Office Policy
Do you really work by appointment?
What is your working schedule?
How do you handle sterilization of the dental instruments?

What happens if I do not attend my appointment?

Procedures
How many appointments do I need for a crown?
What is the difference between a porcelain crown and a metal fused to porcelain crown?
How do I know if I am a good candidate for bleaching?
How many times do I need to bleach my teeth in order to make them white?
Are resins as good as amalgams?
Are amalgams (silver fillings) bad for you?


Office Policy
Do you really work by appointment?

Yes, we take pride in the fact that we take our patients in at the time the appointment was scheduled.  We usually ask of our patients to be on time for their appointments so we can keep our running schedule on time for everyone.

What is your working schedule?
We work Monday through Friday from 9:00 am to 5:00 pm.  Our first appointment is at 9:00 am and the last at 4:00 pm.

How do you handle sterilization of the dental instruments?
We follow OSHA codes very strictly.  Our instruments are washed and individually wrapped.  Then they are sterilized after each patient. 

What happens if I do not attend my appointment?
We call our patients the day before to appointment to confirm their attendance.  Since we make sure that our patients are taken in on time, we do not overbook.  When a patient misses an appointment we miss an opportunity to book the chair.  When this happens we charge the patient a $25 charge for missing an appointment.

Procedures
How many appointments do I need for a crown?
Normally, you need a first appointment to place a post and make the impression.  Then your impressions go to the lab, where it takes the lab technician about 2-3 weeks to make the crown.  You then come back for an appointment where the actual crown is placed.  Sometimes adjustments need to be made and the crown may return to the lab.

What is the difference between a porcelain crown and a metal fused to porcelain crown?
A porcelain crown is made entirely out of porcelain.  When placed on the tooth it does not have silver margins on the bottom like the metal/porcelain ones, and they are just as strong.

How do I know if I am a good candidate for bleaching?
Some people with certain dental conditions may not be good candidates for bleaching. People with gum recession, for example, may have exposed root surfaces that are highly sensitive and could be irritated by the ingredients in whiteners. In addition, these products are not recommended for habitual users of tobacco or certain alcoholic beverages.  However, you need to see the dentist to make sure that the kind of stain your teeth have can be removed with bleaching techniques.  You can make an appointment for an evaluation only if you like. 

How many times do I need to bleach my teeth in order to make them white?
Normally, one visit is enough, but there is no guarantee.  Also, to make sure that these stains do not return (especially those resulting from wine, coffee and cigarette use), you need to continue using a whitening toothpaste regularly.
On some occasions patients want their teeth even whiter than the result of the first visit.  In those cases, the patient can take a home-tray treatment to continue the bleaching process at home.

Are resins as good as amalgams?
During the past 40 years, dental research has led to many advances in materials used to restore decayed teeth.  Silver amalgam and white fillings are the most commonly used. Which material is most appealing to patients? Composites, or, as you may know them -- white fillings.

Composites are fillings designed to match the color of your teeth. The two main ingredients are plastic resin and a filler of finely ground glass-like particles. The dentist matches the composite material to the patient's tooth color. Because they blend so well with your tooth enamel, composites are used where dental work could be most visible including the front teeth and at the gum lines.

Are amalgams (silver fillings) bad for you?
Some patients have expressed concerns about the effect of the mercury release from silver restorations. Researchers admit that measuring the microscopic mercury release from amalgam restorations, and determining its effect on living tissues, is still very difficult. Significant conclusions still have not been agreed upon, and this will complicate solving the problem for many years to come. The effect of mercury on human tissues will continue to be monitored by research while the ADA statement claims "there is no evidence that amalgams pose health risks in non-allergic patients, and no known health benefits result from removing dental amalgams in non-allergic patients."  Other federal agencies agree.  (Parts have been taken from Journal, Indiana Dental Association, Fall 2001, H. William Gilmore, DDS, editor).

   

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DR. DAVID SILBER
Uptown Dental Care, 2800 Routh Street suite 255, Dallas, TX  75201
EMAIL: DOCTOR@DAVIDSILBER.COM

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