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Preventive

 

           

Description

Preventive Dentistry is designed to maintain the oral structures in a healthy state, and to enable treatment at an early stage when necessary.  Like most health care issues, dentistry is most effective, less difficult, and less expensive when smaller procedures are performed.  In general, dental disease prevention has been extremely successful in the past several decades.

 

Capabilities

Prophylaxis (Cleaning)
The term for removal of hard and soft accumulations on the teeth is called a dental prophylaxis.  Most people just call it "getting your teeth cleaned."   This procedure is critical in the long-term health of oral tissues to eliminate the major source of irritation to the gum tissues and the areas where dental plaque hides while starting cavities.  Schedules from once per year to once every few months are used, depending on the needs of individual patients.  The classic interval is every six months.
Radiographs (X-Rays)
The taking of dental radiographs is the most useful diagnostic tool besides visual exam we have.  Many different types of x-rays may be taken, some inside the mouth and some outside.  Generally, scanning panoramic films are taken at longer intervals (every few years) to see "the big picture" for the patient.  Smaller films, such as bitewing or individual periapical views, are taken more frequently and show better detail of teeth and bone.  Once again, the interval between x-ray exams variwes depending on circumstance but once per year is common for adults.
Oral Examination
There is still no substitute for looking in a patient's mouth.  The visual sense is far more accurate than current other technology and is the primary diagnostic tool. During this phase, the teeth are probed for soft spots (cavities) and the bite is evaluated.   In our office, this information is stored in an electronic record using a computer touch screen in the operatory.  We find the thoroughness of the exam is enhanced by the ability to recall very detailed information quickly
Periodontal Exam
When the mouth is checked, the health of the gum tissues and supporting bone should be evaluated.  This is most commonly done using a small blunt probe and measurements are taken of the attachment level of the gums to the teeth.  We perform this check at every oral exam.
Oral Cancer Screening
There are numerous forms of growths which may occur in and around the mouth.  Every exam should include a screening look at the tissues for signs of changes in color, contour, shape, and consistency.  The mouth is a fairly common site for growths and malignancies, and early detection is critical to outcome of treatment.  Persons who use tobacco and alcohol, especially both, are at much higher risk.
 

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Copyright © 1998 Stephen C. Durbin, DDS, PC
Last modified: April 22, 1998