Frequently Asked Questions

Here we provide answers to many of our patients' most frequently asked questions. If you cannot find an answer to your questions here please contact us and we will be happy to help.

  • Why should I get a dental cleaning(scaling) ?

    Dental cleanings are very important, and they are vital if you wish to maintain a healthy, beautiful, and functional smile. These appointments deeply clean your smile, eliminate risks associated with gum disease, and prevent major dental problems. This cleaning process is only available in the dental office—not at home.

    How often should I undergo a dental cleaning ?

    Dental cleanings are very beneficial, and dentists today strongly recommend attending a dental cleaning appointment every six months. However, if you have major dental issues, like periodontal disease, it is generally recommended to get your teeth cleaned every three months. But, if you would like to know how often to attend these appointments based on your specific oral health situation, you are more than welcome to ask your dentist.

    Will a dental cleaning help prevent gum disease ?

    Yes. During a cleaning, our hygienists will remove the layers of plaque and tartar from your teeth. Caused by bacteria, plaque inflames the gums. Without treatment, this inflammation may cause the gums to pull away from the teeth, forming pockets at the gum line. When bacteria invade these pockets, patients report sore, red gums that bleed easily and bad breath. Loose, and even lost, teeth often accompany untreated gum disease. A routine cleaning can safeguard your smile against this serious and widespread disorder.

    Does a dental cleaning offer any cosmetic benefits ?

    Yes. Removing plaque also helps erase minor teeth stains. A cleaning involves polishing the teeth, allowing you to obtain smooth, esthetically pleasing teeth. Plaque also increases the risk of halitosis. A simple cleaning freshens your breath by removing the presence of plaque from your smi.

    Are dental cleanings painful ?

    Dental cleanings are not painful. They do, however, involve small tooth vibrations and small amounts of pressure. If these sensations make you feel uncomfortable, the dental team is more than happy to do whatever they can to help you feel more comfortable and safe. If it helps, you can establish a key word or signal that means “stop” before you begin your cleaning. That way, you will have the control and comfort you need in the dental chair.

    What is involved in a dental cleaning ?

    First, your dentist or hygienist will cover your chest and clothes with a bib-like cloth. Then, they will begin to clean your smile by removing the plaque from your teeth with a small metal tool or with an ultrasonic vibration device. When the plaque is removed or loosened, you will rinse your mouth with cool, refreshing water. Second, your dentist or hygienist will polish your teeth with paste. This may leave a gritty feeling in your mouth, but it won’t last long after you rinse your mouth. Third, they will then floss your smile and clean between each tooth, freeing any food particles that are stuck. Fourth, they will conclude the cleaning with a fluoride treatment, which will come in the form of a foam, gel, or varnish. This treatment will nourish and strengthen your smile.

    How do I keep my teeth clean after my appointment ?

    In order to keep your smile clean, you will need to brush your teeth twice a day, floss your teeth at least once a day, and rinse your mouth daily. If possible, brush your teeth or rinse your mouth with water after each meal and snack. As you brush, please use fluoride toothpaste. As you rinse, please use bacteria-killing or fluoride mouthwash.

  • Why does the dentist take X-rays ?

    Many diseases of the teeth and surrounding tissues cannot be seen when the dentist examines the mouth. An X-ray examination may reveal:
    - small areas of decay between the teeth or below existing restorations (fillings)
    - infections in the bone
    - periodontal (gum) disease
    - abscesses or cysts
    - developmental abnormalities
    - some types of tumors

    Finding and treating dental problems at an early stage can save time, money and often unnecessary discomfort. X-rays can detect damage to oral structures not visible during a regular exam. If you have a hidden tumor, X-rays may even help save your life. Dentist will evaluate your need for X-rays based on the conditions present in development. There are many benefits to having X-rays taken. Any additional questions or concerns should be discussed with your dentist.

    Exposure to all sources of radiation -- including the sun, minerals in the soil, appliances in your home, & dental X-rays -- can damage the body's tissues & cells & lead to the development of cancer. Fortunately, the dose of radiation you are exposed to during the taking of X-rays is extremely small.

    Advances in dentistry over the years have lead to the low radiation levels emitted by dental X-rays. Some of the improvements are new digital X-ray machines that limit the radiation beam to the small area being X-rayed, higher speed X-ray films that require shorter exposure time compared with older film speeds to get the same results, & the use of film holders that keep the film in place in the mouth (which prevents the film from slipping & the need for repeat X-rays & additional radiation exposure). Also, the use of lead-lined, full-body aprons protects the body from stray radiation (though this is almost nonexistent with the modern dental X-ray machines.) In addition, federal law requires that X-ray machines be checked for accuracy & safety every two years, with some states requiring more frequent checks.

  • Why do my teeth darken ?

    Many factors work to destroy the naturally white smile you were born with. Tobacco, certain foods, and certain drinks actually stain teeth. These substances continually work on our teeth causing our white smile to gradually fade. Hot coffee and tea are especially hazardous to your smile because they change the temperature of teeth. This temperature change - hot and cold cycling - causes the teeth to expand and contract allowing stains to penetrate the teeth. Cutting down on coffee and tea can go a long way to creating a great smile. Foods that are slightly acidic are also dangerous to your white smile. These foods open up the pores of the tooth enamel allowing stains to move more easily into the tooth.

    In chair and take home bleaching kits – what is the difference ?

    In chair teeth whitening uses a strong active ingredient, which can only legally be prescribed and applied in the dental practice. This type of whitening can only be applied for an hour at a time and if multiple visits are required, they must be at least one week apart. While this whitening process may result in a dramatic change in brightness, it also causes more sensitivity and temporary tooth dehydration.

    One visit may not be sufficient to get your teeth to the brightest shade they can be. Because this treatment is done in surgery, there is a higher cost associated with the treatment. Take home whitening is gentler, has a mild active ingredient and is safe to use without constant professional supervision. However, some professional supervision is still advised as all whitening can cause side effects like tooth sensitivity and even chemical burns.

