Family Dentistry

Frequently Asked Questions (FAQs)

How can we help you?

Information and education are the keys to good health. Just as we believe in continuing education for ourselves, we recommend that our patients learn about their dental health. We are always happy to discuss your care with you, and we will never perform a procedure until you’ve been informed about the procedure we are treating and have given us your approval to proceed.

If you have a question, take a look at this selection of questions we are often asked about our practice, the services we offer, and dentistry in general. If your question isn’t answered here or if you need more information, you are always welcome to give us a call or send us an email using our convenient online form.
 

Other

Whether or not your insurance covers a certain procedure largely depends on the procedure as well as your insurance plan. You can call your insurance directly to get specific details as to what is covered and what is not. If you need assistance with this, we are always happy to help and work with your insurance company to maximize your benefits. Do not hesitate to direct any questions, comments or concerns to your Royal Oak, MI office.

image of a patient with a question | royal oak mi

As unlikely as it may seem, oral appliance therapy for migraine headaches is incredibly effective!

For many people, migraines are triggered by tension in the facial muscles, which then irritates the nerves. This tension is caused when the person clenches his or her teeth at night. Often, the person is not even aware that he or she is doing it! 

We offer an appliance called the NTI-tss Plus. This appliance is worn between your front teeth while you sleep. It holds your jaws apart enough that you can't clench your teeth, which means that the muscle tension is alleviated, and the nerves are no longer irritated. In clinical trials, this appliance reduced migraines by 77% in 82% of the people who used it. We think that's pretty impressive. Plus, you don't have to deal with the side effects of migraine medications, which can include drowsiness and even rebound headaches.

If you suffer from migraines, call our office today to find out if this appliance can help you. 

Dental Appointments | Royal Oak MISimply adhering to a consistent daily oral care routine is not enough to keep one's oral health up to par. It is vital to visit your dentist on a consistent basis for a deeper professional cleaning. For most patients, we recommend a routine examination and cleaning every six months. If we are trying to treat a specific condition or perform restorative work, then you may need to be seen more frequently, and we will discuss this with you. Keep in mind as well that if you are feeling pain or discomfort in between visits to make an appointment with our practice right away.

Dental Crowns and Bridges

Root Canals in Royal Oak MI After filling the tooth with a rubberlike dental material, the cavity must be fully closed. Closing the cavity and restoring the tooth serves a number of purposes. It protects the tooth from outside influences that could result in infection in the future. Restorations are typically immediately placed after endodontic treatment to prevent any chance of contamination that could result in infection or otherwise compromise the tooth.

It will also allow the tooth to function normally – so that it can chew, grind and bite. The end restoration is also responsible for restoring the tooth’s natural appearance.

Depending on the circumstances, a tooth can be restored using either a filling or a crown. A filling would be appropriate in the case that the access hole required to perform the root canal is relatively small.

Many teeth that must undergo endodontic treatment are affected by advanced decay or extensive injury prior to treatment, leaving large holes in the tooth that must be sealed and closed after root canal therapy is completed. To achieve this, a crown may be necessary.

A crown is a “cap” that covers the prepared tooth and restores the tooth to a natural appearance. A crown can be made from materials like metal, porcelain-fused-to-metal, or ceramic. The right material for you will largely depend on where the tooth is located in your mouth, your aesthetic preferences, and cost.
 

image of a dental bridge | royal oak mi

With the new materials available for creating crowns and bridges, it's unlikely. Unlike crowns and bridges made from metal or ceramic-fused-to-metal, all-ceramic crowns and bridges look incredibly realistic and will blend in well with your natural teeth.

Replace Missing Teeth | Royal Oak DentistIt depends a great deal on your needs and your goals. What's right for another person may not be right for you. When you have your consultation with Dr. Chalasani, she'll discuss your options and the advantages (and disadvantages) of each one to help you make your decision. 

Your options may include:

  • Bridges, which can replace one or more missing teeth with ceramic lookalikes and are held in place using crowns
  • Partials or dentures, which can affordably replace multiple teeth 
  • Dental implants, which look just like natural teeth and prevent bone loss 

Call today to schedule your consultation with Dr. Chalasani.

Dental Implants

Dental implants in Royal Oak not only restore one or multiple missing teeth, but they also offer excellent longevity. With the right home care and consistent checkups with your dentist, a dental implant can potentially last for a lifetime.

An implant is comprised of titanium, which is biocompatible. This material naturally integrates with your bone during a process called osseointegration. Because it fuses fully with your bone, it becomes a permanent part of your dental anatomy like your tooth root.

