FAQ

Middleburg Heights Family Dentistry is a contemporary dental practice dedicated to delivering outstanding care in a friendly, inviting atmosphere.

How long do porcelain veneers last?

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With proper care, porcelain veneers typically last 15-20 years. Avoiding habits like nail-biting and using teeth as tools helps extend their lifespan.

How long do whitening results last?

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Results can last 1-3 years depending on your diet and habits. Avoiding staining foods and beverages, not smoking, and occasional touch-ups help maintain your bright smile.

Can whitening damage my teeth?

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Professional whitening does not damage tooth enamel when used as directed. Over-the-counter products used excessively can cause sensitivity, which is why we recommend professional treatment.

What's the difference between in-office and at-home whitening?

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In-office ZOOM whitening provides dramatic results in about an hour using stronger whitening agents. Take-home trays work more gradually over 1-2 weeks. Both deliver excellent results.

Is teeth whitening safe?

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Professional teeth whitening is safe when performed under dental supervision. Some patients experience temporary sensitivity, which typically resolves within a few days after treatment.

How white can my teeth get with professional whitening?

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Results vary based on your starting shade and the type of staining. Most patients achieve teeth 3-8 shades lighter. We'll discuss realistic expectations during your consultation.

Can bonding fix chipped teeth?

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Yes, bonding is an excellent solution for repairing chipped teeth. The composite material is sculpted to restore the tooth's natural shape and blends seamlessly with your smile.

Does bonding stain easily?

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Composite bonding can pick up stains from coffee, tea, red wine, and tobacco over time. Limiting staining foods and maintaining good oral hygiene helps keep bonding looking its best.

What's the difference between bonding and veneers?

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Bonding uses composite resin applied directly to the tooth in one visit, while veneers are custom porcelain shells made in a lab. Veneers are more durable and stain-resistant but cost more.

Is dental bonding painful?

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Bonding is usually painless and often doesn't require anesthesia unless treating decay. The tooth surface is gently prepared and the composite material is applied and shaped.

How long does dental bonding last?

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Dental bonding typically lasts 5-10 years depending on the location and your oral habits. Touch-ups or replacements can be done as needed to maintain your smile.

Can veneers fix gaps between teeth?

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Yes, veneers are an excellent solution for closing gaps between teeth. They can also correct minor misalignment, creating a more uniform, attractive smile.

How do I care for my veneers?

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Care for veneers like natural teeth—brush twice daily, floss regularly, and visit us for checkups. Avoid biting hard objects and consider a night guard if you grind your teeth.

Are veneers reversible?

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Traditional veneers require removing a thin layer of enamel and are not reversible. Lumineers and some minimal-prep veneers require little to no enamel removal and may be reversible.

Do veneers look natural?

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Modern porcelain veneers are crafted to match the color, translucency, and shape of natural teeth. When done well, they're virtually indistinguishable from natural teeth.

Is cosmetic dentistry covered by insurance?

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Most cosmetic procedures are considered elective and aren't covered by insurance. However, some treatments that also restore function may have partial coverage. We'll explain your options and costs upfront.

How long do cosmetic dental results last?

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Results vary by treatment. Veneers can last 15-20 years, while whitening may need touch-ups every 1-2 years. Good oral hygiene and regular dental visits help maintain your beautiful smile.

How do I know which cosmetic treatment is right for me?

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We start with a comprehensive smile analysis, examining your teeth, gums, and facial features. We'll discuss your goals and recommend treatments that will achieve the results you want.

Can cosmetic dentistry fix crooked teeth?

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Yes, we offer Invisalign clear aligners to straighten teeth discreetly. For minor alignment issues, veneers or bonding can also create the appearance of straighter teeth.

What cosmetic dental procedures do you offer?

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We offer a full range of cosmetic services including teeth whitening, porcelain veneers, bonding, Invisalign, and smile makeovers. We'll help you choose the best options for your goals.

What is the success rate of dental implants?

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Dental implants have a success rate of approximately 95-98%. Factors like good oral hygiene, not smoking, and following post-operative instructions help ensure successful outcomes.

How long does the dental implant process take?

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The complete process typically takes 3-6 months. After the implant is placed, healing time is needed for the bone to fuse with the titanium post before the crown is attached.

Are dental implants painful?

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The procedure is performed under local anesthesia, and most patients report less discomfort than expected. Post-procedure soreness is manageable with over-the-counter pain medication.

At what age should my child get Tooth Prints?

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Tooth Prints can be done at any age once your child has teeth. Many parents get updated impressions as their child grows and their dental pattern changes.

Am I a good candidate for dental implants?

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Good candidates have healthy gums and adequate bone to support the implant. We perform a thorough evaluation including X-rays to determine if implants are right for you. Bone grafting can help those with insufficient bone.

Do dental implants require special care?

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Implants are cared for just like natural teeth—regular brushing, flossing, and dental checkups. With proper care, implants can last a lifetime.

How should I store the Tooth Prints wafer?