    It is important to follow instructions from your dentist, therapist and hygienist regarding the safest application of your home whitening kits. You should also check in with your National dental Care team regularly to ensure you are on track for the best results. Take home whitening is also very economical: once you have been issued your custom made home kit and starter gel, you will only need to top up your whitening once per year and the gel can be supplied at minimal cost by your National Dental Care dental practice during your preventative care visits.

    Do whitening toothpastes work ?

    Commercial whitening toothpastes vary greatly in their ability to whiten teeth. They work by removing surface stains from the teeth with the use of mild abrasives. However, unlike professional whitening, some whitening toothpastes do not alter the intrinsic color of the teeth. Toothpastes that are effective in removing stains can also destroy tooth enamel in the process. These toothpastes use harsh abrasives. With repeated use, harsh abrasives begin to damage tooth enamel and can contribute to increased tooth sensitivity. If you would like to try a whitening toothpaste, consult with your dentist first.

    How long will the results of teeth whitening last ?

    Like other investments, if you whiten your teeth, the length of time you can expect it to last will vary. If you smoke, drink red wine or coffee, or consume other acid-containing foods, your bright smile may begin to yellow more quickly than you expect. In general, a teeth whitening procedure can last up to a few years. And even though the results can fade, occasional touch-ups can be done to regain luster.

    Ask the experienced staff at Mittal Dental Clinic about the long-term benefits of teeth whitening.

  • Do all wisdom teeth need to be removed ?

    The simple answer is: not necessarily. Nature doesn’t create redundancies, there is usually a reason we have all the body parts we have. However, due to many factors, impacted and problematic wisdom teeth are becoming more and more frequent. Your dentist will advise whether your wisdom teeth are fine the way they are or if they are likely to be problematic. If so, extraction may be recommended. This can be done in the general dental surgery, under local anaesthetic or under general anaesthetic or under sedation. Occasionally a referral to an Oral Surgeon (a dental specialist) may be required.

    What’s involved in the post-care?

    Your dentist or Oral Surgeon will advise of best care after wisdom teeth removal. Typically, you will be advised to:
    - Protect the area where the tooth has been removed and avoid touching it with your tongue or hands
    - Avoid hot drinks or hot food for 24 hours, as this may cause the wound to bleed
    - Avoid rinsing your mouth and swishing water or mouthwash for 24 hours as this may dislodge the blood clot in the tooth socket and cause further complications
    - If you experience bleeding, apply gentle pressure on the site with a clean gauze pack
    - Do not smoke for 2-3 days after the procedure and avoid drinking alcohol as this can cause serious complications and delay healing

    Will I need to go under general anaesthetic ?

    Not all wisdom teeth extractions are difficult or complicated. Most wisdom teeth can be removed in the dental surgery setting and under local anaesthesia. Other forms of anaesthesia and sedation are available to relieve anxiety about the procedure. If you feel that you are anxious about the procedure and would prefer not to remember it, you may choose to have your wisdom teeth removed under general anaesthesia either at a Hospital Day Surgery or at an National Dental Care practice offering general anaesthetic services. (Find a National Dental Care practice with general anaesthetic).

  • Who can get orthodontics ?

    It's never too late to achieve a beautiful straight smile... Braces aren’t just for kids any more. Tooth alignment can be changed at any age if your gums and bone structure are healthy. Having orthodontic treatment can dramatically improve your appearance and self-esteem. Improving the health of your teeth and gums is equally important. Crooked teeth and a bad bite can contribute to gum and bone loss, tooth decay, abnormal wear of the tooth enamel and surfaces, headaches and jaw joint (TMJ/TMD) pain.

    What type of orthodontics treatment is available ?

    The really good news? The days of metal bands wrapped around each of your teeth individually are long gone! The new techniques and appliances greatly reduce discomfort levels, decrease the frequency of visits and shorten treatment time. There are also several options available, including metal braces, translucent braces or Invisalign. During your initial examination, we will be able to determine the best possible treatment for your individual needs. We can also outline the treatment plan, the timeframe required and the approximate cost. Metal braces are the most common. They are made of high-grade stainless steel and are smaller, more comfortable and more attractive than ever. Clear (or ceramic) braces are made of translucent material. They are very popular with adult patients. The only drawback is that they are more fragile, and the elastic ties can discolour between orthodontic visits.

    What happens after I have my braces removed ?

    When we remove your braces, we will begin the retention stage of your treatment. Your final orthodontic result depends on you wearing your retainers, so follow through with the work you’ve put in so far. Remember to remove your retainer before eating, and brush your retainer before placing it back in your mouth. Alternatively, we can fit you with a permanent fixed wire retainer on the inner surfaces of your teeth.

    What are the benefits of Orthodontic treatment ?

    As we all know, straight teeth can have a big influence on the aesthetic appearance of our smile. Orthodontics specialises in the diagnosis, treatment and prevention of dental and facial irregularities in children and adults. Crooked and crowded teeth can be more difficult to clean and maintain, contributing to tooth decay, eventual gum disease and tooth loss. So orthodontics plays an important role in reducing the need for future dental treatment. Other orthodontic problems can contribute to abnormal wear of tooth surfaces, inefficient chewing function and excessive stress on gum and bone. Misalignment of the jaw joint can even cause chronic headaches or pain in the face or neck.

  • What is temporomandibular disorder (TMJ /TMD) ?

    The temporomandibular joints are located on each side of your head. They make it possible to open and close your mouth, and work together when you speak, chew or swallow. These joints also control the lower jaw as it moves forward, backward and side to side. Any problem that prevents this complex system of muscles, ligaments, discs and bones from working properly may result in a painful TMD or temporomandibular disorder.

    What are the symptoms of TMDs ?

    If you have TMD (also referred to as TMJ disorder) you will experience a lot of pain, especially chronic headaches or migraines, or pain in the neck, shoulder and back. Other symptoms can include:
    - Ringing or congestion in the ears
    - Loose teeth
    - Worn, chipped or cracked teeth and fillings
    - Pain and sensitivity in the teeth
    - Crowded teeth
    - Clenching or grinding of the teeth
    - Fractures at the gum line
    - Pain or clicking and popping in the jaw joint
    - Difficulty swallowing
    - Numbness or tingling in the arms and fingers
    - Limited opening of the mouth
    - Loss of chewing efficiency

    What are the causes of TMDs ?

