Office Contact Information

Phone - 407.682.5757

Dr. Spencer DDS PA
994 Douglas Ave.
Altamonte Springs, FL 32714

Map

What are the regular office hours?

Monday - Thursday 8-5

Who can I contact if I have an emergency outside of office hours?

Doctor after hours emergency number 407.421.9118

Emergency Care

We recognize that you can have an emergency situation arise and we will do our best to respond to your problem promptly. If you do have a problem, please call us as early in the day as possible. If the problem arises when the office is closed, our answering machine recording will inform you where I may be reached. If I am out of town or unavailable, another dentist in town will be on call for my emergencies.

What type of toothbrush should I use?

According to the Academy of General Dentistry, the best toothbrush that you can buy is the one that you will actually use. That's it. Yes, it's really that simple. While both electric and manual toothbrushes have some pros and cons, the bottom line is which one you will use. The American Dental Association recommends brushing your teeth at least twice a day for two minutes.

After Every visit to Altamonte Springs dentist Doctor Spencer you will recieve a free Colgate toothbrush. Dr. Spencer also sells the Rotadent® electric toothbrush system for a more thorough cleaning.

Do teeth whitening toothpastes really work?

Teeth whitening toothpastes seem to be popping up everywhere and you've got to wonder if they really work.

Whitening toothpastes, like all other toothpastes, contain mild abrasives to remove surface stains. Teeth whitening toothpastes may have additional polishing agents and special chemicals that are more effective against stains than regular toothpastes. While whitening toothpastes can make your teeth appear a little lighter, by getting rid of stains, they do not actually bleach your teeth.

Teeth whitening toothpastes are ideal for people who smoke, drink coffee and tea and eat certain foods that can stain your teeth. Teeth whitening toothpastes are also good to use after you have undergone a teeth whitening procedure to keep surface stains from building up on your teeth.

How often should I brush my teeth?

According to the American Dental Association, you should brush your teeth twice a day. Brushing your teeth helps to remove plaque which causes tooth decay and can lead to gum disease.

Always use a soft bristled toothbrush. Make sure that the toothbrush fits inside of your mouth so that you can easily reach all areas. When brushing, use gentle back and forth strokes, brushing all sides of the teeth. Always brush your tongue to remove any bacteria and keep your breath fresh.

You should floss your teeth at least once a day. Flossing in between your teeth removes food debris and plaque from in between the teeth that a toothbrush can't reach. Plaque causes tooth decay and can lead to gum disease. Another great reason to floss is that recent studies have shown that flossing helps to prevent a heart attack or stroke.

When flossing, be sure to gently insert the floss in between the teeth, without snapping, which could damage the gum tissue. Gently move the floss up and down into the spaces between the gum and teeth. Floss the sides of all of your teeth, even if there isn't a tooth next to another one. There are a number of dental products, available that are designed to make flossing easier, such as disposable dental flossers.

What are dental sealants?

Dental sealants are a clear and protective coating that is applied to the biting surfaces of the back teeth. The sealant protects the tooth from getting a cavity, by shielding against bacteria and plaque.

Sealants are most commonly placed on children's permanent back teeth because they are more prone to cavities. Most insurance companies pay for sealants on children's teeth. They can also be placed on adult's teeth, however, insurance usually won't cover them. If you would like more information concerning protecting your or your child’s teeth using sealants feel free to discuss it with Doctor Spencer or his staff.

How does my oral health affect my overall health?

In the past, oral health has been associated only with the mouth. New research has found that the advanced stage of gum disease periodontitis, is linked with health problems such as heart disease and stroke. Some researchers have even suggested that periodontitis can cause premature birth, low birth weight, pancreatic cancer, high blood sugar levels and even bacterial pneumonia.

Even though studies have linked gum disease to many health problems, the American Dental Association states that, "just because two conditions occur at the same time, doesn’t necessarily mean that one condition causes the other." Much more research is needed on this subject.

