Patient Information

Dental Exams and Check-Ups

How Important is Oral Hygiene?

Oral hygiene is necessary for eliminating bacteria in the mouth. Bacteria builds to form plaque that can harden and lead to long-term ailments such as gingivitis, a mild form of gum disease, and periodontal disease if it is not removed. A good dental care routine and regular check ups will keep your mouth healthy and prevent inflammation, infection, decay, and tooth loss.

Why Get a Dental Exam?

Dental exams give us the opportunity to evaluate your current methods of dental care and provide suggestions for future care in order to protect you from complications such as cavities and gum disease. They also allow us to detect problems early so they can be fixed quickly and easily.

How Often Should You Get a Dental Exam?

Dental exams should generally take place every six months. However, consult with our team to decide how often you should be examined, for we may suggest that you visit more frequently based on factors such as smoking, frequency of cavities and genetic susceptibility to tooth and root decay as well as gum disease.

What Can I Expect From a Dental Exam?

At a typical dental exam, our team will thoroughly clean your teeth, removing any surface stains or deposits, called tartar or calculus, that are more difficult to remove than plaque and require the assistance of professional dental instruments. We will also check for signs of decay or gum disease. An X-ray may be performed to provide a more detailed summary of your oral health and to more closely identify any problems. We will ask you questions about your current methods of dental care, such as how often you brush your teeth, and floss, as well as whether you use a toothpaste with fluoride. With this information in mind, we will demonstrate proper dental care and provide suggestions on how to improve your habits to promote optimal oral health.

How Can You Prepare For a Dental Exam?

The best way to prepare for a dental exam is to practice good dental care. Brushing your teeth twice a day and flossing at least once a day is recommended. Be sure to clean your teeth before you arrive at your appointment. Our team will be cleaning your teeth for you, but it is helpful to remove food and plaque beforehand so we can focus on the more difficult-to-clean areas. You also want to make sure you are prepared to share pertinent information such as your medical history, insurance coverage and current dental care methods with us. Don’t be embarrassed to be honest about your oral health habits – our team is not here to judge you, but to work with you to improve your habits and ensure dental health! Lastly, be prepared to schedule a follow-up appointment or future check-up at the end of your dental exam.

More Useful Information:

Financing Your Care

In our office, we offer high quality care and payment options that work for all of our patients. Below you will find a list of insurance and payment plans that we accept. If you don’t see your preferred method on our list, please call our office to find out what other options may be available to you.

Dental insurance plans we are in network with:

  • Advantica
  • Aetna/DHA
  • Anthem/Bluecross Blueshield 200 Plan
  • Assurant
  • Essence
  • Cigna Dental DPPO
  • Delta Dental

We accept any insurance as long as you are not required to choose a dentist from a list. Many plans have the same benefits in and out of network. One of our office staff would be glad to call and get your benefits for you prior to your appointment.

Payment options:

  • Flexible Payment Plan: Pay a portion up front, and the rest over an agreed upon time period.
    1. No Interest: in office plan if paid in 90 days after 90 days interest will be applied
    2. Cash Discount: Pay upfront with cash and receive a discount.
    3. Check or Credit Card: We accept Master Card, Visa, Discover and American Express

Other options:

  • Citi Card: Apply in our office for 12 months free financing.

Please note: Payment is due at the time of service.

As a courtesy to you, we will bill your insurance company and track claims. Please keep us informed of any changes to your insurance plan. You are responsible for the fees charged by our office, no matter what your insurance coverage may be. Most insurance companies should respond to the claim within four to six weeks. Any remaining cost is your responsibility.

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Patient Billing

For your convenience we accept Visa, MasterCard, Discover and American Express. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us. Many times, a simple telephone call will clear any misunderstandings.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan but this must be done prior to the actual procedure.

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Infection Control

Infection controls and universal precautions protect clients and staff alike. Everyone benefits from rigorous infection control — you, your dentist, and the dental team. The cornerstone in a good and safe dental practice is the element of trust. You should feel free to discuss this topic with Dr. Pyle and Dr. Jasmine and receive a straightforward answer.

Dr. Marino and our entire team follow procedures recommended by several federal agencies: the Occupational Safety & Health Administration (OSHA), the Environmental Protection Agency (EPA) and the Centers for Disease Control (CDC). These measures include:

  • Disinfectant hand soap
  • Gloves and face masks
  • Chemical disinfection of countertops and surfaces
  • Sterilization of all equipment before every use
  • Disposable materials

We sterilize all reusable equipment, including dental hand pieces. We use an autoclave, a device that kills bacteria and viruses by steam, heat and pressure.

