Austin Premier Dental


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

February 6, 2020

Gums that have pulled away from the tooth leaving its root exposed are what is referred to as receding gums. Although not a high-priority emergency, receding gums leave way for plaque to collect in the areas where it once was. This may lead to more recession and tooth loss if left untreated. Unlike other tissues, your gum tissue doesn’t regenerate therefore, receding gums don’t grow back. This condition is not a cause for alarm, and there are ways to prevent further recession.

Slow Down Receding Gums

A number of things may cause gums to recede, including brushing too hard, poor dental hygiene, and even aging. Slowing down the process is your next step to maintaining a healthy set of teeth and gums. Although your gums won’t grow back, there are a few ways to prevent further gum recession.

1. Visit Your Dentist. Schedule an appointment with your dentist and they will most likely measure your gum recession to determine the next steps. Bacteria might have developed in the spaces in between the gums and teeth, so deep cleaning procedure is likely.

2. Maintain a Healthy Dental Practice. You can do this in a number of ways. These include:

  • Learning how to brush your teeth softer instead of harder. Purchase a soft-bristled brush instead of a medium or hard option.
  • Floss in between your teeth daily before brushing.
  • Schedule a dental cleaning every six months

Practicing these steps in addition to brushing your teeth twice a day and using a mouthwash will not only prevent gum recession but other oral health problems, such as tooth decay.

If you have receding gums, there is no reason to panic as it is a common problem. But, you do want to take care of the situation as soon as possible. Schedule an appointment with Dr. Bruce Silva today. He can determine the best solution for your receding gums.

October 10, 2019

Your healthy smile needs proper care and attention. If you lack the knowledge on proper tooth care, an electric toothbrush can be a big help in making sure your teeth are brushed the right way. An electric toothbrush is an excellent alternative to brushing with a traditional toothbrush, and sometimes, is highly recommended by your dentist for multiple reasons regarding your oral health. Here are the benefits of switching to an electric toothbrush if you haven’t already.

Benefits of Electric Toothbrushes

While it is still up to you to brush your teeth at least twice a day for two minutes long, electric toothbrushes help to improve your brushing technique in six important ways.

  • They help with reaching all tooth surfaces.
  • The grip is wide and easier to handle than a traditional toothbrush.
  • Bristles are interchangeable, so if your dentist wants you using softer bristles, you can easily opt for softer bristles without replacing the entire toothbrush.
  • They are designed to fit comfortably in any size mouth.
  • The brush does all the work for you as it has adjustable settings.
  • The action of the bristles removes more plaque and gingivitis.

A study shows that after one month of use, plaque was significantly reduced by 11 percent. After use for three months, plaque was reduced by 21 percent. Gingivitis was also reduced by 6 to 11 percent after an average of two month’s usage.

How to Select Your Electric Toothbrush

There are multiple types of power toothbrushes to choose from. Some models include a timer, which switches off after two minutes, while the mobility of some vibrates side to side or rotates back and forth. When selecting a toothbrush, consider:

  1. ease of use
  2. comfort
  3. bristle design
  4. brush size

Have questions about electric toothbrushes? Visit Dr. Bruce Silva to discuss the best action for you to take regarding your dental health care.

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

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.

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.

April 16, 2019

Thanks to the internet and easier, widespread access to healthcare, many people are becoming more knowledgeable about their oral health. There’s always more to learn though, so here are some interesting facts about your oral health that you may not have known.

  1. Some medications can lead to cavities

    Dry mouth can be brushed off as merely an annoying side affect of medication, but if not treated properly, it can cause multiple oral health issues. Antihistamines, antidepressants, high blood pressure medication, and many other medications can cause dry mouth, a condition that leads to a lack of natural saliva production. A lack of saliva in the mouth can lead to gum disease, difficulty speaking or swallowing, mouth fungus, and cavities. If dry mouth is a side effect of any of your medication, you should do your best to stay hydrated throughout the day to compensate for the loss of natural saliva.

  2. Oral Health issues can indicate more severe health problems

    If you are suffering from persistent oral health problems, you should not only call your dentist, but also your doctor right away because it may be a sign that you have a more serious health issue. Infected or bleeding gums can indicate cardiovascular problems, oncoming or worsening diabetes, or respiratory issues.

