General Dentistry | Cville Dentist

Oral Cancer Screening

At every one of your hygiene visits with Cville Dentist, we examine all the tissues of your mouth including gums, cheeks, lips, tongue, and jaw. Many patients are surprised at the large amount of surface area that we examine during an oral exam. It is just as important to have regular soft tissue screenings as it is to have a professional dental cleaning.

Did you know that oral cancer can affect anyone (although tobacco users put themselves at significantly higher risk than non-users)? Chewing tobacco contains over 3,000 different chemicals (including the same compounds used in pesticides and embalming fluid!). Cellular damage below the surface isn’t always detectable until it's too late!

Early detection and treatment of oral cancer can significantly increase your chances of a quick and complete recovery.

The American Cancer Society reports that about 7,000 deaths result from oral cancer out of 30,000 cases diagnosed annually. If we suspect any unusual changes in your mouth tissue, we may suggest a biopsy and microscopic analysis by a qualified lab.

Many other non-cancerous changes can occur in your mouth's tissue, from oral warts to autoimmune lesions. Our team has extensive training in oral pathology to identify cancerous tissue. Your dental team will evaluate any abnormalities and determine if they should be monitored or removed.

Form Your Own Dental Routine!

Maintaining a healthy smile depends on what happens between your visits with us. Good home care habits can be established by anyone committed to carving out a few minutes each day. Like regular exercise, consistency is the key to building a healthy habit. Brushing twice a day for at least two minutes and flossing once a day are the standard for ideal home care.

With so many products on the market today, it can be confusing to sort it out alone. Dr. Sowmya can help you narrow down the endless options and form a plan with the hygiene tools that fit you and your dental needs. Will an electric toothbrush help you keep your mouth cleaner between professional visits? Would a prescription toothpaste help reduce plaque based on your unique chemistry? Many factors that fit into a plan to maximize the time and effort you put into keeping your smile healthy.

Some patients considered high-risk for dental problems benefit from even more individualized routines. Simple, inexpensive substitutions can transform the environment of your mouth and dramatically reduce disease activity.

For example, Xylitol is a naturally-derived sweetener that can minimize cavities in children and adults when used in the right dosages.

At Cville Dentist, we want to help you maintain a healthy smile. If you have any questions on how to keep your smile healthy at home, don't hesitate to ask any questions you may have at your next appointment.

Professional Cleaning

While dental emergencies can strike anyone, anytime, our patients who commit to regular preventive care appointments usually experience fewer problems over time. Professional cleanings with a registered dental hygienist allow us to take a proactive approach to your dental health, addressing issues while they are small and potentially avoiding issues altogether. Despite your best efforts, deposits of mineralized plaque, known as tartar, adhere to areas of the teeth. These deposits create a nice home for millions of harmful bacteria. Left unchecked, they flood toxins into the gums resulting in devastating chronic problems, even resulting in the loss of teeth.

When tartar is removed at your professional hygiene appointment, it doesn’t have the opportunity to produce irreversible damage. We use professional instruments and prescription strength polishing paste that gently buffs away stain and plaque, leaving your teeth ultra-smooth and shiny. Since discoloration settles into the enamel of your teeth over time, this helps slow yellowing while maintaining a glassy surface for better cleaning.

Infant Exams

Following the recommendations of the American Academy of Pediatric Dentistry, we suggest infants should come in for their first oral exam between the ages of six months to 1 year old.

Dr. Sowmya will review proper diet, age-appropriate hygiene, and go over pacifier use to make sure your child’s oral health starts strong and stays strong. Additionally, Dr. Sowmya will monitor your child's development and ensure there are no oral concerns.

At Cville Dentist, we believe that dental care is important at every stage of life. Set your child up for a lifetime worth of healthy smiles.

Pediatric Cleaning

Preventative care is one of the simplest and most important ways to make sure your child’s teeth grow strong and healthy. Giving them the proper tools and teaching them the right way to brush when they are young lays the groundwork that will create healthy habits they will carry with them into adulthood.

Most children have two cleanings a year, but children with a higher risk of caries may need more frequent visits.

During a checkup, your child’s hygienist will clean their teeth and, if necessary, take x-rays and give your child a fluoride treatment, Dr. Sowmya will perform an exam and review if any treatment is needed.

At Cville Dentist we believe that early dental encounters can influence a child’s impression of dentistry for a lifetime. We will ensure your child's preventive visits are a comfortable, positive experience.

Pediatric Restorative Dentistry

If your child needs restorative treatment in the form of a filling or crown, Dr. Sowmya will create a custom treatment plan for your child and review all options with you before treatment begins. At Cville Dentist, we believe a conservative approach to children’s dentistry is usually the best course of action.

