We look forward to helping you maintain a healthy smile! If you have any other questions or need further assistance, please don't hesitate to reach out to our office.
Our dedicated team is here to provide personalized dental care and address any concerns you may have.
Monday: 8:00am - 5:00pm
Tuesday: 8:00am - 5:00pm
Wednesday: 8:00am - 5:00pm
Thursday: 8:00am - 5:00pm
Friday: 8:00am - 3:00pm
Saturday: Closed
Sunday: Closed
We understand that many individuals have work, school, or other commitments during regular business hours. At this time, however, we are unable to offer extended hours or weekend appointments.
Scheduling an appointment with our dental office is easy, and we offer multiple convenient methods to accommodate your needs. Here are the various ways you can schedule an appointment with us:
When scheduling an appointment, please provide any necessary information such as dental insurance details, previous dental records, or specific concerns you'd like to address during the visit. This helps us prepare for your appointment and ensure you receive the most comprehensive care possible.
We understand that unforeseen circumstances may arise, causing you to need to reschedule or cancel your appointment. We strive to maintain an efficient schedule and provide the highest level of care to all our patients. To help us achieve this, we have implemented the following cancellation policy: We kindly request that you provide us with at least 24 hours' notice if you need to cancel or reschedule your appointment. This allows us to offer the time slot to another patient who may be in need of dental care. By giving us sufficient notice, you help us optimize our schedule and provide quality care to all our patients.
In the event that you need to cancel or reschedule your appointment, please contact our office as soon as possible. If you are calling after office hours, you may leave a voicemail with your cancellation or rescheduling request.
Please note that there is a fee of $50.00 charged for patients who miss or cancel more than one appointment in a calendar year without 24-hour notice. The fee helps cover the costs associated with the unused appointment time and allows us to continue offering our services at competitive rates.
We understand that emergencies and unforeseen circumstances may occur, and we will do our best to accommodate those situations on a case-by-case basis. We value our patients' needs and circumstances, and we appreciate your understanding and cooperation in adhering to our cancellation policy.
Yes, we do accept walk-in patients at our dental office. We understand that dental emergencies can occur unexpectedly, and we strive to accommodate patients who require immediate attention. If you have a dental emergency or an urgent dental issue, you can visit our office directly during our regular business hours.
While we make every effort to see walk-in patients as soon as possible, please note that scheduled appointments take priority. Depending on the availability of our dental team and the nature of your emergency, there may be a significant waiting period. However, our goal is to provide prompt and efficient care to address your dental needs.
Yes, we prioritize the well-being of our patients and understand that dental emergencies can occur unexpectedly. During our regular office hours, we are fully equipped to handle a wide range of dental emergencies and will do our utmost to accommodate urgent cases.
However, please note that we do not offer emergency dental services after hours. If you experience a dental emergency outside of our regular office hours, we recommend seeking immediate assistance at your nearest emergency room or an after-hours emergency dental clinic.
Common dental emergencies may include severe toothaches, knocked-out teeth, broken or chipped teeth, and injuries to the mouth or jaw. These situations require prompt attention, and it's crucial not to delay seeking treatment. If you're uncertain whether your situation constitutes a dental emergency, we encourage you to contact our office for a professional evaluation. Our knowledgeable staff will assess your symptoms and provide guidance on the next steps to take.
When it comes to accessing your dental records, we prioritize the privacy and security of your information. We understand the importance of having access to your dental history and treatment records. Here's how you can access your dental records at our office:
We prioritize the confidentiality and accuracy of your dental records and are committed to ensuring your privacy rights. If you have any specific questions or concerns about accessing your dental records, please contact our office. Our team is here to assist you and provide the necessary guidance to help you access your records and make informed decisions about your dental care.
We recommend scheduling routine dental cleanings in advance to ensure you secure a convenient appointment time that fits your schedule. Ideally, we suggest scheduling your dental cleaning appointments at least every six months. Regular dental cleanings are essential for maintaining optimal oral health and preventing dental problems.
To ensure availability and flexibility in choosing your preferred appointment time, we advise scheduling your next dental cleaning during your current visit or shortly afterward. This allows us to accommodate your preferred date and time, especially if you have specific time constraints or preferences.
We understand the value of your time and strive to minimize wait times to ensure a smooth and efficient experience for our patients. While the exact wait time can vary depending on various factors, we make every effort to keep wait times to a minimum.
To optimize efficiency and minimize wait times, we implement several strategies, such as proper scheduling and allocation of appointment slots, ensuring adequate time for each procedure, and regular evaluation of our processes to identify areas for improvement.
We recommend arriving a few minutes early for your appointment to complete any necessary paperwork or update your information, which can help ensure a smooth and timely experience. If you have time constraints or need to discuss any concerns, please inform our staff, and we will do our best to accommodate your needs.
For more accurate information about current wait times or to inquire about the estimated duration of a specific procedure, we encourage you to contact our office directly. Our knowledgeable staff will provide you with the most up-to-date information and address any questions or concerns you may have.
There are a few items that we recommend you bring with you to ensure a smooth and efficient visit. Here's a list of things to bring:
By bringing these items to your first dental appointment, we can provide you with a comprehensive evaluation, discuss your dental needs, and develop a customized treatment plan tailored to your specific requirements. If you have any further questions or need clarification, feel free to contact our office, and we'll be happy to assist you.
