Austin Premier Dental


Dr. Bruce Silva and his team at Austin Premier Dental are dedicated to providing high-quality and compassionate dental health care.

September 17, 2019

Losing a tooth as a child may be fun as it comes with a visit from the tooth fairy, but as an adult it’s a scary and more serious matter. A loose tooth is a sign of improper tooth care that could lead to losing the tooth altogether. We want to hold on to our teeth as long as we can and fortunately, loose teeth can be corrected if taken care of early. When a tooth becomes loose, many factors may contribute to its mobility, but there are four main conditions that cause loose teeth.

Periodontal Disease

When brushing and flossing don’t remove plaque, gum disease (or, periodontal disease) can develop. Periodontal disease is one of the leading causes of loose teeth. It not only affects your gums but also the ligaments and bone that surround your teeth which may lead to loss of bone and connective tissue that secure your teeth in place.


Osteoporosis is a disease that causes bones to weaken and become more susceptible to break or fracture easily. While osteoporosis more commonly affects the spine, hips, or wrists, it can also affect the bones in the jaw that support teeth. Although the disease affects both men and women, women with osteoporosis are three times more likely to experience tooth loss than women without the disease.

Injury to the Teeth

Trauma to the mouth from a fall or a hit can damage the ligaments and even the bone around the teeth. The result could lead to chipped or loose teeth.


Usually a temporary situation, high levels of progesterone and estrogen during pregnancy cause the ligaments and bones surrounding the teeth to loosen. These changes will likely resolve after pregnancy and are not cause for concern but pregnant women should visit their dentist to rule out gum disease and other oral health problems.

Having loose teeth is a sign something’s wrong, but you can avoid losing them altogether. Avoid loose teeth by practicing good oral care, including brushing and flossing regularly, and visiting the dentist twice a year. If you are experiencing loose teeth, contact Dr. Bruce Silva and schedule an appointment today.

September 16, 2019

What is Periodontal Disease?

Periodontal diseases, also known as gum disease, are infections found in the structures around the teeth including the gums, periodontal ligament and alveolar bone. They occur when the gums become infected, showing signs of swollen and tender gums that bleed after brushing and flossing. If not cared for properly, the problem may spread to other tissues, making the disease more complicated to correct.

What Causes Periodontal Disease?

Periodontal disease is caused by the bacteria in plaque, and surprisingly it is your body’s response to the bacteria that causes most issues. In order to eliminate the bacteria, the cells of your immune system release substances that cause inflammation of the gums and bones, which then leads to swollen, bleeding gums, signs of gingivitis, loosening of teeth, and severe periodontitis. If plaque builds up on teeth, it becomes calcified overtime, and turns into tartar, also causing periodontal disease.

Keeping a good oral hygiene and visiting your dentist regularly can prevent periodontal disease. Dental cleanings will keep plaque under control in places that are hard to reach for a toothbrush or floss.

What is Periodontal Therapy?

Periodontal therapy is a non-surgical program of the treatment of gum disease. Certain stages of periodontal disease can be treated in a non-surgical program. Today there is no known cure for periodontal disease. However, it can be managed and contained through a variety of treatment options.

Dr. Bruce Silva provides a range of services to help improve and maintain your gum’s health. Non-surgical periodontal therapy services include:

  • Periodontal Evaluation
  • Periodontal Treatment Plan
  • Obtain Informed Consent and Patient Records
  • Treatment Services
  • Therapy Evaluation
  • Maintenance

Benefits of Periodontal Therapy include:

  • Improved overall health
  • Improved function of your teeth
  • Decreased risk of bone loss
  • Identification of other health problems
  • Fresh breath, tartar removal, and a great smile

Dr. Bruce Silva is knowledgeable, qualified, and highly trained to conduct periodontal therapy for patients in need. Call Dr. Bruce Silva for a consultation today.