Dental implants can potentially support either a single porcelain crown for replacing one tooth, or a dental bridge, partial, or denture to restore multiple missing teeth. Your implant crown or bridge may need replacement down the road, but the dental implant itself that's been placed into your jawbone can last for the rest of your life. 

A dental bridge or denture can potentially last for 10 to 15 years. Because dental implants offer better longevity than other tooth replacement options, it makes them a very cost-effective long-term choice for replacing missing teeth. If you would like to learn more about dental implants and how they can benefit you, contact Dr. Chalasani at Family Dentistry of Royal Oak to schedule a consultation. 

Root Canals in Royal Oak MI After filling the tooth with a rubberlike dental material, the cavity must be fully closed. Closing the cavity and restoring the tooth serves a number of purposes. It protects the tooth from outside influences that could result in infection in the future. Restorations are typically immediately placed after endodontic treatment to prevent any chance of contamination that could result in infection or otherwise compromise the tooth.

It will also allow the tooth to function normally – so that it can chew, grind and bite. The end restoration is also responsible for restoring the tooth’s natural appearance.

Depending on the circumstances, a tooth can be restored using either a filling or a crown. A filling would be appropriate in the case that the access hole required to perform the root canal is relatively small.

Many teeth that must undergo endodontic treatment are affected by advanced decay or extensive injury prior to treatment, leaving large holes in the tooth that must be sealed and closed after root canal therapy is completed. To achieve this, a crown may be necessary.

A crown is a “cap” that covers the prepared tooth and restores the tooth to a natural appearance. A crown can be made from materials like metal, porcelain-fused-to-metal, or ceramic. The right material for you will largely depend on where the tooth is located in your mouth, your aesthetic preferences, and cost.
 

Replace Missing Teeth | Royal Oak DentistIt depends a great deal on your needs and your goals. What's right for another person may not be right for you. When you have your consultation with Dr. Chalasani, she'll discuss your options and the advantages (and disadvantages) of each one to help you make your decision. 

Your options may include:

  • Bridges, which can replace one or more missing teeth with ceramic lookalikes and are held in place using crowns
  • Partials or dentures, which can affordably replace multiple teeth 
  • Dental implants, which look just like natural teeth and prevent bone loss 

Call today to schedule your consultation with Dr. Chalasani.

Extractions

Good care of the extraction site will help it heal faster and minimize the possibility of any complications. Follow these tips for a better experience:

  • Plan to take a day off to relax and heal. 
  • Eat soft, cool foods such as yogurt, pudding, smoothies, shakes, ice cream, and soups that have been allowed to cool to room temperature.
  • Don't drink through a straw since this can dislodge the clot that is forming.
  • Don't smoke.
  • Don't poke at the extraction site with your tongue.

We'll provide you with additional suggestions at your appointment. 

Full and Partial Dentures

In our Royal Oak, MI dental office, we offer both full and partial dentures. Our aesthetically appealing full and partial dentures fit beautifully because they are customized to fit your mouth.

However, full and partial dentures are different, and choosing the right option is based on your unique situation.

Full Dentures

Full dentures work when all of your teeth are missing or extracted. A full denture is a top and bottom plate filled with life-like restorations to give you a beautiful smile.

Partial Dentures

Partial dentures work when only some of your teeth are missing, and those that remain are strong, healthy, and viable enough to support a partial denture.

A partial denture is anchored to your surrounding natural teeth, and well-placed restorations on your partial denture fill in the gaps where teeth are missing. The results are a seamless smile.  

Implant-Supported Dentures

If you’re looking for a more permanent smile restoration, our top Royal Oak dentist offers implant-supported dentures.

In this case, a few well-placed titanium posts implanted in your jaw are strong enough to support an entire row of new teeth!

Contact Family Dentistry of Royal Oak

If you’re considering dentures or partial dentures, contact our Royal Oak dental office today. Our supportive team is here to help you achieve the smile you deserve.  

Dentures and partial dentures | Royal Oak MI

If you are missing teeth, dentures will actually probably make you look younger. 

Today's dentures are created to look much more realistic than those you might remember from your grandmother's nightstand. The teeth and gums are naturally colored, and the teeth are individually placed to create variation consistent with the appearance of actual teeth. 

Replace Missing Teeth | Royal Oak DentistIt depends a great deal on your needs and your goals. What's right for another person may not be right for you. When you have your consultation with Dr. Chalasani, she'll discuss your options and the advantages (and disadvantages) of each one to help you make your decision. 