Yes, our dental office is committed to providing accessible care for individuals with disabilities. We strive to create a welcoming and inclusive environment where all patients can receive the dental treatment they need comfortably. Here is some information about the accessibility features and accommodations we offer:
If you have specific accessibility needs or concerns, we encourage you to contact our office in advance of your appointment. This will allow us to discuss your requirements and ensure that appropriate accommodations are in place to meet your needs.
Ensuring that we have accurate and up-to-date medical history and personal information is essential for providing you with safe and effective dental care. As a general guideline, we recommend updating your medical history and personal information at least once a year or whenever there are significant changes in your health or medications. Here are some key points regarding updating your information:
Remember, your health and safety are our top priorities, and accurate medical history and personal information are vital in providing you with personalized and effective dental care.
Yes, we are proud to offer comprehensive dental care for children and pediatric dentistry services at our dental office. We understand the unique dental needs of children and the importance of providing a positive and comfortable dental experience from a young age. Here's some information about our dental care for children:
We are committed to providing compassionate and high-quality dental care for children. If you have any questions or would like to schedule an appointment for your child, please contact our office. We look forward to caring for your child's dental health and creating positive dental experiences that set the foundation for a lifetime of good oral health.
Yes, you can request a copy of your dental X-ray. As your dental care provider, we understand the importance of having access to your dental records, including X-rays. Here's some information on how to request a copy of your dental X-ray:
It's important to note that dental X-rays are part of your dental records, which are valuable for tracking your oral health history and aiding in diagnosis and treatment planning. Therefore, we encourage you to keep your original X-rays in a safe place while having access to copies for personal use or when seeking dental care from other providers.
Yes, absolutely! We encourage you to request a dental treatment plan before proceeding with any procedures. A dental treatment plan provides a detailed outline of the recommended treatments, associated costs, and the proposed timeline. It helps you understand the proposed procedures, make informed decisions, and plan for your dental care. Here's how we typically handle dental treatment plans:
At our dental office, we believe in transparency and patient-centered care. Requesting a dental treatment plan is an essential part of the process, as it empowers you to make informed decisions about your dental health. We are committed to providing clear communication, addressing your concerns, and ensuring your comfort throughout your dental journey.
We greatly value your feedback and appreciate your willingness to share your experience at our dental office. Here are some ways you can provide feedback or leave a review about your experience:
We take feedback seriously and use it to continuously improve our services and patient experience. Your feedback is important to us, and we appreciate the opportunity to learn and grow.
Our clinic works hard to provide accessible and reasonable dental care in Staunton, VA, and believe that you deserve quality treatment that fits within your budget. In order to do so, we offer various payment methods to give you options that work best for you and your family. While our dental office is not in-network with insurance providers, we do still accept and file most dental insurances on your behalf (more on this process below). We also accept the following payment forms: Cash, personal checks, debit or credit cards (American Express, VISA, Master Card), CareCredit, and now financing through ProceedFinance.
Our commitment to providing accessible, quality dental care means that you can maintain a healthy smile while not having to worry about a sudden financial burden. Click to learn more about these financial options or if you prefer to call us directly at 540-886-1979, we are happy to answer any questions you may have!
While our dental office is not in-network with insurance providers, we are pleased to inform you that we do accept most dental insurances and will be more than happy to file your insurance claims on your behalf. Please note that as a non-participating provider, our fees may not be fully covered by your insurance plan. However, we will still file your claims to ensure you receive the maximum allowable benefit from your insurance company. We understand that navigating the complexities of dental insurance can be challenging, and we strive to make the process as convenient as possible for our patients. We’re more than happy to help you better understand your coverage and how to apply your benefits to achieve optimum dental and financial health. Be sure to have your insurance ready to display when you come in for your appointment and we’ll make sure that you get as much reimbursement as possible.
How it works: We submit your insurance claim for you at the time of your dental visit. We will follow up with your dental insurance company to ensure your claim is processed in a timely manner. This is a complimentary service we extend to all of our valued patients.
*Please note: The wide range of low cost dental insurance plans means varying deductibles, co-pays, and coverage limits. These wide variety of factors can affect your coverage and are not intended to pay the full cost of your treatment. Keep in mind that you’re responsible for the full amount of the procedure, so we strongly recommend that you contact your insurance carrier prior to your visit. A consultation with your carrier about the extent of your coverage will help prevent any confusion, misunderstandings, or frustration about your financial responsibility for certain services. Please also note that most dental insurance policies do not cover any costs for cosmetic procedures, such as teeth whitening, tooth shaping, veneers, and gum contouring — as these procedures are not typically deemed medically necessary by insurance providers.
At this time, we regret to inform you that our dental office does not participate in Medicaid or Medicaid-related insurance programs. We understand that Medicaid plays a crucial role in providing access to dental care for many individuals, and we apologize for any inconvenience this may cause.
However, we do offer various other payment options to ensure that our dental services remain accessible for all of our patients. We will file on your behalf most dental insurance plans, and our administrative team will gladly assist you in maximizing your insurance benefits. Additionally, we accept care credit and proceed finance. To learn more, please click here.
