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"I have been a pt of Dr. Macdonald's for 23 years. He is an excellent dentist; provides great dental service, caring, compassionate, has always been available when I needed him. I would not go anywhere else. Great office staff too! I love them all!"
-Diane B.


"My dental experience has been outstanding. Every step was explained to me in complete detail. All questions were answered and all the folks from Ginger, the front desk, to the dental hygenist, to Dr. MacDonald and August were caring and professional. With some of the procedures I was very nervous and they all assured me "this it no problem, it will be fine". They were right! I would recommend anyone with dental concerns to visit this office! I now have a pretty smile..Thanks to the entire staff."
-Carol A.

Cosmetic Dentist Greensboro

What Everyone Should Know About Dental Cavities

Unsightly and painful cavities can be caused from prolonged tooth decay. Following every meal, damaging bacteria can build up on the enamel of teeth. This may cause severe deterioration and holes. Proper oral hygiene is a very important part of a person’s everyday routine. Oral health is greatly compromised when an individual fails to properly maintain their teeth. Overall wellness and good health are adversely affected as well. In the following, there are some basic facts about dental cavities to encourage individuals to give their teeth proper care.

What is a Cavity?

Cavities are also known as dental caries or tooth decay. Cavities are a disease that results from tooth enamel destruction. Although there are various types of dental cavities, one of the most common of these is the coronal cavity. It affects the teeth that are used in chewing. Cavities of any type should never be taken lightly. They should be treated as a serious problem. Treatment should be immediate to prevent major illness and permanent, irreversible damage.

What Causes a Cavity?

Many people mistakenly believe that food alone causes cavities. However, there are various factors that can cause cavity production. Tooth decay existence is often contributed to by a person’s lifestyle, oral care routine and even some of the dental care products being used. Other risk factors for dental cavities include:

  • Poor diet consisting of a large concentration of sweets and carbohydrates.
  • Smoking cigarettes on a regular basis.
  • Frequent consumption of alcoholic beverages.
  • Lack of proper dental care.
  • Using a toothbrush that is not compatible to one’s teeth.

Do You Have a Cavity?

Cavities are not always easy to detect. This is because they form beneath the surface of a tooth. A dentist can easily confirm if a cavity is present during a regular visit. When a cavity is simply ignored, it can begin to give symptoms such as bad breath and a painful toothache. There are cavities that can only be detected by obtaining an X-ray. Others can be recognized in a dental office with the use of certain other dental equipment. If an individual maintains regular check-ups with their dentist, dental cavities can easily be detected and treated.

Dental Cavity Treatment

Once a person detects a dental problem of any kind, they should immediately schedule an appointment with their dentist to address the issue. Cavity treatment will involve the removal of any part of the tooth that is decayed. This is done by drilling and then replacing the area drilled out with a filling. Materials used for filling a tooth may include composite, amalgam, porcelain or glass ionomers. All of these materials are approved to be safe for use in dentistry.

Avoiding Cavities

Most all cavities can be avoided. Individuals must practice good oral hygiene routines. This will be the greatest way to avoid any type of oral problem. Individuals should brush their teeth twice a day while using a good brush and paste. This is one of the best cavity prevention measures. Persons should also floss their teeth as well. A healthy lifestyle consisting of eating the right foods is another way to combat cavities.

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Vital Importance of Having Your Teeth Cleaned in the Dental Office

Nearly all dentists suggest that patients visit their office at least three times a year for teeth cleaning. Long term oral health depends greatly upon proper care and continued maintenance of a person’s teeth. Most all adults are aware that having their teeth cleaned regularly is somewhat of a necessity; however, few individuals make the effort to set aside time for a cleaning appointment with their dentist. There are various reasons as to why these individuals tend to skip visiting their dentist. Many simply do not have any type of dental insurance. They cannot afford the additional strain on their budget. Others may have some sort of anxiety associated with visiting the dentist. Some of these people might have had a negative dental experience during childhood or even recently. This often causes anxiety and nervousness for many.