Your options may include:

  • Bridges, which can replace one or more missing teeth with ceramic lookalikes and are held in place using crowns
  • Partials or dentures, which can affordably replace multiple teeth 
  • Dental implants, which look just like natural teeth and prevent bone loss 

Call today to schedule your consultation with Dr. Chalasani.

Periodontal Treatment

Why Do My Gums Bleed? | Royal Oak Family Dentist Gums that bleed when you brush are a common indication that you have periodontal disease. It is the bacteria that remain on your teeth that inflame your gums, causing them to bleed.

Periodontal disease left untreated can lead to serious oral health problems, which can result in extensive, costly dental work. The good news is that it is quite simple to avoid the onset of gum disease.

Plaque develops on your teeth all throughout the day, attracting food debris and bacteria in your mouth. You can remove some of this buildup with conscientious oral hygiene.

No matter how diligently you brush and floss, however, you simply cannot remove the buildup of plaque and tartar. Tartar is a hard mineral-like substance that must be removed by a dental hygienist using specialized instruments.

That is why all dental professionals strongly advocate routine dental cleanings and checkups. By staying current with this simple oral health maintenance routine, we can stay one step ahead of gum disease.

Please contact our Royal Oak dental office to schedule your next appointment for a professional cleaning and exam. At that time we can review your brushing and flossing techniques and look for signs that gum disease is developing. 

What is Gum Disease | Royal Oak DentistGum disease (periodontal disease) is a chronic, progressive disease that causes severe damage to your gums and the bone tissue that holds your teeth in place.

Gum disease is caused by bacteria that occur naturally in the mouth. These bacteria perform metabolic processes that form a film called plaque on the surface of teeth. If this plaque is not properly removed by good oral hygiene practices, it can harden into harmful tartar.

If tartar is allowed to form and stay on teeth, it can push the gum tissue away from around the tooth. This forms pockets around the tooth where further infection can occur.

In its earliest stages, gum disease can be treated and reversed with changes in oral hygiene habits and the addition of antimicrobial products. Once gum disease progresses past a certain stage, however, it is no longer reversible. With proper care and management, we can stop gum disease from further progression and treat any active infection.

It is important to seek treatment for gum disease because this chronic illness can have very serious health consequences if left untreated.

At Family Dentistry of Royal Oak, we take gum health very seriously and offer a comprehensive gum disease prevention and treatment program.
 

Gum Disease Signs | Royal Oak Family Dentist Many of the beginning symptoms of gum disease are ignored by sufferers as being harmless or normal. Bleeding gums, gums that are red or inflamed, and increased sensitivity are some of the symptoms commonly found in the early stages of gum disease.

If you’ve noticed blood in the sink while brushing, or pain while flossing, you may be experiencing the early stages of gum disease.

The best way to find out if you have gum disease is by visiting Dr. Chalasani. Gum disease causes pockets to form between the tooth and the surrounding gum tissue. Dr. Chalasani can check for gum disease by measuring the pocket depth around your teeth. Recession of the gum line may be another sign of disease.

By giving you a comprehensive exam, Dr. Chalasani can check for signs of periodontitis that you may not have noticed – or that you may have disregarded as being innocuous. If you are diagnosed with gum disease, we can advise you on the best treatment options for your situation.

If you are experiencing any of the symptoms of gum disease, make an appointment at Royal Oak Family Dentistry as soon as possible so that we can get you started on the path to better health.
 

There are two important components of prevention when it comes to gum disease – at-home care and in-office visits. A good at-home routine involves brushing thoroughly twice a day and flossing daily. We may be able to make recommendations regarding how to improve your care regimen and which ADA-approved products (toothpaste, toothbrushes, floss, mouthwashPreventing Gum Disease | Royal Oak MI Dentist , etc.) may be right for you.

The second part of prevention takes place in our office at your bi-annual dental visit. You’ll get a comprehensive exam during which we’ll check for any signs of gum disease. Dr. Chalasani may advise that you make certain behavioral changes to reduce your risk of developing gum disease. For example, quitting smoking and making dietary changes may be advised.

Also, be sure to come to your visit prepared with a list of medications that you’re taking; and tell Dr. Chalasani about any medical conditions that you’re affected by. This is valuable knowledge in the fight against gum disease, because certain medications and conditions can contribute to the development of periodontal disease.

