Mark G. Smith, DDS    (540) 338-9400
We Treat You Like Family!
Prevention & Advice


CAMBRA is Caries Management by Risk Assessment.  The goal is to identify a person at risk for dental decay before fillings, root canals or extractions need to be done.  Most dental offices treat everyone the same way at their prevention visits - as if the likelihood of decay is the same in everyone.  We score each individual with a method approved by the American Dental Association.  With the results we can personalize treatment and recommendations. 

          [Click here for our evaluation form]

Depending on your risk assessment, we may recommend a change in the frequency of  x-radiographs, the method of your home oral care, your diet, and the frequency of your dental visits. Those with high and moderate risk should have fluoride varnish  professionally placed every 3-6 months and use prescription strength fluoride toothpaste* and xylitol at home. We may also recommend a fluoride rinse, remineralizing paste, and acid neutralizing gum and rinse.

We think you will appreciate this new method of tailoring your dental care, so please ask about it.

* We have available prescription fluoride and remineralizing  pastes  in our office (at cost).

                        Dental Sealants

Dental sealants are white or clear protective coatings placed on the surfaces of teeth to prevent cavities.  Specifically, they are put on or into grooves of molars, preferably as soon as possible after they erupt into the mouth.  The material used is a thin version of the bonded white fillings that are routinely used in dentistry now.  In our office, the dentist places the sealant after using a tiny drill bur and disinfectant  to clean out the deep grooves in the teeth.  This insures that there is no decay under the newly placed sealant. It is time consuming and and requires the dentist to place sealants this way, but in the  long run the teeth are protected much more thoroughly than the method where the sealant is just placed over the top of the tooth grooves.

We Recommend:

Dental Flosses
 Listerine Gental Gum Care (woven)
 Listerine Ultraclean

Toothpastes (use minimal amounts)  
 Crest Pro-Health
   (stannous fluoride)
 Colgate Total
   (sodium fluoride)
 Tom's (with fluoride)

Desensitizing Pastes
 Crest Desensitizing
 Colgate Sensitive
Remineralizing Pastes
 Clinpro 5000 
 Prevident 5000
 MI Paste (Recalcident)
Chewing Gum & Candy with:
 Recalcident   (e.g.Trident Xtra Care)
 Xylitol (e.g. Trident and others)

Manual Toothbrushes
 Major brands with small head and
 soft bristles

Electric toothbrushes:
 Braun/Oral-B Triumph
 Philips Sonicare Flexcare

 Waterpik dental water jet
 Viajet irrigator available 
     at    www.oratec.netH2Oral 
 Irrigator - attaches to your
    shower head: available at

Mouth rinses: 
 Listerine Total 
 Act Anticavity Fluoride Rinse 
 Crest Pro-Health rinse

Dry Mouth:
 Biotene Mouthwash
 Oasis Moisturizing Mouthwash

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