Regardless of the reasons behind why a person may not maintain regular dental visits, there is not an acceptable excuse. A person’s oral hygiene requires that some time and money must be invested into periodic cleanings. When teeth and gums are neglected for extended periods of time, certain dental issues begin to develop. Tooth decay, tooth loss and gum disease often appear. This can be a very heavy financial burden. When individuals avoid visiting a dentist for ten or twelve years, their teeth often suffer greatly. Most begin to experience pain or other problems with their teeth. Routine dental appointments are vital in preventing a wide range of probable issues.

Process of Cleaning Teeth

For those who have neglected the care and maintenance of their teeth, dentists will often recommend that a deep cleaning be performed. During a deep cleaning, a dentist will clean and scrape teeth below the gum line. Most generally, when a metal scraper is used below the gum line, there will be a great amount of pain. Dentists may administer a local anesthetic in order to numb the gums and nerves. A patient’s cheek and tongue may become very numb as well. These cleanings are usually performed in four stages. One quadrant of the oral cavity is cleaned per stage. Deep cleaning is given in four stages to avoid numbing the entire face and tongue of a patient. This would highly increase the risk of a person biting their tongue or cheek.

To avoid a deep cleaning, individuals can simply take the time to maintain regular dental visits and check-ups. These include regular dental teeth cleanings. When a person has their teeth cleaned regularly, they tend to have healthy gums and teeth. Good oral hygiene reduces bacterial growth and many other oral health issues. With so many advancements in dentistry, those who are anxious about visiting their dentist can find solace in knowing that sedation dentistry can alleviate their fears. Dentists and their staff are generally very happy to thoroughly discuss all procedures and options in treatment and comfort with all clients.

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Properly Caring for Your Dentures

Many people have dentures due to the loss of one or more teeth. Most of these individuals are very satisfied with the look and feel of their dentures. However, much like a person’s natural teeth, they can make your smile perfect as well as unsightly. Those with dentures need to realize the importance of taking good care of their new teeth. This will help them in getting the full benefit and most satisfaction from their dentures. In the following, there are some suggestions for maintaining dentures through proper care.

  • Individuals should always hand their dentures very carefully. These dentures are a part of the person and therefore require proper handling. Most dentures are made of acrylic, ceramic or resin. These materials can crack and chip very easily if they are suddenly dropped. During cleaning, you should hold your dentures over a towel or bowl of water. If you drop them during cleaning, they will be less likely to break or become damaged.
  • Always keep your dentures clean. Just like your natural teeth, your new dentures need to be brushed daily. There are special toothbrushes that are crafted for dentures. They have soft bristles to keep from scratching the surface of the dentures. Never use regular toothpaste on your dentures. There are specific products to clean and protect dentures that are widely available in most retail stores and pharmacies. Once you have removed all food from your dentures, you should rinse them well and floss to prevent the buildup of plaque. Be cautious in the foods that are consumed. Some will stain your new dentures. Smoking and using other tobacco products will stain dentures as well and should be avoided.
  • Brush your mouth twice daily to keep it clean. This stimulates circulation in the mouth and will remove plaque buildup. When a person keeps a clean oral cavity, they maintain fresh and beautiful teeth.
  • Dentures need to be stored correctly. If dentures dry out or are place in water that is too hot, they may become incorrectly shaped and no longer fit well. When storing your dentures, place in plain cold water or a cleaning product that your dentist may have recommended. Dentures should also be kept out of the reach of children and pets. They should never be wrapped in paper towel or napkins as they may be mistakenly thrown away.
  • Your dentures should be removed while asleep at night. This will also help the dentures in retaining their original shape. Your gums will also be allowed to rest in preparation of their use the following day. Most dentists suggest that dentures should be off of the gums for at least six to eight hours each day.

These are only some basic tips for the proper care and use of dentures. Your dentist will be happy to discuss with you the care of your dentures. You should follow their instructions completely and never jeopardize your outstanding smile.

