What should I do if I have a toothache?

There is no such thing as a good time for a toothache. But should one strike it is best to contact our office right away so that we can schedule you an appointment with Dr. Ritter. Our office number is 201-666-3402. Relieving your pain is our first priority in this situation and Dr. Ritter can be available day or night to meet your needs. Sensitivity to cold is usually less serious than sensitivity to sweets, heat, biting or pressure.

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When should my child’s first dental visit be?

We recommend that children have their first dental visit by the age of 3 unless a cause for concern necessitates an earlier check-up. During your child’s first visit we will only do as much as he/she is comfortable with so that going to the Dentist becomes a positive experience rather than something that is feared. This visit might include going for a ride in the chair, learning about some of our different tools, counting teeth or even "tickling" teeth. Your child should have two cleanings a year.

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How often should I get my teeth cleaned?

The frequency of cleanings is based on multiple factors such as how well you take care of your teeth, how much 'tartar' you build up, or if you have a history of gum disease. We recommend at least two cleanings per year for children and adults. It is not uncommon for us to see patients three or even four times a year in order to maintain optimal oral health.

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What can I do if my teeth are sensitive?

Our teeth are made up of microscopic tubules containing small amounts of fluid.  The most popular theory regarding sensitivity to cold and sweets is that either of these elements causes a rapid shift of this fluid, resulting in painful sensitivity.  There are several toothpastes on the market that can provide relief by blocking the openings to these small tubules with extended use.  Other causes of sensitivity include receding gums, a fracture in a tooth, tooth decay, or infection.

One of our favorite ways to provide relief from cold sensitivity is to apply a clear fluoride varnish that adheres to your tooth for about a day, delivering a highly concentrated amount of fluoride.  The application takes only minutes but the relief lasts for at least several months, if not longer.

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Does whitening my teeth cause any damage?

The whitening products we use are peroxide-based and do not harm the enamel of your teeth. Some people do experience temporary sensitivity which subsides within a few days.

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Do you provide in-office whitening?

We no longer provide in-office whitening to our patients. The high concentration of peroxide-based whitening solution applied to the teeth over a relatively short period of time warrants concern for the long term effects on the teeth. In addition to this concern, there is almost always a significant relapse in tooth shade shortly after the procedure, necessitating follow-up with whitening at home. Our solution to these concerns is to make custom whitening trays for our patients that are worn at home with a safer concentration of whitening solution. The entire process is monitored by Dr. Ritter. Often the trays can last for years to come which is perfect for touch-ups!

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What is gum disease/periodontal disease?

Gum disease and periodontal disease are synonymous. Specific types of bacteria, coupled with how your body deals with these bacteria, can lead to the onset of periodontal disease. Put simply, the first phase of periodontal disease is gingivitis and is characterized by inflammation of the soft tissue around your teeth. You may notice that your gums are puffy and bleed easily. This is your body’s immune response; it is bringing more blood into the soft tissue to fight the bacteria on and around your teeth. Usually this gingivitis can be reversed with proper brushing and flossing, in addition to regular professional cleanings. If left untreated, however, the condition can progress to the second phase of gum disease which is known as periodontitis. At this point your body releases enzymes that begin to break down the bone and the ligaments around the tooth/teeth where this inflammation is occurring, potentially leading to tooth loss. This too can hopefully be stabilized with better home care and more frequent professional cleanings. Often a deep cleaning is performed as initial treatment.

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How often should I have x- rays?

Following the guidelines of the American Dental Association (ADA) is paramount in our practice. Therefore, x-rays are usually taken every 12 to 18 months in our practice.  They are used to check for cavities as well as a variety of other oral diseases that cannot be detected just by looking in your mouth.  As always, however, your treatment with Dr. Ritter is tailor-made to fit your needs and the frequency of taking x-rays is adjusted accordingly.

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What can I do if I am clenching and grinding my teeth?

You can cause serious damage to your teeth and their supporting tissues with excessive clenching and grinding. Many people do it uncontrollably while they are asleep, sometimes as a result of stress. Signs that you are grinding include soreness in your jaw when you wake up, headaches, wear to the biting surfaces of your teeth, and receding gums. To prevent damage, we recommend wearing a plastic night guard while you sleep. They are made here in the office or by one of our labs after taking a simple impression of your teeth.

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What kind of a toothbrush should I use?

We always recommend a soft toothbrush.  Anything harder than that can cause damage to your teeth and gums.  You also want to choose a toothbrush isn’t too large and that fits comfortably in all areas of your mouth.  Look for ‘compact’ on the toothbrush label.  Electric toothbrushes are another option.  They are efficient and do a lot of the ‘work’ for you. They are a good option for those that tend to brush too aggressively, those who are not thorough enough with a manual toothbrush, and those with limited dexterity.”

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How often should I floss?

Flossing is an essential component of your homecare because it reaches the debris and bacteria that brushing leaves behind.  Even mouthwash cannot accomplish as much as flossing can.  The friction of the floss against the sides of your teeth is what agitates the bacteria sticking to those surfaces.  We recommend flossing then brushing.  It’s important to floss consistently every day, so choose a time that is most convenient for you.  Also, choose a floss that suits your preferences. It can be waxed, unwaxed, flavored, plain, etc.  We find that waxed floss is easier to get into those tight spaces between your teeth.

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