Fillings are placed in the tooth following decay removal to preserve natural tooth structure. Nowadays most fillings are made of a composite resin that is matched to your child’s natural tooth color. In some rare instances amalgam (silver) fillings may be used.

Crowns can be made of many different materials depending on where in your child’s mouth they are to be used. Stainless steel, resin, and zirconia are all durable choices and require very similar preparations.

Sports Mouthguards

It’s estimated that over 20 million children take part in one after-school sport or another. With that amount of children engaging in sports and other activities like skiing, gymnastics, and martial arts, there is a higher chance of injury.

Did you know that up to 20% of these injuries are due to fractured or otherwise damaged teeth?

Dr. Sowmya can create a sports mouthguard for your child. After an impression of your child’s teeth is taken, they will fabricate a new mouthguard molded to custom-fit to their unique smile.

At Cville Dentist, we want to help keep your child's smile safe. Discover how a custom mouthguard can protect your child's teeth and help their smile last a lifetime.

Tooth Colored Fillings

Studies have shown that almost 33% of children aged 2 to 5 have had a cavity. Even though baby teeth are only around for a few short years, it’s still important to keep them healthy because they hold the space for your child’s adult teeth. They also help your child chew and develop proper speech patterns .

The procedure is the same for a child as it is for an adult. Depending on the size of the decayed area, a local anesthetic may be given, and if your child has any anxiety over the procedure, we have some sedation options available to make the procedure more comfortable.

After the decay is removed, a special gel is used to clean and etch the surface. Once the filling material is in place, it is light cured, polished, and adjusted to make sure it doesn’t interfere with your child’s bite. Tooth-colored filling material is much like a natural tooth in texture and is matched to your child’s tooth color.

After treatment, it’s important to maintain a regular home care routine of brushing and flossing twice daily, so your child’s restorations stay healthy and prevent any more decay.

Cville Dentist takes a conservative and approach to pediatric dentistry. We have a variety of preventive treatments to help avoid future cavities and restorations for your child.

Pediatric Extractions

An extraction can make both children and parents anxious, but they are a common procedure in most dental offices. Sometimes a child’s tooth has too much decay to restore, or they need a tooth or teeth removed to make room for orthodontic treatment.

Regardless of the reason, our team will make sure you and your child are comfortable with the treatment plan.

After applying local anesthetic, Dr. Sowmya will remove your child’s tooth. If it is impacted or a complicated removal, Dr. Sowmya will discuss with you if sedation options are recommended.

Once the tooth is removed, Dr. Sowmya will give you post-op instructions, and place a small piece of gauze over the extraction site to stop any bleeding and to help a clot form. Check and replace the gauze every 20 minutes until bleeding stops.

Here are some recommended tips for the first 24 hours after your child’s extraction:

Use over-the-counter or prescribed pain reliever if recommended by the dentist.
Give your child soft foods for the first 24 hours after their extraction.
DO NOT allow your child to drink from a straw, rinse their mouths out, spit, or brush that area for at least 24 hours after tooth removal. This could dislodge the blood clot and cause a very painful issue called dry socket.
Place an ice pack wrapped in a towel over the area for about 20 minutes to relieve swelling and discomfort.
Immediately call our office if your child experiences fever, immense pain, or chills.

Cville Dentist always considers your child’s comfort regardless of the type of treatment they are receiving. Dr. Sowmya will discuss their unique situation with you to determine the best way to help them receive the treatment they need.

Tips for Cavity Prevention

Limit frequency of meals and snacks.
Encourage brushing, flossing and rinsing.
Watch what your child drinks.
Avoid giving your child sticky foods.
Make treats part of meals.
Choose nutritious snacks.

Tooth Growth Schedule

The first baby teeth that come into the mouth are the two bottom front teeth. You will notice this when your baby is about 6–8 months old. Next to follow will be the 4 upper front teeth and the remainder of your baby’s teeth will appear periodically. They will usually appear in pairs along the sides of the jaw until the child is about 2 1/2 years old.

At around 2 1/2 years old your child should have all 20 teeth. Between the ages of 5 and 6 the first permanent teeth will begin to erupt. Some of the permanent teeth replace baby teeth and some don’t. Don’t worry if some teeth are a few months early or late as all children are different.

Baby teeth are important as they not only hold space for permanent teeth but they are important to chewing, biting, speech and appearance. For this reason it is important to maintain a healthy diet and daily hygiene.

If you have any questions, or would like to schedule a first dental visit for your child, please contact us.

