Robert D. Goodwin DDS
3004 Coggin Ave
Brownwood, TX 76801
(325) 646-3755

Preventive Care

Preventive dental care is important throughout your life, no matter your age. By practicing good oral hygiene at home and scheduling regular checkups with your dentist, you can help keep your smile bright and healthy for many years to come. Here are a few simple ways that you can prevent the build-up of plaque and cavities:

  • Brush your teeth at least twice a day with a soft-bristled toothbrush. Use fluoride toothpaste to remove food particles and plaque from the tooth surfaces. Also be sure to brush the top surface of your tongue; this will remove any extra plaque-causing food particles, and help keep your breath fresh!
  • Clean between your teeth by flossing at least once a day. You can also use a mouthwash to help kill bacteria and freshen your breath. Decay-causing bacteria can linger between teeth where toothbrush bristles can't reach. Floss and mouthwash will help remove plaque and food particles from between the teeth and under the gum line.
  • Eat a balanced diet, and try to avoid extra-sugary treats. Nutritious foods such as raw vegetables, plain yogurt, cheese, or fruit can help keep your smile healthy.
  • Remember to schedule regular checkups with your dentist every six months for a professional teeth cleaning.
  • Ask your dentist about dental sealants, protective plastic coatings that can be applied to the chewing surfaces of the back teeth where decay often starts.
  • If you play sports, be sure to ask your dentist about special mouthguards designed to protect your smile.

If it's been six months since your last dental checkup, then it's time to contact our practice and schedule your next appointment.


 

Gum Disease

Gum disease, also known as periodontal disease, is an infection of the gums surrounding your teeth. Gum disease is one of the top reasons for tooth loss in adults, and because it is virtually pain-free, many patients do not know they have the disease. During each regular checkup, your dentist will check for signs of periodontal disease by measuring the space between your teeth and gums.

What causes gum disease?

Gum disease is caused by a buildup of plaque (a sticky form of bacteria that forms on the teeth). If the plaque is not removed (by flossing, brushing, and regular dental checkups), it will continue to build up and create toxins that can damage the gums. Periodontal disease forms just below the gum line and creates small pockets that separate the gums from the teeth. Periodontal disease has two stages: gingivitis and periodontitis.

  • Gingivitis — This is the early stage of gum disease, when the gums become red and swollen, and bleed easily. At this stage, the disease is treatable and can usually be eliminated by daily brushing and flossing.
  • Periodontitis — If left untreated, gingivitis will advance into periodontitis, and the gums and bone that support the teeth will become seriously and irreversibly damaged. Gums infected with periodontitis can cause teeth to become loose, fall out, or be removed by a dentist.

Certain factors can increase a patient's risk of developing periodontal disease, including:

  • Smoking or using chewing tobacco
  • Diabetes
  • Certain types of medication such as steroids, anti-epilepsy drugs, cancer therapy drugs, calcium channel blockers, and oral contraceptives
  • Bridges that no longer fit properly
  • Crooked teeth
  • Old fillings
  • Pregnancy

While it is possible to have periodontal disease and not know it, some symptoms can include:

  • Gums that bleed easily
  • Red, swollen, tender gums
  • Gums that have pulled away from the teeth
  • Persistent bad breath or bad taste
  • Pus between your teeth and gums
  • Permanent teeth that are loose or separating
  • Any change in the way your teeth fit together when you bite
  • Any change in the fit of partial dentures

Treating Gum Disease

Treatments for gum disease can vary depending on the severity of each individual case. Typical treatments include:

  • Non-surgical treatments such as at-home periodontal trays, and scaling and root planing (deep cleaning)
  • Periodontal surgery and laser gum surgery
  • Dental implants

Preventing Gum Disease

Regular dental checkups and periodontal examinations are important for maintaining your health and the health of your smile. You don't have to lose teeth to periodontal disease, and by practicing good oral hygiene at home, you can significantly reduce your chances of ever getting gum disease. Remember to brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits to help keep your smile healthy.


Cosmetic Dentistry

Your smile is one of your most important features. Dentistry is continually evolving, and with a variety of advanced treatment options, achieving a beautiful, healthy, aesthetic smile is made easy for patients of all ages.

Are you ready for a smile makeover?

If you're considering cosmetic dental treatment, ask yourself a few simple questions:

  • Do you hesitate when you smile?
  • Would you like to increase your self-confidence?
  • Do you want to look your best in social or professional situations?
  • Are you ready to reverse any dental imperfections you may have?

