FAQ’s

Understanding and Preventing Bad Breath:

Bad breath, or halitosis, can be an uncomfortable issue. It often occurs due to microbial deposits on the back of the tongue, which can be reduced by simply brushing the tongue. Common causes of bad breath include:

• Reduced saliva flow during sleep
• Certain foods
• Poor oral hygiene
• Gum disease
• Dental issues
• Dry mouth
• Tobacco use
• Dieting
• Dehydration, hunger, missed meals
• Medical conditions

Prevent bad breath by:

• Practicing good oral hygiene (brushing, flossing, tongue cleaning)
• Regular dental check-ups
• Quitting tobacco
• Staying hydrated
• Using recommended mouthwash/rinses

Consult Dr. Azuma if bad breath persists, as they can identify and treat the cause or refer you to a physician if necessary.

Maintaining Good Oral Health:

Plaque, a sticky film of bacteria, food debris, and saliva, is the root of dental issues, including tooth decay and gum disease. Regular brushing, flossing, and dental aids are crucial for control.

• Toothbrushing: Brush at least twice daily with a soft-bristle brush and ADA-approved toothpaste. Angle at 45 degrees to the gums, using a circular motion. Don’t forget your tongue! Electric toothbrushes work well too.
• Flossing: Daily flossing is essential for cleaning between teeth and under the gumline. Use about 12-16 inches of dental floss and gently curve it around each tooth.
• Rinsing: Rinse with water after brushing and after meals if unable to brush. Consult your dentist for suitable mouthwash options.”

Amalgam fillings, made with copper, silver, tin, zinc, and mercury, have been used safely for over a century. Reputable organizations, including the ADA and FDA, affirm their safety. Studies haven’t found links to health issues.

Mercury, while toxic at high levels, is inactive and safe in amalgam fillings. Allergies to these fillings are rare.

Alternative fillings like composite, porcelain, and gold are available. Discuss these options with Dr. Azuma for the best choice.

You should have your teeth checked and cleaned at least twice a year, or as recommended by your dentist. These visits are crucial for preventing dental issues and maintaining your oral health. During these appointments, your dentist will:

• Review your medical history to understand your overall health and dental well-being.
• Examine diagnostic x-rays to detect decay, tumors, cysts, and bone loss.
• Screen for oral cancer in various areas of your mouth and throat.
• Evaluate gum health and check for signs of gum disease.
• Inspect all tooth surfaces for decay using special instruments.
• Examine existing dental restorations like fillings and crowns.
• Remove hardened plaque (tartar) from above and below the gum line.
• Eliminate plaque, a film of bacteria, debris, and saliva.
• Polish teeth to remove stains and remaining plaque.
• Offer oral hygiene recommendations and suggest dental aids.
• Discuss dietary habits and their impact on dental health.

Your dental exam and cleaning are more than cavity checks and teeth polishing. We’re dedicated to providing you with comprehensive care to ensure your oral health. Regular check-ups and cleanings are essential for your well-being.

Did you know that four out of five people have periodontal disease without realizing it? This condition often goes unnoticed in its early stages as it’s typically painless, unlike tooth decay. Regular dental check-ups and periodontal examinations are vital for early detection.

Periodontal disease begins with the presence of plaque, a sticky film of bacteria, food debris, and saliva left on teeth and gums. These bacteria produce toxins that inflame gums and gradually erode bone. Proper and regular brushing and flossing prevent plaque buildup.

Several factors may increase the risk of periodontal disease:

• Smoking or tobacco use, which encourages plaque formation.
• Tooth or appliance issues like ill-fitting bridges, crowded teeth, or defective fillings.
• Certain medications that reduce saliva, making it easier for plaque to adhere.
• Hormonal changes during pregnancy, puberty, or with oral contraceptives.
• Systemic diseases like diabetes or HIV/AIDS.
• Genetics can also play a role, particularly for those with a family history of tooth loss.