Bacterial endocarditis is a common risk associated with periodontal disease.Bacterial endocarditis is an infection in the lining of the heart or heart valves, which could damage or destroy these valves.Bacterial endocarditis can also occur in patients who have minor heart valve problems, especially if periodontal disease is present. The consensus is that bacteria can get into the bloodstream from infected gums, which can activate infection in the bloodstream within the heart.

According to the American Heart Association, bacterial endocarditis happens when bacteria in the bloodstream, called bacteremia, lodge on heart tissue that has been damaged or on abnormal heart valves.

What can I do about Canker Sores?

Canker sores, also called aphthous ulcers, are small sores that form inside of the mouth. Canker sores are usually white, yellow or light gray and sometimes have a small red border surrounding them.

Early symptoms of developing a canker sore could be a small bump or red spot that produces a slight burning or tingling sensation. Canker sores commonly appear inside the cheeks, lips, on or under the tongue, the roof of the mouth and on the gums.

Canker sores can be very painful, especially when talking or eating. While there is no cure for canker sores, there are some treatments that you can try to ease the discomfort.

Cold sores usually form on the outside of the mouth around and on the lips and not on the inside of the mouth like a canker sore.
The cause of canker sores is unknown and they usually go away on their own in about 7 - 10 days.

If a canker sore persists for more than two weeks, you should see Dr. Spencer.

Are silver fillings safe?

Silver (Amalgam) filling material contains about 50% mercury and 50% of various other metals. While there have been no conclusive studies relating the mercury in amalgam to any dangers, mercury by itself is very toxic.

With the introduction of new filling materials, amalgam is not used as often as it once was. More than 70 percent of all fillings today are placed with resin or composite materials. Amalgam has been supported as being safe by the National Institute of Dental and Craniofacial Research, the FDA and the US Public Health Service

How can I tell if my baby is teething?

Most babies will start to get their baby teeth between six and 10 months of age.

Watch for your baby's first teeth to show up in the lower front of his mouth. When this starts to happen, your baby may have some discomfort. The discomfort makes him fussy. The gums may be swollen and tender. He may want to chew things.

The two upper front teeth will probably be the next teeth to come in. The rest of his teeth will come in slowly. In time, he will have a total of 20 baby teeth.

Teething sometimes causes a temperature. If your baby has a temperature of 100 degrees or more, call your doctor or clinic. He may be sick and need treatment.

Gently rubbing your baby's gums with a clean finger, cool spoon or wet cloth can be soothing. You can also give your baby a teething ring or pacifier to chew on.

Some teething rings are made to be chilled. This cool object against his gums may feel good and make him less fussy. You don't need to put any kind of pain reliever on his gums. These wash away quickly and don't help much.

What to expect from extensive dental treatment

You have just started some extensive restorative dental treatment. There are certain expectations you should have concerning the possible effects of such treatment.

After a long appointment of extensive work, you may experience some muscle fatigue or a sensitivity of the jaw joints, as well as soreness in the areas in which the actual procedures were accomplished. This, however, will pass in a short time.

While you are wearing your
temporary restorations, you may expect some amount of gum soreness and sensitivity of the teeth to hot, cold and sweets. This can be somewhat alleviated by warm salt water rinses to promote healing of the gum tissue and by the avoidance of temperature and sweet stimuli. The period of time required for healing is very individual, but it can be markedly shortened by strict adherence to meticulous oral hygiene. Also after final cementation, there is a great likelihood that some hot/cold sensitivity will subside in as short a time as a few days or it may take several months.

There also exists the possibility, because of the depth or magnitude of previous restorations or decay, of deterioration of the pulpal or nerve tissue of the tooth. This generally results from subtle bacterial invasion from decay into the pulpal or nerve chamber or from mechanical cementation of the final restoration. This pulpal involvement may be expected in a certain percentage of extensive restorations. In such events, we feel it important to acquaint you with endodontic therapy. Endodontics or “root canal treatment” involves removing the non-vital pulpal tissue and replacing it with a root canal filling. Generally it
does not require the removal of the existing restoration, but can easily be accomplished by simple entry through the top of the tooth. This is a highly successful type of treatment.

