Planning Your Visit

Exposure to all sources of radiation — including the sun, minerals in the soil, appliances in your home, and dental X-rays — can damage the body’s tissues and cells and lead to the development of cancer. Fortunately, the dose of radiation you are exposed to during the taking of X-rays is extremely small. Advances in dentistry over the years have led to the low radiation levels emitted by dental X-rays. New digital X-ray machines limit the radiation beam to the small area being X-rayed, and the use of film holders that keep the film in place in the mouth (which prevents the film from slipping and the need for repeat X-rays and additional radiation exposure). Also, the use of lead-lined, full-body aprons protects the body from stray radiation (though this is almost nonexistent with the modern dental X-ray machines.) In addition, federal law requires that X-ray machines be checked for accuracy and safety every two years, with some states requiring more frequent checks.

The American Dental Association (ADA), the FDA, and numerous public health agencies say amalgams are safe, and that any link between mercury-based fillings and disease is unfounded. Additionally, there is no solid, scientific evidence to back up the claim that if a person has amalgam fillings removed, he or she will be cured of any disease. Continue reading below…In March of 2002, the FDA reconfirmed the safety of amalgams. Although amalgams do contain mercury, when they are mixed with other metals, such as silver, copper, tin, and zinc, they form a stable alloy that dentists have used for more than 100 years to fill and preserve hundreds of millions of decayed teeth. The National Institutes of Health conducted several large-scale studies that concluded in 2006 that amalgam fillings were safe.

If you fear going to the dentist, you are not alone. Between 9% and 15% of Americans state they avoid going to the dentist because of anxiety or fear. The first thing you should do is talk with your dentist. In fact, if your dentist doesn’t take your fear seriously, find another dentist. The key to coping with dental anxiety is to discuss your fears with your dentist. Once your dentist knows what your fears are, he or she will be better able to work with you to determine the best ways to make you less anxious and more comfortable.

The good news is that today there are a number of strategies that can be used to help reduce fear, anxiety, and pain. These strategies include use of medications (to either numb the treatment area or sedatives or anesthesia to help you relax) and application of a variety of mind/body pain and anxiety-reducing techniques (such as guided imagery, biofeedback, deep breathing, acupuncture, and other mental health therapies), and perhaps even visits to a dentophobia clinic or a support group.

Children should have the first dental visit within six months of the eruption of the first baby tooth and no later than their first birthday. This is so that an assessment and record can be made of your child’s dental development and risk of getting cavities. This also gives us the opportunity to discuss good oral hygiene practices at home, diet, injury prevention and possible need for fluoride supplements. If we find cavities or other problems, these things can be taken care of early before they become a bigger problem.

Fluoride has been shown to dramatically decrease a person’s chances of getting cavities by making teeth stronger. Fluoride in the drinking water is the best and easiest way to get it. Most major cities have fluoride in the drinking water system. Because fluoride is a mineral that occurs naturally in the earth’s crust, it is also present in some concentration in most natural water supplies (including well water). In communities where the water district does not fluoridate the water, fluoride supplements should be given to your child until their twelve year molars are fully erupted (approximately age 12 years). Your pediatric dentist or pediatrician can help determine if your child needs fluoride supplements or not.