  3. Electric toothbrushes are no better than traditional toothbrushes

    According to Consumer Reports, electric toothbrushes can remove up to 21% more plaque than a traditional toothbrush, but dental experts are unsure just how helpful that much extra plaque removal is in the grand scheme of your oral health. Oral health experts have found that the type of tooth brush doesn’t make as much of a difference to the health of your teeth and gums as long as you are keeping up a healthy cleaning schedule.

  4. Be wary of DIY braces

    There’s been some buzz lately about 3D printing braces for a fraction of what an orthodontist visit would cost, while also significantly cutting down the amount of time it takes to achieve the results of braces. The oral health community may or may not embrace new technology to help make expensive procedures like braces more affordable, but until the experts have had a chance to truly study the effects, for the sake of your long-term health, it is best to stick with the advice of those who have spent their lives studying how to protect your teeth and you.

Part of a healthy dental routine is a twice-annual visit to your dentist, so if you’re looking for a dentist to call home, look no further than Dr. Silva. Book an appointment HERE or call 512-605-0860.

March 10, 2019

If you’re a spring-cleaner, the time is now to get started! A good spring cleaning goes beyond cleaning out your closets, attic, and garage. This year include yourself in your cleaning purge and visit your dentist for a spring cleaning on your healthy smile. Failure to take care of your teeth can result in more serious health conditions with your teeth, gums, and overall health.

What happens when you skip a dental cleaning?

If you fail to visit the dentist every six months to a year, you risk becoming a sufferer of gum disease. Gum disease, an infection that is the leading cause of tooth loss, progresses below the gum line and can damage the bone and tissue of your teeth. Some symptoms of gum disease include red swollen gums and bleeding of the gums. Gum disease has even been linked to other serious health issues including heart disease, diabetes, strokes, and more.

Gingivitis is a less severe form of gum disease and most sufferers might not know they have it. It is caused by plaque buildup and tartar that grows along the gum line. As the tartar builds up, it’ll irritate the gums causing redness and bleeding.

While gum disease is still treatable, it could lead to more serious issues for your overall health. Bacteria found in the gum line can leave the oral cavity through the vascular network and make it to other parts of the body, including the heart.

Dentists are important to your dental health and if you skip an appointment, you could jeopardize it. When dental hygienists clean your teeth, they clean off tartar buildup and look out for changes occurring in your mouth. Schedule a spring cleaning for your healthy smile with Dr. Bruce Silva now.

January 1, 2019

According to most experts, there’s a very simple formula for keeping your teeth healthy year-round: brush twice a day for two minutes, floss once a day, and visit your dentist at least twice a year. It’s not a very long list of instructions, but a comprehensive study done by the CDC in 2016 found that around only 30% of the population were taking their dentists’ instructions to heart when it comes to flossing, as most people believe that brushing is enough to remove tooth-damaging plaque and food particles from between their teeth. However, as any dentist will confirm, not flossing can lead to gum disease, which in turn can lead to tooth decay or loss, and has even been linked to heart disease in recent studies.

Choosing the Right Floss
Just like toothbrushes, there are multiple types of floss to be found on store shelves, and finding the right kind can be overwhelming at first. The most common flosses are:

  • Unwaxed/waxed floss
  • Flavored/unflavored floss
  • Dental Tape
  • Flossing picks

In recent years, electric flossers have also been added to the list of flossing products. So how do you choose? The amount of space between your teeth and the level of comfort you experience when attempting to get the floss between them is the best measure, which means that a bit of trial and error may be required at first. However, dentists have a few suggestions to help your search for the best floss for you. If your teeth are very tight, going with a waxed floss, either flavored or unflavored as you prefer, is a good place to start. If you have wider gaps in your teeth, dental tape will clean the spaces between your teeth best. Meanwhile, if wrapping the traditional dental tape around your fingers is too uncomfortable, difficult, or you’re having trouble reaching all of the spaces between your teeth, then floss picks or an electric flosser are better choices for you.

