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Douglass Family Dentistry

Dr. James D. Douglass JR, Dr. James D. Douglass III,   ​Dr. Naomi Kerr Dowell,

Why Do I Need A Crown?

No dentist can know exactly what will happen with a tooth.  They are simply advising you as to what they consider to be the best treatment for the health of your tooth in the long term.

If you have a small amount of decay (cavity), no problem, we can repair your tooth by placing a filling.  On the other hand, if you have a large amount of decay (cavity), (or when more than half your tooth is gone), sometimes it is better to have a crown.  Dental fillings, especially large ones, often have a weakening effect on teeth.  The materials we have available for fillings are not going to be as strong as your original tooth.  Crowns are made of metal and porcelain. These materials are very strong so you don’t have to worry about them breaking.

Dental fillings depend on a tooth’ s remaining structure to hold and support them.  You cannot expect the filling your dentist creates to provide the same permanence or accurate tooth restructuring that a dental crown can offer.  Fillings do not provide the same protection for teeth that dental crowns do. If the dentist suggests a crown and you choose a filling over it, we can not be responsible if the tooth breaks/ or filling breaks off.

What is Periodontal Disease?

Periodontal Disease is the leading cause of tooth loss in adults. Mainly caused by plaque bacteria, it is usually painless in the early stages. Regular dental visits are essential to maintaining gum health and timely diagnosis and treatment when needed.

A more advanced stage of gum disease involving bone and ligament surrounding the teeth.  If left untreated, it can damage the bone and the supporting tissues. Your gum separates from the tooth and the bone level deteriorates

Advanced Periodontitis
Further progression of periodontitis with major loss of bone support.  Your gums recede farther and separate.  Pus may develop, bone loss continues and your teeth may loosen or fall out.

Your dentist will examine you for periodontal disease during each routine checkup. A periodontal probe will be used to determine if there is any breakdown in the gum tissue attachment or if pockets have developed between your gums and teeth.

Treament will depend upon the type of disease and how far the condition has progressed. One type of periodontitis (refractory) can only be treated and not cured. Treatment options include:

  •      Scaling removes deposits above and below the gumline.
  •      Root Planning smoothes rough root surfaces so the gum can heal. Local anesthesia may be used.
  •      Oral Irrigation directs liquid below the gumline to flush out toxins and germs to help   restore the gums to health.

        A proper program of brushing and flossing is vital to keeping healthy.

Periodontal Disease - Professional cleaning will help fight plaque accumulation and gum disease, and help you keep your teeth a lifetime.

Be sure to follow the special home care instructions provided by your dental professional.

When should my child start seeing the dentist?

It is recommended that most children begin seeing the dentist at the age of 3 so that they will become aquainted with the dentist.  Hopefully this will prevent fears or phobias in the future.  Should your child experience any dental problems prior to the recommended age of 3, he/she should seek dental attention from a child dental specialist - a pediodontist.

When will my child start loosing his/her teeth?

The following is a chart for the average child. 

Frequently Asked Questions

  • Why Do I Need a Crown?
  • What is Periodontal Disease?
  • When Should My Child Start Seeing the Dentist?
  • When Will My Child Start Losing His/Her Teeth?