If you've answered yes to any of these questions, cosmetic dentistry may be the answer you've been looking for!

Cosmetic Dentistry is an Art and a Science

Let us help you achieve your smile goals! Cosmetic dentistry is different from general dental care; it is both an art and science. By providing cosmetic dental care, your dentist is able to offer smile enhancement, restoration, and maintenance treatments for optimal dental health. Using cutting-edge techniques and advanced materials, our office proudly offers you a beautiful, natural smile and all the benefits that come with it.

Feel more confident about your appearance with a new smile that is as beautiful as it is healthy. You no longer have to suffer from missing, chipped, discolored, or crooked teeth. Contact our practice today and schedule your smile makeover!


 

Pediatric Dentistry

A child's first visit to the dentist should be enjoyable. Children are not born with a natural fear of the dentist, but they can fear the unknown. Our office makes a special effort to use pleasant, non-frightening, simple words to describe each treatment. We want you and your child to feel at ease from the moment your family arrives at our office. The more you and your child know about the first visit, the better you will feel.

The American Academy of Pediatric Dentistry recommends...

Children should visit the dentist by their first birthday. It is important that your child's newly-erupted teeth (erupting at six and 12 months of age) receive proper dental care and benefit from proper oral hygiene habits right from the beginning.

When New Teeth Arrive

Your child's first primary or baby teeth will begin to erupt between the ages of six and 12 months, and will continue to erupt until about age three. During this time, your child's gums may feel tender and sore. To help alleviate this discomfort, we recommend that you soothe the gums by rubbing a clean finger or a cool, wet cloth across them. You may also choose to make use of a teething ring. When your child has finished teething, you can expect a total of 20 primary teeth.

Your child's primary teeth are shed at various times throughout childhood. Permanent teeth begin erupting at age six, and continue until age 21. Adults have 28 permanent teeth (32, including wisdom teeth).

Adopting Healthy Oral Hygiene Habits

As your child's teeth erupt, be sure to examine them every two weeks, looking for lines and discoloration that may be caused by decay. Remember that sugary foods and liquids can attack a new tooth, so take care that your child brushes after feeding or eating. We recommend brushing four times a day for optimal oral hygiene: after breakfast, after lunch, after dinner, and at bedtime.

Brushing can be fun, and your child should brush as soon as the first tooth arrives. When a baby's tooth erupts, parents should brush the tooth with a soft-bristled toothbrush and a pea-sized amount of toothpaste. For children younger than two, do not use fluoride toothpaste unless advised to do so by your dentist or other healthcare professional. We suggest reviewing proper tooth brushing procedures with your child.

Flossing is also a part of good oral hygiene habits, and your doctor will discuss with you the right time to start flossing. If you notice signs of decay, contact your dentist immediately.

Preventing Tooth Decay with Regular Checkups

Tooth decay is caused by sugars left in your mouth that turn into an acid, which can break down your teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents do not practice regular, good oral hygiene habits. Proper brushing and flossing routines combined with regular dental visits help keep tooth decay away.

Your child should visit the dentist every six months for regular dental cleanings and checkups. We recommend fluoride treatments twice a year along with cleanings to keep teeth their strongest. Tooth sealants are also recommended because they "seal" the deep grooves in your child's teeth, preventing decay from forming in these hard-to-reach areas. Sealants last for several years, but will be monitored at your child's regular checkups.


 

Sedation Dentistry

Imagine undergoing a complex dental treatment like a root canal, extraction, or oral surgery. When your treatment is complete, you have no recollection of the time it took, the pain, the noise, or the discomfort you were expecting. We are pleased to offer our patients the option of comfortable, safe, and effective sedation dentistry. Patients who benefit from sedation dentistry have:

  • A fear or anxiety of being at the dentist
  • A hard time sitting still for long periods of time
  • A hard time getting (and staying) numb from anesthetics

What is sedation dentistry?

Sedation dentistry allows your doctor to provide a variety of dental treatments safely and comfortably for patients who experience anxiety when visiting the dentist. There are several benefits to sedation dentistry, including:

  • No memory of undergoing the procedure
  • No sense of time while under sedation
  • No sense of smell or sound
  • No fear or anxiety during treatment

Patients who have undergone a procedure using sedation dentistry will tell you it is a simple, relaxing way to experience dentistry.