At this time, we regret to inform you that our dental office does not participate in Medicare or Medicare-related insurance plans. While Medicare does not typically cover routine dental care, we understand that it plays a vital role in providing healthcare coverage for seniors and certain eligible individuals.
As a dental practice, our focus is on providing exceptional oral health services to our patients. While we do not accept Medicare, we do offer other payment options to ensure that our dental services remain accessible.
We will file on your behalf most major dental insurances and will work closely with your insurance provider to maximize your benefits. Additionally, we accept care credit and proceed finance. To learn more, please click here.
We are now offering a financing option through a company named Proceed Finance. They specialize in patient financing. and their mission is making life-changing treatments possible for more people, giving you access to financing that's fast, affordable, and fair. They offer:
Our office also accepts CareCredit, a healthcare credit card that is used to pay for out-of-pocket expenses not covered by dental insurance. CareCredit’s coverage is comprehensive, providing financing for a wide range of healthcare services other than dentistry, including but not limited to: Chiropractic, cosmetic, hearing, LASIK and vision, primary and urgent care, veterinary, weight loss etc.
When it comes to dental care in particular, CareCredit cards cover a wide range of procedures, including preventative, restorative, and cosmetic services, for example: Teeth cleaning, fluoride treatment, gingivitis prevention, root canals, ceramic crowns, periodontics veneers, bite plates, ceramic fillings, lumineers, Invisalign, etc. So whether you’re after that perfect smile or you need invisible braces for your children, CareCredit is a perfect solution for spreading out the costs in manageable installments. It’s particularly useful if you need a cosmetic dental procedure, which are typically not covered in most dental insurance plans.
CareCredit is subject to credit approval, but once you are accepted, you can use it time and again for your family’s healthcare needs. Ask us about CareCredit today! Applying is easy, and we are here to answer any questions.
Yes, as a service to our patients, we are happy to file insurance claims on your behalf. This is in comparison to many other practices who only provide you with insurance codes, leaving you to manually submit them to your insurance without guidance. We understand that navigating the insurance process can be complex and time-consuming, and we strive to make it as convenient as possible for you.
When you visit our dental office, our administrative team will collect your insurance information, including your policy number and any relevant details. We will then work closely with your insurance provider to submit your claims promptly and accurately.
It is important to note that dental insurance coverage varies depending on your specific plan and its terms and conditions. We will do our best to maximize your insurance benefits and help you understand your coverage, including any co-pays, deductibles, or limitations that may apply. While we work with a wide range of insurance companies, it is recommended that you contact our dental office prior to your appointment to verify that your specific insurance provider will cover your procedure. This will help ensure that you receive the maximum benefits available under your plan.
In addition to filing insurance claims, we are also available to assist you with any insurance-related questions or concerns you may have. Our team is knowledgeable and experienced in dealing with dental insurance matters, and we are here to help you navigate the process and make it as smooth as possible.
Please remember that you are ultimately responsible for the payment of any treatment costs not covered by your insurance plan. We will provide you with a detailed breakdown of the anticipated costs and work with you to develop a suitable payment plan, if needed.
We understand the importance of insurance coverage in managing dental expenses, and we strive to assist our patients in maximizing their insurance benefits to the best of our abilities.
While we gladly accept and will diligently work with your insurance provider to file claims on your behalf, we feel it is essential to provide transparency regarding the coverage for complex dental issues. As experienced dental professionals, we have encountered situations where insurance coverage for more intricate procedures may be limited or may not fully cover the costs involved.
Complex dental issues may include extensive restorative treatments, dental implants, orthodontics, and other specialized procedures. These cases often require comprehensive planning, state-of-the-art materials, and the expertise of our skilled dental team to ensure the best possible outcomes for your dental health.
In some instances, insurance providers may have limitations, exclusions, or waiting periods for specific treatments, which can impact coverage for these complex procedures. We encourage you to review your insurance policy and familiarize yourself with any restrictions that may apply to your specific dental needs.
Please rest assured that our primary focus is your oral health and well-being. Our dental team will take the time to discuss all treatment options available, providing you with a comprehensive treatment plan that considers both your dental health goals and financial concerns.
If there are any questions or uncertainties regarding insurance coverage or financing options, we are here to provide you with the necessary information and support. Our administrative team is well-versed in insurance matters and can assist in navigating the insurance process, as well as discussing alternative payment options that best suit your circumstances.
Yes, absolutely! We understand that financial considerations are an important aspect of your dental care decisions. We are happy to provide you with an estimate for a specific dental procedure to help you plan and make informed decisions about your treatment.
To request an estimate, we recommend scheduling a consultation with one of our experienced dentists. During your consultation, the dentist will evaluate your oral health, discuss your treatment options, and answer any questions you may have. Once the specific procedure is determined, our administrative team will provide you with a detailed estimate of the anticipated costs involved.
The estimate will include itemized fees for the procedure, such as the dentist's fee, any necessary materials or laboratory fees, and an estimate of any applicable insurance coverage. It's important to note that the actual cost may vary based on the complexity of the case or any unforeseen circumstances that may arise during treatment. Our team will do their best to provide you with an accurate estimate based on the information available.
