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Ask The Dentist Blog
Free dental advice doesn’t come along every day, but Dr. Crapo has been providing just that for several years in his column for the Times Colonist, a Victoria newspaper. Many patients have expressed gratitude for his insightful writing. Now, thanks to the web, his “Ask the Dentist” column is available to a wider audience.



Ask the Dentist

Déjà vu All Over Again
Question: Dr. Crapo: I’m forty-four years old and I feel like my mouth is falling apart. All my life people have commented on my attractive smile and while my front teeth seem okay, I’ve lost my two back lower left molars. They seemed to break down, needed crowns, then root canals and then they just broke and had to come out. The dentist said there was nothing he could do because I was so hard on my teeth. I’m trying to protect my teeth with a night guard but my lower right m
Recession Proof Your Mouth
Question: Two years ago I became very aware that I was having recession around my teeth – especially the lower front teeth. It’s not that I hadn’t seen it before, but no one made it a priority. I became aware because I started to see looseness in my lower front teeth. It startled me so I immediately made an appointment with my dentist. He said I’d lost over half of the bone around my roots. I asked him how that could have happened and he said I could have inherited weak gums
My Teeth Don’t Like My Cooking
Question: Many years ago as I decided my vocation, I fell in love with cooking. Almost forty years later, I still love to cook. I make very good and tasty dishes. Each dish is sampled in its preparation to ensure taste and quality control. I’ve retired from commercial work but still cook at home for my wife and friends. I say this because when you’re cooking and tasting six days a week for long hours then fall into bed late after clean up only to sleep and start the day again
Not Enough Bone?! Really?
Question: As a kid up till I was out of university I saw the dentist and hygienist faithfully. Mom insisted we all go regularly. Even in university, Mom made sure, when we got home from school, we saw the dentist. I had great teeth. Once I was off the plan and on my own it wasn’t a priority. I was just too busy for my teeth. One day as I was home visiting, Mom asked, “how long has it been since you’ve seen the dentist?” It had been five years. I had started smoking on the job
Good Intentions Gone Wrong!
Question: Dr. Crapo: I was born about the time fluoride toothpaste hit Canada – late fifties, early sixties. When the T.V. ads hit the air, we couldn’t believe you’d go to the dentist and only have one cavity. Finally, it was the in thing by the time I was ten to make the switch to a fluoride toothpaste. By that time, I’d had teeth pulled because of decay and abscessing. Fortunately, they were only baby teeth, so when my permanents came in, I resolved to take better care. We
This is My Worst Nightmare
Question: This is embarrassing and disastrous. I’ve never been good with my teeth. Even as a kid I was terrified. As an adult I always put the dental health of my kids and husband to the top of the list and me only when I couldn’t stand the pain. So, I had fillings only when I had a tooth that needed a root canal or pulling. After the kids were long on their own, I still didn’t go to get my teeth checked or cleaned. For some reason I just couldn’t bring myself to do it. But n
I Think I Have TMJ
Question: I have prided myself on reaching my fifties with all my teeth except one wisdom tooth. I’ll explain in a minute. Up through my forties, I didn’t give my teeth much thought. I saw the hygienist kind of regularly but not religiously. My family has good teeth and every time I went, though I wasn’t diligent, I got a “good check-up, no cavities.” I thought, “Great,” then I’d let a year and a half go by, then two years, before going back. A number of years after doing thi
Am I Doing the Right Thing?