Watch for signs and symptoms:

• Red or swollen gums, which should be neither.
• Bleeding gums, even during vigorous brushing or flossing.
• Persistent bad breath caused by oral bacteria.
• New spacing between teeth due to bone loss.
• Loose teeth resulting from bone loss or weakened periodontal fibers.
• Pus around teeth and gums indicates infection.
• Receding gums, indicating gum loss around a tooth.

Tenderness or discomfort due to plaque, calculus, or bacteria irritation.
Maintain good oral hygiene, a balanced diet, and regular dental visits to reduce your risk of periodontal disease. Your oral health is worth it!

Using dental floss is essential because it helps remove plaque and food particles from between teeth, preventing cavities and gum disease.

How to floss properly:

• Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
• Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
• Curve the floss into a “C” shape around each tooth and under the gumline.  Gently move the floss up and down, cleaning the side of each tooth.

Floss holders are recommended if you have difficulty using conventional floss.

Daily flossing will help you keep a healthy, beautiful smile for life!

Enhance Your Smile with Cosmetic Dentistry

Cosmetic dental treatments can transform your smile, boosting confidence and overall health. With options like teeth whitening, composite fillings, veneers, crowns, dental implants, and orthodontics, you can achieve a brighter, more beautiful smile. Ask your dentist how cosmetic dentistry can benefit you and make your smile shine!

Transform Your Smile with Porcelain Veneers

Porcelain veneers, ultra-thin tooth-shaped shells, offer a durable, stain-resistant solution for smile restoration and enhancement. They can address various dental concerns, including:

• Severe discoloration
• Uneven spacing
• Chipped or worn teeth
• Mild tooth crowding
• Misshapen teeth
• Size irregularities

The process typically involves two visits, where impressions of your teeth are sent to a dental lab for custom veneer creation. With minimal anesthesia, your teeth are gently prepared by reshaping the front surface to accommodate the veneers. These veneers are then bonded securely using specialized cement, sometimes aided by a curing light.

Veneers are a fantastic option for achieving a natural, beautiful smile that can make a significant difference in your overall dental appearance.

Achieve a Brighter Smile with Teeth Whitening

Teeth whitening is a popular way to enhance your smile. Professional options are more effective than over-the-counter products. It’s suitable for addressing age-related enamel wear, stains from habits like smoking or drinking, and certain medications.

Consult your dentist for suitability. Stubborn stains may require alternatives like veneers or crowns. After whitening, consider updating old fillings or crowns to match your new shade.

Two common methods:

• Home Whitening: Custom trays with gel, used daily for several weeks.
• In-Office Whitening: Immediate results with one or more 30-60 minute sessions.

Temporary sensitivity may occur but usually fades within days. Teeth whitening offers a confident, brighter smile!

Yes, children are our best patients! We recommend that children have their first dental visit around age 2.

YES! We are always happy to meet and care for new patients.

Yes, we work with a third party called Care Credit that can be used for all medical services. They often finance at 0% interest and we have many patients that use this as a routine form of payment. We will be happy to help you apply.

X-rays are a diagnostic tool. They can help to identify decay or other oral abnormalities early when treatment will be less costly. The frequency that they need to be taken varies by individual. We will discuss with you your individual needs.

We cannot quote a fee unless you have an accurate diagnosis. In most cases, this will require a consultation.

Our new patient forms are available for download on this site. In addition to that, we request that you bring a current medication list and dental insurance card.

Yes, if it is a PPO plan, we accept most PPO plans.

1 in 5 adults have mild OSA
1 in 15 have moderate to severe OSA
9% of middle-aged women and 25% of middle-aged men suffer from OSA

For adults about 3-4 hours during the day and while sleeping overnight.

For children about 1-2 hours during the day and while sleeping overnight, these awesome appliances work their magic. They’re like little guides, helping with the natural growth and development of your child’s mouth, jaws, and airways. They do an incredible job of counteracting the negative impacts of modern life on their oral health. It’s all about promoting a healthy future!

Snoring is not merely a loud and bothersome noise; it can serve as an important indicator of a Sleep Breathing Disorder (SBD) that should not be taken lightly. It is estimated that around 42 million Americans are affected by SBDs.