August 15, 2019

The start of a new school year means making a checklist for school supplies and buying new clothes. It also means that you need to talk to your child about the importance of maintaining a healthy dental routine now that they’ll be preoccupied with school and extracurricular activities. A healthy dental routine is easy to practice during the days of summer when things are less busy. It’s easy to forget to brush your teeth and floss at nighttime when there’s so much else going on. In order to prevent your child from forgetting a healthy dental routine, make brushing and flossing fun for the kids with a few exciting and rewarding techniques.

  1. Use a Sticker Calendar: Allow your child to place stickers on each day to represent brushing and flossing.
  2. Play Music While Brushing: Set up your child’s favorite songs to play while they brush their teeth and floss.
  3. Personalize Their Toothbrush: Help your child pick a toothbrush with a theme or in their favorite color.
  4. Purchase a Floss Holder: A floss holder is a kid-friendly device that provides a grip and makes flossing more comfortable.

As the school year begins, time escapes us and we get preoccupied with other priorities so if you haven’t taken your child to see the dentist, the time is now to schedule an appointment. A third of children miss school due to oral health problems so the sooner you take care of their oral health, the better they will thrive in class.

Don’t forget to talk to your child about the importance of healthy eating. Picking the right snacks instead of chips and cookies can have a beneficial effect on your smile. Choose crunchy snacks like celery sticks, carrots, and cubed cheese over candy and granola bars.

To schedule a dental checkup appointment for your child, call Dr. Bruce Silva today.

August 15, 2019

Bad habits are hard to break. If you practice bad dental hygiene habits, it’s time to make some changes. The following are a list of bed dental habits to break now or you could see some negative affects on your healthy smile.

  1. Crunching on Hard Foods: Chewing on tough foods like ice cubes can cause harm to your teeth overtime. The cold temps may cause your teeth to fracture or cause cracks in the surface of the enamel, which could lead to bigger dental problems in the future. While less harmful, crushed ice is still not recommended.
  2. Sipping Sugary Drinks: Constant exposure to sugary drinks like soda or iced tea promotes tooth decay. Substitute sugary drinks with more water or sip through a straw to minimize exposure to the teeth.
  3. Using Your Teeth as a Tool: Think twice before using your teeth for anything other than eating. For instance, using your teeth to tear open a bag of chips, chew your nails off, or open a bottle of soda could cause them to chip or fracture.
  4. Grinding Your Teeth: Tooth grinding may be caused by stress or an abnormal bite. Your dentist may suggest wearing a mouth guard at night, but no matter what time of day, tooth grinding wears your teeth down. If you are experiencing high levels of stress, talk to your doctor about ways to reduce your anxiety or nervousness.
  5. Using a Hard-Bristled Toothbrush: A firmer toothbrush isn’t always better for your teeth. As we age, our teeth become more sensitive and firm bristles may irritate the gums.
  6. Not Brushing or Flossing: Maintain a healthy, normal dental health routine. Remember to brush twice a day and floss daily. Replace your toothbrush every three to four months. For good measure, mouthwash helps to prevent tooth decay.

If you are guilty of doing any of the above bad habits, it’s time to see a dentist. Call Dr. Bruce Silva to make an appointment for a dental checkup today.

July 3, 2019

Chlorine is an antimicrobial chemical used in drinking water and swimming pools for water purification. During the summer as were swimming in order to cool off is when we come into contact with it the most. Although it benefits our water, soaking in a pool for a long period of time is not recommended for many reasons, but from a dental health perspective, because the effects of chlorine on our teeth are discerning.