I am nervous about being unconscious. What levels of sedation are available to me?

There is no need to be nervous about having sedation dentistry at our practice. We are licensed by the American Dental Association, and you will find that we are both respectful and professional at all times.

Sedation dentistry is closely regulated by law, and there are three sedative states at which your dentist can administer your treatment: mild sedation, moderate sedation, and deep sedation.

  • Mild Sedation — Anxiolysis is the lightest form of sedation dentistry and is often used for patients with mild anxiety, longer procedures, or more complex situations. Mild sedation is usually administered orally. You remain awake or very sleepy throughout the entire procedure and are able to breathe on your own, but you will feel a great sense of relaxation. Patients typically recover from anxiolysis sedation within a few hours after the procedure is complete. Nitrous oxide inhalation (laughing gas) is another form of mild to moderate sedation that results in relaxation during treatment.
  • Moderate Sedation — Used for patients with moderate dental anxiety and for patients who need longer or more complex procedures, conscious sedation often refers to the use of light IV sedation. With conscious sedation, you will remain awake throughout your procedure, but will be in a deep state of relaxation. It is recommended that patients who receive conscious sedation have a parent, spouse, or friend accompany them to appointments because it can take several hours for the sedative to wear off and driving may be unsafe.
  • Deep Sedation — Patients receiving deep sedation go between consciousness and unconsciousness during their dental procedure. Patients often have no recollection of the treatment and are unable to respond to commands even if they are awake at times during the procedure. It is recommended that patients who receive deep sedation have a parent, spouse, or friend accompany them to appointments because it can take several hours for the sedative to wear off and driving may be unsafe.

How are sedatives administered?

  • Inhalation — Nitrous oxide, or laughing gas, is the most frequently used method for easing mild to moderate anxiety. Recovery is quick so you can resume your normal activities immediately.
  • Oral — An extremely common technique for dental sedation is oral sedation. It is easy and does not require the use of needles. You will be given a prescription pill which, taken about an hour before your appointment, will have you fully relaxed by the time you arrive at our office.

Please contact our practice to schedule a consultation, learn more about sedation dentistry, and find out which sedation dentistry method may be right for you.


TMJ-TMD

Temporomandibular Disorder (TMD)

Millions of Americans suffer from chronic facial and neck pain as well as recurring headaches. In some cases, this pain is due to Temporomandibular Disorder, or TMD.

Your temporomandibular joints (TMJ) connect your lower jawbone to your skull. These joints get a lot of use throughout the day as you speak, chew, swallow, and yawn. Pain in and around these joints can be unpleasant and may even restrict movement.

Symptoms of TMD include:

  • Pain in the jaw area
  • Pain, ringing, or stuffiness in the ears
  • Frequent headaches or neck aches
  • Clicking or popping sound when the jaw moves
  • Swelling on the sides of the face
  • Muscle spasms in the jaw area
  • A change in the alignment of top and bottom teeth
  • Locked jaw or limited opening of the mouth

Should you notice any of these symptoms, let your doctor know. Your dentist can help indicate the presence of TMD and create an effective treatment just for you.

There are a few simple steps you can take at home or work to prevent TMD from becoming more severe, or to prevent it from occurring:

  • Relax your face — remember the rule: "Lips together, teeth apart"
  • Avoid grinding your teeth
  • Avoid constant gum chewing
  • Don't cradle the phone receiver between your head and shoulder — either use a headset or hold the receiver in your hand
  • Chew food evenly on both sides of your mouth
  • Do not sit with your chin rested on your hand
  • Practice good posture — keep your head up, back straight, and shoulders squared

    Emergency Dental Care

    If you experience a dental emergency, be sure to call our practice as soon as possible. If you need immediate attention after hours, call our emergency phone number and our on-call staff member will help you. If you are unable to reach our office during an emergency, dial 911.

    We are here to help you, any time, any day. When your dental health is at risk, we will do everything we can to make sure that you're treated as soon as possible. While dental emergencies are rare, they can happen, and it's important to know how to take care of your teeth no matter what. Common dental emergencies include:

    • Broken or cracked tooth/teeth
    • Broken jaw
    • Permanent tooth knocked out
    • Object caught between teeth
    • Severe toothache

 3004 Coggin Ave

Brownwood, Texas 76801

325-646-3755

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