We can also provide a predetermination, also known as a preauthorization or pre-estimate, which is a valuable process that allows us to submit a detailed treatment plan to your insurance company. This plan outlines the specific dental procedure and associated costs, enabling your insurance provider to review and determine the extent of coverage for the proposed treatment. Once we receive the predetermination response from your insurance company, we will promptly share the information with you. This will give you a clear understanding of the estimated insurance coverage for the procedure and any potential out-of-pocket expenses.
Please keep in mind that a predetermination is not a guarantee of payment but rather an informative estimate based on your current insurance policy and benefits. As insurance plans can vary significantly, the actual coverage may differ from the predetermination.
During a routine dental examination, you can expect a comprehensive evaluation of your oral health. Our goal is to assess the overall condition of your teeth, gums, and mouth, and detect any potential issues at an early stage. Here's what you can typically expect during a routine dental examination:
Routine dental examinations are essential for preventive care and early detection of dental issues. We recommend scheduling regular check-ups every six months or as advised by your dentist, even if you have no noticeable dental problems. These routine visits help maintain your oral health, prevent future complications, and ensure a healthy smile.
We recommend scheduling regular check-up appointments with your dentist every six months, or as advised by your dental professional. Regular dental check-ups are crucial for maintaining optimal oral health and catching any potential issues early on. Here's why regular dental visits are important:
Remember, the recommended frequency of dental check-ups may vary based on individual circumstances. Some individuals may require more frequent visits if they have specific dental conditions or are at higher risk for oral health problems. Your dentist will advise you on the optimal schedule for your check-ups based on your unique needs.
The frequency of dental X-rays depends on various factors, including your oral health, age, and individual risk factors for dental problems. As a general guideline, dental X-rays are typically recommended once every two years for most patients. However, the specific schedule may be adjusted based on your unique circumstances. Here are some considerations regarding the frequency of dental X-rays:
It's important to note that dental X-rays use very low levels of radiation, and modern digital X-ray technology further minimizes radiation exposure. We take all necessary precautions to ensure your safety during X-ray procedures, including the use of lead aprons and collars to shield other parts of your body.
If you have concerns about the frequency of dental X-rays or if you are pregnant or breastfeeding, please inform our dental team. We will consider your individual circumstances and discuss the most appropriate X-ray schedule for you.
Yes, dental X-rays are considered safe. The amount of radiation exposure from dental X-rays is very low, and modern digital X-ray equipment and techniques further minimize the radiation dose. We prioritize your safety and take necessary precautions to minimize any potential risks associated with X-ray imaging. Here's some information to address any concerns you may have about the safety of dental X-rays:
While we understand that some patients may have concerns about dental X-rays, having a baseline X-ray is crucial for comprehensive dental care. It provides essential information for diagnosing dental conditions, identifying potential issues, and creating an effective treatment plan. However, we respect your concerns and are here to address them. Here's some information to consider:
Our priority is your oral health and well-being, and we are here to guide you through the decision-making process. If you have any further questions or would like to discuss your concerns in detail, please do not hesitate to contact our office. We are committed to finding the best solution that ensures your dental care is both effective and tailored to your needs.
Tooth decay, also known as dental caries or cavities, can have various causes. It's important to understand these causes to effectively prevent and manage tooth decay. Here are some common factors that contribute to tooth decay:
Preventing tooth decay involves maintaining good oral hygiene habits, adopting a balanced diet low in sugary and acidic foods, and visiting the dentist regularly for check-ups and cleanings. Precision Fluoride treatments, Fluoride alternative treatments such as hydroxyapatite, dental sealants, and professional cleanings can also help prevent decay and protect your teeth.
If you have any concerns about tooth decay or would like personalized advice on preventing dental caries, please schedule an appointment with our dental office. We are here to support you in maintaining a healthy smile and providing individualized care based on your unique needs.
Oral cancer refers to cancers that develop in the mouth, including the lips, tongue, gums, inner lining of the cheeks, roof or floor of the mouth, or the throat. Detecting oral cancer in its early stages is crucial for successful treatment. Here are some signs and symptoms of oral cancer that you should be aware of:
It's important to note that the presence of these signs and symptoms does not necessarily indicate oral cancer. However, if you experience any of these symptoms for an extended period or notice any other unusual changes in your oral health, it is crucial to seek prompt evaluation from a dental professional.
Regular dental check-ups are vital for the early detection of oral cancer. During routine examinations, we will perform a thorough assessment of your oral tissues, including screening for oral cancer. If any suspicious areas are found, further diagnostic tests may be recommended.
Maintaining good oral hygiene is essential for promoting optimal oral health and preventing dental problems. Here are some key practices that we recommend to maintain good oral hygiene:
Remember, maintaining good oral hygiene requires consistent effort and dedication. By following these practices and seeking regular professional dental care, you can enjoy a healthy smile and reduce the risk of dental problems. If you have any further questions or need personalized guidance on your oral hygiene routine, please don't hesitate to contact our dental office. We are here to support you in achieving and maintaining optimal oral health.