Chlorine Vs. Your Teeth

In recent years, evidence has shown a connection between chlorinated pools and tooth damage. Chlorine, when added to water, is pH neutral. Its addition to pool water serves to render harmless various contaminants that swimmers and the environment release. This chemical interaction can alter the pH of the pool water, allowing it to drop and thereby become acidic.  It is imperative that the pool waters pH be continually monitored and chemical stabilizers are routinely added to maintain the pH neutrality. The goal is to keep the water slightly alkaline at a pH reading of 7.3-7.8, with our bodies’ pH at 7.4. Chemical stabilizers are added to the swimming pool water to neutralize the pH, however as chlorine interacts with a variety of contaminants the chemical balance will change, the pH can drop and the pool water will become acidic. Swimming in pool water that is acidic can cause tooth erosion in addition to other symptoms such as eye and skin irritation. It is important that swimming pool water be continually monitored. In addition, swimmers can experience a slight yellowing of their teeth due to repeated chlorine exposure.

How to Protect Your Teeth From Chlorine

Pool water should register between 7.2 and 7.8 on the pH scale. It’s difficult to determine the pH levels of water with the naked eye so follow these two tips to ensure the safety of your teeth the next time you’re in a swimming pool.

  1. Carefully notice pool linings, railings, and ladders to see if they have been eaten away. If you notice erosion caused by the water being too acidic, the same thing might happen to your teeth.

  2. Hire a specialist to check the levels for you at the start of the summer, or to save money, check the levels on your own on a weekly basis.

Stay cool and hydrated this summer but watch out for poorly maintained swimming pools because they could have a damaging effect on your healthy smile. If you continue a normal and healthy dental regimen of brushing regularly, flossing every day, and visiting your dentist annually, you won’t have to worry about Chlorine.

July 3, 2019

If you maintain a regular and proper dental health routine, you most likely have a healthy bright smile. Proper dental care goes beyond preventing cavities and bad breath, but also prevents you from getting deadly diseases. Your oral health is linked to your overall health in many ways so if you’re suffering from a cavity or signs of gum disease, you could be in danger of bigger health problems. Below are the five biggest health conditions linked to poor oral health.

  1. Alzheimer’s Disease. Reading and exercising aren’t the only things to help lower the risk of Alzheimer’s Disease. Taking good care of your oral health does too. A bacteria associated with gum disease exists in the brains of Alzheimer’s patients and people who have had gum disease for at least 10 years have double the risk of Alzheimer’s.
  2. Cancer. Poor oral health leads to not only oral cancer but other types of cancer as well. Diseases that affect the tissues in your mouth are linked to pancreatic cancer. The better your oral health, the lower your risk of cancer will be.
  3. Diabetes. There are more than 7 million cases of undiagnosed diabetes in the United States. It is essential to be tested for diabetes if you suffer from gum disease and other oral issues because if diabetes goes untreated, high blood pressure levels in your saliva allow for bacteria to grow in your mouth, which triggers the formation of plaque causing bad breath cavities, and even gum disease.
  4. Heart Disease. Bad oral health is even associated with cardiovascular disease as tooth loss is connected to coronary heart disease.
  5. Infertility. Poor oral health affects fertility in both men and women. Women with gum disease may take two months longer to conceive than women without gum disease. And, men with poor oral health are likely to have a low sperm count and poor semen health.

Maintain a normal and regular dental health routine to prevent the above diseases from occurring. Make a dental appointment with Dr. Bruce Silva today.

June 3, 2019

We all know that caring for our teeth is important, but sometimes our gums can pay the price for our determination to have healthy teeth. Gum recession is not an uncommon issue, but it’s often hard to detect in its early stages because the physical symptoms are subtle and generally painless. However the health of your gums is directly tied into the health of your teeth, so here’s what you need to know if you suspect your gums may be receding.

What Causes Your Gums to Recede?

The most common culprit of gum recession is poor oral health. If you aren’t brushing your teeth as often as you need to, bacteria and plaque will build up, infecting and destroying the gum tissue. If left untreated too long, even the bone can become infected. Other things that can cause your gums to recede are: brushing too hard, or brushing improperly, tobacco products, grinding your teeth, hormones, and genetics. Ask your dentist to do a thorough check on your gums if your family has a history of periodontal disease.