The best defense against disease is information. The more you know, the better equipped you are to make wise decisions about your health care. The more you know about our daily procedures and policies, the more comfortable you will feel.

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Precision Dentistry

When you seek care at our office, you are assured that Dr. Pyle and Dr. Jasmine and staff utilize the latest in technology to enhance the quality and fit for your dental care.

Digital Imaging

Dr. Pyle and Dr. Jasmine chooses carefully which and when radiographs are taken. There are many guidelines that we follow. Radiographs allow us to see everything we cannot see with our own eyes. Radiographs enable us to detect cavities in between your teeth, determine bone level, and analyze the health of your bone. We can also examine the roots and nerves of teeth, diagnose lesions such as cysts or tumors, as well as assess damage when trauma occurs.

Dental radiographs are invaluable aids in diagnosing, treating, and maintaining dental health. Exposure time for dental radiographs is extremely minimal. Dr. Marino utilizes Digital Imaging Technologies within the office. Digital imaging can also help us retrieve valuable diagnostic information.

Digital imaging allows us to store patient images, and enables us to quickly and easily transfer them to specialists or insurance companies.

Digital X-Rays:

Digital X-rays offer more precision since we view the image on a computer monitor, instead of holding up a 35mm film up to the light. Digital X-rays results in 1/6th the radiation exposure to you.

Cone Beam

Dr. Marino is one of just a few general dentists that offer the advanced technology of 3D imaging with Cone Beam Computed Tomography. This results in images that can be viewed with our advanced imaging software from any angle, including the axial, coronal, sagittal and cross-sectional planes.

Intraoral Camera

Many patients, especially younger patients, are very familiar with the latest technology and are comfortable with the high tech practice. Computers and TV screens are their primary method of information processing.

Dr. Marino utilizes Intraoral Camera technology that helps enhance your understanding of your diagnosis. An Intraoral Camera is a very small camera – in some cases, just a few millimeters long. An Intraoral Camera allows our practice to view clear, precise images of your mouth, teeth and gums, in order for us to accurately make a diagnosis. With clear, defined, enlarged images, you see details that may be missed by standard mirror examinations. This can mean faster diagnosis with less chair-time for you!

Intraoral cameras also enable our practice to save your images in our office computer to provide a permanent record of treatments. These images can be printed for you, other specialists, and your lab or insurance companies.

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Laughing Gas

Nitrous Oxide is a sweet-smelling, non-irritating, colorless gas which you can breathe.

Nitrous Oxide has been the primary means of sedation in dentistry for many years. Nitrous oxide is safe, the patient receives 50-70% oxygen with no less than 30% nitrous oxide.

The patient is able to breathe on their own and remain in control of all bodily functions.

The patient may experience mild amnesia and may fall asleep, not remembering all of what happened during their appointment.

There are many advantages to using Nitrous Oxide:

  • The depth of sedation can be altered at any time to increase or decrease sedation.
  • There is no after effect such as a “hangover”.
  • Inhalation sedation is safe with no side effects on your heart and lungs, etc.
  • Inhalation sedation is very effective in minimizing gagging.
  • It works rapidly as it reaches the brain within 20 seconds. In as little as 2-3 minutes its relaxation and pain killing properties develop.

Reasons to not use Nitrous Oxide

You should not utilize Nitrous Oxide if you have been diagnosed with chronic obstructive pulmonary disease (COPD). Though there are no other major contraindications to using nitrous oxide, you may not want to use it if you have emphysema, exotic chest problems, M.S., a cold or other difficulties with breathing.

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Dental Anxiety is Not Uncommon

In fact, some studies show that up to 75% of Americans experience some level of dental related fear and 20% avoid dental care because of it. If you have a fear of dental work, we want you to know that making you feel comfortable and safe at our office is our first priority.

Dental Anxiety vs. Dental Phobia

Dental anxieties and phobias present themselves in a wide variety of ways, and specific fears vary from person to person. Dental anxiety may be mild to moderate, and often takes the form of a general sense of worry and apprehension when thinking about an upcoming procedure. Dental phobia is a more intense experience, with patients feeling an overwhelming, irrational fear of dental work. This can sometimes cause them to avoid care all together.

We Can Help!

Whatever your individual level of anxiety may be, our office is committed to making sure that your visit is as comfortable, quick and easy as possible. There are many solutions for dental anxiety, and we are ready to help.

