Smiles of Spokane
Frequently Asked Questions

What Causes Tooth Loss?
The most common causes of tooth loss are dental caries, also known as tooth decay, and periodontal disease, which affects the gums and bone structure that supports the teeth. Dental caries is the major cause of tooth loss in children, and periodontal disease is the major cause of tooth loss in adults; however, it too can afflict youngsters.

What Causes Periodontal Diseases?
Plaque, which is a thin, colorless, sticky film containing bacteria, which constantly forms on the teeth, is the number one cause of periodontal disease. These bacteria use carbohydrates—sugars and starches—to produce an acid that attacks the enamel covering the teeth. After repeated acid attacks, the enamel can be broken down and a cavity begins. Continued acid attacks eventually dissolve the enamel and penetrate the softer, inner layer of the tooth, where decay can spread rapidly throughout the tooth's structure. Acid attacks begin immediately after every meal or snack and last about 20 to 30 minutes.

Can Periodontal Diseases Be Prevented?
Teeth can be protected from acid attacks by removing plaque, reducing the number of times and the amount of sugar and starches eaten, using fluorides, having plastic sealants applied to teeth, and by regular professional cleaning of teeth by a dental hygienist.

How Does Plaque Attack the Gums?
Plaque can also produce harmful byproducts that irritate the gums, causing gingivitis, the early stage of periodontal diseases. If plaque isn't removed daily, it will build up into a hard deposit called calculus. If plaque continues to form on top of the calculus, it can irritate the gums, and a pocket may develop between the teeth and gums. Plaque build up can eventually destroy the gums and bone that support the teeth.

How Do You Stop Plaque Attacks?
Two key factors in preventing dental caries are fluoride and dental sealants. Fluoride compounds are found naturally in soil, water, and in many foods. Plaque attacks can't be stopped, but you can help to prevent plaque build-up by following a good oral care program of brushing, flossing, rinsing, and regular visits to your oral health care professional.

What Is a dental hygienist?
A dental hygienist is a licensed health care professional, oral health educator, and clinician who, as a co-therapist with the dentist, provides preventive, educational, and therapeutic services supporting total health for the control of oral diseases and the promotion of oral health. A registered dental hygienist has graduated from a minimum two-year college program that includes classroom studies and extensive supervised clinical experience. A dental hygienist also must pass a national written exam and a comprehensive state clinical exam to earn the RDH license.

Generally, the dental hygienist may work in general and specialty oral health practices. Other areas of employment include programs for research, professional education, and community health; hospital and institutional care of disabled persons; federal programs, such as the armed services; or other health service locations as specified in statute or as authorized by the state board of dentistry.
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