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Store the sealed wafer in a cool, dry place at home. Many parents keep it with other important family documents. The wafer preserves your child's dental impression and DNA information.

Is Tooth Prints safe for my child?

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Yes, Tooth Prints is completely safe and non-invasive. The wafer material is designed specifically for oral use and the process takes just a few minutes with no discomfort.

How does the Tooth Prints process work?

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Your child simply bites into a softened plastic wafer, which captures their unique dental impression. The wafer is sealed and given to you for safekeeping at home.

How do I care for my mouth guard?

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Rinse your guard after each use and brush it with a toothbrush. Store it in its protective case and keep it away from heat. Bring it to your dental appointments so we can check its condition.

Can TMJ problems be treated without surgery?

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Many TMJ issues respond well to conservative treatments like custom mouth guards, physical therapy exercises, and lifestyle modifications. Surgery is rarely needed and only considered after other options have been tried.

What is Tooth Prints and why is it important?

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Tooth Prints is a child identification system that captures your child's unique bite pattern and dental impression. It provides a DNA source and scent article that could be vital in an emergency situation.

Why is a custom mouth guard better than a store-bought one?

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Custom guards are made from impressions of your teeth for a precise, comfortable fit. They offer better protection, stay in place during activity, and last longer than generic store-bought options.

Will a night guard stop my teeth grinding?

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A night guard protects your teeth from the damage caused by grinding, though it may not stop the grinding itself. Many patients find that wearing a guard also reduces jaw tension and headaches.

How long do dental sealants last?

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Sealants can protect teeth for up to 10 years with proper care. We check their condition at each visit and can reapply them if they become worn or chipped.

How do I know if I grind my teeth at night?

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Signs include waking with jaw pain or headaches, tooth sensitivity, worn tooth surfaces, and jaw clicking. We also look for wear patterns during your dental exam that indicate grinding.

Are dental sealants covered by insurance?

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Many dental insurance plans cover sealants for children, typically up to age 14-16. Our team can verify your coverage and explain any out-of-pocket costs.

Can adults get dental sealants?

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Yes, adults without decay or fillings in their molars can benefit from sealants. If you're prone to cavities, sealants can provide valuable protection for your back teeth.

Do dental sealants hurt to apply?

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No, sealant application is completely painless. The tooth is cleaned, a gel is applied briefly, then the sealant is painted on and hardened with a special light. No drilling or shots are needed.

At what age should my child get dental sealants?

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Sealants are typically applied when permanent molars first come in—around age 6 for the first molars and ages 11-14 for the second molars. Early application provides maximum cavity protection.

How often should I have my gums checked?

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We evaluate your gum health at every regular checkup. Patients with a history of gum disease may need more frequent monitoring and maintenance cleanings every 3-4 months.

How is gum disease linked to overall health?

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Research links gum disease to heart disease, diabetes, stroke, and other systemic conditions. Treating gum disease helps protect both your oral health and overall wellbeing.

Can gum disease be reversed?

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Early-stage gum disease (gingivitis) can be reversed with proper treatment and improved oral hygiene. Advanced periodontitis can be managed but not fully reversed, making early intervention crucial.

Is gum disease treatment painful?

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We use local anesthesia to ensure comfort during deep cleaning procedures. Most patients experience only mild discomfort afterward, which can be managed with over-the-counter pain relievers.

What are the signs of gum disease?

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Common signs include red, swollen, or bleeding gums, persistent bad breath, receding gums, loose teeth, and pain when chewing. Early detection is key to successful treatment.

Are there any materials in composite fillings I should be concerned about?

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Composite fillings are made of glass and resin materials that are considered safe. Unlike amalgam fillings, they contain no mercury. If you have concerns about dental materials, we're happy to discuss them with you.

Do tooth-colored fillings stain?

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Composite fillings can pick up some staining over time from coffee, tea, or tobacco. Regular dental cleanings help maintain their appearance, and they can be polished or replaced if staining becomes noticeable.

Can I replace my old silver fillings with white ones?

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Yes, many patients choose to replace silver amalgam fillings with tooth-colored composites for a more natural appearance. We can evaluate your existing fillings and discuss replacement options.

How long do composite fillings last?

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Composite fillings typically last 7-10 years with proper care. Their longevity depends on the filling size, location, and your oral hygiene habits.

Are tooth-colored fillings as strong as silver fillings?

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Modern composite resins are highly durable and suitable for most filling applications. They bond directly to the tooth, which can actually strengthen the remaining tooth structure.

When is a crown necessary instead of a filling?

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Crowns are recommended when a tooth has extensive decay, a large existing filling, cracks, or has undergone root canal treatment. They provide structural support that fillings alone cannot offer.

Is getting a crown painful?

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The procedure is performed with local anesthesia, so you shouldn't feel pain during treatment. Some mild sensitivity after the procedure is normal and typically resolves within a few days.

What is the difference between a crown and an onlay?

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A crown covers the entire visible portion of the tooth, while an onlay covers only the chewing surface and one or more cusps. Onlays preserve more of your natural tooth structure when full coverage isn't necessary.