    TMJ disorders are generally caused by a combination of problems with the joint, and stress on its surrounding structures. Some causes of joint problems include:
    - Arthritis, injury and dislocation of the joint, which can be due to an improperly-aligned bite or joint hyper-mobility (looseness of the jaw).
    - Jaw clenching and teeth grinding (also known as bruxism) can put significant stress on the jaw muscles. People who clench their teeth during the day and grind their teeth while asleep will often suffer from muscle pain and tightness, as well as damage to the teeth.
    - Poor posture (eg, holding your head forward while looking at your computer screen) can also strain the muscles of your jaw, face and neck. The onset of TMD can be gradual or sudden.

    Fortunately, TMD is treatable. Through Neuromuscular Dentistry, we are now able to gently and gradually correct the position of your jaw. In most cases, by aligning the jaw and getting it back to its proper position, we will eliminate the recurrence of the symptoms.

  • How do I take care of my baby/toddler’s teeth ?

    If your baby doesn’t have any teeth yet, you can wipe her gums with a clean warm wet cloth after every feed. Once she gets her first teeth, make sure you clean them after feeds with a warm wet cloth and avoid letting your baby fall asleep with a bottle. Do not allow your baby to drink anything else but milk or water from a bottle. Your toddler can have their teeth brushed the same way as the rest of the family. Until they are three years old they may not be able to spit, so avoid putting too much toothpaste on the brush and use only a smear rather than a blob of paste to brush their teeth. You may choose to use a milk teeth toothpaste with less fluoride until the first permanent teeth start erupting, but using regular toothpaste is also fine, as long as you use it in small quantities.

    How can I introduce my child to good oral health routine right from the start ?

    Each time you have an appointment with our hygienist, your teeth are professionally scaled and polished, and remineralising agent is applied. We screen your mouth for gum disease, malignancies and tooth decay. Preventing problems is vital to good health, so our hygiene team will discuss with you how to best look after your teeth and gums at home. A dental therapist is a vital part of our team, offering a wonderful service treating dental concerns in children. A dental therapist is a great alternative to seeing a dentist, especially for young children. Our therapist has a great way of making children's visits fun and enjoyable.

    What should I use to clean my baby's teeth ?

    A toothbrush will remove plaque bacteria that can lead to decay. Any soft-bristled toothbrush with a small head, preferably one designed specifically for infants, should be used at least once a day at bedtime.

    When should I take my child to the dentist for the first check-up ?

    In order to prevent dental problems, your child should see a pediatric dentist when the first tooth appears, or no later than his/her first birthday.

    What is the difference between a pediatric dentist and a family dentist ?

    Pediatric dentists are the pediatricians of dentistry. A pediatric dentist has two to three years specialty training following dental school and limits his/her practice to treating children only. Pediatric dentists are primary and specialty oral care providers for infants and children through adolescence, including those with special health needs.

    Are baby teeth really that important to my child ?

    Primary, or "baby," teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt.

    What should I do if my child has a toothache ?

    First, rinse the irritated area with warm salt water and place a cold compress on the face if it is swollen. Give the child acetaminophen for any pain, rather than placing aspirin on the teeth or gums. Finally, see a dentist as soon as possible.

    Are thumbsucking and pacifier habits harmful for a child's teeth ?

    Thumb and pacifier sucking habits will generally only become a problem if they go on for a very long period of time. Most children stop these habits on their own, but if they are still sucking their thumbs or fingers past the age of three, a mouth appliance may be recommended by your pediatric dentist.

    How can I prevent decay caused by nursing ?

    Avoid nursing children to sleep or putting anything other than water in their bed-time bottle. Also, learn the proper way to brush and floss your child's teeth. Take your child to a pediatric dentist regularly to have his/her teeth and gums checked. The first dental visit should be scheduled by your child's first birthday.

    How often does my child need to see the pediatric dentist ?

    A check-up every six months is recommended in order prevent cavities and other dental problems. However, your pediatric dentist can tell you when and how often your child should visit based on their personal oral health.

    Toothpaste: when should we begin using it and how much should we use ?

    The sooner the better! Starting at birth, clean your child’s gums with a soft infant toothbrush or cloth and water. As soon as the teeth begin to appear, start brushing twice daily using fluoridated toothpaste and a soft, age-appropriate sized toothbrush. Use a "smear" of toothpaste to brush the teeth of a child 2 years of age and younger. For the 3-6 year old, dispense a "pea-size" amount of toothpaste and perform or assist your child’s toothbrushing. Remember that young children do not have the ability to brush their teeth effectively. Children should spit out and not swallow excess toothpaste after brushing.

    How do I make my child's diet safe for his teeth ?

    Make sure your child has a balanced diet, including one serving each of: fruits and vegetables, breads and cereals, milk and dairy products, and meat fish and eggs. Limiting the servings of sugars and starches will also aid in protecting your child's teeth from decay. You can also ask your pediatric dentist to help you select foods that protect your children's teeth.

    How do dental sealants work ?

    Sealants work by filling in the crevasses on the chewing surfaces of the teeth. This shuts out food particles that could get caught in the teeth, causing cavities. The application is fast and comfortable and can effectively protect teeth for many years.

    How do I know if my child is getting enough fluoride ?

    Have your pediatric dentist evaluate the fluoride level of your child's primary source of drinking water. If your child is not getting enough fluoride internally through water (especially if the fluoride level is deficient or if your child drinks bottled water without fluoride), then your pediatric dentist may prescribe fluoride supplements.

    What can I do to protect my child's teeth during sporting events ?

    Soft plastic mouthguards can be used to protect a child's teeth, lips, cheeks and gums from sport related injuries. A custom-fitted mouthguard developed by a pediatric dentist will protect your child from injuries to the teeth, face and even provide protection from severe injuries to the head.

    What should I do if my child falls and knocks out a permanent tooth ?

