Austin Premier Dental


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

March 19, 2020

Toothaches are so unexpected sometimes, that it’s difficult to pinpoint how or when they even start. For the most part, they don’t go away on their own and they’re mostly the result of tooth decay. While they can be treated at home or with over the counter medication, toothaches could also be an indicator of gum disease. So if you’re reading this and currently experiencing a toothache, you need to call Dr. Bruce Silva right now and schedule an appointment.

Causes of a Toothache

Only a thorough dental exam can determine what is causing a toothache, but here are the main causes:

  • Abnormal bite
  • Bruxism, or teeth grinding
  • Gum disease
  • Infection
  • Tooth trauma
  • Tooth eruption

Symptoms of a Toothache

Sometimes, you need to pay close attention to symptoms when it comes to determining if you have a toothache. Here are some symptoms you need to look out for:

  • Swelling surrounding the tooth
  • Pain when you bite
  • Difficulty swallowing
  • A terrible taste in your mouth that doesn’t go away
  • Fever
  • Continuous pain in your mouth
  • Headaches

Toothache Prevention

Since tooth decay is the primary cause of toothaches, the best way to prevent toothaches is to have a good oral hygiene practice. This consists of brushing regularly with fluoride toothpaste, flossing at least once a day, rinsing your mouth out once or twice a day with antiseptic mouthwash, and visiting your dentist at least twice a year.

March tends to be a hazardous time for our teeth due to St. Patrick’s Day celebrations that get out of hand and Spring Break. Dentists experience a higher number of patient visits than average. Dr. Bruce Silva is prepared for anyone with a dental emergency, anyone in need of a teeth cleaning, and anyone with a toothache. If you’re experiencing a toothache, call Dr. Bruce Silva and schedule an appointment today.

February 3, 2020

Brushing your teeth after each meal is an integral part of oral health. But, when time is short, finding that time is often difficult. Another pitfall of having limited time on our hands is that we revert to unhealthy food options like fast food, which affects our teeth in many bad, unhealthy ways. However, if we can find healthy food options, having to brush after each meal becomes less essential. What are some food options to eat when brushing isn’t an option?

4 Healthy Food Options

Always keep it healthy! The healthier a meal, the better it is for you if you can’t brush your teeth after that meal. Here are four healthy food options to keep your teeth looking healthy and strong.

  1. Fruits and Vegetables: A diet of fresh fruit and vegetables help to prevent tooth decay, while also providing vitamins and minerals. If you fall short on time for eating lunch, combine both in a portable container for a filling lunch. For fruits, eat berries, melon, and apples. For veggies, eat broccoli, cucumbers, and carrots.
  1. Dairy Products: Dairy foods keep your teeth healthy and strong due to that they are a good source of calcium. Cheese cubes make for a great snack because cheese contains enzymes that help neutralize bacteria that harm teeth after a meal. Drinking a glass of milk or eating a cup of yogurt are also beneficial to your oral health.
  1. Whole Grains: Fill your bellies with whole wheat bread or whole wheat pasta, which are full of nutrients. Whole grains are less likely to promote tooth decay than food with added sugar.
  1. Protein: Chicken, fish, and shrimp are all low in sugar. Although you may want a toothpick after, not being able to brush your teeth after consuming protein won’t leave your oral health in danger. Protein fills you up while also promoting a good diet.

While your day may be too busy to brush after each meal, brush your teeth at night before bed and after you wake up to keep your bright smile healthy. If you’re brushing at least twice a day, you’re still maintaining a healthy dental practice.

January 16, 2020

Did you know 17% of seniors age 65 and over have periodontal disease? That’s because as we age, proper oral hygiene becomes harder to do. Proper oral care is important no matter what age. If you are 65 or older, you may want to follow these tips for proper oral care and gum disease prevention.

1. Practice Proper Oral Care
In order to care for your teeth properly, you need to follow the American Dental Association’s recommendation of brushing your teeth twice a day with fluoride toothpaste. Proper brushing takes approximately two minutes but to be safe, take an extra minute and split the time between the upper and bottom teeth so that you’re brushing both for one and a half minutes.

2. Floss Regularly
Flossing is recommended daily. Standard dental floss is the most effective tool for flossing properly.

