Rowlett Smiles
A Great Dentist

Frequently Asked Questions (FAQs)

How can we help you?

We understand that patients have many questions about their dental care, and we never want you to hesitate to contact us with your questions or concerns.

Here are some of the questions we hear the most. If you don’t get your question answered here, you can speak to any one of our staff members.

Other

Short, worn down teeth are the result of a misalignment of the teeth when the jaws come together. They can also be the result of clenching and grinding, which usually occurs at night. In addition, premature loss of permanent teeth can increase the demand on the remaining teeth, resulting in worn, broken teeth.

If grinding and clenching are the culprits behind your worn teeth, we can help by providing you with a customized occlusal guard to hold your jaws apart while you are sleeping to prevent further wear and tear.

Because cancer treatment can affect the oral tissues, you need to know about potential oral side effects. Preexisting or untreated oral disease can also complicate cancer treatment.
Oral complications from radiation to the head and neck or chemotherapy can compromise your health and quality of life, and affect their ability to complete planned cancer treatment.

For some patients, the complications can be so debilitating that they may tolerate only lower doses of therapy, postpone scheduled treatments, or discontinue treatment entirely. Oral complications can also lead to serious systemic infections. Medically necessary oral care before, during, and after cancer treatment can prevent or reduce the incidence and severity of oral complications, enhancing both patient survival and quality of life.

 

Oral complications of cancer treatment arise in various forms and degrees of severity, depending on the individual and the cancer treatment. Chemotherapy often impairs the function of bone marrow, suppressing the formation of white blood cells, red blood cells, and platelets. Some cancer treatments have toxic effects on the oral tissues. Following are lists of side effects common to both chemotherapy and radiation therapy, and complications specific to each type of treatment.

  • Oral mucositis: inflammation and ulceration of the mucous membranes; can increase the risk for pain, oral and systemic infection, and nutritional compromise.
  • Infection: viral, bacterial, and fungal; results from myelosuppression, xerostomia, and/or damage to the mucosa from chemotherapy or radiotherapy.
  • Salivary Dysfunction: dryness of the mouth due to thickened, reduced, or absent salivary flow; increases the risk of infection and compromises speaking, chewing, and swallowing. Medications other than chemotherapy can also cause salivary gland dysfunction. Persistent dry mouth increases the risk for dental caries.
  • Functional disabilities: impaired ability to eat, taste, swallow, and speak because of mucositis, dry mouth, trismus, and infection.
  • Taste alterations: Changes in taste perception of foods, ranging from unpleasant to tasteless.
  • Nutritional compromise: poor nutrition from eating difficulties caused by mucositis, dry mouth, dysphagia, and loss of taste.
  • Abnormal dental development: altered tooth development, craniofacial growth, or skeletal development in children secondary to radiotherapy and/or high doses of chemotherapy before age 9.

Oral complications occur in virtually all patients receiving radiation for head and neck malignancies, in approximately 80 percent of hematopoietic (blood-forming) stem cell transplant recipients, and in nearly 40 percent of patients receiving chemotherapy.

Some complications occur only during treatment; others, such as xerostomia, may persist for years. Unfortunately, patients with cancer do not always receive oral care until serious complications develop.

 

Most people probably grind and clench their teeth from time to time. Occasional teeth grinding, medically called bruxism, does not usually cause harm, but when teeth grinding occurs on a regular basis the teeth can be damaged and other oral health complications can arise.

Although teeth grinding can be caused by stress and anxiety, it often occurs during sleep and is more likely caused by an abnormal bite or missing or crooked teeth. It can also be caused by a sleep disorder such as sleep apnea.

Cosmetic Dentistry

Instead of wires or brackets, the Invisalign system uses a system of aligner trays that gently move your teeth into the desired position. Every two weeks, you’ll begin using a new set of aligners. Invisalign is appropriate for mild to moderate orthodontic issues, including overbites, underbites, open bites, cross bites, gaps, and crowding.

There are many factors in treating worn down teeth. Dr. Boren will review your case and give you options for how to best help your smile, from simple polishing of the worn edges to bonding to veneers and even crowns. Every situation is different, and we are happy to work with you to come up with a solution that works the best for you.

  • No metal Mouth: Since the Invisalign aligner trays are clear, most people won’t even realize that you’re wearing braces.
  • Easier to clean teeth: brushing and flossing can be a difficult and time-consuming process when you wear metal braces. With Invisalign, you’ll simply remove the aligner tray & brush and floss as usual.
  • Convenience: Even If you plan to attend a special event, you could remove the trays for several hours without affecting your progress.
  • No Food Restrictions: When you choose Invisalign, you can eat anything you want because you’ll remove your trays to eat.

Dental bonding is treatment where a tooth-colored material is applied and hardened with a special light, which ultimately "bonds" the material to the tooth to restore or improve a person's smile.

Bonding can be sued to repair decayed teeth (fillings), repair chipped or cracked teeth, improve the appearance & close spaces between teeth, to cover exposure when gums recede.