    The most important thing to do is to remain calm. Then find the tooth. Hold it by the crown rather than the root and try to reinsert it in the socket. If that is not possible, put the tooth in a glass of milk and take your child and the glass immediately to the pediatric dentist.

    How safe are dental X-rays ?

    There is very little risk in dental X-rays. Pediatric dentists are especially careful to limit the amount of radiation to which children are exposed. Lead aprons and high-speed film are used to ensure safety and minimize the amount of radiation.

    How can parents help prevent tooth decay ?

    Parents should take their children to the dentist regularly, beginning with the eruption of the first tooth. Then, the dentist can recommend a specific program of brushing, flossing, and other treatments for parents to supervise and teach to their children. These home treatments, when added to regular dental visits and a balanced diet, will help give your child a lifetime of healthy habits.

  • Do I need to see a specialist for an extraction ?

    In many cases when you need to have a dental extraction, we can take care of you right in our office. Teeth sometimes need to an extraction if they sustained serious damage, if they have a serious infection, or if they are very deeply decayed. Doing an extraction is never our first choice when it comes to dental treatment. At our clinic, we focus on prevention and saving teeth. However, certain circumstances require an extraction, especially if it is necessary to protect your health. When you visit our office for an evaluation of your troubled tooth, we can discuss your options. In some cases, if your surgery is complex or surgical in nature, we may need to refer you to a specialist. However, if we can treat you in our office, we will. When you have an extraction, we will provide you with aftercare information so you can heal quickly and without complications. Once you have healed completely, we will offer you tooth replacement options. Replacing a missing tooth is important in maintaining the integrity of your remaining teeth. From dental implant restorations to partials or bridges, we provide a wide variety of options to replace your teeth with the greatest function and comfort possible.

    How do I know if I need a dental extraction ?

    The best way to determine if you need a dental extraction is to schedule an exam with Dr. Rishabh Mittal. That way, he knows how best to address your particular issue. If you have a tooth that hurts, that does not necessarily mean that you need an extraction. You could need a root canal, filling, or night guard (if you grind your teeth). If your tooth is already mobile, you may need a dental extraction, but in some cases we can save your tooth. A dental extraction is usually only advised if you have a tooth that will not respond to any other type of dental treatments such as root canals. Some reasons for dental extractions include:
    - Split or cracked tooth
    - Deep decay
    - Trauma
    - Broken root
    - Serious infection or abscess

    In many cases, we can perform the extraction right here in our office, especially if your tooth is already mobile. If it requires surgery or a complex extraction, we may refer you to a specialist just for your own comfort and wellbeing. We know that continuity of care is important to our patients, so we will take care of you whenever possible and please know that when we refer you to a specialist, it is someone we know and trust.

    What happens during a dental extraction ?

    When we determine, after an exam with Dr. Mittal, that you need a dental extraction, we will first determine if you should have your procedure done here or if we need to refer you to a specialist. In most cases, we can treat you right in our dental office. Dr. Rishabh Mittal will make sure you are completely comfortable for your procedure. He takes extra precautions to make sure you will not feel a thing. That way, you do not have to worry about pain. The dental extractions we do in our office are simple extractions. First of all, we will numb the area all around your tooth and gently wiggle it loose from your jaw. He has special instruments to help remove your tooth and in many cases, it will come out in one piece. Sometimes if it is broken or severely decayed, we will remove it in several pieces.
    Having an extraction really sounds like no fun, but if you follow your aftercare instructions closely, you should heal quickly. Your mouth has a great capacity for healing. Once you feel better and the swelling goes down, we will offer you various tooth replacement options so that you can eat, speak, and smile again.

    How long does it take to heal after a dental extraction ?

    Dental extractions come in two main types: surgical and simple. We perform simple extractions in our office. That means no surgery is required to remove your tooth successfully. An extraction is always a last resort at Mittal Dental Clinic. We do our best to save as many of your natural teeth as possible, because that is best for your health. That being said, sometimes an extraction is our only option for your health and comfort. When this problem arises, we will share all of your options with you. Once we complete your dental extraction, your healing time depends largely on how complicated your extraction was and how closely you follow our aftercare instructions. For most simple extractions, healing time is relatively short and uncomplicated. While healing times vary, you should be feeling significantly better within a couple of weeks. After your extraction, you should start feeling better and better each day. Your swelling and tenderness will subside and the tissue where your tooth used to be will begin to shrink and heal. If you do not feel steady improvement after your extraction, we should see you in our office to make sure you do not have an infection, dry socket, or other complication causing you pain or tenderness.

    Why do I need a dental extraction if my tooth does not hurt ?

    While pain can be an indicator of a serious issue requiring a dental extraction, it is not always the case. If your tooth had a root canal before needing the extraction, you will not feel it because root canal teeth have no nerves. Deeply decayed, infected, and troubled teeth can cause real health concerns. Anytime you have an infection and destructive bacteria in your mouth, you should address the situation because it can lead to other serious systemic illnesses such as heart attacks and strokes. Dr. Rishabh Mittal performs many necessary dental extractions right here in our own office. He knows that continuity of care is important to our patients and so if he can help you, he will. In some cases, if your extraction is a complex one, we may need to refer you to one of our friends in oral surgery for treatment. When you have an extraction in our office, you do not have to worry. We will take excellent care of you from start to finish. Our compassionate team and Dr. Mittal will make sure you are completely comfortable and relaxed prior to beginning any treatment. If you have concerns about having a dental extraction, talk to us about it so we can make sure you feel confident in your treatment.

  • What is a dental crown ?

    Crowns are coverings for the entire visible part of the tooth. They are used when teeth are broken; old and large fillings are lost; teeth are badly decayed or severely discoloured. They improve the appearance of your natural teeth and can brighten your smile. We offers both porcelain and gold materials, taking into consideration where in your mouth the crown is to be placed.

    Why do I need a crown ?

    Dental crowns improve the structure of the tooth. As time goes by, it’s not unusual to find our teeth are no longer structurally sound. Things like lost fillings, decay, chipping and cracking of the enamel can all lead to large-scale problems in a tooth’s surface. If the whole surface of the tooth is problematic but the root system is intact, a crown might be the ideal solution.