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Options for Replacing Teeth That Are Missing

Numerous individuals will eventually suffer from the loss of one or more teeth. Beyond saving, these teeth will have to be extracted by a dentist. Missing teeth can cause various problems. A person’s smile is greatly affected. Some suffer from lisping when trying to produce certain sounds in speech. There is a reduction in efficient chewing which leads to poor digestion. With a loss of support to the facial muscles, many people begin to appear much older than their actual age. Other problems include an increase in pressure on teeth that remain during chewing. This may make the remaining teeth more likely to fracture. Teeth around missing teeth can begin to tilt. Finally, when teeth are missing, there is a change in bite that results in issues with the jaw joint. TMJ often develops. One of the best ways to make sure that these problems never happen, dentists suggest that individuals always replace any missing teeth. In the following, several options for replacing those missing teeth are briefly discussed.

Are Dentures for You?

One of the most popular options for replacing missing teeth is dentures. Dentures are basic and non-invasive. Dentures are not fixed into the mouth; therefore, they will produce a small amount of movement in the mouth during eating. You will also have to remove the dentures and clean them regularly. Acrylic and metal are used in making the base of the denture. Metal dentures are sturdy and strong. Remaining teeth can support these dentures giving a better fit and more support. Teeth in dentures are crafted of acrylic or porcelain. During the process of making dentures, patients will have to visit the dentist several times. This helps to make sure that the patient gets the best fit that is possible. In the end, patients look great with a beautiful smile and can thoroughly chew their food.

About Bridges

Another great option for replacing teeth that are missing is a bridge. This involves cementing or bonding “false” teeth to prepared remaining teeth in the mouth. Bridges are crafted of porcelain and can have a sub structure of metal. There are various types of bridges that a dentist may choose to use. One of the most conventional types prepares teeth that are adjacent in a similar manner to crowns. Until final bridge is constructed, a temporary bridge is placed. A finished bridge is put into place by bonding or cementing permanently. Some of the adjacent tooth must be sacrificed in this process. Often, these teeth must be attended to in some way in the future. If only one tooth is missing, there is a certain bridge that can be used that will reduce the amount of preparation that any adjacent teeth will require. Only metal wings are used to secure the bridge into place. Instead of a complete tooth being prepared for bridge placement, this type of bridge only requires the back of the teeth to be prepared.

Investing in Implants for Dental Restoration

Made of medical grade titanium, a dental implant is actually an artificial root. It is shaped like a cone or cylinder. Resulting in a strong base, dental implants are placed in the jawbone. Abutments or attachments are placed in the implant. Crowns and bridges can then be used to produce a fixed restoration. Dentures can be attached to the implant as well which will cause them to be more secure while allowing them to remain removable. Implant dentistry is one of the strongest and lasting options. It does take much longer to get the final results that are desired. In some cases, it may take up to six months after an extraction to be fitted with a final restoration. Implants tend to feel more natural than any other option.

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Discoloration of Teeth and Several Suggestions for Whitening

Most all individuals desire to have teeth that are healthy and beautifully white. They spend great amounts of time and money making sure that their smile is appealing and inviting. Regular visits to the dentist and a proper oral regimen helps these individuals to keep the perfect smile. However, smiles often become frowns when discoloration appears. There are two types of discoloration. These are intrinsic and extrinsic. Intrinsic is caused from within the body and affects not only the color of the tooth but its structure as well. Extrinsic is caused by certain foods and various liquids. In other cases, tooth discoloration can be caused by enamel surface defects or a low amount of saliva. Saliva is needed to get rid of food, debris and plaque on the surface of the teeth. These particles remain if there is an insufficient amount of saliva.

A Closer Look at Intrinsic and Extrinsic Discoloration

Intrinsic discoloration is generally caused when some type of trauma has been endured during childhood to disrupt the formation of enamel. This may cause the enamel to have an uneven thickness. Dentine, the inner layer of a tooth, is yellow. When enamel is thin in certain areas, this yellow dentine can be seen and appears to look like a stain on the tooth.

Extrinsic discoloration can have a wide variety of causes. Some of these causes are:

  • Tea, red wines and/or coffee.
  • Cumin, turmeric and curries.
  • Chewing or smoking tobacco products.
  • Chewing betel nuts.
  • Administering medicines to children below the age of eight including Tetracycline and Doxycycline.
  • Certain infections that a mother can pass to her unborn child thus affecting the development of the baby’s enamel.

