Your First Denver Dental Visit

Starting out with a new dentist can be scary! Will they yell at you for not doing a good job with your brushing? Will they ask if you are flossing every day? Will they be as bad as the last guy? GREAT NEWS! Dr. Jim is an AMAZING dentist who guarantees that your first visit will include no pain…but how can that be?

Your First VisitUnlike other dentists, Dr. Jim is focused on helping his patients have great teeth for life! With that in mind, he sits down with you to review what your current dental issues are, why you are here and what your goals are (things like, do you need some cavities filled, have you had dental surgery in the past, basically a whole history of your mouth!)

We may have some Xrays taken so we can see what is going on and that is it! You wouldn’t want your mechanic to start tinkering with your car without knowing what is going on and we don’t want to start messing with you or your mouth without knowing what needs to be done!

More About Your First Visit!

After arriving, Dr. Jim and his staff will greet you and begin the comprehensive examination process. It is important to get to know each other for that is the basis of a good relationship. We will discuss your dental concerns, your desires and expectations from dental care now and in the future. Are there any specific matters you wish to discuss: cosmetics, ability to chew, missing teeth, food getting caught, bad breath, bleeding gums, past dental problem, etcetera. During those conversations you may find that the topics go off on tangents that may not be just dental, but related to your total health and well being. Optimal care involves you…not just your teeth.

Your medical history is reviewed and its relevance to your dental care is discussed in detail. Many people today take medications and have medical conditions that directly affect their dental health. It is nice to know that you are being well cared for.

You are encouraged to ask questions at any time. If it is important to you, it is important to us.

The chair is reclined and we start with an Oral Cancer Screening. We first take a close look at your face and skin that is visible. We will evaluate your lips, cheeks, floor of your mouth, roof of your mouth and tongue. While our hope is that we will find nothing of concern, if there is something, it is best to catch it as early as possible. This screening is also performed at each hygiene visit.

There are three types of dental disease.

  • Periodontal (gum) disease affects the gums and bones that support your teeth in your jaw.
  • Tooth disease has to do with decay (cavities), old fillings, inlays/onlays and crowns (caps) in and on teeth that may be worn or crumbling and not functioning the way they were originally designed. Any prosthesis (bridge, denture or partial denture) is evaluated for proper working condition.
  • Occlusal (bite) disease is affected by the way the teeth hit each other as our jaws move consciously or while we sleep.

Periodontal disease is the leading cause of tooth loss after the age of thirty-five. We will evaluate your status and make recommendations for professional care and personal home care to achieve a level of optimal health and stability. Keeping the bacterial infections of periodontal disease under control will not only keep your gums healthy, but will help keep other parts of your body healthy too! (See Q&A)

Anything that is subjected to mechanical forces will wear and tear over time. Our teeth and bodies are no exception. Given the fact that we subject our teeth to enormous forces, stresses and strains on a daily basis, it is no wonder that our dentistry can wear out. Sometimes there is not enough time in the day to brush and floss properly. Sometimes our diets are not the best. Xerostomia (dry mouth) also can have an effect on how susceptible we are to decay. (See Q&A)

All of these situations have an effect on tooth disease.

Occlusal disease, bite disease, occlussal dysfunction, or TMJ (jaw joint) are several names that affect how our teeth move and function. Your teeth will be evaluated on how they have worn and their effects on the masticatory (chewing) muscles and jaw joint. Many times people are told they need root canal or have defective dentistry when the source of their problem is their bite. Your TemporoMandibular Joint (TMJ) will be evaluated for its stability and motion.
Additional aspects of a comprehensive evaluation include a complete set of x-rays and diagnostic photography of your face and teeth.

This initial consultation usually encompasses ninety minutes. From this we can either start to plan a course of care or if your needs are greater, we will schedule more time for a more detailed comprehensive evaluation. Once all the data is gathered, Dr. Makowski and his staff will take time to study all the gathered information and develop a plan that addresses your concerns and a road map towards predictable, lifetime dental care. At a subsequent visit there will be a discussion of how to best proceed to meet your goals.

You will leave our office realizing your initial experience was focused solely on your needs.

Give us a call today to get started! (303) 751-5558

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