Prevention and Treatments

The best way to ensure you have healthy gums is to brush twice a day with a soft-bristled toothbrush for two minutes and floss once a day. When brushing, make sure you are taking the time to brush every surface of each tooth, and also make sure to pay some gentle attention to your gums and gumline. Your dentist can also treat mild cases of gum recession with deep cleanings of the affected areas, and cleaning and smoothing over the root area if necessary. If the recession is advanced enough to have infected the bone, your dentist may refer you to an oral surgeon to correct the issue. Cease using all tobacco products if you are experiencing signs of gum recession, and if you grind your teeth, speak to your dentist about possibly getting a mouth guard for when you sleep.

Receding gums can be a painful condition, but with diligent upkeep on your side, and professional care on your dentist’s side, it can be prevented or treated before it becomes debilitating. If you would like to make an appointment to have your gums checked, or if you have questions about how to prevent periodontal disease, please call Dr. Bruce Silva for more information.

June 3, 2019

Break out the grill and the pool toys because summer is finally here! This is great news for kids, teachers, and everyone who’s been dying for that beach vacation. Summer can be hard on your oral health though, so here are a few facts about your teeth to keep in mind as you start planning that backyard get together or packing for that long, overdue vacation.

Pick the Right Foods

There are a couple of staple foods that appear at every summer block party: burgers, corn on the cob, watermelon, and potato chips. If you care about your health (and the health of your guests), substitutions like carrots for potato chips are key. The starch in chips will stick to your teeth, allowing damaging bacteria to attack your tooth enamel, while the water in carrots will help wash away food particles. Stock your fruit trays with seedless choices like cantaloupe and grapes, and make sure to provide your guests with safe ways to remove pesky pieces of corn from their teeth, as toothpicks can inadvertently damage your gums.

Be Smart About Your Drinks

Hands down, water is your best choice of drink this summer. It’s the best choice to keep you cool and hydrated, it’s healthy, and it will help keep your teeth clean throughout the day. Carbonated drinks may taste better, but they’re filled with sugars and acids, the two greatest enemies of your teeth. You don’t have to give them up completely, but give your teeth a break from carbonation as often as possible. With that said, as much as sweet tea is a southern staple, the less sugar in your tea, the better off you will be. In general, tea is quite good for your oral health and for keeping you hydrated, but the more sugar it contains, the less healthy it is.

Don’t Break from Every Routine

Vacations help you get away from your everyday routine, but some routines, like brushing your teeth twice a day and flossing once a day, are beneficial to your overall health and could cause severe damage if you decide to throw them out the window for a week. So while you’re packing for your vacation, please remember to pack your toothbrush and floss, and send the kids off to camp with extras in their backpacks just in case.

Summer is an amazing time of year for kids and adults alike, so don’t let it be ruined with a dental emergency. Call Dr. Bruce Silva’s office now to make an appointment for a cleaning, and feel free to ask any questions you may have about the impact of summer foods and activities on your teeth. Dr. Silva and his staff are here to ensure that you can go off on your summer adventures with healthy teeth and a bright smile.

May 10, 2019

May is Dental Care Month, making it a perfect time for you to reevaluate some of the oral hygiene habits that you have developed over the years, and how you can improve them. How you treat your teeth now can have a major impact on your overall health later in life, so if you’re not already doing these things it’s probably time to start.

The 2-1-2 Punch

Here’s the most basic and essential rule of good oral care: brush your teeth twice a day, floss once a day, and visit your dentist twice a year. You’ve probably heard this if you’ve visited your dentist recently, as these three tasks are the building blocks for life-long healthy teeth and gums. If you aren’t following this cleaning regime, please start now. When your teeth and gums are cleaned properly, the plaque and bacteria that builds on your teeth can cause cavities, gum infections, and tooth loss, and many medical studies have linked poor dental hygiene with greater medical issues such as heart disease and diabetes. Your mouth is the gateway to the rest of your body, and its health reflects the rest of your health, so you should treat it with respect.

