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Frequently Asked Questions



My gums bleed after I brush. Is this something to be concerned about?

Bleeding is usually a sign of a problem. When gums bleed, the cause usually stems from the patient brushing too hard or from early-stage gum disease, called gingivitis. We can consult with you on the proper toothbrush and pressure for safe, effective daily oral care. If your gums show signs of gum disease, we may recommend a deep hygiene treatment to stop the disease and return your gums to good health. Gum disease is the leading cause of tooth loss for American adults, and it has been linked to many overall health conditions, including stroke, heart attack, and respiratory problems. Untreated, gum disease can escalate to create significant damage to your health, so call for an assessment now. We will help you keep your teeth and gums healthy for life!

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Do I have to floss every day? Is it really that important?

Yes! Floss loosens food particles, plaque, and tartar trapped between teeth. In addition to irritating gums, causing gum disease, and promoting cavities, these three culprits cause bad breath. If you need help learning how to floss quickly and effectively, our hygienist will gladly teach you some tricks to make your daily oral care easier.

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Does your office use lasers?

We use many kinds of lasers for precise, comfortable dentistry. Our soft-tissue laser allows us to treat gum disease, perform crown lengthening, harvest and place gum grafts, reduce gum tissue for esthetics, and do biopsies. You will need no stitches after laser surgery, and bleeding is minimal. Most patients recover more quickly after laser surgery than they do following traditional surgery.

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What are my options to replace missing teeth?

We offer bridgework, partials, full dentures, and implant restorations to replace missing teeth. Learn more about these services on our services page and then call for a consultation. With X-rays, intraoral photos, and a thorough assessment of your dentition, the dentist can help you decide which replacement option will be best for you.

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I avoid dental visits because of anxiety…is this normal? Can you help?

Many people fear dental visits because of negative past experiences or control issues. We understand dental anxiety and offer a solution to help you overcome your stress. With conscious sedation, we can help you gain full peace of mind and body so that you can receive the dental work you need – and deserve.

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How can I improve my smile?

That sounds like an easy question to answer, but it isn't! Your smile is unique, and we won't compromise your individuality with smile enhancements. Smile design dentistry done right requires an initial consultation in which we will discuss your goals, preferences, and options for care. Generally speaking, we may suggest porcelain veneers or Lumineers, teeth whitening, all-white restorations, and/or replacement teeth. After your comprehensive evaluation and consultation, we'll present a smile makeover plan for your new smile.

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Does my insurance cover that?

Dental insurance is diverse. Some policies cover only a small percentage of fees, while others cover 50 percent or greater. The more you or your employer pays for premiums, the better the coverage, in most cases. For the most part, dental insurance covers some restorative and preventive procedures. Cosmetic treatment is not usually covered. We accept CareCredit financing to make cosmetic dentistry affordable for all patients. If you have questions, give us a call. We'll be happy to tell you what your insurance will cover.

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I knocked my tooth out. What should I do?

If you are not otherwise hurt, put the tooth in a small glass of milk, then call our office and we will try to see you immediately. If you are injured beyond the lost tooth, please go to the emergency room.

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I have a temporary crown in my mouth. What should I do if it comes off or breaks?

First, call us. If the office is closed, simply use a dab of toothpaste to reattach the temporary, then visit us for a replacement when the office opens. You can also find dental adhesive in your local drug store, if you prefer not to use toothpaste.

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Why do my teeth chip, crack, and wear down? Why are my fillings loose?

Tooth wear, loose fillings, cracks, chips, and other structural problems can result from teeth grinding, a condition is called bruxism. Many people grind their teeth at night and are not aware that they are bruxers. Dr. Silva can determine through a comprehensive evaluation whether you suffer from bruxism. If you do, she will create a custom oral appliance, known as a night guard, to keep your teeth safe while you sleep. If your bruxism stems from improperly aligned jaw joints, Dr. Silva may recommend non-surgical TMJ therapy as well.

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Call Dr. Silva to learn how Invisalign will benefit your smile. We are located in Collegeville, convenient to Schwenksville, Trappe, Philadelphia, and Phoenixville.

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