If you would like to improve your smile, Dr. Boren could consult with you on the benefits of Invisalign, an innovative ortho system that straightens your teeth without wires or brackets.

Crowns and Veneers

Crowns are necessary on molars after they have had root canals.

Teeth can become fragile after root canals, and they can break.  It may  even break to the point where the only option is to remove them. 

 

Basically, a crown is a cap used to restore a tooth to its original appearance and prevent further damage or decay. A bridge, unlike a crown, utilizes existing teeth to fill in an area left vacant by a missing tooth.

Dentures, Partials, and Bridges

For several important reasons, seeing a dentist at least annually is still a good idea even for denture wearers.

The stability and comfort of dentures depends upon the “foundation” that supports them. Good oral health includes healthy gums and adequate bone to support the denture.   The longer patients wear dentures, the more likely it becomes that the denture may begin to fit poorly due to hard and soft tissue changes. Often, patients don’t recognize the changes that are happening and become accustomed to using denture adhesives to keep the denture in place. Regular dental visits, proper homecare and wearing your dentures are important factors for keeping your mouth healthy and your dentures in good shape.

During a routine dental visit, Dr. Boren will remove the denture to check the health of the tissue under it. If any sore spots exist, the denture can be adjusted to eliminate this issue. An oral cancer screening exam is an important part of a routine dental visit since it is the soft tissue in the mouth where oral cancer occurs.   Oral cancer screening is especially important for denture wearers since many people who lose their teeth are older and may be at greater risk for oral cancer.

Ill-fitting dentures can also lead to other health issues such as poor nutrition. Patients can experience difficulty eating healthy foods if their dentures don’t fit properly. Often, as patients age, if their dentures don’t fit and function properly, they lose weight, compounding the difficulty to stay healthy.  Dentures should be worn daily and left in a recommended cleaning solution overnight. Always use the products that are meant for dentures and not for natural teeth. When soaking overnight, place in a closed container away from pets.

 

Dental bridges literally bridge the gap created by missing teeth. A bridge is made up of two or more crowns for the teeth on either side of the gap -- these two or more anchoring teeth are called abutment teeth -- and a false tooth/teeth in between. These false teeth are called pontics and can be made from gold, alloys, porcelain, or a combination of these materials. Dental bridges are supported by natural teeth or implants.

Bridges can help in the following ways:

  • Bridges can restore your smile
  • Restore the ability to properly chew and speak
  • Maintain the shape of your face
  • Distribute the forces in your bite properly by replacing missing teeth
  • Prevent remaining teeth from drifting out of position

Basically, a crown is a cap used to restore a tooth to its original appearance and prevent further damage or decay. A bridge, unlike a crown, utilizes existing teeth to fill in an area left vacant by a missing tooth.

Often other people will not be able to tell if you are wearing dentures, especially if care has been taken regarding speech sounds, aesthetics and lip support. Dr. Boren usually tell his patients not to expect others to say "nice teeth," but rather to ask if they are wearing their hair differently, or something to that effect. This is because the dentures blend in to the point where others are aware of a change, but they don't know what it is.

Emergency Services

Dr. Boren and his team always try to see someone who is in pain as soon as possible.

Dr. Boren and his team always try to see someone who is in pain as soon as possible.

Family Dentistry

The American Academy of Pediatric Dentistry (AAPD) recommends that children first see a dentist as early as six months old and no later than one year old.

Your baby’s teeth may begin to arrive around the age of 4 to 8 months, and Dr. Boren can ensure the health of your child's first teeth. These first visits also help us acclimate your child to our office so they don’t feel scared or nervous about visiting the dentist. You may also want to bring your little one along on your own dental check-ups so they can get used to the sights and sounds of our office.

We understand how important these first visits are for your child to have future success at their dental appointments. For this reason, we strive to keep their time with us pleasant, upbeat, and fun!

We want your child to learn about the importance of their oral health and also look forward to visiting us. Making sure they feel comfortable and at ease is our top priority, and we can even use nitrous oxide for children who need a little extra TLC.

Contact us today to schedule your child's next appointment and discuss their oral health.

You can do many things at home to help promote optimum oral health. Using the right brushing and flossing techniques can help ensure you're making the most of your home care, and our hygiene team can help with instruction.

Here are a few other ideas to help you:

  • Remember to brush your teeth at least twice per day, and floss at least once.
  • Eat more fruits and vegetables – they help neutralize the acids that cause tooth decay and cavities.
  • Choose toothpaste that contains fluoride, and ask your hygienist if you need a fluoride rinse. Fluoride helps prevent cavities.
  • Avoid sugary foods and beverages because it increases the amount of bacteria that grow in your mouth, causing more plaque and eventually cavities.
  • Avoid tobacco – not only does it stain your teeth and cause gum disease, it increases your risk of developing oral cancer.
  • Don't forget to brush your tongue. This will remove food debris and reduce the amount of plaque and bacteria in your mouth. As a bonus, it also promotes fresh breath.
  • Don’t forget to schedule your cleaning and check-ups. It is recommended that you visit the dentist every six months, or twice per year.