What Your Dentist Wants You to Know
Experiment with different products to determine if you have large gaps between your teeth or if you need wax covered floss. The process may be frustrating for you as you try to develop a habit of flossing while also switching products, but what you need to remember is that you’re flossing, and that’s what’s most important. You’re doing something essential for your health, and there’s no harm in having to change the way you do it from time to time. You’re doing yourself a huge favor by continuing to look for just the right product.

Schedule an appointment with Dr. Silva to discuss various dental floss products and proper flossing techniques. It’s also the beginning of the year, which means it’s time to schedule an appointment for a dental checkup as well. Give us a call today!



December 7, 2018

Nothing can ruin your day faster than unexpected pain, and tooth pain almost universally ranks as one of the most unpleasant of wrenches that can be thrown into your day. Of course, if you wake up with a toothache during the week, you can always call your dentist to make a quick appointment to take care of the issue, but the holiday season is officially upon us, and your dentist, like most places, will have different holiday hours. So what do you do if you wake up with a toothache and your dentist isn’t available?

There are several things that can cause a sudden toothache: a particle of food caught between your teeth or lodged within a small cavity or a tooth infection. If you find yourself in this unfortunate position during the holidays, if you can take painkillers like Ibuprofen or Acetaminophen—please check with your doctor if you aren’t sure—take some immediately. When the inner pulp of a tooth becomes infected it swells, and unlike any other part of the body that suffers from an infection, there’s no room for movement inside a tooth, and both Ibuprofen and Acetaminophen are anti-inflammatories that will help take the pain and swelling down.

If you are unable to take painkillers for medical reasons, head over to your pantry. A warm salt rinse several times a day will help reduce the inflammation that is causing pain. Another excellent home remedy, and a rather holiday appropriate one too, is clove oil, as it is a natural irritant reducer. You can find clove oil at most pharmacies and some natural food stores, and can use a cotton swab to apply some to the area causing you pain. A whole clove from your spice cabinet will do just as well however if you don’t have any of the oil on hand. Place one in your mouth over the infected tooth and the natural oils in the clove will go to work on the pain. If all else fails, a warm shower to help relax you and an ice pack to help reduce the swelling will also provide some relief.

No one wants to be saddled with a toothache during the holiday season. So make sure that you are caught up with your check-ups and cleanings, and that you are following the recommended daily tooth care regimen: brush twice a day, every day, and floss once a day. Doing these things will greatly reduce your chances of waking up unexpectedly with a problem that you have no immediate way to handle. If you have more questions about how to handle a toothache when your dentist isn’t available to help, call Dr. Bruce Silva today, or visit him online to set up a pre-holiday appointment.

October 9, 2018

Halloween is an exciting time of the year. It’s the gateway to the holiday season, the weather is finally beginning to cool down, and of course, there is no lack of Halloween candy. Halloween is all about the candy, and no dentist is going to deny any child the right to be excited about the sugar bomb they’re about to receive on Halloween night. We do, however, have a few suggestions on how to protect the fragile teeth of everyone’s little ghouls and goblins from overindulgence and to avoid an expensive and unneeded emergency trip to the dentist after Halloween.

Which candy is the least harmful to teeth?

Chocolate, specifically dark chocolate, is the best candy for your teeth. It has the least amount of carbs and processed sugars in it, and will wash off your teeth easily, whereas sour candy should generally be avoided due to its high acid content, which strips away tooth enamel. Dentists also warn that sticky candies such as caramel and hard candies are equally as dangerous due to the long periods of time it takes to eat them. The bottom line is, if sugar is on your teeth, your tooth enamel is in danger, which could eventually lead to cavities.

How do I protect my and my child’s teeth this Halloween?

Fortunately, there are some easy solutions for protecting your teeth this Halloween. Brushing your teeth twice a day, and flossing once a day as your dentist suggests is the best safeguard against poor dental health there is. When a glut of sugar is added to your diet, it is even more important. Dentists also suggest that candy should only be eaten after a meal, as the mouth is already producing saliva and will therefore be able to wash the sugar from your teeth naturally. Of course, accidents do happen, so if you do start to feel tooth pain this Halloween, go see your dentist, because the worst thing to do is ignore it.

Don’t overindulge in Halloween candy this year. Take proper care of your teeth this season and schedule a checkup with Dr. Bruce Silva today.


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Austin, TX 78704

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Bruce Silva D.D.S. Austin Dentist