    What is a dental bridge ?

    Bridge is the traditional way of replacing missing teeth. A dental bridge is a false tooth, fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place are attached to teeth on each side of the false tooth.

    What types of dental bridges are available ?

    There are several types, and which one we recommend depends on where it will go in your mouth, your bite and also the aesthetic and functional considerations.

    A bridge will keep teeth from drifting into the space created by a missing tooth, helping preserve normal function and a normal bite for the jaw joint. In the most common type of bridge, crowns are applied to the two teeth on either side of a gap (where teeth have been removed). This involves joining three crowns, including a crown to fill the gap.

    A bridge is suitable in areas where teeth on either side of the gap have been filled and would benefit from restoration with crowns. If the teeth beside the gap don’t have fillings, it might be better to explore options such as implants. This avoids having to cut otherwise-perfect teeth.

  • Which cosmetic procedures will work best for me ?

    The cosmetic procedures that will work best for you depend on your aesthetic goals when it comes to your smile.
    - Professional teeth whitening can whiten your smile dramatically in a short period. Whitening works best on teeth that are stained yellow or brown.
    - Orthodontics straightens your teeth and can improve your bite. We offer both traditional orthodontics as well as Invisalign because our patients appreciate choices.
    - Cosmetic dental bonding can repair minor cosmetic flaws such as gaps or chips in your teeth. It utilizes the same composite material we use for dental fillings. We can replace your black fillings with composite ones to improve your smile, as well.
    - Veneers provide the most dramatic results when it comes to cosmetic dentistry. We completely cover your natural tooth with a beautiful porcelain veneer in order to correct major flaws. How many veneers you will need depends upon your smile and anatomy.
    - We can make dental crowns out of a variety of materials, but when it comes to aesthetics, ceramics or porcelain looks most like your natural teeth and blend in.

    Am I too old for cosmetic dentistry ?

    Seniors today live longer than ever and lead very active lifestyles. Many of our seniors still find themselves in active social and professional roles so looking good is important to them. Cosmetic dentistry has no age limit and we encourage patients of all ages to discuss their aesthetic concerns with us.
    - Having confidence and feeling good about yourself is incredibly important at any age. Whether you are speaking to clients or you found yourself back on the dating scene in your senior years, we believe your smile can make a dramatic impression on those you meet, so why not make a great one with a beautiful confident smile?
    - Even if you are missing some or all of your teeth, we look forward to working with you so that you can have a smile that makes you proud. From whitening, veneers, crowns, or dentures, our senior patients know the value of a beautiful smile and Dr. Mittal is an expert at cosmetic dentistry for seniors. He will be your cosmetic dentistry partner every step of the way from your initial exam to your follow-up routine care.
    - We look forward to providing you with the beautiful cosmetic dentistry you deserve so that your senior years can be your best decades ever.

    I want a full smile makeover. Do you do those ?

    Sometimes patients reach a point in their lives when they really want to make a dramatic change to their smiles. This is especially true for people who have had something they didn’t like about their smiles for some time.
    - If you find yourself thinking about a full smile makeover, you are in the right place. Dr. Rishabh Mittal is an expert at creating beautiful dentistry. His artistic skill and knowledgeable design will get you the gorgeous, gleaming grin you have always wanted.
    - When a patient wants a full smile makeover, we will pull out all of our magic and make sure that your smile looks like you envisioned it. We will likely incorporate techniques such as cosmetic bonding along with procedures like dental veneers to achieve your desired results. If you need to straighten your teeth, no problem! We offer both traditional braces and orthodontics so that you can have more gorgeous, straighter teeth.
    - We also offer services like whitening to help brighten all of your teeth before beginning any dentistry at all. That way, you can have the whitest, most beautiful result possible.

    What kind of issues can cosmetic dentistry solve ?

    Cosmetic dentistry today really has no limits. From the very basic services, such as professional whitening and dental bonding, to the most complex services including dental implants and veneers, cosmetic dentistry addresses a wide range of aesthetic concerns.
    - Whether you have never liked your teeth or they just became damaged over time, Dr. Rishabh Mittal can design a treatment plan to improve your appearance and give you confidence when it comes to your smile.
    - As we age, our teeth can become worn or dull-looking. This can pose a problem both socially and professionally if you do not feel confident enough to smile. When we approach a cosmetic dental treatment plan for our patients, we focus on what is most important to you as well as how we can improve the longevity and function of your teeth.
    - Whether you have cracked, missing, oddly shaped, or crooked teeth, we can help you have the smile you have always wanted and help you maintain it with a comprehensive preventative treatment plan so that your investment lasts you for many happy years to come.
    - Don’t let your teeth hold you back. Give us a call to schedule an evaluation and take the first step toward a healthy, beautiful smile.

    I don't like my smile. Can you help ?

    Dr. Rishabh Mittal is an expert in his field and a highly skilled artist when it comes to designing just the right cosmetic treatment plan for our patients. Cosmetic treatment is not a one-size-fits-all practice. So many factors determine the beauty and comfort of your final outcome.
    - Dr. Rishabh Mittal focuses on health and function first. That is why his cosmetic cases last longer and look more natural than others. He wants you to have an attractive smile that looks good and feels good, too.
    - When you schedule your evaluation, we can discuss your goals and what you might like to see as far as an end result. We will likely include multiple procedures, depending on your goals. Some of the cosmetic procedures we offer are:
    - Cosmetic dental bonding
    - Veneers
    - Crowns and bridges
    - Filling replacement
    - Professional teeth whitening
    - Orthodontics

    When you come in for an evaluation, we will make a comprehensive treatment plan that will create the aesthetics you are looking for. Additionally, we will make sure you know how to best care for your new dentistry and any behaviors you should limit or avoid to keep your teeth and gums healthy.
    - Dr. Mittal will assist in breaking your treatment down into manageable steps and provide you with a realistic timeline for completion.

  • What is dental caries ?

    Dental caries, or dental decay, is a common disease, which causes cavities and discoloration of both permanent and "baby" teeth. As the disease progresses in a tooth it becomes weaker and its nerve may be damaged.