Of course, the longevity of these restorations depends almost entirely upon your ability to maintain your mouth in a healthy manner, that is, the maintenance of general systemic health and
control of growth of your BACTERIAL PLAQUE.

During the course of your dental treatment, should you have any questions regarding the purpose of various techniques, instrumentation, material or prognosis, please feel free to discuss this with us at any time. We are happy to assist you in the preservation of your oral health.

Tooth extraction post operative instructions

Tooth extraction is a minor surgical procedure. Therefore, it is natural that temporary changes will occur in the mouth afterward. You’ll be functionally normal in just a few days. In the meantime, you should follow a few simple rules to help promote healing, prevent complications, and make yourself more comfortable.

Anesthetics: The length of time you experience numbness varies depending on the type of anesthetics you’ve received. While your mouth is numb, you’ll want to be careful not to bite your cheek, lip or tongue. The numbness should subside within a few hours.

Healing: Dr Spencer will place a gauze pack on the extraction site to limit bleeding and confine the blood while clotting takes place. This gauze pack should be left in place for 30-45 minutes after you leave the dentist’s office. Do not chew on the pack.

Bleeding: There my be some bleeding or oozing after the pack is removed. If so, follow this procedure.
-Fold a piece of clean gauze into a pad thick enough to bit on. Dampen the pad and place it directly on the extraction site.
- Apply moderate pressure by closing the teeth firmly over this pad. Maintain this pressure for about 30 minutes. If the pad becomes soaked, replace it with a clean one as necessary.
- Do not suck on the extraction site.
- A slight amount of blood may leak at the extraction site until a clot forms. However, if heavy bleeding continues, Call Dr Spencer. Remember that a lot of saliva and a little blood can look like a lot of bleeding.

The Blood Clot: After an extraction, a blood clot forms in the tooth socket. This clot is an important part of the normal healing process. You should therefore avoid activities that might disturb the clot. Here’s how to protect it.
- Do not smoke, rinse your mouth vigorously, or drink through a straw for 24 hours. These activities create suction in the mouth, which could dislodge the clot and delay healing.
- Do not clean the teeth next to the healing tooth socket for the rest of the day. You should, however, brush and floss your other teeth. Gently rinse your mouth afterward.
- Limit strenuous activity for 24 hours after the extraction. This will reduce bleeding and help the blood clot form.

Swelling and Pain: After a tooth is removed, you may have some discomfort and notice some swelling. You can help reduce swelling and pain by applying cold compresses to the face. An ice bag or cold, moist cloth can be used periodically. Dr Spencer may give you specific instructions on how long and how often to use a cold compress.

Medication: Dr Spencer may prescribe medication to control pain and prevent infection. Use is only as directed. If the medication prescribed does not seem to work for you, do not increase the dosage. If you have prolonged or severe pain, swelling, bleeding or fever, Call Dr Spencer immediately. He will give you exact instructions on how to care for your problem.

Diet: After the extraction, drink lots of liquids and eat soft, nutritious foods. Avoid alcoholic beverages and hot liquids. Begin eating solid foods the next day or as soon as you can chew comfortably. For about two days, try to chew food on the side opposite of the extraction site. If you are troubled by nausea and vomiting, Call Dr Spencer for advice.

Rinsing: The day after the extraction, gently rinse your mouth with warm salt water(half a teaspoon in an 8 oz. glass of warm water). Rinsing after meals is important to keep food particles out of the extraction site, but remember not to rinse your mouth vigorously. Avoid using a mouthrinse or mouthwash during this early healing period.

Oral Hygiene: It is important to continue to floss your teeth and brush thoroughly at least twice a day using fluoride toothpaste. This will help eliminate bad breath and the unpleasant taste that is common after extraction. Always use a soft bristled brush so that you do not injure the tissue around the extraction site.

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