Professional Tooth Whitening by Your Dentist

One of the easiest ways to rid your smile of unsightly stains is to have professional tooth whitening performed by your dentist. Teeth will usually become brilliant white and make you feel and look amazing. In a very short amount of time, teeth will change drastically in appearance. Brown or yellow stains will disappear leaving only beautiful white teeth. Unlike over-the-counter whitening kits that take weeks to work, professional tooth whitening by your dentist will give you quick results. Many individuals walk out of their dentist’s office with a much whiter and brighter smile following treatment.

Different dentists may offer various options in tooth whitening treatments. Many use bleaching agents to give their clients exceptional results. Anyone considering tooth whitening as a way to remove the embarrassing stains on their teeth should seek the counsel of their dentists. Dental offices are filled with knowledgeable individuals who will be more than happy to discuss all the options with you. Keep in mind that not everyone is a candidate for tooth whitening. Some individuals have had prior dental procedures that may prohibit them from whitening treatments. Your dentist will know your dental history and be able to determine the proper treatment for you.

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When Should You Visit Your Dentist?

Your oral health can be greatly affected by many things. One of the best ways to maintain good oral health is to regularly visit your dentist. Most dentists and other experts highly recommend that individuals visit their dentist at least every six months for a thorough check-up and cleaning. However, certain problems may develop that require your dentist’s attention. Individuals are often unsure about what constitutes a trip to the dentist. You should always discuss with your dentist any concerns or issues about oral health and hygiene. This will better enable you to spot the signs and symptoms of a potential problem. In the following, you will find some of the most common oral problems that many individuals suffer from.

  • Bad breath is a common problem for many adults as well as numerous children. Failing to floss or brush your teeth as suggested is often the main cause of this oral health issue. Other common causes for bad breath may be gum disease, certain medications, underlying health conditions, smoking, drinking and consumption of various foods. By regularly flossing and brushing, most individuals can avoid bad breath. When proper oral care fails to combat the problem, you should visit your dentist.
  • Many people suffer bleeding gums during flossing and brushing. One of the first signs of gum disease, also known as gingivitis, is bleeding gums. Gingivitis can lead to even more serious oral health conditions that can degrade the bone that supports teeth leading to an eventual loss of your teeth. When you find your gums are bleeding with each flossing or brushing, you should seek the attention of your dentist.
  • Oral health is often affected by dry mouth, also known as xerostomia. There are various causes for dry mouth including aging, certain medical conditions, various medications and menopause. Xerostomia presents itself with a decrease of saliva, difficulty swallowing or speaking, mouth pain, problems eating certain types of foods as well as a generalized feeling of dryness in the mouth. Saliva is essential in the maintenance of normal pH level in your mouth. This aids in preventing bacterial growth that results in bad breath and tooth decay. To prevent the possible problems that dry mouth can produce, you should consult your dentist. Your dentist can help by evaluating the potential cause and implementing a treatment plan.
  • Numerous individuals have sensitive teeth. Sensitivity to cold, hot, pressure or sweetness is a common complaint. When dentin or the underlying layer of your teeth is exposed, painful sensitivity will be experienced. This is because the roots of your teeth are no longer protected by an enamel layer. Gum disease is a common cause of this sensitivity. At the first signs of oral sensitivity, you should visit your dentist.
  • You should never ignore mouth sores, red or white patches, pain or numbness in the mouth. These are all indicators of serious conditions such as oral cancer. You should seek the immediate attention of your dentist.

It is important that you visit your dentist anytime that you feel as if you have an oral health problem. Early detection and treatment will prevent more serious conditions.

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Various Types of Dental Procedures for a Sensational Smile

When you have an attractive smile, your self confidence is greatly impacted. A sensational smile can provide certain opportunities that may not have been otherwise available to you. However, many individuals suffer with deep embarrassment from discolored, missing or misaligned teeth. These individuals often try to conceal their dental problems with close lipped smiles. Your personality can also be adversely affected by the poor condition of one’s teeth. Today, more and more people are turning to cosmetic dentistry as a way to fix the various problems they have with teeth. In the following, various types of dental procedures for a beautiful smile are briefly discussed.