    What causes dental caries ?

    Dental decay occurs when bacteria in the mouth make acid which then dissolves the tooth. Bacteria only produce this acid when they are exposed to sugar.

    What can I do to reduce the chances that my teeth will decay ?

    There are several preventive measures you can take to avoid tooth decay, including:
    - Brush with a fluoride toothpaste and floss two times a day.
    - Limit your intake of processed sugar, limit between-meals snacks, and eat nutritious meals.
    - Consider using a supplemental fluoride, which changes the chemical composition of tooth enamel, making your teeth more resistant to the acid.
    - Ask your dentist about putting dental sealants on your back teeth to protect them from decay.
    - Visit your dentist twice each year for professional cleanings and an oral examination.

    What other kinds of damage can tooth decay cause ?

    Tooth decay can strike when gingival tissues recede or "pull away" from your teeth and expose tooth roots to calculus and plaque. This can lead to periodontal disease. Also, since the roots of your teeth are not as hard as your tooth enamel, they are more likely to decay if they are exposed to acids produced by the bacteria in your mouth. An early sign that might indicate decay at the roots of your teeth is sensitivity in your mouth to hot and cold.
    - Just because you've had a tooth filled doesn't mean it is no longer susceptible to decay. As fillings age, they fracture or leak, leaving tiny places for bacteria to thrive. If this happens, decay can occur around the fillings.

  • What does Root Canal Treatment really mean ?

    Root canal treatment (also called endodontic treatment) is a procedure that specifically treats the nerve of the tooth and tissues surrounding the root of the tooth.

    How can this improve my dental health ?

    The aim of root canal treatment is to save a tooth that has been damaged by decay, disease or injury. The dead tissue is removed from the canal, medications such as antiseptics and localised antibiotics are used to clean the inside of the tooth, and the canals are filled. Root canal treatment is successful in most cases and if you take good care of the treated tooth, it can last for many years – possibly for the rest of your life. However, your tooth will not be treated unless the treatment is likely to succeed. In some cases, root canal treatment may not be appropriate and extraction may be the best option.

  • What is sleep apnoea (OSA) ?

    Obstructive sleep apnoea (OSA) is a common condition. Apnoea literally means absence of breath and an obstructive apnoea episode is defined as the absence of airflow for at least 10 seconds. Yet people often don’t even know they have it.

    How does obstructive sleep apnoea occur ?

    OSA occurs when tissues in the upper airways come too close to each other while you’re sleep, temporarily blocking the inflow of air. During normal sleep, the muscles lining the upper throat relax slightly but stay strong enough to keep the airway open, allowing air in and out of the lungs. Some people have a narrower airway and the relaxation of these muscles during sleep causes it to close. Loud snoring and laboured breathing are the result. When complete blockage of the airway occurs, air cannot reach the lungs and the sufferer wakes briefly. This wakefulness restores the airway and sleep returns. This cycle can be repeated as many as 500 times each night, leaving you tired and lethargic next day, and desperate for a good night’s sleep.

    What are the symptoms of sleep apnoea ?

    During the day:
    - Excessive tiredness eg, inability to stay awake while reading or watching television
    - Waking without feeling refreshed
    - Morning headache
    During the night:
    - Snoring, usually loud, habitual, and bothersome to others, is found in almost all patients with OSA. However, not all snorers suffer from OSA.
    - Pauses in breathing that often interrupt the snoring and end with a snort
    - Gasping and choking sensations that intermittently arouse the sufferer from sleep
    - Restless sleep (insomnia), with people often complaining of frequent arousal and tossing/turning during the night

    How is obstructive sleep apnoea treated ?

    Several simple lifestyle changes can reduce the symptoms in many patients:
    - Weight loss (via meal replacement programs, drugs or surgery)
    - Giving up smoking
    - Avoiding alcohol and sedative medications, particularly before sleep
    - If symptoms are worse in one position eg, when lying flat on your back, avoiding this position may help many patients with OSA will require further treatment.

    Options include:
    - Oral appliances, worn at night. They pull the jaw forward and are designed to prevent the collapse of the upper airway during sleep. They can be used for mild and moderate disease.
    - Continuous positive airway pressure (CPAP) via nasal mask. This is a machine that blows air through a mask into your mouth and nose during sleep. The pressure of the air keeps the throat open, preventing the airway from collapsing. It is the most effective treatment for OSA, reducing daytime sleepiness and improving sleep quality. However, some people find the mask or feeling of pressure difficult to tolerate.
    - Surgical treatment is rarely used. Several procedures have been trialled, including uvulopatatopharyngoplasty (UPPP), which is designed to remove some of the soft tissues of the throat that collapse the airway during sleep. However, while UPPP may reduce snoring, it is often ineffective at treating true obstructive sleep apnoea.

    What happens if left untreated ?

    If untreated, OSA may have serious consequences. It affects the cardiovascular system due to the periods of poor oxygenation during sleep and the stress on the body during attempts to re-initiate breathing. This may result in heart failure, arrhythmias (abnormal heart rhythms), or hypertension (high blood pressure). Poor sleep due to recurrent arousals may result in excessive daytime sleepiness, personality changes, memory loss and intellectual impairment.

  • Do I need to arrive early for my first appointment ?

    Yes. Please arrive 10-15 minutes early to fill out any remaining patient forms.

    What should I do if I require premedication ?

    Please be sure to request a prescription prior to your appointment, or if you are unsure, contact us and we can help.

    What do I need to bring to my first appointment ?

    Please bring the following items with you to your appointment:
    - Patient Information Form
    - Dental Insurance Card (if applicable)
    - Patient Health History Form

    How long will my first appointment last ?

    It varies, but please plan on 15min to half an hour for the first visit.

    Why should I go to the dentist regularly ?

    Many people do not see a dentist on a regular basis. They only go when they have a problem. This is known as "crisis treatment" versus "preventive treatment." While these patients may feel they are saving money, it often ends up costing much more in dollars and time. This is because many dental problems do not have symptoms until they reach the advanced stages of the disease process. An example is tooth decay. It is typical to hear, "Nothing hurts... I don't have any problems."