Dental Prophylaxis

A dental prophylaxis is a cleaning procedure performed to thoroughly clean the teeth. Prophylaxis is an important dental treatment for halting the progression of periodontal disease and gingivitis.

Periodontal disease and gingivitis occur when bacteria from plaque colonize on the gingival (gum) tissue, either above or below the gum line. These bacteria colonies cause serious inflammation and irritation which in turn produce a chronic inflammatory response in the body. As a result, the body begins to systematically destroy gum and bone tissue, making the teeth shift, become unstable, or completely fall out. The pockets between the gums and teeth become deeper and house more bacteria which may travel via the bloodstream and infect other parts of the body.

Reasons for prophylaxis/teeth cleaning

Prophylaxis is an excellent procedure to help keep the oral cavity in good health and also halt the progression of gum disease.

Here are some of the benefits of prophylaxis:

Tartar removal – Tartar (calculus) and plaque buildup, both above and below the gum line, can cause serious periodontal problems if left untreated. Even using the best brushing and flossing homecare techniques, it can be impossible to remove debris, bacteria and deposits from gum pockets. The experienced eye of a dentist using specialized dental equipment is needed in order to spot and treat problems such as tartar and plaque buildup.
Aesthetics – It’s hard to feel confident about a smile marred by yellowing, stained teeth. Prophylaxis can rid the teeth of unsightly stains and return the smile to its former glory.
Fresher breath – Periodontal disease is often signified by persistent bad breath (halitosis). Bad breath is generally caused by a combination of rotting food particles below the gum line, possible gangrene stemming from gum infection, and periodontal problems. The removal of plaque, calculus and bacteria noticeably improves breath and alleviates irritation.
Identification of health issues – Many health problems first present themselves to the dentist. Since prophylaxis involves a thorough examination of the entire oral cavity, the dentist is able to screen for oral cancer, evaluate the risk of periodontitis and often spot signs of medical problems like diabetes and kidney problems. Recommendations can also be provided for altering the home care regimen.

What does prophylaxis treatment involve?

Prophylaxis can either be performed in the course of a regular dental visit or, if necessary, under general anesthetic. The latter is particularly common where severe periodontal disease is suspected or has been diagnosed by the dentist. An endotracheal tube is sometimes placed in the throat to protect the lungs from harmful bacteria which will be removed from the mouth.

Prophylaxis is generally performed in several stages:

Supragingival cleaning – The dentist will thoroughly clean the area above the gum line with scaling tools to rid them of plaque and calculus.
Subgingival cleaning – This is the most important step for patients with periodontal disease because the dentist is able to remove calculus from the gum pockets and beneath the gum line.
Root planing - This is the smoothing of the tooth root by the dentist to eliminate any remaining bacteria. These bacteria are extremely dangerous to periodontitis sufferers, so eliminating them is one of the top priorities of the dentist.
Medication - Following scaling and root planing, an antibiotic or antimicrobial cream is often placed in the gum pockets. These creams promote fast and healthy healing in the pockets and help ease discomfort.
X-ray and examination – Routine X-rays can be extremely revealing when it comes to periodontal disease. X-rays show the extent of bone and gum recession, and also aid the dentist in identifying areas which may need future attention.

Prophylaxis is recommended twice annually as a preventative measure, but should be performed every 3-4 months on periodontitis sufferers. Though gum disease cannot be completely reversed, prophylaxis is one of the tools the dentist can use to effectively halt its destructive progress.

If you have questions or concerns about prophylaxis or periodontal disease, please ask your dental staff!

Periodontal Maintenance

Don't Let Disease Get the Best of You

Periodontal disease, commonly known as gum disease, is the most common adult dental affliction. About 30% of the population experiences gum disease, and it's the number one cause of tooth loss in adults. Many denture cases begin as a result of the ravages of this condition. While not curable, it is controllable. But it requires a focused strategy, similar to managing other chronic conditions such as high blood pressure or diabetes.

Gum disease can advance in stealth mode with few signs or symptoms in early stages. Many patients diagnosed with this condition find themselves surprised at the quiet damage progressing in their mouths. In simple terms, consider the gums and bone around your teeth as the foundation where they sit. Just like a house, the foundation must be sound regardless of the beauty of the house. When the foundation crumbles, the rest of it goes too.

Regular dental exams, professional cleanings, and good oral hygiene practices at home are essential to detecting and strategically managing periodontitis.

What Causes Gum Disease?

Our mouths provide a home to millions of bacteria, both beneficial and harmful. Bacteria form a sticky substance, plaque, that adheres to the teeth. Brushing and flossing aim at removing plaque before it mineralizes into tartar. Tartar becomes a colony for more bacteria and adds to their population, pumping out toxins into the gums.