At your bi-annual visit, you will also receive a professional teeth cleaning. This can help prevent gum disease by removing hard-to-reach plaque from the surface of your teeth.
 

Yes. Gum disease is a chronic infection that can negatively affect both your oral health and your overall health.

Advanced gum disease ravages the tissues around the teeth, and also contributes to dental bone loss. This damage to the surrounding tissue and bone can directly lead to tooth loss. In fact, periodontitis is a leading cause of tooth loss.

Related dental bone loss can be detrimental to your health. Loss of bone can make it difficult for you to receive necessary dental procedures. It can even alter the shape of your face – making you appear older and contributing to the appearance of wrinkles.

Recent studies have also shown a link between periodontitis and potentially life-threatening illnesses. A two-way link has been discovered between gum disease and diabetes – diabetes sufferers may have weakened immune systems and thus be more susceptible to infections like gum disease; on the other hand, an infection like gum disease may cause blood glucose levels to fluctuate and contribute to diabetes.

Studies have also suggested a link between periodontitis and conditions like pancreatic cancer and heart disease.

To reduce your risk of developing serious overall health conditions related to gum disease, visit Dr. Chalasani to learn more about treatment options.
 

Gum Disease Treatment | Royal Oak MI At Royal Oak Family Dentistry, our mission is to stop gum disease before it starts; therefore, we place emphasis on preventative care measures. If you do develop periodontitis, we are equipped with the latest treatment methods to restore you to health.

To determine what form of gum disease treatment is right for you, Dr. Chalasani will evaluate the condition of your gums and make a thoughtful recommendation. The necessary treatment approach often depends on what stage of advancement the disease has progressed to.

The earliest form of gum disease is known as gingivitis. You may be able to eradicated gingivitis and reverse its effects through simply intensifying your daily oral care routine. Dr. Chalasani will be able to offer you recommendations on how to improve your daily care.

In more advanced cases, a deep cleaning treatment may be necessary. This deep cleaning process is called scaling and root planing. During scaling, Dr. Chalasani scrapes away harmful plaque from below the surface of your gums – where an ordinary tooth brush can’t reach. Root planing refers to the process of scraping away the rough surfaces on the tooth’s roots where bacteria can collect and infect.

Dr. Chalasani may also recommend the use of antimicrobial medication in order to manage the disease.

The most advanced cases of gum disease may require surgical methods.
 

Porcelain Veneers

If you can imagine yourself with sparkling teeth that stand out, your dream smile could be a reality. Porcelain veneers are a cosmetic treatment for fixing dental flaws such as chips, stains, gaps between teeth, and size or shape irregularities. Veneers are popular because they look natural and allow your smile to shine.

Here are a few questions to ask yourself when considering a dentist in Royal Oak for a porcelain veneer:

Do you have imperfections in one or more teeth that bother you?

Porcelain veneers are thin shells placed over the tooth and can give a uniform, aesthetically pleasing look of uniformity to your teeth.

Do you have teeth that are worn down or too short?

If you worry that your teeth are getting smaller over time, veneers will protect them for the long term.

Do you grind or clench your teeth?

Porcelain veneers will not damage your teeth but do require special care. While veneers are durable and stain-resistant, they can be weakened by repetitive wear and may not be a good choice for those with bruxism.

Do you bite your fingernails, chew pencils, or tend to use your teeth to open things?

Again, porcelain veneers are not meant to be used on non-food objects and can be damaged if so.

These are just a few things to consider when calling a dentist in Royal Oak about porcelain veneer treatment.

Porcelain Veneers | Royal Oak MI DentnistPorcelain veneers are not only an excellent choice for correcting a number of aesthetic problems, but they also look perfectly natural. When placed by an experienced cosmetic dentist like Dr. Chalasani, no one will ever know you’ve had any work done.

Veneers are made of porcelain, a material that closely resembles the appearance of natural tooth enamel. It reflects light in the same way as your own teeth, so veneers made of porcelain never look flat or fake.

What is the process like?

When we prepare your teeth for veneers, we remove a very small portion of your own dental enamel. This gives the veneers space to fit perfectly along your gum line, which also creates a perfectly natural appearance.

Any effective cosmetic dental treatment is one that is not noticeable. Unless you tell someone that you’ve had work done, they will only notice that you have a fresh, beautiful smile.

Porcelain veneers are great for fixing a wide variety of aesthetic flaws, but we also have other options that may be appropriate. If tiny imperfections in your smile are affecting your self-confidence, please contact our Royal Oak cosmetic dentist for more information.