  • Crowns can be placed over a tooth that has become decayed or has a space or alignment issue. Fillings will not always adequately strengthen an affected tooth when the degree of decay is rather substantial. Crowns are crafted of ceramic, porcelain or metal. Metal is stronger and will effectively support the structural integrity of the tooth. In preparation for the crown, your dentist will gently file the tooth to make space for the new crown. An impression will be made of the tooth as well as the tooth that it bites. This ensures a proper fit of the crown. This impression is sent to a lab that designs the crown for you.
  • Bonding is a cost effective and quick procedure. Your dentist will have to prepare a composite resin. This will be applied to teeth that are damaged, chipped or cracked. Resin is produced in a color that matches your teeth for a natural looking smile. Surface enamel is etched to produce a rough surface. After resin is applied and molded, your dentist will use a UV light to quickly harden it. As a final step, resin is trimmed, shaped and finally polished to blend with your other teeth.
  • Over time, teeth can become stained or discolored. There are many in-office procedures available to give you amazingly white teeth. Many of these procedures use a powerful bleaching agent. Another whitening technique uses a tray that is custom designed to fit your teeth. You use the tray at home. This method is more cost effective; however, it can take much longer to whiten as the bleaching agent is less potent.

There are many other ways that your teeth can be made brilliantly white. Enamel reshaping, veneers and more are all among the options you have to choose from. Your dentist will more than happy to discuss all the potential techniques in detail. Your options will be dependent upon the dental issue that you suffer from.

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How to Take Care of Your Young Child’s Teeth

As you know, teeth greatly define a person’s smile. Your child’s teeth need to be properly maintained from birth in order to give them a perfect smile. This will help to ensure that permanent teeth erupt in correct positions. As a parent, your child’s oral health and care is your responsibility. Teeth begin to develop before birth. When they begin to erupt into the oral cavity, you will need to take certain steps in guiding them and preventing an attack of bacteria on them. In the following, you will find a few tips and suggestions to help in keeping your child’s teeth healthy.

  • After feeding you baby, you should rub their gums with a damp washcloth in order to clean the area and keep it bacteria free. Teeth are still developing at this point.
  • After your baby’s teeth have begun to erupt in the mouth, you will need to clean them each day with a soft toothbrush and gauze. Today, there are many companies that offer toothbrushes for babies and small children. These are often much softer than the softest adult toothbrush available.
  • To prevent possible tooth decay, you should use a child’s toothpaste that contains fluoride. Never use too much toothpaste as younger children may ingest excess amounts. This can cause teeth to appear mottled. Use only a thin smear of toothpaste.
  • You will need to supervise your child when they brush their teeth. Train your child on how much toothpaste is needed to sufficiently clean their teeth as well as how to adequately rinse.
  • Maintain a diet for your child that contains less sugar. Sugars can be attacked by bacteria that release certain acids that cause tooth decay. Give your child snacks and meals at regular times. Try not to allow your small child to suck liquids in bottles throughout the day. This can greatly affect the teeth.
  • Once your child has learned to brush, floss and rinse, you may have problems with them performing oral care on their own. Many parents find it easier to make oral care an activity that they enjoy with their little ones. Try doing your own oral care with your child at certain times during the day and before they go to bed at night. This is a great activity to help them learn the routine.

There are so many ways you can help your child in developing a beautiful smile to proud of. It is very important that your child begins to visit a dentist at a young age. This helps them to be more comfortable in the future when they may need some type of dental treatment. Your dentist can advise your child on maintaining oral health which will reinforce your prior training.

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How to Properly Care for Your Teeth

Oral health is an important part of a person’s overall well being. Teeth are vital to a beautiful smile that one can be proud of. Many feel that teeth reflect a person’s personality. Those with clean white teeth tend to smile while those with stained or misaligned teeth often present with a flat affect. There are many different ways to deliver adequate care to your teeth. When you take good care of your teeth (http://www.triadcosmeticdentistry.com/), you can be assured that your smile is one to be proud of. In the following, you will find some tips and suggestions for the best possible oral health.