Will my crown look natural?

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All-porcelain crowns are designed to match the color, shape, and translucency of your natural teeth. Most people cannot tell the difference between a well-made crown and a natural tooth.

How often should dentures be replaced?

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Dentures typically need replacement every 5-7 years as your mouth shape changes over time. Regular dental visits help us monitor fit and recommend adjustments or replacements when needed.

How long do porcelain crowns last?

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With proper care, porcelain crowns can last 15-20 years or more. Regular brushing, flossing, and dental checkups help maximize their lifespan.

Are dental bridges covered by insurance?

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Most dental insurance plans cover a portion of bridge costs as a major restorative procedure. Our team will help verify your coverage and explain your out-of-pocket costs before treatment.

What are implant-supported dentures?

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Implant-supported dentures attach to dental implants placed in your jawbone, providing superior stability compared to traditional dentures. They won't slip or shift, giving you confidence when eating and speaking.

Can dentures be repaired if they break?

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In many cases, yes. Minor cracks or broken teeth on dentures can often be repaired. Bring your damaged dentures to our office and we'll assess whether repair or replacement is the best option.

Do I need to remove my dentures at night?

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Yes, we recommend removing dentures at night to give your gums a rest and prevent irritation. Soak them in denture solution overnight to keep them clean and maintain their shape.

How long does it take to get used to dentures?

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Most patients adjust to new dentures within 2-4 weeks. Speaking and eating may feel different at first, but with practice, these activities become natural again.

Do you accept same day emergencies?

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Yes, same-day emergency appointments available by calling 440-871-8588. Evening hours offered Wednesday and Thursday. Emergency line directs patients to Dr. Langenderfer's contact number.

How long does a dental bridge last?

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With proper care and regular dental checkups, dental bridges typically last 10-15 years or longer. Good oral hygiene and avoiding hard foods can extend their lifespan.

How do I clean under my dental bridge?

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Special floss threaders or interdental brushes help clean under the bridge where regular floss can't reach. We'll demonstrate proper cleaning techniques during your appointment.

Can I eat normally with a dental bridge?

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Yes, once your bridge is properly fitted and you've adjusted to it, you can eat most foods normally. We recommend avoiding very hard or sticky foods that could damage the bridge.

What whitening options exist?

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Three options: Opalescence GO trays, custom bleach trays, or Zoom in-office laser treatment. Contact us for current pricing.

What is the process for getting a dental bridge?

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The process usually requires two visits. First, we prepare the anchor teeth and take impressions. A temporary bridge is placed while your permanent bridge is crafted. At the second visit, we fit and cement your permanent bridge.

Why do I need x-rays?

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X-rays detect decay between teeth, identify root infections, and evaluate bone levels supporting teeth.

What is a root canal?

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Procedure removing nerve and tissue from the tooth's interior using handheld files, then filling the space with rubberized material, preserving the original tooth.

What happens if I don't fill a cavity?

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Untreated cavities enlarge, eventually reaching the nerve chamber, requiring root canal and crown treatment or extraction if unsalvageable.

What is a crown?

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All-porcelain protective covering encompassing the entire tooth, bonded to remaining natural tooth structure—described as a "football helmet" for tooth protection.

What is Invisalign? Do you offer it?

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Invisalign is an orthodontic treatment using clear plastic aligners instead of metal brackets to straighten teeth. Yes, offered by the practice.

What dental insurance companies do you accept?

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Accepts 97% of dental insurance plans including Cigna, Aetna, Delta, Sunlife Financial, United Concordia, Humana, GEHA, MetLife, United Healthcare, Ameritas, Guardian, BCBS, Lincoln Financial, and Principal. Staff help patients understand coverage and maximize benefits.

What causes bad breath?

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Bacteria accumulation from inadequate brushing and flossing causes bad breath and gum disease. Plaque and tartar buildup irritates gum tissue. Professional cleaning recommended.

How do I straighten my teeth?

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Doctors evaluate candidacy for Invisalign, the clear braces alternative. Aligners change every 10-14 days; clear retainers provided after treatment completion.

Do you offer implants? What are they?

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Yes. Implants are artificial tooth replacements. Titanium base placed by oral surgeon; crown fabricated and attached by dentist to replace missing tooth.

Do I need fluoride? Does it work?

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Supplemental fluoride strengthens teeth by remineralizing enamel and preventing cavities. Recommended for high-risk patients; prescription-strength toothpaste also available.

Do you offer convenient hours?

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Office hours: Monday-Tuesday 8am–5pm; Wednesday-Thursday 8am–7pm (evening hours); Friday 8am–1pm.

How should I replace missing teeth? Why replace them?

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Options include implants, bridges, or removable appliances. Replacement prevents surrounding teeth from shifting, which changes bite alignment.

Frequently asked questions

Middleburg Heights Family Dentistry is a contemporary dental practice dedicated to delivering outstanding care in a friendly, inviting atmosphere.

We are committed to providing a wide range of dental services.