Root Canals

Image of the inside of a toothIf you know what the anatomy of your tooth is like, you may be better able to understand how root canal therapy works.

Gum tissue and bone hold the tooth in place, fitting snugly around the tooth’s roots and “neck.” The crown of the tooth is the part that is visible above the gum line.

The crown’s outer part is called the enamel. The enamel is the hard surface that comes in contact with food and other teeth. The next layer inward is known as dentin. Within that layer lies the pulp, which is the soft inner part of the tooth made up of blood vessels and nerve material.

The roots anchor the tooth in the bone. The nerve material occupies the tooth’s chamber and the inside of the roots and extends beyond the tips of the roots into the bone. This nerve material is what transfers sensory information from the tooth to the bone of the jaw.

During a root canal, the infected pulp and nerve material is removed from the inside of the tooth. The resulting cavity is meticulously cleaned and disinfected, and then the cavity is filled with a rubber like dental material. The tooth is then finished with a crown or other restoration method.
 

Royal Oak Dentist | What Happens During Root Canal Each of your teeth contains a soft inner part called the pulp. The pulp contains nerve tissue and blood vessels. Stimulation of the pulp is what causes you to feel sensation in the tooth such as pressure, heat and cold.

A root canal is the process of removing the infected pulp and affected nerve tissue from the inside of the tooth.

The process of having a root canal done on your tooth starts with a thorough examination by your dentist. Only a dentist or endodontist can determine the need for a root canal.

Before your procedure, Dr. Chalasani will numb the area around the affected tooth with a local anesthetic. When you are completely comfortable, the pulp material is removed from the tooth using the latest endodontic methods. The tooth will be thoroughly cleaned and disinfected and all traces of disease will be eradicated.

Your tooth’s cavity is then filled with a special rubber-like dental material, and the tooth is finished with a lifelike-looking crown. Your restored tooth will blend in perfectly with the rest of your natural teeth. The root canal procedure will also make your tooth strong and functional again. In many cases, root canal therapy can prevent the spread of infection and could even help prevent tooth loss.
 

root canal treatment royal oak mnA root canal may be necessary when the soft inner part of the tooth – called the pulp – becomes infected. Infection can occur for a number of reasons; including injury to the tooth or advanced decay, or another circumstance in which bacteria is able to access the pulp.

If your tooth is infected, you may be experiencing some common symptoms. Symptoms may include:

  • Pain upon putting biting pressure on the tooth
     
  • Discoloration of the tooth
     
  • A recurring pimple on the gum line
     
  • Throbbing pain

These symptoms may be indications that you need a root canal; however, in some cases of infection, there may be no obvious symptoms.

There may be signs that only an experienced dental professional like Dr. Chalasani can identify using x-rays or during your examination. Only your dentist can definitively say whether or not you need a root canal.

If it is determined that your tooth is infected, it is important that the infection is treated. Otherwise, you could develop a painful abscess.

An abscess occurs when pus collects at the root of the tooth, or in-between the tooth and gum. A root canal may allow you to save a natural tooth that would otherwise need extraction.

If you suspect that you may need a root canal, schedule an appointment with Dr. Chalasani today.
 

Teeth Whitening

Teeth Whitening | Royal Oak DentistRegardless of the cause of your tooth discoloration, we have a number of tools and techniques that can help you have a bright and beautiful smile. 

Professional teeth whitening is a popular and affordable option for many of our patients. We offer both in-office teeth whitening using Sapphire Light and take-home whitening with Nite White. These two products can remove most types of stains from teeth.

If your stains are resistant to bleaching, we can discuss other options as well including porcelain veneers

Tooth-Colored Resin Fillings

image of teeth with metal and resin filling | royal oak miAlthough they do cost a little extra, resin fillings have a number of huge advantages over metal fillings:

  • They are the same color as your tooth, so nobody can tell you have fillings at all.
  • They bond to your tooth from the inside, actually making it stronger.
  • They don't expand and contract like metal fillings can.
  • They don't contain any mercury.

In addition to filling cavities, composite resin fillings can also be used to make repairs to teeth including fixing teeth damaged by erosion and filling in chips.

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COVID-19 ALERT:
Dear patients,

We are happy to announce our office will be reopening on May 29th, 2020! Until then, our office will be open for emergencies only. If you are experiencing a dental emergency, please don't hesitate to call us at (248) 399-8100.

We encourage you to review the details of our multifaceted COVID-19 Safety Plan.

Stay safe!

Sincerely,
Dr. Chalasani