One of the most prevalent types of SBD is Obstructive Sleep Apnea, a medical condition in which the tongue and soft tissues obstruct the airway, preventing proper airflow into the lungs. Recognizing the potential seriousness of SBDs is crucial for prompt diagnosis and appropriate treatment.

• Mild OSA is found in 70% of heart attack patients.
• Sleep Apnea affects 86% of obese individuals with type 2 Diabetes.
• Hypertension is present in 43% of patients with mild OSA.
• Sleep Apnea is experienced by 48% of individuals with type 2 Diabetes.
• Drowsy driving causes around 100,000 car accidents annually.
• Individuals with Sleep Apnea are at a 4 times higher risk of stroke.
• Untreated Sleep Apnea can lead to memory problems, weight gain, impotence, and headaches.
• Over 20 years, untreated OSA can reduce survivability by 30% or more.
• Drowsy driving results in 100,000 car accidents, 40,000 injuries, and 1,550 deaths yearly.
• Approximately 38,000 deaths each year are associated with Sleep Apnea-related cardiovascular problems, including high blood pressure, hypertension, and stroke.

We customize our approach to improve nighttime breathing and overall airway health. Our primary goal is clear: better breathing. As a bonus, our treatment often leads to a beautiful smile, proper tongue posture, and more room for teeth alignment. Crowded teeth can become a thing of the past!

While orthodontic help might still be needed for perfect alignment, our mission is to ensure restful sleep and improved breathing. Better breathing means better sleep, and that’s our ultimate aim.

The treatment time may differ depending on your child’s starting age and the severity of their case. Don’t worry, though! Your Provider will set treatment goals and provide you with a general idea of how long it might take. Plus, when the time comes, they’ll skillfully size up your child for the next  appliance. It’s all about progress and moving forward together!

Most treatment plans include lots of healthy sleep and good nutrition for a period of between 12 and 24 months. You are unique and your custom treatment plan will be tailored to fit you and YOUR needs.

While in treatment, sleep comfortably and enjoy a good night’s rest! FINALLY! So many of our patients enjoy newfound energy and find themselves eating healthier, resulting in fewer visits with your healthcare team.

Once your treatment is complete, you will be ready to take on the world and enjoy a vibrant, healthy life. In most cases, there will be no need for further intervention. You’ll now be breathing well, sleeping well, and living well!

Good news! You have the option to seek reimbursement for orthodontic services through your dental insurance company. However, it’s important to note that your dental plan might have some limits or exclusions on the coverage amount for orthodontics. For instance, there could be an annual maximum or a waiting period between dental treatments. Some plans may also have a lifetime maximum for orthodontic treatment.

To get all the nitty-gritty details specific to your plan, it’s best to reach out directly to your Medical/Dental insurance company. They’ll be able to provide you with the specifics related to your coverage and answer any questions you may have. It’s always good to stay informed and make the most of your insurance benefits!

Dr. Azuma is not just your regular dentists—he is highly qualified and ready to take on the challenge of multidisciplinary care for patients with sleep-related breathing disorders. They hold a current dental licenses, but that’s not all! They have also received special training in Airway and Dental Sleep Medicine.

So rest assured, you’re in great hands with our experienced team of dental sleep medicine experts. Let’s get started on your journey to better sleep and improved breathing!

The material of our oral appliance is made of BPA and latex-free medical-grade polymer.

Your nose is a superhero when it comes to safe, efficient, and proper breathing. It rocks some incredible powers, including:

Filtering out the bad stuff: Those nasal hairs? They work like tiny bouncers, keeping dust, allergens, and pollen from crashing your lungs’ party.

Moisturizing like a pro: Your nose knows how to add some moisture to the air you breathe. It warms things up and adds a touch of hydration, so your lungs can handle it like a champ.

Boosting circulation with nitric oxide: When you take a breath through your nose, it’s like your nose high-fiving your blood vessels. It releases nitric oxide (NO), a fancy vasodilator that helps widen those blood vessels. That means better oxygen flow throughout your body.

So, next time you take a breath, give your nose a little nod of appreciation for all the incredible things it does to keep you breathing like a boss!