Preventing gum disease is crucial for maintaining optimal oral health. Gum disease, also known as periodontal disease, is a common condition that affects the tissues surrounding the teeth. Here are some key practices we recommend to prevent gum disease:
Remember, prevention is key when it comes to gum disease. By adopting these preventive measures and maintaining regular dental visits, you can reduce the risk of gum disease and ensure the long-term health of your gums and teeth. If you have any further questions or concerns about gum disease prevention, please feel free to contact our dental office. We are here to provide you with the necessary guidance and support to achieve optimal gum health.
When it comes to missing teeth, there are several treatment options available to restore your smile and improve your oral health. The most common treatment options for missing teeth include:
The best treatment option for missing teeth depends on various factors, including the number of missing teeth, the location of the missing teeth, the health of the surrounding teeth and gums, and your personal preferences. During a consultation, our dental team will evaluate your specific situation, discuss the available options, and help you choose the most suitable treatment plan.
Replacing missing teeth not only improves your smile but also helps restore proper chewing and speaking abilities, maintains facial structure, and prevents adjacent teeth from shifting. It's essential to address missing teeth promptly to prevent further oral health complications.
If you have a toothache, it is important to address it promptly to alleviate pain and prevent potential complications. Here are some steps you can take if you are experiencing a toothache:
It is crucial not to delay seeking dental care when experiencing a toothache. Ignoring the pain or attempting to self-diagnose and self-treat may lead to further complications. Our dental professionals are trained to diagnose and treat the underlying cause of your toothache, providing the necessary relief and preventing potential dental problems from worsening.
If you are experiencing a severe toothache, have accompanying symptoms such as fever or swelling, or have sustained a dental injury, please contact our dental office immediately. We are here to provide you with prompt and effective care to alleviate your toothache and restore your oral health.
Tooth sensitivity can be uncomfortable and may indicate an underlying dental issue. Here are some steps you can take to alleviate tooth sensitivity:
Remember, tooth sensitivity can have various causes, and it's important to have a dental professional evaluate your specific situation. They can provide personalized recommendations and treatments to alleviate your sensitivity and improve your overall oral health.
If you have ongoing tooth sensitivity or any concerns about your oral health, please contact our dental office to schedule an appointment. Our team is here to address your needs and provide you with the necessary care to alleviate your tooth sensitivity.
Dental sealants are thin, protective coatings applied to the chewing surfaces of the back teeth (molars and premolars) to help prevent tooth decay. They are typically made of a tooth-colored resin material that bonds to the surface of the teeth. Here's some information to help you understand dental sealants and whether you should consider getting them:
If you have specific concerns about cavities or want to explore preventive options, we recommend scheduling an appointment with our dental office. Our team will conduct a thorough examination and discuss whether dental sealants are appropriate for you or your child's oral health needs.
Preventing bad breath, also known as halitosis, involves maintaining good oral hygiene and adopting healthy lifestyle habits. Here are some steps you can take to prevent bad breath:
Remember, if you have persistent bad breath despite practicing good oral hygiene, it is important to consult with our dental team. We can help evaluate your oral health, identify any underlying causes, and provide appropriate treatment recommendations.
In general, it is better to use an electric toothbrush due to several reasons:
However, it is essential to note that the effectiveness of the toothbrush ultimately depends on the user and the way the tool is used. A manual toothbrush can still be effective if used correctly, with the proper brushing technique and for the recommended duration. For some patients, using a manual toothbrush can be a matter of personal preference or familiarity, and if they use it correctly, it can yield satisfactory results. Conversely, some individuals find that the added features of an electric toothbrush, such as pressure sensors and different brushing modes, enhance their brushing experience and encourage better oral care habits.
We recommend replacing your toothbrush approximately every three to four months or sooner if the bristles become frayed or worn. Regularly replacing your toothbrush is essential for maintaining optimal oral hygiene. Here's why:
To help you remember when it's time to replace your toothbrush, consider marking your calendar or setting reminders every three months. Additionally, some toothbrushes have indicator bristles that change color or fade over time, indicating when it's time for a replacement. Some companies with subscription plans will now automatically send you a replacement brush head.
It's important to note that certain circumstances may require more frequent toothbrush replacement. For example, if you have been sick, it is advisable to replace your toothbrush once you have recovered to minimize the risk of reinfection.
Dental implants are a popular and effective solution for replacing missing teeth. They are titanium or zirconia posts that are surgically placed into the jawbone to serve as artificial tooth roots. Once the implants are securely fused to the bone, they provide a stable foundation for dental restorations such as crowns, bridges, or dentures.
Dental implants offer several benefits:
Determining whether dental implants are right for you depends on various factors, including your oral health, bone density, overall health, and personal preferences. During a comprehensive examination and consultation, our dental team will evaluate your specific situation, including the condition of your teeth and jawbone. We will discuss your goals, address any concerns you may have, and recommend the most suitable treatment options.
While dental implants are a highly successful tooth replacement option, they may not be suitable for everyone. In some cases, additional procedures such as bone grafting may be required to ensure there is enough bone to support the implant. Your dentist will provide a detailed treatment plan and discuss the potential risks and benefits specific to your situation.