 

Our goal is to help you keep your healthy and beautiful smile for a lifetime, so whether you’re an adult or child, we recommend that our patients see Dr. Boren for a regular checkup every six months, or twice per year. This is so we can help remove plaque build-up and screen you for oral health concerns such as gum disease, oral cancer, and tooth decay.

You have the best chance of successfully treating these issues with the least invasive treatment when you detect them early on, and regular cleanings and check-ups are your first line of defense.

If you struggle with issues such as gum disease, Dr. Boren may recommend additional visits throughout the year. Unfortunately, there's no cure for gum disease; however, we can help you effectively control it and maintain your oral health with additional cleanings, improved home care, and close monitoring.

When you visit us regularly, we can also help you understand how to maintain your oral health with instruction on proper brushing and flossing techniques as well as nutrition advice. Don't wait any longer to schedule your next cleaning and check-up. Give us a call today!

Periodontal (gum) disease occurs when plaque and bacteria build up and cause your gum tissue to separate from your teeth. When bacteria are allowed in, they will begin to destroy your gum tissue and bone, eventually leading to tooth loss. Tobacco use, poor oral hygiene, teeth grinding, some medications, and genetics can also contribute to gum disease.

Gingivitis is the first stage of gum disease. If it's detected early on, it can be treated with a thorough professional cleaning and improvements to your home care routine. For some patients, it may even be reversed in this stage.

Periodontitis is the advanced stage of gum disease that will lead to tooth and bone loss if it's not treated effectively. There is no cure for gum disease; however, with the help of your hygiene team, additional cleanings throughout the year, and careful monitoring of your condition, you can keep your gum disease under control.

Brushing and flossing your teeth daily and visiting us every six months are your first lines of defense against preventing periodontal disease from happening in the first place. Common signs and early indicators are:

  • Red or swollen gums
  • Chronic bad breath
  • Bleeding when you brush your teeth
  • Receding gum line

Invisible Braces

Instead of wires or brackets, the Invisalign system uses a system of aligner trays that gently move your teeth into the desired position. Every two weeks, you’ll begin using a new set of aligners. Invisalign is appropriate for mild to moderate orthodontic issues, including overbites, underbites, open bites, cross bites, gaps, and crowding.

  • No metal Mouth: Since the Invisalign aligner trays are clear, most people won’t even realize that you’re wearing braces.
  • Easier to clean teeth: brushing and flossing can be a difficult and time-consuming process when you wear metal braces. With Invisalign, you’ll simply remove the aligner tray & brush and floss as usual.
  • Convenience: Even If you plan to attend a special event, you could remove the trays for several hours without affecting your progress.
  • No Food Restrictions: When you choose Invisalign, you can eat anything you want because you’ll remove your trays to eat.

If you would like to improve your smile, Dr. Boren could consult with you on the benefits of Invisalign, an innovative ortho system that straightens your teeth without wires or brackets.

Root Canal Therapy

Crowns are necessary on molars after they have had root canals.

Teeth can become fragile after root canals, and they can break.  It may  even break to the point where the only option is to remove them. 

 

Sedation Dentistry

Modern dentistry has made so many advances in pain management!

Your comfort is our top priority. Our dental anesthetics ensure that you don’t feel anything during your treatment, and Dr. Boren is gentle and highly skilled at administering them. You can rest assured that you will feel very comfortable during your procedure.

Dr. Boren is also licensed and experienced in utilizing dental sedation to help patients feel more relaxed and at ease during their procedure. Nitrous oxide will help “take the edge off” and make you feel more at ease during your treatment. It's also safe for children who may feel anxious about the dentist.

We also offer oral sedation, which is administered through a pill, and IV sedation, in which medication is given intravenously. Both of these techniques work well for patients who may have larger treatment plans or multiple procedures they'd like to complete at one time. You'll be able to get the dental care you need, while feeling relaxed and comfortable with little to no memory of what happened during your procedure. Dr. Boren is happy to discuss oral sedation with you to determine which option will best suit your needs and goals for your oral health.

It is our mission to ensure that our patients are comfortable during their treatment. At Rowlett Smiles, we offer different levels of sedation for our patients to help them feel more comfortable during dental procedures.

Nitrous oxide (laughing gas), can help you feel relaxed during any type of dental procedure from a cleaning to a more complex root canal. It works quickly and also leaves your system quickly, which means that it doesn't interfere with your normal daily activities after your appointment. It's also safe for children.

Oral sedation and IV sedation work well for patients who may have special needs, strong gag reflexes, severe phobia, or many dental procedures to complete at one time. You'll need a ride to and from your appointment with both of these options, and you should plan to limit your activities after having these types of sedation. You'll appreciate being able to have your dental work done without fear or discomfort with little to no memory of what happened during your treatment.

Dr. Boren is licensed by the American Dental Association and has had over 30 years of experience in providing dental sedation and helping patients feel comfortable and relaxed during their appointments. We would be happy to talk to you about the different options of sedation that will meet your needs.

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