When to Brush Your Teeth

If you brush your teeth twice a day, have you ever asked yourself when in the day to do it? Most dental experts agree that right before bed is the correct time for one of your two cleanings, but the earlier cleaning is a subject of a rather heated debate; before or after breakfast. If you ask one dentist, you may be told before breakfast is best, while a second opinion may be after, and the truth is that there is no definitive answer. Most dentists will probably say that brushing before breakfast is better in order to remove the plaque that has built up overnight so that they can’t feed on the sugars in your breakfast, but others will also tell you that brushing after breakfast to remove the food from your teeth is better, though if you’ve eaten or drunk an especially acidic breakfast, you should wait at least 30 minutes before brushing. In the end though, as long as you’re brushing some time in the morning and at night, your mouth will be better off than it was if you weren’t doing it before.

You may be tired of being instructed to brush twice a day and floss once a day from your dentist, but they have your health in mind when they tell you to do it. Keeping your teeth clean and healthy will help with the rest of your health regime, and it only takes about five minutes out of your day, so don’t wait to start making those choices. If you have any questions about your healthy oral care regime, or would like to schedule a checkup, please call Dr. Bruce Silva’s office.

May 10, 2019

When a woman becomes pregnant, every aspect of her health changes. The same is true for her oral health, both in how it’s affected by pregnancy and how dentists approach caring for teeth while a woman is pregnant. Here is what you should know about your oral health if you were to become pregnant and how to care for your teeth.

Gum Disease

Pregnancy increases the amount of progesterone your body produces, which can have a negative affect on the health of your gums. Dental experts have found that many women develop gingivitis between the second and eighth months of the pregnancy. The chances of developing gingivitis while pregnant are increased if your gums aren’t in perfect health beforehand, but it is not an issue that is reserved for those with imperfect oral health. Your immune system alters when you become pregnant, and can change the way your body responds to the bacteria that causes gingivitis, so if you notice red or bleeding gums during your pregnancy, don’t panic. Make sure you are brushing your teeth twice a day, flossing once a day, and using an anti-microbial mouth wash as well, and then call your dentist to explain the situation.

Tooth Erosion

Morning sickness is a common issue for women who are pregnant during their first trimester, and the stomach acid involved can take a toll on the enamel on your teeth. No one would blame you for wanting to clean your mouth after experiencing morning sickness, but please resist the urge to brush your teeth immediately afterwards, and begin with just rinsing your mouth out with water. If you brush your teeth immediately after being sick, the bristles of your toothbrush will scrape the acid-weakened enamel off your teeth. Wait half an hour after to brush your teeth and rinse with an anti-bacterial mouthwash, and your teeth will survive your morning sickness.

Dental Care While Pregnant

If you know that you are pregnant, or are trying to get pregnant, don’t leave your dentist out of the loop. Because of the effects that pregnancy can have on your oral health, and the effects that any medications you may be taking on the recommendation of your dentist may have on your pregnancy, your dentist needs to know so that they can advise you on your oral care and medications accordingly. Dental experts recommend visiting your dentist right before your pregnancy, and again in your second trimester for your oral health checkups, but to hold off on any major procedures or surgeries till after the baby is born.

Keep up a healthy, regular dental hygiene routine of brushing twice a day and flossing once a day. If you have any questions or concerns about how to care for your oral health while pregnant, please call Dr. Bruce Silva.


Get in touch

Contact us for your next appointment!




2550 Interstate 35, Suite 210
Austin, TX 78704

Just For You

Specials and Promotions

  • Free teeth whitening kit with dental exam, x-rays, and cleaning.
  • $50 toward 1st dental visit (no cash value). NEW PATIENTS ONLY*

Reduced cost for patients without insurance.

Follow us

On Social Media

Copyright by Dr. Bruce Silva 2017. All rights reserved.

Bruce Silva D.D.S. Austin Dentist