Question: I lost my wife several years ago and things are not the same. I don’t make decisions well without her. I tend to leave personal needs and attention to detail until the last hour and then only when circumstance, or pain of one kind or another, forces me into action. I haven’t cared for my teeth as I should and now I get pain all too frequently. I’ve got broken teeth, loose teeth, missing teeth, and abscesses or the like that keeps my gums swollen most of the time. I
Cigarettes and Implants
Question: I’ve smoked cigarettes since I was a teenager. It’s hard to quit because I enjoy smoking and perhaps it helps me cope with life too. The thought of quitting scares me and makes me want to find a place to hide. However, I have a problem with my teeth. I saw a dentist and she said I needed an upper denture because my remaining upper teeth – my upper six front teeth, are quite loose – well the eyeteeth are ok but my four front teeth are loose. I had a partial made but
All Cracked Up
Question: I have always been concerned with cracks in my teeth. Over many years of seeing my dentist, I’ve asked him about the cracks in my front teeth. He’s always reassured me that they were superficial and in the enamel only. He said, “In the back teeth where there are much greater forces applied in eating or grinding and clenching one’s teeth, that’s a different story.” Whenever there’s been a crack in my back teeth I’ve had crowns done so the crack wouldn’t spread. Two
A Trifecta of Problems
Question: Well, here I am, an older retired senior with “gas in the tank,” a great wife, and a set of teeth so bucked out I could eat a pie out of a milk bottle. I kid you not, people see my teeth before they see me. “Must be Bob, here come his teeth.” Well, you get my drift. And it seems they’re getting worse. The colour of my teeth is getting darker and darker and my wife even says I should do something. At the outset I should say that I’ve got some gaps in every area of my
Three Times Unlucky
Question: Four weeks ago, I was eating and my upper front bridge just snapped and fell out. It was the third bridge I had. Thirty-five years ago, I had a tooth knocked out so I got a bridge. Then after about fifteen years it fell out and another tooth was bad so I got another bridge. That lasted for nearly ten years and another tooth went bad and that bridge fell out. I only had my eye teeth left and they needed root canals before this last bridge was put in. Each time I was
Headaches, Headaches, & More Headaches
Question: About eight years ago I had problems with my front teeth and they had to come out. I had to wait till my gums healed to get a partial flipper so I could at least smile. After a year I’d had enough because I couldn’t eat with it in my mouth so I went back and they said, “We can give you a new set of teeth that will stay in better.” This time I got a real partial with clips and such so it would stay in my mouth as I ate. It was a whole lot better for about two years w
Too Many Cooks Spoil the Soup?
Question: My mom is not a complainer but recently she told me of her challenge with her upper denture not staying in. She’s hard on her teeth and is constantly fussing to keep her upper denture in. She uses some kind of denture adhesive so they don’t fall out of her mouth. Even so, she moves her mouth around and if you’re close enough, you can hear her clicking her teeth. She claims to have a disorder of sorts where she’s constantly moving her jaw, so her teeth click. Her pro
Straight from the Horse’s Mouth
Question: I have strong teeth, well the remaining ones seem strong. They’re only in the front so when I smile it’s a horsey grin because all you can see is front teeth with gaps up top and on the bottom. They kind of look like horse teeth too. When I bite, the edges fit right together or on top of each other. That’s been the way from the beginning. I’m nearing golden age so I’ve worn the teeth down quite a bit. My dentist has filled the edges many times but that wears down an


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How Can You Recover After Dental Implant Surgery? A Step-by-Step Guide
If you have implant surgery coming up, or you have just had it, a little uncertainty about recovery is completely normal. Most patients wonder about pain; how long healing takes and whether something might go wrong. Here is the reassuring truth: recovery after dental implant surgery is usually smooth, predictable and easier than people expect. This step-by-step guide walks you through exactly what to expect, so you can heal with confidence. Immediately After Surgery (First 24
Early Signs of Gum Disease You Should Never Ignore (and When to Seek LANAP)
Gum disease often begins quietly. In its earliest stage, called gingivitis, there may be no pain at all, just a little blood when you brush or gums that look slightly red or puffy. It is easy to brush these signs aside, but ignoring them is exactly how minor gum trouble turns into a major dental problem. The good news is that the early warning signs are easy to spot once you know what to look for and catching them early gives you more treatment options and a gentler path to h
What Happens if You Wait Too Long to Replace a Missing Tooth?
Losing a tooth may not seem urgent at first, but delaying treatment can lead to significant issues that reach far beyond the gap in your smile. The short version: the longer a missing tooth goes unreplaced, the more your jaw, your bite and your neighbouring teeth change around the empty space, and those changes get harder to reverse over time. If you have been putting off treatment because of cost, fear or simply not knowing where to start, here is what actually happens when
Root canal myths vs. facts: Dr. Crapo & Associates breaks down the truth
Short answer: Modern root canal treatment is far more comfortable, efficient and predictable than most people expect. Thanks to advances in dental technology and technique, root canals today are designed to relieve pain, not cause it, while preserving your natural tooth. If you are delaying treatment because of something you have heard, you are not alone. Many patients avoid root canal care due to outdated myths. Below, Dr. C Ross Crapo & Associates break down the most common
Do You Need a Bone Graft for an Implant-Supported Bridge?
