasons for sealants:

•   Children and teenagers – As soon as the six-year molars (the first permanent back teeth) appear or any time throughout the cavity prone years of 6-16.

•   Adults – Tooth surfaces without decay that have deep grooves or depressions.

Baby teeth – Occasionally done if teeth have deep grooves or depressions and child is cavity prone.


This is a warning sign that gum disease is present and needs to be treated. This is what leads to tooth loss. This may frequently occur in the absence of pain, making it an important first symptom in detecting the disease. 

The American Dental Association recommends two to four times a year depending upon your history.

Save your money! You'll find the same primary ingredients in almost all toothpastes and they are all "whitening" to some degree. Check the fine print in ads that feature dramatic "before/after" photos - they say that the results are not typical. Also, for some people, "whitening" toothpastes encourage canker sores. If the "whitening" toothpaste contains fluoride, it will work as well as any other product - removing only superficial stains. Why pay more for minor cosmetic results? The best way to whiten your teeth is to visit Paramount Dental Care

These kits will produce results only if your teeth are lightly stained and the decision to use them should be carefully considered. The peroxide in these kits is in an unspecified or varied dose. The trays themselves are not custom fitted. The combination of these factors could lead to uncontrolled exposure to the peroxide which may damage your teeth and or gums. Due to their limited effectiveness it seems unwise to risk damage. An office monitored program has been determined safe and effective!

Well, they probably won't hurt you, but it is highly unlikely that they will help. 80% of bad breath comes from the teeth, gums and tongue. Tooth decay, gum disease, bacteria on the tongue and trapped food are the most common causes. Only about 2% of halitosis emanates from the stomach.

As you can see we have excellent office hours and most of our patients are given appointments within a reasonable time period. Emergency patients are seen and treated immediately. 

No, our equipment is state of the art and minimizes patient exposure. We use the most advanced digital X-ray technique. The office follows ADA guidelines as to the frequency of radiographs. X-rays are never automatically taken, the decision is based upon clinical experience. All our units have filters and we use the fastest film speed possible. Additionally, you will be covered with a lead apron decreasing your exposure to negligible levels.

No, tooth colored fillings are our treatment of choice. Either direct filled composites or indirect inlays and crowns can be provided in almost all situations. However on occasion, if a silver filling is necessary, we use the safest material available.

Metal shows around the necks of porcelain fused to metal crowns. There now are many alternative restorations that do not contain metal including porcelain and composite resin.

The stainless steel crown (SSC) is an extremely durable restoration with several clear-cut indications for use in primary teeth including: following a pulpotomy/pulpectomy; for teeth with developmental defects or large carious lesions involving multiple surfaces where a filling is likely to fail; and for fractured teeth. In other situations, its use is less clear-cut, and caries risk factors, restoration longevity and cost effectiveness are considerations in decisions to use the SSC. Children at high caries risk exhibiting anterior tooth decay and/or molar caries may benefit by treatment with stainless steel crowns to protect the remaining at-risk tooth surfaces.


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