We
welcome children of all ages into our office and endeavor to make their
visits as encouraging and educational as possible. We
recommend that
you have your child's teeth checked by age one or at the eruption of
the first tooth and continue to schedule their appointments regularly
for optimal oral health. Regular visits allow the dentist to
become
thoroughly acquainted with your child’s oral needs and
determine early
on whether treatments such as orthodontics will be needed. Our office
staff will help you and
your little ones learn
to brush, floss, and have fun while at the dentist. Our office strongly
recommends fluoride to all children who live in the Spokane
area.
Spokane has one of the highest rates of tooth decay in the USA, a
statistic we are working hard to change.
Our exams include
X-Rays, a thorough oral cancer screening, gum
evaluation,
examination by the doctor and a review of your health
history. It is very important to bring a list of all your
current medications if you
have trouble remembering what you take. Also, patients who know that
they need to pre-medicate with antibiotics should let us know ahead of
time so your appointment goes as smoothly as possible.
A professional dental
cleaning will be performed by a Dental Hygienist.
The hygienist will first clean the tartar from your teeth, which tends
to collect at the gum line, using special tools to gently remove these
deposits. Next the hygienist will polish your teeth with a soft rubber
cup to buff away the plaque. Plaque is a sticky substance that turns
hard with time and can cause gum disease and decay if not removed
regularly. Polishing your teeth removes stains and plaque leaving your
teeth with that smooth feeling.
Dr.
Yarbro's office uses all digital technology. Digital
radiographs are the newest technique in X-Ray technology. With digital
radiographs film is replaced with a flat electronic pad called a
sensor. Up to 60% less radiation is required with this new
technology. The X-Rays hit the sensor the same way they hit the film,
but instead
of developing the film in a dark room, the image is electronically sent
to a computer where the image is displayed directly on the screen in
only a fraction of the time. The images can then be stored on the
computer for later use or printed out.
Signs
of periodontal disease are: bleeding at the gum line, gum recession,
bad breath, and the loosening of teeth. Our office provides a
non-surgical approach to gum disease.
For
our patients who have slight gum irritation and small amounts of
plaque and tartar, we generally recommend a regular cleaning.
In many
cases the amount of inflammation is severe and the bone around the
teeth begins to diminish. In these cases the patient may
require a
series of deep cleanings that extend under the gums to remove the
debris and control
the bacteria.
Symptoms
of Periodontal Disease:
Gums
that bleed easily.
Red, swollen, or tender
gums.
Receding gum line.
Persistent bad breath and/or
bad taste.
Teeth that have become
loose.
Periodontal
disease is the number one cause of tooth loss. In many cases
periodontal disease is not painful and quietly destroys the bone
holding your teeth in place.
We
offer our patients the option to whiten their teeth before beginning
any complex cosmetic treatment to optimize the effect of the finished
procedure. Whiter and brighter teeth can make all the difference in
your smile and self-confidence. Typically, porcelain veneers
are made
to fit over your anterior (front) teeth. These restorations
look and
feel natural and can help to correct minor crowding, color and enamel
irregularities.
Dental
restorations (fillings) may last for many years before they need to be
replaced. However, constant abrasion from chewing, grinding and
clenching may
cause a filling to wear, chip, crack, or even fall out.
It is important to have regular dental examinations to keep track of
your oral health and prevent a minor restoration failure from damaging
the surrounding tooth structure. During your annual checkup your
dentist can determine whether existing restorations are in good repair,
or are in need of replacement. Replacing worn fillings in time prevents
decay from corroding the tooth beyond
repair.
Crowns
are placed when a tooth can no longer support a filling. In
some cases
extensive tooth decay around an existing filling may leave insufficient
tooth structure once the decay is removed and your dentist may need to
restore the tooth with a crown instead of a filling. Crowns can be made
from several different materials
depending on the situation:
Porcelain/Ceramic, Gold, and Porcelain Fused to Metal. Each of these
materials are used in our practice.
One
of the newest and best options for tooth replacement, when applicable,
is an implant. Dental implants are little titanium posts or
‘roots’
that are surgically inserted into the bone in place of the missing
teeth and allowed to heal. After the implant has sufficiently healed, a
custom porcelain crown is fabricated to fit over the post for a
natural, healthy looking smile. Dental implants are among the biggest
breakthroughs in modern dentistry. With implants, missing teeth can be
replaced as "stand alone" crowns, eliminating the need for bridges and,
in some cases, even eliminating the need for partial dentures! Used in
tandem with complete dentures, implants provide a stabile, secure fit
and natural look that ultimately creates a confident smile.
For
patients who are missing most or all of their teeth, these appliances
can restore your ability to smile and eat normally. We
recommend that
patients who wear a lower denture consider having two to three implants
placed to help retain the denture more securely and comfortably.
For
some teeth that have infections or severe decay this procedure is
necessary to cleanse the root of the tooth, removing the bacteria that
cause inflammation and pain. For most people the mention of a
root
canal can cause anxiety do
to the misconception that root canal therapy
is an unavoidably painful procedure. However, root canal therapy is
more often long and boring for the patient than painful. After a root
canal the tooth becomes brittle and more prone to fracture and requires
a crown to protect it from the every day forces that occur.
From
wisdom teeth to teeth that are damaged beyond repair, sometimes the
only option is extraction. In most instances we can perform
tooth
extraction in our office but for patients who require sedation or more
complex tooth removal we will refer you to a friendly oral surgeon with
whom
we work frequently.
Following
an
extraction it is important to follow the after surgery instructions you
are given. Smoking and physical activity are strongly
discouraged for
several days afterwards to prevent complications. If you feel
that you
are running a fever or have excessive swelling, please call our office
ASAP day or night.
Nitrous
oxide (N2O) is simply a colorless, sweet-smelling, nonirritating gas
which you can breathe during a stressful procedure. Discovered in 1772,
Nitrous Oxide induces a pleasurable and relaxed feeling. Nitrous oxide
is a very safe and effective way to counter anxiety. After
five
minutes or so of breathing in the gas, you should feel calm and warm
feelings spreading throughout your body leaving you relaxed. People
often get 'the giggles', hence the name laughing gas. For
those patients who have extreme anxiety, medications can be prescribed
to take prior to the dental appointment.