    Tooth decay often does not hurt until it gets close to the nerve of the tooth. It is not uncommon to see a patient with a huge cavity who has never felt a thing. The dentist can usually detect a cavity 3-4 years before it develops any symptoms. This early detection can help you prevent root canal treatment.

    Why should I floss, isn't brushing enough ?

    Flossing reduces the number of bacteria in your mouth. There are millions of these microscopic creatures feeding on food particles left on your teeth. These bacteria live in plaque which can be removed by flossing. Brushing your teeth gets rid of some of the bacteria in your mouth. Flossing gets rid of the bacteria the toothbrush can't get to. That's the bacteria hiding in the tiny spaces between your teeth. If you do not floss, you allow plaque to remain between your teeth. Eventually it hardens into tartar. Plaque can be removed by brushing. Only the dentist can remove tartar.

    Ask your dentist to show you the proper way to floss. You will both notice the difference at the next cleaning appointment.

    How can I get my kids to brush their teeth ?

    Make it fun! If you are enthusiastic about brushing your teeth, your children will also be enthusiastic. Children want to do the things their parents do. If your children see you brushing your teeth and displaying good dental habits, they will follow. Ask the dentist for other creative ways to get children to brush their teeth.

    Getting your children to brush starts with taking them to the dentist at an early age. All children should be seen by their first birthday or 6 months after the eruption of the first tooth.

    How can I prevent cavities ?

    Always spend two to three minutes brushing your teeth. It takes that long to get rid of the bacteria that destroy tooth enamel. Do not brush too hard. It takes very little pressure to remove bacteria and plaque. Floss at least once a day. Flossing is the only way to get bacteria from between your teeth.

    Watch the sugar you eat. There is sugar in candy, fruits, crackers and chips. These are the foods that the bacteria in your mouth like best. Be mindful of foods like raisins and peanut butter that stick to your teeth. They can provide a constant supply for the bacteria eating into your teeth. Try to minimize the times during the day when sweet items are eaten and brush your teeth afterwards.

    If you cannot brush after a meal, rinse your mouth with water - which can help to remove food from your teeth. Chewing sugarless gum after a meal can also help. Chewing deskulates the flow of your saliva which acts as a natural plaque-fighting substance. And do not forget your regular dental visits. Good dental habits will go a long way toward a no-cavity visit.

    What is fluoride and why is it important to dental health ?

    Fluoride is a mineral that occurs naturally in many foods and in water. Some natural sources of fluoride are brewed tea, canned fish, cooked kale and spinach, apples, and skim milk. Some city water contains fluoride, so by drinking tap water you will acquire fluoride. If drinking water does not have fluoride, supplements are available.

    The lack of exposure to fluoride places individuals of any age at risk for dental decay. Fluoride is important to dental health because it helps prevent tooth decay by making your tooth enamel more resistant to acid attacks from plaque bacteria in your mouth.

    Studies have shown that children who consumed fluoridated water from birth had less dental decay. Fluoride can reverse early decay and help prevent osteoporosis, a disease that causes degenerative bone loss. Talk to your dentist or dental hygienist about whether you're getting the daily amount of fluoride you need.

    What are cavity-fighting sealants ?

    The American Dental Association cites sealants as an effective weapon in the arsenal against tooth decay. Sealants are a thin coating painted on chewing surfaces of molars and premolars. Dental sealants act as a barrier, protecting your teeth against decay-causing bacteria.

    Sealants have proven effective with both adults and children, but are most commonly used with children. Despite the fact that sealants are about half the cost of fillings, only a small percentage of school-aged children have sealants on their permanent teeth. Ask your dentist whether sealants are a good choice for you or your children.

    What are the dangers of oral piercings ?

    The American Dental Association recognizes that piercing is a widely accepted form of self-expression, and that includes piercings in the mouth. However, the potential problems from piercings are numerous. Some symptoms after a piercing include pain, swelling, infection, drooling, taste loss, scarring, chipped teeth, tooth loss, and an increased flow of saliva, none of which are particularly pleasant. Tongue piercing can also cause excessive bleeding. If you're thinking of placing a piercing in or around your mouth, talk to your dentist first. If you already have piercings and are having problems, see your dentist right away.

    I knocked out a tooth, can it be saved ?

    Oral injuries are often painful, and should be treated by a dentist as soon as possible. If you have knocked out a tooth, these tips may be able to save it:
    - Rinse, do not scrub, the tooth to remove dirt or debris
    - Place the clean tooth in your mouth between your cheek and gum or under your tongue
    - Do not attempt to replace the tooth into the socket as this could cause further damage
    - Get to the dentist. Successful re-implantation is possible only when treatment is performed promptly
    - If it is not possible to store the tooth in the mouth of the injured person, wrap the tooth in a clean cloth or gauze and immerse it in milk.

    What causes morning breath ?

    When you are asleep, production in your mouth decreases. Since your saliva is the mouth's natural mouthwash, most people experience morning breath. Bacteria found on teeth in the crevices and on the taste buds of the tongue, break down the food particles, which produce sulfur compounds. It is actually these sulfur compounds which give our breath a bad odor. During desk, your saliva helps to wash away bacteria and food particles. Your saliva also helps to dissolve the foul smelling sulfur compounds.

    Chronic, long-term mouth odor can be a sign of more serious illness. See your dentist if this is a concern.

    What can I do about sensitive teeth ?

    Sensitivity toothpaste, which contains strontium chloride or potassium nitrate are very effective in treating sensitive teeth. After a few weeks of use, you may notice a decrease in sensitivity. Highly acidic foods such as oranges, grapefruits and lemons, as well as tea and soda can increase tooth sensitivity, and work against sensitivity toothpaste. If you do not get relief by brushing gently and using desensitizing toothpaste, see your dentist. There are special compounds that can be applied in-office to the roots of your tooth to reduce - if not eliminate - the sensitivity. High-fluoride containing home care products can also be recommended to help reduce tooth sensitivity.