Here are a few popular methods for easing anxiety in the dental office:

  • Communication:
    Informing us as to what you are afraid of is a great place to start. Often we can quell a fear simply by giving you correct or updated information. We will always keep you informed before, during and after your procedure, making sure that you understand what is going on and why we are doing it.
  • Calming Techniques:
    Many patients find it helpful to practice controlled breathing or to find distraction inside the room.
  • Listening to Music:
    With most procedures, the use of personal headphones and music is allowed. This is a great way to keep calm and pass the time while in the chair.
  • Oral Sedation:
    Depending on the nature of your procedure, various types of sedation may be available to you including oral sedation.
  • Taking Breaks:
    Let us know if you would like to take a short break during your treatment by signaling with your left hand.
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After Cosmetic Dental Reconstruction

Remember that it will take time to adjust to the feel of your new bite. When the bite is altered or the position of the teeth is changed it takes several days for the brain to recognize the new position of your teeth or their thickness as normal. If you continue to detect any high spots or problems with your bite, call our office at (314) 645-7247 so we can schedule an adjustment appointment.

It is normal to experience some hot and cold sensitivity. The teeth require some time to heal after removal of tooth structure and will be sensitive in the interim. Your gums may also be sore for a few days. Warm salt water rinses (a teaspoon of salt in a cup of warm water) three times a day will reduce pain and swelling. A mild pain medication (one tablet of Tylenol or Ibuprofen (Motrin) every 3-4 hours) should ease any residual discomfort.

Don’t be concerned if your speech is affected for the first few days. You’ll quickly adapt and be speaking normally. You may notice increased salivation. This is because your brain is responding to the new size and shape of your teeth. This should subside to normal in about a week.

Daily brushing and flossing are a must for your new dental work. Daily plaque removal is critical for the long-term success of your new teeth, as are regular cleaning appointments.

Any food that can crack, chip or damage a natural tooth can do the same to your new teeth. Avoid hard foods and substances (such as beer nuts, peanut brittle, ice, fingernails, or pencils) and sticky candies. Smoking will stain your new teeth. Minimize or avoid foods that stain such as coffee, red wine, tea and berries.

If you engage in sports let us know so we can make a custom mouthguard. If you grind your teeth at night, wear the night guard we have provided for you. Adjusting to the look and feel of your new smile will take time. If you have any problems or concerns, please let us know. We always welcome your questions.

After Crown and Bridge Appointments

Dental crowns and dental bridges usually take two or three appointments to complete. In the first visit, the teeth are prepared and molds of the mouth are taken. Temporary crowns or bridges are placed to protect the teeth while the custom restoration is being made. Since the teeth will be anesthetized, the tongue, lips and roof of the mouth may be numb. Please refrain from eating and drinking hot beverages until the numbness is completely worn off.

Occasionally a temporary crown may come off. Call us at (314) 645-7247 if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration.

To keep your temporaries in place, avoid eating sticky foods (gum), hard foods, and if possible, chew on the opposite side of your mouth. It is important to brush normally, but floss carefully and don’t pull up on the floss which may dislodge the temporary but pull the floss out from the side of the temporary crown.

It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after the placement of the final restoration. Mild pain medications may also be used as directed by our office.

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office at (314) 645-7247.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office at (314) 645-7247 if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

After Composite Fillings (White Fillings)

When an anesthetic has been used, your lips and tongue may be numb for several hours after the appointment. Avoid any chewing and hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue or lip while you are numb.

It is normal to experience some hot, cold & pressure sensitivity after your dental filling appointment. Injection sites may also be sore. Ibuprofen (Motrin), Tylenol or aspirin (one tablet every 3-4 hours as needed for pain) work well to alleviate the tenderness. If pressure sensitivity persists beyond a few days or if the sensitivity to hot or cold increases, contact our office.

You may chew with your composite fillings as soon as the anesthetic completely wears off, since they are fully set when you leave the office.

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office.

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root canal is one of the most common dental procedures performed, well over 14 million every year. This simple treatment can save your natural teeth and prevent the need of dental implants or bridges.

At the center of your tooth is pulp. Pulp is a collection of blood vessels that helps to build the surrounding tooth. Infection of the pulp can be caused by trauma to the tooth, deep decay, cracks and chips, or repeated dental procedures. Symptoms of the infection can be identified as visible injury or swelling of the tooth, sensitivity to temperature or pain in the tooth and gums.

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