Dr.Steve Flores

Call Us:512-443-5704


2. What is 'Plaque'? and how does it affect my teeth?

Plaque is a colorless, sticky film of bacteria that constantly forms on teeth. If left undisturbed, it hardens to form tartar. The bacteria in the plaque produce byproducts that can not only irritate the gums and make them bleed, but it can also lead to periodontal disease. A daily regimen of proper brushing, flossing and rinsing (plus, regular dental visits), will help you keep your teeth healthy.

3.What are the causes of periodontal diseases?

The main cause of periodontal disease is bacterial plaque which is a sticky microbial film that constantly forms on teeth. Failure to remove this sticky film on a daily basis causes the disease process.

Other factors that contribute to the disease process and affect your gum health include:

  • Smoking/Tobacco Use
  • Genetics
  • Poor Nutrition
  • Systemic Diseases like Diabetes
  • Stress
  • Medications such as oral contraceptives, anti-depressants, and certain heart medicines
  • Pregnancy and Puberty
  • Grinding or Clenching your teeth

4. How does Smoking affect periodontal health?

Research has shown that smoking affects the development and progression of periodontal disease. Smokers are more likely to accumulate more plaque and tartar than non-smokers which leads to deeper pockets and eventually more bone and supporting tissue loss. Smoking is also one the main causes of oral cancer and lung disease. It is associated with low- birth weight infants.

Success of periodontal treatment and implants is lower in smokers.

Cessation of smoking is the first step towards better oral and systemic health.

5.My gums bleed when I brush or floss. Is this normal?

Healthy tissue doesn't bleed. This is most likely a sign of early gingivitis. If you experience bleeding gums, see your dentist or periodontist to review proper brushing and flossing techniques. Schedule a soft tissue evaluation with your periodontist that will include x-rays and prophylaxis cleaning. Gum bleeding must be taken seriously because if left untreated, it will lead to periodontal disease.

6.How many times should I floss my teeth?

At least once a day. There's an old adage among dentists: “Floss only the teeth you want to keep.” If you don't want to lose your teeth, floss every day. Otherwise, you'll be 75% more susceptible to periodontal disease that has been documented to have serious health consequences, e.g. a higher likelihood of heart disease, diabetes, pneumonia and infections. About 45% of American adults have some form of gingivitis, and most adults over 60 have already lost their teeth. Don't be one of them. Floss at least once a day.

7. How often should I have my teeth cleaned?

People accumulate plaque at different rates. Although most insurance plan coverage is for a twice a year schedule, it's sensible to get your teeth professionally cleaned as often as your dental health professional advises you, even if it's every 3 months.

8. What Causes bad Breath and how can it be prevented?

Bad breath occurs when sulfur compounds are produced in the body and released into the air. The most common source of this sulfur is anaerobic (without oxygen) bacteria that live in the grooves or fibers at the back of the tongue. These bacteria produce the sulfur that gives off an unpleasant smell. This frequently occurs when the mouth is dry, creating an ideal environment for anaerobic bacteria to thrive. Sulfur compounds are also produced when certain types of food are consumed. The compounds make their way into the bloodstream and then to the lungs, where they are excreted into the air we exhale.

Persistent problems with unpleasant breath can indicate diseases such as diabetes, liver dysfunction, pulmonary disease, and respiratory disease. Periodontal pockets, the spaces that form between the teeth and gums, are another source of bad breath. These pockets, which occur in the latter stage of periodontal disease, create spaces for bacteria to grow, and give off a chronic unpleasant odor. Dental work may be required in order to remove these pockets of bacteria. Periodontal disease is detected by the presence of bleeding gums, loose teeth, receding gums, or pain when chewing.

Proper oral hygiene eliminates many cases of bad breath. Daily brushing and flossing removes the plaque and bacteria that often cause bad breath. While brushing, take special care to thoroughly brush the back of the tongue where bacteria normally collect. Mints and mouthwashes can hide bad breath, but do not eliminate this condition. Avoid foods that have powerful odors and drink lots of water to insure that the mouth is cleansed and full of oxygen (an environment in which bacteria do not thrive). For information on current treatments, contact a dentist in your area regarding current products on the market that can eliminate bad breath

9. How does Genetics affect periodontal disease?

About 30% of the population are genetically more susceptible to periodontal disease. These people are several times more prone to develop gum disease than the normal population despite aggressive oral care habits. Early intervention can help control the disease.

10. How do I know which oral care product is right for me?

Always choose oral care products that have the American Dental Association Seal of Acceptance. It is a seal of product's safety and effectiveness.

Choose a soft toothbrush .You can choose either a manual toothbrush or an automatic toothbrush. Change your toothbrush every 3 months. Bristles that have frayed will not clean teeth properly. Unwaxed floss is more effective is removing plaque from in between your teeth than waxed floss. However if you have tight contacts you can use the waxed floss

If you have spaces between your teeth your periodontist will advise you to use interdental cleaning devices. (Small sticks or miniature bottle brushes) for effective plaque removal.

Oral irrigators (water spraying devices) can be used in conjunction with brushing and flossing for effective plaque removal.

Another aid is the rubber tip, often found on the handle end of a toothbrush used to massage the gums.

11. What are the Advantages of using lasers in Periodontal Therapy?

When the lasers are used properly during periodontal therapy there can be less bleeding, swelling and discomfort to the patient during surgery. Lasers when used as an adjunct to scaling and root planing improve the effectiveness of the procedure.

12. Will insurance cover periodontal procedures?

Many insurance plans pay a portion of periodontal services. Often the office staff will work with your insurance company to secure maximum benefits. Also talk to our office staff for payment options.

13. Common Symptoms of Periodontal Disease

The very first sign of periodontal disease is gingivitis. The gums start appearing red at the margins, slightly swell and start to bleed while tooth brushing or flossing. Bleeding from gums should not be taken lightly. Consult a dentist as early as possible.

Bad taste and persistent bad breath are also some of the symptoms associated with periodontal disease. When the disease progresses, gums start to recede exposing the root surfaces, thus leading to tooth sensitivity. Additionally, sometimes pus and sores start developing between your gums and teeth. Through regular dental check-up, periodontal disease can be detected by your general dentist and depending on the findings you will be referred to a periodontist. If you happened to find any of the above mentioned symptoms with your gums and teeth, then seek dental care as soon as possible to better the chances of recovery.

14. Is Dental Implant Surgery Painful?

No, dental implant procedure is carried out under local anesthesia. Therefore you will not feel any pain until anesthesia is under effect.

15. How Long Does Dental Implant Last?

Once dental implant is fused successfully, it should last for many years, provided it is properly cared for. However, many implants have lasted over 30 years and if good oral hygiene and regular cleanings are maintained, dental implant should last lifetime.


Our Address

Periodontal Health Professionals. LLC

4613 Bee Caves Road, Suite 203
Austin, Texas,
78746 USA 


Fax : 512-443-5709

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Office Hours
Monday 07:30 AM 04:00 PM
Tuesday 07:30 AM 04:00 PM
Wednesday 07:30 AM 04:00 PM
Thursday 07:30 AM 04:00 PM
Friday 07:30 AM 11:00 AM
Saturday Closed - Except Emergencies
Sunday Closed - Except Emergencies

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