Short answer: Not everyone needs a bone graft for an implant-supported bridge, but adequate jawbone volume and density are essential for long-term implant stability. When bone loss is present, bone grafting can rebuild the foundation needed to properly support dental implants and the bridge they hold. For many patients, the idea of bone grafting sounds intimidating. In reality, modern techniques and detailed diagnostic planning have made this procedure more predictable and ef
How Implant-Supported Bridges Are Placed: A Step-by-Step Guide from Dr. Crapo & Associates
Missing teeth don’t just sit there quietly, they change how you eat, how you speak, and how comfortable you feel showing up. It catches up with you faster than you expect. The good news is, there’s a clear, structured way to fix it. An implant-supported bridge is built to restore function and confidence, and at Dr. C. Ross Crapo & Associates, every step is planned and explained so you know exactly what’s coming next. What Is an Implant-Supported Bridge? An implant-supported b
Caring for Your Implant Dentures: Daily Hygiene, Cleaning Tips & Maintenance
Getting implant-supported dentures is a meaningful investment in your health, your comfort, and your confidence. At Dr. Crapo & Associates, we want every patient to get the most out of that investment, and that means the work doesn't stop at the final appointment. How well you care for your implants day-to-day has a direct bearing on how long they last and how healthy your mouth stays over time. The good news is that maintaining dentures supported by implants doesn't have t
How Bone Loss Affects Dentures and How Implants Help Preserve Your Facial Structure
There's a conversation that doesn't happen often enough when patients first lose a tooth or transition to dentures: what happens to the jawbone underneath. Most people are focused on restoring their smile and getting back to eating comfortably, understandably so. But the changes taking place beneath the surface matter just as much as what you can see in the mirror. At Dr. Crapo & Associates, we believe patients deserve a complete picture. Understanding how tooth loss affect
Does Dental Health Change as You Age? Tips for Every Stage of Life
Your smile goes through a lot over the course of a lifetime. From the moment your first baby tooth appears to the years when you're thinking more carefully about bone density and dry mouth, your oral health needs are constantly evolving. The good news? With the right care at every stage, most dental problems are preventable, and that's exactly what the team at Dr. Crapo & Associates is here to help with. Whether you're a parent navigating your child's dental milestones, an
Is LAPIP® better than traditional peri-implantitis surgery? A comparison guide
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How Often Should You Get Dental Cleaning?
When it comes to maintaining lifelong oral health, general guidelines are helpful, but your ideal care routine should always reflect your individual needs. The same is true for dental cleaning. While most adults do well with professional cleaning every six months, some people benefit from more frequent visits based on their oral health, lifestyle habits, and risk factors. For patients who are more prone to gum disease or plaque buildup, cleaning every three to four months c
Do You Need a Root Canal? 7 Symptoms You Shouldn’t Ignore
When a tooth starts to hurt, it can be difficult to know whether your symptoms are minor or a sign of something more serious. Root canal therapy may be recommended when the inner part of the tooth, called the pulp, becomes infected or inflamed. Recognizing early root canal symptoms helps prevent complications, protect your natural teeth and avoid more involved dental procedures. Quick Answer: How Do You Know If You Need a Root Canal? You may need a root canal if you have pe
Does Laser Gum Treatment Hurt? What LANAP® Feels Like Before, During and After
If you have been told you need gum disease treatment, you may be wondering whether laser gum therapy hurts and how it compares to traditional surgery. Many patients in Victoria, BC ask this when learning about LANAP® at Dr. Crapo and Associates. The LANAP® protocol is designed to be gentle, precise and minimally invasive, which often results in a more comfortable experience. This guide explains what to expect before, during and after LANAP®. It also outlines how the laser a
What Does IV Sedation Feel Like? A Step-by-Step Guide for First-Time Patients
If you’re anxious about dental work, IV sedation feels like drifting into a deeply relaxed state where worries melt away and discomfort fades. Most patients remember little or nothing of their dental procedure, making it a popular choice for those with dental phobia or complex treatments. Who Benefits from IV Sedation? IV sedation is designed for: first-time dental patients who are nervous or unsure about treatment individuals with dental anxiety, fear, or traumatic past expe


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