If you are considering dental implants or have questions about tooth replacement options, we encourage you to schedule a consultation with our dental office. Our experienced team will provide you with the information and guidance you need to make an informed decision about your oral health. We are committed to helping you achieve a healthy, functional, and beautiful smile.
Dental crowns and fillings are both common restorative treatments used to repair damaged teeth, but they serve different purposes. Here's the difference between dental crowns and fillings:
Dental Fillings:
Dental Crowns:
In summary, dental fillings are used for small to moderate cavities, preserving as much of the natural tooth as possible. Dental crowns are more extensive restorations that cover and protect severely damaged teeth. Your dentist will assess the condition of your tooth and recommend the appropriate treatment based on the extent of damage and your specific oral health needs.
We understand that dental anxiety can be a significant concern for many individuals, and we are here to support you in every way possible to ensure a comfortable dental experience. Excluding sedation, there are several alternative strategies we can employ to help ease dental phobia:
Please rest assured that we are dedicated to making your dental experience as positive as possible. Our team has extensive experience in caring for patients with dental phobia, and we will work closely with you to develop a customized approach that suits your needs and preferences.
Functional Dentistry is a comprehensive way of practicing medicine that integrates lifestyle modifications and food as medicine into contemporary dentistry. As Hippocrates once said, “Let food be thy medicine, and let medicine be thy food.”
Through the study of epigenetics, the human microbiome, and nutritional science we have a sophisticated and comprehensive understanding of how lifestyle and nutrition are vital to health. Most diseases of the mouth are due to poor lifestyle habits and nutrition. Incorporating this knowledge into practice has the capacity to facilitate resilient health and regenerative healing for chronic inflammatory diseases.
From Dr. Myers: "The mouth is the gateway to the rest of the interconnected human body. Through this portal, we will see that at the pinnacle of health is oral health. This is because the mouth is the perfect mirror and reflector of what is happening internally in the human body. The most prevalent chronic human diseases experienced globally are found in the mouth. Diseases like cavities and gum diseases carry major economic and serious health burdens. As a physician of the mouth, I oftentimes see the first signs of these downstream issues. Other chronic diseases are caused or exacerbated by pathogenic oral bacteria. What is healthy for your teeth is healthy for the rest of the body. One of the best decisions you can make for your life is filtering your lifestyle decisions through the lens that Complete Whole Body Health starts in the mouth."
Dr. Myers was recently featured on Joel Salatin's podcast discussing the importance of the Oral Microbiome, check out the interview!
Dr. Myers was also featured on Ask the Dentist podcast with Dr. Mark Burhenne discussing how the oral microbiome affects gum health. Check it out below!
Dr. Myers' answer from Intelligence of Nature interview: "That's a really timely question. In this day and age, I feel like it's one of the major missing puzzle pieces in the complete picture of health and wellness. To start from just a visual perspective, your teeth are one of the first things that people notice about you. A healthy smile is oftentimes a source of self-confidence for people, and in turn, it can affect your mental health. I know that this was true for myself. Before I had braces, I was unmotivated, lacking in self-belief, and I wasn't thriving. The power of a smile completely changed my world and gave me motivation to pursue my dreams.
But your relationship to oral health is about much more than aesthetics, with strong links to systemic health. In fact, poor dental health is directly linked to diabetes, Alzheimer's disease, and cardiovascular diseases to name a few.
Further, in medicine, we often compartmentalize the body into individual components. We really miss the big picture and lose sight of the whole; we lose sight that the body is more than just the sum of its simple parts. It's one functioning system, not in isolation. And a lot of these direct links to systemic issues are mediated through the oral microbiome, or should I say, an imbalance in the oral microbiome."
Dr. Myers' answer from Intelligence of Nature interview: "So, just like the gut has its own microbiome, the mouth has its own niche biome known as the oral microbiome. The oral microbiome is a term that encapsulates the entirety of all the different microorganisms that are living inside of the mouth, including bacteria, fungi, archaea, and viruses. In fact, the mouth is the second most highly populated area right after the gut. It’s full of diversity, and it’s a very unique habitat. And even within the oral environment, there are all these different habitats or niches that the microbiome lives on, including the teeth, the tongue, the mucosal surfaces of our cheeks, and around the gums.
Generally speaking, the oral microbiome acts as a gatekeeper, protecting us against intruders and invader species. Just by occupying space, these microbes prevent and out compete pathogenic bacteria that might be contributing to systemic inflammation. Through that mechanism alone, they prime our immune systems to recognize friend from foe. So, these microbes play a major role in helping our immune systems mount the proper types of responses.
And not only that, but they also protect all the surfaces that are inside of our mouth, including our teeth. In fact, plaque is exactly that: microbes on the teeth. The oral microbiome likes to live in these communities called biofilms. And that biofilm, or the plaque that's on your teeth, is actually where you get this protective insulating layer, depending on the composition of that microbiome.
But one of the really exciting discoveries that we've made about the oral microbiome specifically has to do with the ability of bacteria in the mouth to metabolize nitrogen compounds. The oral microbiome helps to heal and rebuild our teeth, or the outer surface of the enamel. And this is occurring through a pathway called the arginine deiminase system.