    Ask the friendly staff at Mittal Dental linic for more information on sensitive teeth.

    What is periodontal disease ?

    Periodontal disease is inflammation and infection of the gums and supporting bone structure, which if left untreated, can cause permanent jaw bone destruction and possible tooth loss. Untreated periodontal disease has been linked to increased risk for conditions such as heart disease, stroke, low birth weight babies, pre-term delivery, respiratory disease, and prostate cancer. An advanced stage of periodontal disease exhibits inflamed gums pulling away from your bone and teeth. Other signs of periodontal disease include:
    - Bad breath
    - Red or swollen gums
    - Loose teeth or teeth that have moved
    - Sensitive teeth
    - Pus coming from around the teeth
    - Pain when chewing
    - Tender gums
    - Bleeding gums

    Treatment of early periodontal disease can be performed in-office. However, advanced stages may require surgery. Periodontal disease can be prevented and treated successfully by seeing your dentist and dental hygienist regularly and following recommended care plans.

    What causes canker sores ?

    The exact cause of canker sores is unknown. Some factors may include genetics, allergies, stress, and vitamin and mineral deficiencies. Trauma to the inside of the mouth can result in the development of canker sores. Ill-fitting dentures or braces, toothbrush trauma from brushing too hard, or biting your cheek, may produce canker sores. Certain foods may also be a factor. Citrus or acidic fruits and vegetables can trigger a canker sore or make the problem worse. Foods like chips, pretzels and hard candies have sharp edges that can nick and injure the soft tissue of the mouth.

    To treat a canker sore, rinse your mouth with antimicrobial mouthwash or warm water and salt. Over the counter treatments are also available. If the canker sore is present longer than two weeks, see your Mittal Dental dentist.

    Is smokeless tobacco harmful ?

    Smokeless tobacco may be smokeless, but it isn't harmless. These are some of the potential hazards:
    - A sore that does not heal
    - A lump or white patch
    - A prolonged sore throat
    - Difficulty in chewing
    - Restricted movement of the tongue or jaw
    - A feeling of something in the throat
    - Pain is rarely an early symptom. All tobacco users need to see their dentist regularly.

    What should I do about bleeding gums ?

    People often respond to bleeding gums with the wrong method of treatment. Usually, gums that bleed are a symptom of the onset of periodontal disease or gingivitis. But often, people stop brushing as frequently and effectively because it may be painful or it may cause the gums to bleed again. However, when gums are inflamed, brushing could help reduce the inflammation. More importantly, you should see your dentist to have a periodontal screening and recording performed in order to determine the level of disease present and the best treatment course to pursue.

    It is also worth noting that chronic dental pain and discomfort are obvious signs of a problem. Over-the-counter drugs may provide some temporary relief. These medications usually only mask the existence of a problem and should be taken on a temporary basis.

    It is important to see your dentist as soon as possible if your gums begin to bleed.

    Why should I use a mouthguard ?

    A mouthguard can prevent injuries to your face and teeth. Most people benefit from wearing a mouthguard when playing any sport. You should wear one whether you are playing professionally or just on weekends. Do what you can to preserve your smile and your health. The best mouthguards are custom-fitted by your dentist. This is especially important if you wear braces or fixed bridgework.

    Commercial, ready-made mouthguards can be purchased at most sporting goods stores. They are relatively inexpensive but they are also less effective. In either case, rinse your mouthguard with water or mouthwash after each use. With proper care, it should last for several months.

    Ask your dentist which kind of mouthguard you should use.

    I have diabetes. Why is my dentist concerned ?

    Research today suggests a link between gum disease and diabetes. Research has established that people with diabetes are more prone to gum disease. If blood glucose levels are poorly controlled you may be more likely to develop gum disease and could potentially lose teeth. Like all infections, gum disease can be a factor in causing blood sugar levels to rise and make diabetes harder to control. Be sure to see your dentist regularly for check-ups and follow home care recommendations. If you notice other conditions such as dry mouth or bleeding gums, be sure to talk with your dentist. And don't forget to mention any changes in medications.

    I just found out I am pregnant. How can this affect my mouth ?

    About half of women who are pregnant experience a condition called pregnancy gingivitis. This condition can be uncomfortable and cause swelling, bleeding, redness or tenderness in the gum tissue. A more advanced oral health condition called periodontal disease (a serious gum infection that destroys attachment fibers and supporting bone that hold teeth in the mouth) may affect the health of your baby. Studies have shown a relationship between periodontal disease and preterm, low birth-weight babies. In fact, pregnant women with periodontal disease may be seven times more likely to have a baby that's born too early and too small. The likely culprit is a labor-inducing chemical found in oral bacteria called prostaglandin. Very high levels of prostaglandin are found in women with severe cases of periodontal disease.

    Why do I have to take antibiotics before my dental appointment ?

    There are certain conditions that require pre-medication with an antibiotic prior to dental treatment to prevent adverse effects and infection that can be caused by bacteria that enter the blood stream during certain treatment. You will want to consult with your dentist about this prior to treatment.

    I am undergoing chemotherapy and/or radiation for cancer treatment, how can this affect my mouth ?

    Chemotherapy and Radiation can cause a number of problems in the mouth, some of which might include: mouth sores, infections, dry mouth, bleeding of the gums and lining of the mouth and general soreness and pain of the mouth. It can be harder to control these things while undergoing treatment as the immune system is generally compromised as a result of the treatment. There are some special mouth rinses that can be prescribed to help with discomfort during treatment. It is very important to see your dentist before treatment begins and then to continue with recommended follow-up care. These treatments can cause dry mouth, and recommendations might be made for additional care both in-office and at home.

    I have dentures. Is it necessary for me to still see my dentist ?

    Visits to the dentist include more than just "checking teeth." While patients who wear dentures no longer have to worry about dental decay, they may have concerns with ill fitting appliances or mouth sores to name a few. Annual visits to the dentist (or sooner if soreness is present) is recommended. During these visits, an oral cancer screening and head and neck exam will be performed as well as an evaluation of the fit or need for replacement of the existing appliances. Regular visits can help you to avoid more complicated problems down the road.