1. How long do crowns and bridges last?  Answer
2. Do you offer nitrous oxide (laughing gas)?  Answer
3. Do I need to continue taking my antibiotics even though I'm feeling better now?  Answer
4. Why do amalgam (silver) fillings contain mercury?  Answer
5. Is the mercury in amalgam fillings harmful to me?  Answer
6. Should I replace my silver fillings with white?  Answer
7. How are instruments sterilized?  Answer
8. Why do I need a crown after my root canal?  Answer
9. What is the DMFS?  Answer

1.  How long do crowns and bridges last?

Like many forms of treatment in dentistry, the longevity of crowns and bridges depends on many factors:

• Good Oral Hygiene

By maintaining a clean mouth with good oral hygiene, your fillings, crowns, and bridges will last much longer.  Decay and gum disease caused by poor oral hygiene are the major cause of a restoration's failure.

• What You Eat

  Take special care when eating hard foods such as candy or ice.  These hard foods can easily crack natural teeth as well as crowns or bridges.

  Sugar, especially when coupled with poor oral hygiene, can often lead to decay and failure of a crown or bridge.  Avoid sugar in your diet.

• Protect Your Teeth

  Always wear a mouthguard when playing rough sports.

If you take good care of your teeth, both your natural teeth and your crowns and bridges will last you a long time.  In general, crowns and bridges have an expected lifespan of about 10-15 years.  In a very healthy mouth, the lifespan is often much longer than that.  Some crowns and bridges last 20-30 years, and some an entire lifetime.  The life of a crown also depends on the condition of the tooth before the crown was placed.

Yes we do.  Some patients feel more comfortable under the light sedation of nitrous oxide gas, and we are happy to accommodate them.  Depending on the length of the session, there is an additional charge for nitrous oxide.

3.  Do I need to continue taking my antibiotics even though I'm feeling better now?

Yes!  If the directions on the prescription say to do so, then it is very important that you follow them (unless you experience any side-effects in which case you should call us immediately).

If you haven't finished your antibiotic course, the infection may now be under control, but it is not necessarily gone.  The part of the infection that was eliminated with the initial dose of antibiotics was the most susceptible bacteria (the bacteria that were easy to kill).  If you stop taking the antibiotics before ALL the bacteria are killed, the ones that are left (the stronger ones) can cause the infection to re-grow ("blow up").  But this time, since the infection is made of stronger, more antibiotic-resistant bacteria, the infection will be worse and antibiotics may no longer work.

4.  Why do amalgam (silver) fillings contain mercury?

Amalgam means a mix of metals. The filling material is made with a powder form of a few metals (silver, copper, tin, zinc) and a liquid form of mercury. The purpose of the mercury is to chemically bond to the other powdered metals causing a reaction which hardens the mixture into a solid metal to fill the tooth..

Mercury is the only metal that is liquid at room temperature, and the only chemical that can cause the hardening reaction for amalgam fillings. After the reaction is complete, no liquid mercury remains. The mercury becomes chemically bound and trapped in solid form.

No.  All scientific studies have shown that mercury in amalgam fillings is safe.  Please read our fact list on the Amalgam page, and read this article at Quackwatch.

It depends on your reasoning and the size and location of the fillings in question. If you want to improve the beauty of your smile, then yes. If your silver fillings are old and need replacing anyway, then yes. If you believe that white fillings are better for the health of your teeth, then yes. If the silver fillings are small and in easy-access locations, then it's easy. But if your reason is due to the mercury scare, then it's probably not necessary. And if the silver fillings are large or deep, then it may not be possible. Please read our fact list on the Amalgam page, and read this article at Quackwatch.  We can always give you better answers in-person having seen your teeth and fillings.

All our instruments are treated using a very strict protocol to assure absolute cleanliness and sterility for your safety. First, instruments are brush-scrubbed with soap and water. Next they are ultrasonically cleaned in a disinfecting solution. This assures immaculate instruments on a microscopic level. Finally, the instruments are sealed in a sterile pouch and processed through our autoclave sterilizer or chemiclave sterilizer assuring complete sterility.

The sterilization efficacy is monitored with spore tests to verify sterility to OSHA and hospital surgical standards. Each sterile pouch also has a sterility sensor on it to demonstrate that the package has been sterilized.

Rest assured that our protocol is rock solid. In all our history, not once has there been an incident of infection transfer or even potential infection transfer. There are no "cracks in the system," and no instrument could ever be confused with a non-sterile one.

More Answers Coming Soon!!