Arginine is one of the essential amino acids that we will typically find in poultry, red meat, fish, eggs, etc. and this amino acid has nitrogen within it. And what certain bacteria in the mouth will do is they'll take this amino acid, L arginine, into their own cells and they will convert it into alkali products which helps to raise the pH in the mouth and neutralize any acidity, which will then help to deliver calcium or minerals into the teeth.
We've always thought that these bacteria in the mouth are what was causing tooth decay. And now we realize that they're actually playing a major role in protecting us and healing our teeth."
Dr. Myers' answer from Intelligence of Nature interview: "It really depends on the composition. Plaque can definitely contribute to disease. And some examples of an imbalance in the oral microbiome include gum diseases like gingivitis, or periodontal disease, bleeding gums, red swollen gums, along with potential bone destruction. What will happen in these situations is that there's a heavier plaque that gets built up. And the types of bacteria that are inside of that plaque are bacteria that are thriving in poor conditions. And that plaque ends up getting straight-line access into the bloodstream and can wreak havoc. So, essentially it depends on the type of microbiome that you are cultivating. Composition is key."
Dr. Myers' answer from Intelligence of Nature interview: "Yes, chewing your food is really the first part of our digestive system. We have the ability to break down complex proteins, complex carbohydrates, and fiber, right here in the mouth. And a lot of times we completely forego that first part of the digestive system, a lot of which is due to the softer foods that we're eating as part of a modern diet. So, we don’t even chew with our teeth as much as we used to. And, by chewing with our teeth, we're able to produce more saliva, which helps to break down food even further.
Another thing is that we're not getting into that parasympathetic activation, or the rest and digest, when we eat as much as we should. Part of that is because we're not consciously and intentionally eating our food and spending time with it, enjoying it, being able to taste it. And it primes our entire body for improper digestion, because we're still in a fight or flight, or sympathetic nervous system activation. So, something I'll do is consciously try to chew my food, while enjoying the taste of it, and breathing through my nose, which will also assist with creating nitric oxide, and allowing my body to deliver nutrients properly."
Dr. Myers' answer from Intelligence of Nature interview: "Cavities are really one of the best examples of oral microbiome dysbiosis. In fact, they are the most common chronic disease that is experienced worldwide, especially in the United States. So, if you have a cavity, you likely have some form of oral microbiome dysbiosis that should be looked further into.
There's a study that was just released in 2021 that evaluated SIBO, which stands for small intestinal bacterial overgrowth. It's a major GI distress disease that we're seeing where bacteria are thought to migrate up from the large intestines into an area within the small intestines, where you're not supposed to have a high abundance of bacteria.
This study used endoscopies, (which is basically where we put a telescope down the throat to investigate the gut). What they found was that 89% of the bacterial composition of these patients that had SIBO matched the bacteria that was in the mouth and in the saliva.
So, you're constantly swallowing the oral microbiome (and you’re producing around one liter of saliva a day). But, if you have bleeding gums, Gingivitis, or periodontal disease, all those bacteria are getting straight-line access into the bloodstream and priming the body for permanent autoimmune attacks.
One of the notorious bacteria that we find frequently in high abundance in periodontal disease is called porphyromonas gingivalis, or P. gingivalis. This type of bacteria has two virulence factors (traits) that make it toxic.
First, the cell membrane has an LPS (or lipopolysaccharide), that causes endotoxemia (which causes low-grade inflammation). And then there are also these little enzymes that they produce called gingipains. And we're starting to see that not only the presence of this bacteria, but the presence of LPS and gingipains is directly linked to causing heart attacks, degrading the tight junctions that are, really anywhere in the body, but specifically in the cardiovascular system.
But one of the most recent things that we have found is that P. gingivalis has also been discovered in the brains of Alzheimer's disease patients. So, we're starting to shift our attention away from the amyloid beta hypothesis (which relates the cause of Alzheimer's disease to the presence of amyloid beta plaques in the brain) and seeing that the gingipains, LPS, and the presence of P. gingivalis is causing an inflammatory response in the brain. It's actually thought now that the amyloid beta plaques are an antimicrobial response to these bacteria that we find in the mouth.
Learn more by reading about the Gut-Brain Axis
Dr. Myers' answer from Intelligence of Nature interview: "There are a few issues with antimicrobial mouthwashes. For starters, the pH is acidic and can cause your tooth structure to break down. But even more detrimentally, these mouthwashes can disrupt nitric oxide production.
The oral microbiome is one of the key players making the miraculous communicating molecule called nitric oxide. How this happens is that there's certain oral bacteria that will take nitrates out of saliva and then take them into the nitric oxide pathway. And we've discovered this by seeing what antibacterial mouthwashes will do to the oral microbiome, which will completely knock out the nitrogen metabolism that these bacteria do for us.
In fact, there was a study, I believe in 2019, where they took healthy individuals and had them do cardiovascular intensive exercise on a treadmill. And something that exercise does for us (which is really medicine), is all the way up until two hours after workout, we have this physiological response called post exercise hypotension, where we get this blood pressure lowering effect, and that is basically mediated by nitric oxide. So nitric oxide will help open our blood vessels and dilate them and allow us to have optimal delivery of oxygen and nutrients to the whole body.