  • Brushing is the most recommended way to take care of your teeth. You should thoroughly brush your teeth twice a day and following each meal. Individuals should choose quality toothpaste that contains fluoride. Fluoride will help keep your teeth strong and prevent the formation of cavities. Brushing not only gives you clean teeth but fresh breath as well.
  • You should regularly visit your dentist (http://www.triadcosmeticdentistry.com/our-dentists.php) for check-ups and cleanings. Most dentists will want to see you every six months unless a problem arises. During regular check-ups, your dentist can evaluate your oral health completely. Many diseases can be prevented or diagnosed in order to treat them before any permanent damage is done.
  • Always choose a quality toothbrush for your oral care. There are many different types of toothbrushes available on the market today. Many of these are well designed to reach areas that toothbrushes from many years ago could not. It is important to get a new toothbrush at least every three months or earlier if needed.
  • Be sure to use a good mouth rinse as well. Mouth rinses help to take care of your gums. Gums are often affected by disease such as gingivitis. You should use mouthwash following each brushing.
  • You should consume a healthy diet to help in maintaining the condition of your teeth. Sugary foods often adversely affect the teeth. Sugars contribute to bacterial growth and cavities.
  • Flossing your teeth is an essential part of oral care as well. This can remove certain tiny food particles that have become trapped between the teeth. Flossing helps to reduce the chance of cavity development. Select waxed floss as a great tool in the prevention of dental issues.

By continually maintaining proper oral hygiene, your teeth will remain healthy. You will be preventing serious problems from occurring. Always make your dental health a priority in daily activities. Dental care delivered by your dentist can be very costly. Most problems with the teeth can be prevented in the privacy of your home.

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Choosing Sedation Dentistry for a More Pleasant Dental Experience

Many individuals suffer from a fear of dental procedures. They become filled with anxiety and dread at the mere thought of going to the dentist. Some of these individuals have had a negative experience in the past, sensitive teeth or other issues that have made them fearful. For this very reason, many people tend to avoid dental care all together. In doing so, they often develop issues with their teeth and gums. With sedation dentistry, these same individuals can have complete dental procedures without any amount of fear or anxiety.

Sedation dentistry is not only used for those patients with anxiety about certain dental procedures; it is also great for use while undergoing dental procedures that may take a significant amount of time to complete. There are a variety of levels and types of sedation dentistry. Most all dentists offer more than one option in sedation. This often depends on the dental procedure that is going to be performed as well as the patient’s level of anxiety.

Sedation dentistry is available in four main types. These types of sedation include oral sedation, inhalation sedation, intravenous (IV) sedation and finally general anesthesia. Not all dentists choose to make all types available. Each different type requires administering by a licensed and trained personnel member. In the following, these four types of sedation dentistry are briefly discussed.

  • Inhalation sedation is a mixture of nitrous oxide and oxygen. Patients simply breathe the combination through a mask placed over their nose. This technique causes a relaxed feeling. Some individuals are not able to remember dental procedures when completed. Inhalation sedation is a light form that is often termed anxiolysis or laughing gas.
  • Oral sedation produces a light or moderate level of sedation and relaxation. Certain drugs such as Xanax, Halcyon, Ativan or Valium are administered. Oral sedation is administered shortly before the procedure. In some cases, oral sedation is used in combination with other sedation methods. This depends again upon the level of anxiety a patient is experiencing.
  • Intravenous or IV sedation is a deep type of sedation. A combination of sedatives and drugs for pain relief are given by IV catheter. During IV sedation, patients remain asleep and in a state of relaxation. This form of sedation can only be given to a patient by a dental professional that was trained to provide the sedation. Patients usually awaken easily once the procedure is complete with no memories of any part of the process.
  • General Anesthesia renders a patient completely unconscious with no pain or memory of the procedure. This type of sedation is usually only given in a hospital by licensed anesthesiologists when complex dental procedures are needed.

Sedation dentistry is rapidly growing in popularity throughout the country. Numerous individuals are choosing to use sedation techniques. Many of those who have feared dental procedures for years are now getting the proper dental care they need.

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