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DOWNLOADABLE PATIENT FORMS
DOWNLOADABLE PATIENT FORMS
Patient Info Form
We are pleased to welcome you to our practice. Our office is dedicated to the maintenance of maximum dental health by providing you with the professional services necessary to attain that health. Our goal for you as a patient is for you to be comfortable and happy with the experience you have with our staff and the dental treatment you receive. We want you to feel like one of our family. Therefore, the dental treatment you receive will be just what we would recommend for one of our own family members. Anytime you have a question concerning your dental treatment, appointments or financial matters, we want you to feel comfortable enough to ask one of our staff members.
We are looking forward to meeting you during your first appointment. For this appointment, please print the patient information form and HIPAA consent form, fill them out, and bring them with you. Unless you are experiencing a dental emergency, your first appointment will include a complete dental examination, a periodontal evaluation, a full mouth series of x-rays, and a dental cleaning. Full mouth x-rays are necessary in order to fully examine your teeth. It gives us a picture of the tooth structure above and below the gum line, as well as enables us to evaluate the bone structure surrounding your teeth. After gathering all of the necessary information, your treatment will be reviewed with you. This allows you and the doctors to develop a personalized plan for your oral care.
Your first appointment is scheduled for 1-½ hours, a time reserved just for you. If your appointment time is inconvenient please give us at least 24 hours advance notice to change your time so that we can try to accommodate patients waiting for an earlier appointment. If you have seen another dentist recently, please contact their office to have your most recent xrays forwarded to our office. In addition, let our appointment secretary know if you are taking a blood thinner, have a heart condition, or if you have any artificial joint replacements.
Our office is located on Brice Road between Livingston Avenue and Main Street, on the right hand side if you are traveling north. If you are concerned about directions, please call our office or check out the Mapquest link under the "Office information" tab.
Again, we would like to thank you for choosing our office and look forward to meeting you, your family, and any friends you may refer to us. We hope your experience with us is a rewarding one. We will work with you so that your oral care plan will be convenient for your lifestyle and busy schedule. We look forward to helping you maintain a happy, healthy smile.
We sincerely hope that you never have a dental emergency, but if you do, we offer 24-hour emergency service for our established patients. If the emergency occurs during our normal office hours, please call the office at (614) 866-5966 and explain your situation. We will make every effort to accommodate you as soon as possible. For after- hours emergencies, please call the doctor's house (for established patients).
In the meantime, here’s what to do until you get to our office:
BROKEN FILLINGS: Save the filling if possible so we can have a look at it. Rinse your mouth gently with lukewarm water to remove debris – warm salt-water rinses or dissolved baking soda can be soothing. If the tooth is sensitive, protect it with dental wax or, in a pinch, sugarless gum.
LOST CROWN: Displaced crowns can sometimes be reused; hang onto it. Try to affix the crown with denture adhesive or, if it won’t stick, use dental wax to keep the tooth away from air. Make an appointment as soon as possible to evaluate and recement the crown.
KNOCKED-OUT TOOTH: Don’t panic. If we can treat you within about an hour, chances are we can reseat the tooth for good. Don’t touch the tooth root – this could damage delicate nerves. Gently replace the tooth where it belongs if you can, or keep it moist in milk.
DAMAGED BRIDGES, DENTURES, and PARTIALS: Do not risk home repairs. Glue can destroy composition materials and cause tissue erosion. Keep all the pieces, even the smallest, and call us to schedule an appointment. We can usually return an emergency denture or partial repair to you within 24 hours.
TOOTHACHE: Toothaches are common and nasty. They tell you something is wrong that needs attention. Rinse your mouth with warm water and try to floss away any food particles. Don’t lodge aspirin near the tooth – it will irritate, even ulcerate, gum tissue. Ice packs or a numbing agent may make you more comfortable while you’re scheduling an appointment. Toothaches may go away, but the source of the pain won’t.
LACERATIONS OR JAW DAMAGE: Lacerations or jaw damage require immediate treatment at a hospital facility or an oral surgeon’s office. Take such injuries seriously. Delay may result in further damage.
FREQUENTLY ASKED QUESTIONS
Q: Which type of toothbrush should I use?
A: The brand of the toothbrush is not as critical as the type of bristle and the size of the head. A soft toothbrush with a small head is recommended because medium and hard brushes tend to cause irritation and contribute to recession of the gums, and a small head allows you to get around each tooth more completely and is less likely to injure your gums. It's unnecessary to "scrub" the teeth as long as you are brushing at least twice a day and visiting your dentist at least twice a year for cleanings.
Many of our patients prefer a power toothbrush such as Sonicare, Ultreo, or Oral B electric brushes. Each of these brushes works well, especially for patients with gums that bleed easily or patients with orthodontic appliances. Ask us which brush would be best for you.
Q: Is one toothpaste better than others?
A: Generally, no. However, it's advisable to use a toothpaste containing fluoride to decrease the incidence of dental decay. Be careful if you have bonded fillings because toothpastes containing baking soda could scratch them. Some patients are sensitive to tartar control chemicals and cinnamon found in many toothpaste. Therefore, as long as a toothpaste does not increase sensitivity in the soft tissues (gums, tongue and cheeks), we recommend our patients use what tastes good to them as long as it contains fluoride.
Q: How often should I floss?
A: Flossing of the teeth once per day helps to prevent cavities from forming between the teeth where your toothbrush can't reach. Flossing also helps to keep your gums healthy.
Q: What's the difference between a "crown" and a "cap"?
A: These are restorations to repair a severely broken tooth by covering all or most of the tooth after removing old fillings, fractured tooth structure, and all decay. The restoration material is made of gold, porcelain, composites, or even stainless steel. Dentists refer to all of these restorations as "crowns". However, patients often refer to the tooth-colored ones as "caps" and the gold or stainless steel ones as "crowns".
Q: What's the difference between a "bridge" and a "partial denture"?
A: Both bridges and partial dentures replace missing teeth. A bridge is permanently attached to abutment teeth or, in some cases, implants. A partial denture is attached by clasps to the teeth and is easily removed by the patient. Patients are usually more satisfied with bridges than with partial dentures because a bridge is permanently cemented and cannot be taken out of the mouth.
Q: What about "silver" fillings versus "white" fillings?
A: Although the U.S. Public Health Service issued a report in 1993 stating there is no health reason not to use amalgam (silver fillings), more patients today are requesting "white" or tooth-colored composite fillings. We also prefer tooth-colored fillings because they "bond" to the tooth structure and therefore help strengthen a tooth weakened by decay. White fillings are usually less sensitive to temperature, and they also look better. However, "white" fillings cannot be used in every situation, and if a tooth is very badly broken-down, a crown will usually be necessary and provide better overall satisfaction for the patient.
Q: Do I need to have a root canal just because I have to have a crown?
A: No. While most teeth which have had root canal treatments do need crowns to strengthen the teeth and to return the teeth to normal form and function, not every tooth needing a crown also needs to have a root canal.