So, right after these athletes did this intense workout, they swished with something called Chlorhexidine mouthwash, which is one of dentistry’s gold standard treatments for periodontal disease, gingivitis, and cavities. What they saw was that these athletes’ blood pressures skyrocketed. And all the way up until two hours after they had an attenuation, or weakening, of the ability of bacteria to create nitric oxide for us.
And yet, around 40% of Americans are swishing with antibacterial mouthwashes like Chlorhexidine3. But also, people are frequently using Listerine, which is a low antibacterial mouthwash. And we've now seen studies (observational, not causal) that have evaluated a particular subset of the human population that are overweight or obese, but they don't currently have high blood pressure or diabetes. And after three years, following up with these patients, they saw that individuals who swished with over-the-counter mouthwash more than two times a day, went on to develop hypertension, prediabetes, or diabetes. After multivariate analysis that accounted for other risk factors, they still found that frequent use of antiseptic mouthwash was an independent risk factor.
So, I no longer suggest that people use antibacterial mouthwashes because of this key role that oral bacteria play in our overall wellbeing. You're basically indiscriminately nuking the good along with the bad bacteria. And the bacteria that can thrive in poor conditions are the ones that are going to come back."
Dr. Myers' answer from Intelligence of Nature interview: "Well, nutrition is one of the most easily obtainable things that you can use to protect yourself. So, cultivating an awareness of the types of things that you're putting into your body is first and foremost. Maintaining a nutrient-dense diet and feeding the microbiome food rich in compounds called nitrates (found in leafy greens like arugula) is where a lot of this work begins.
I also think one of the most protective things that you can do is reduce the amount of refined carbohydrates and free sugars that you are eating daily. On a daily basis, the average American is eating 77 grams of sugar. That's around 17 to 25 teaspoons of sugar and not always in sucrose. Refined carbohydrates, like white processed flour, crackers, sugary, sweetened drinks, and alcohol are where we're getting a major source of these sugars.
The oral microbiome can shift towards dysbiosis by the amount and frequency at which these free sugars and carbohydrates are getting into the body. And fungal species, as well as specific bacterial species within the genus streptococcus, along with the key players in gingival inflammation, will thrive in an environment that's high in these free sugars. Cavities and gum diseases simply don't happen in the absence of sugar.
In fact, there's this great study from the Journal of Periodontology called The Impact of Gingival Conditions in the Absence of Oral Hygiene5. What they did was take people out into the wilderness (like the TV show Alone or Survivor), and they didn't give them floss or toothbrushes or toothpaste. They essentially tried to mimic a hunter-gatherer diet and they spent about a month just kind of living this lifestyle. What they noticed was that there weren't any cavities, there weren't gum diseases, and their indices of health improved. They saw that the oral microbiome increased in its diversity, and the number of bacteria grew. They concluded that cavities and gum diseases aren’t occurring in the absence of refined carbohydrates.
It's important for us to cultivate the understanding that sucrose and a diet that's high in refined carbohydrates is priming our bodies for inflammation and disease. And while it starts in the mouth, that inflammation spreads everywhere."
Dr. Myers' answer from Intelligence of Nature interview: "Yes, when we look at the anthropological records of hunter-gatherer societies, we can study calculus (hardened plaque on the backside of teeth) from ancient societies. The fossilized microbiomes found inside of those dental calculus are well preserved. Modern man has shifted to a cariogenic microbiome, which is a microbiome that causes cavities and gum diseases. Our ancestors just didn't have these issues."
Dr. Myers' answer from Intelligence of Nature interview: "Yes. Personally, something I do to promote nasal breathing on a nightly basis is I mouth tape. And one of the reasons I do that is because saliva should constantly be bathing your mouth, and your teeth. It has a protective role of being able to wash away bad bacteria. It also allows the immune system to bathe our teeth. And if you are mouth breathing, you are causing a shift in the microbiome of the mouth to go towards acidity. So, over the course of time, this can contribute to cavities.
But really, the major thing that I'm concerned with as a doctor, is sleep apnea. And people that have chronic obstructive sleep apnea are mouth breathers. And we see that sleep apnea is linked to strokes, heart attacks, Alzheimer's disease, and just widespread inflammation throughout the body.
So, I'm a major proponent of trying to get people to start breathing through their nose again, because of its vital importance (especially for young kids as it allows for proper facial development and growth)."
Dr. Myers recommends using hydroxyapatite toothpastes that promote natural remineralization and overall oral wellness instead of fluoride-based toothpastes.
Hydroxyapatite is a mineral that closely resembles the structure of our natural tooth enamel. Using a toothpaste with hydroxyapatite can help in remineralizing and strengthening the enamel, which is crucial for maintaining strong and healthy teeth. Unlike some conventional toothpastes that may contain harsh chemicals or abrasives, hydroxyapatite toothpaste offers a more natural approach to oral care.
Look for a toothpaste that lists hydroxyapatite as one of its main ingredients, preferably alongside other natural and gentle ingredients. This can include plant-derived compounds that promote oral health, like xylitol or herbal extracts known for their antimicrobial properties.
Of course, oral health goes beyond just the products you use. Maintaining a nutrient-dense diet, practicing good oral hygiene, and managing stress are all important factors in achieving optimal oral health.