Gums react to this bacterial invasion with an inflammatory response under the direction of the immune system. Around the base of each tooth, a small collar of gum tissue exists that forms a small crevice or pocket. This warm, dark environment provides a perfect habitat for deeper tartar and bacterial penetration, with their toxins seeping into the base of the collar.

Early inflammation results in bleeding gums, known as gingivitis. Bacteria left untreated and undisturbed successfully create a chronic infection in the gum collar. In many cases, the bone begins to deteriorate around the teeth as the bacteria burrow deeper into the gums. While gums may be slightly tender at this stage, there's generally minimal discomfort as the bone dissolves.

More than 50% of the bone around your teeth can disappear before any signs of looseness or pain begin to appear. The bone around teeth never regenerates, so this loss becomes permanent and harder to control as the bacteria hide deeper into the gums. Untreated gum disease leads to abscess and generalized tooth loss in many advanced cases.

Diagnosis

We draw on objective clinical data to form a gum disease diagnosis and to grade the condition. The small collar of gum around each tooth usually sits 2-3 millimeters deep, a small crevice easily cleaned by floss or toothpicks. Dr. Sowmya or our hygiene team can measure and chart multiple areas using a small measuring device. If these measurements register beyond 3 millimeters and include bleeding areas, the disease is present. Deeper findings indicate more advanced disease than shallower readings.

Dr. Sowmya will also consider the texture and shape of your gums, and any movement detectable in each tooth. It's also vital to examine the levels, shape, and density of the bone around your teeth on digital x-rays. By drawing together numerous findings, a clear picture forms about your gum condition.

Treatment

After establishing a diagnosis defining the severity of gum disease, a personalized treatment plan can be developed with you. In milder forms with little or no bone loss, one or two visits with our hygiene team may bring the condition under control. When you leave our office with a strategy for daily home care and an established schedule for maintenance, little additional treatment may be needed.

If the inflammation has advanced with measurable bone loss, a proactive approach halting the destruction should be strongly considered. Often we will suggest gentle numbing of your gums for your comfort during the deeper cleaning process. One area at a time undergoes meticulous cleaning above and below the gum line, usually over several visits. The infected collar or pocket around each tooth, including the mineralized tartar, must be carefully cleaned out with hand and ultrasonic instruments. Polishing the teeth will establish glassy surfaces that help repel stain and plaque accumulation usually finishes this initial therapy.

Dr. Sowmya may suggest a medicated rinse, an electric toothbrush, a Waterpik, or other specific strategies to help you with your ongoing efforts. Remember, gum disease can be controlled but not cured. Dedicated daily efforts must be consistent to control the disease.

Maintenance Matters

Regular home care is critical to arrest the progression of gum disease. Within a few hours of a careful cleaning, the bacteria begin to repopulate and adhere to the teeth. Plaque left undisturbed will start to harden and mineralize within 24 hours. And deeper gum pockets require even more diligence to prevent the bacteria from burrowing further into the foundation of your teeth.

Since the deepest sections of gum pockets previously damaged by bacteria can be difficult to reach at home, a particular maintenance schedule with us proves essential. We can customize your plan to include 2, 3 or 4 visits a year depending on the severity of disease and its response to treatment and home care.

If our combined efforts don't halt your gum disease, we will suggest referral to a trusted specialist, known as a periodontist. With specialized training in many gum conditions, further treatment may be recommended.

Mouth-Body Connection

Current research continues to establish clear links between bacterial disease in your mouth and ailments in other parts of the body. Studies show a link between oral bacteria and conditions such as heart disease, stroke, arthritis, Alzheimer's, and certain types of cancers. The integration of oral and general health has never been better understood than it is currently.

Bleeding gums provide a direct pathway into the bloodstream, a journey that toxic oral bacteria can quickly take. In fact, if bleeding gums connected into one single patch, it would create a 2 x 2-inch square. If an open wound of this size existed on your skin, infection would be a concern. Bleeding, infected gums offer this open door to your body and sit saturated in colonies of bacteria. This helps explain why researchers continue to identify oral bacteria deposits in various areas of our bodies.

Diabetes and other auto-immune disorders lower the body's ability to fight infection, allowing uncontrolled gum disease to advance faster and with more destruction. Research also confirms that the inflammation in the mouth can aggravate diabetes, making it harder to control. This two-way relationship between two chronic conditions emphasizes the importance of optimal oral health.

At Cville Dentist. we want to help maintain a healthy smile. We will create a customized treatment plan to get your gums healthy and stop gum disease in its tracks.