3. Change Out Your Toothbrush
Is it time to switch out your toothbrush? You need to replace your toothbrush every three to four months.

4. Avoid Smoking
Tobacco is linked to increased throat and mouth cancer, as well as heart disease. Quitting smoking may be difficult but it could save your life in the long run.

5. Prevent Dry Mouth

Saliva helps kill bacteria and rebuild enamel, but a dry mouth increases the risk of oral disease. Drink water frequently, chew on gum, and limit your caffeine intake.

6. Practice a Healthy Lifestyle
Your overall health is connected to your oral health in many ways. For instance, studies show a relationship between gum disease and diabetes. If you practice a healthy lifestyle with a decent diet and exercise, you’re saving your teeth a lot of trouble.

7. Visit Your Dentist
Visit your dentist regularly. The older you age, the more frequent you may need to schedule an appointment.

Dr. Bruce Silva is dedicated to serving his patients no matter what age. If you’re a senior and have additional questions about your oral health, give Dr. Bruce Silva a call. Schedule an appointment today.

January 16, 2020

We’re now in the year 2020 and if you haven’t added your oral health to your list of resolutions, you still have time to do that. First of all, if you didn’t pay your dentist a visit in 2019, it is time to schedule an appointment right now. There are multiple ways to make your teeth a health priority this year. Call Dr. Bruce Silva to discuss three very important services that will benefit your healthy smile this new year.

Teeth Cleaning

A routine dental cleaning is the best way to keep your teeth healthy. You should visit your dentist every six months for a routine cleaning. If you suffer from gum disease or other oral health issues, these visits should be more frequent and your dentist will discuss how often that should be.

Teeth Whitening

Another way to improve your smile this year is to get your teeth whitened with Dr. Bruce Silva. Dr. Silva offers multiple teeth whitening options including an in-office procedure that offers a whiter smile with an hour’s time. We also have an ongoing promotion that offers a free teeth whitening kit with dental exam, x-rays, and cleaning. Give Dr. Bruce Silva a call for more information about this promotion.


Another way to have your smile looking bright and straight is with Invisalign. Composed of smooth, comfortable and invisible plastic aligner trays for your teeth, it is the most modern approach to teeth straightening and will have your teeth looking great in no time.

Start the new year off right with a beautiful, bright smile. Call Dr. Bruce Silva today to discuss any of the above services guaranteed to help make you look your best in 2020. Make sure to visit our website for additional services that could benefit your oral health.

December 20, 2019

If the taste of something cold or hot is giving you pain, you might be suffering from tooth sensitivity. When you have sensitive teeth, activities like brushing, flossing, eating, and drinking all cause a short sensitivity discomfort on your teeth. Having sensitive teeth could be a sign that you need to schedule an appointment with your dentist. There are multiple reasons why you may experience sensitive teeth and here’s what you need to do about it.

Causes of Tooth Sensitivity

Sensitive teeth are the result of decaying tooth enamel or tooth root exposure. Enamel protects the crowns of your teeth and cementum protects the tooth root. Underneath both the enamel and cementum is dentin being protected by both, and when it loses its protective covering, heat, cold, anything acidic or sticky that reach the nerves and cells inside the tooth results in hypersensitivity.

Other possible causes of tooth sensitivity include:

  • Gum Disease
  • Receding Gums
  • Fractured Teeth
  • Tooth Decay or Cavities
  • Worn Fillings

Treatment and Prevention for Tooth Sensitivity

Luckily, sensitive teeth can be treated. The type of treatment depends on the cause of your sensitivity. Proper oral hygiene is the best way to prevent sensitive teeth, but in more severe situations, you may want to discuss the following options with your dentist.

  • Desensitizing Toothpaste: Helps block transmission of sensation from the tooth surface to the nerve.
  • Fluoride Gel: Strengthens tooth enamel and reduces the transmission of sensations.
  • A Crown or Bonding: Helps to correct decay that results in sensitivity.
  • Surgical Gum Graft: Protects the root and reduces sensitivity.
  • Root Canal: For severe pain and the most successful technique.

If you are bothered by sensitive teeth, schedule a visit with Dr. Bruce Silva. We can pinpoint the actual cause of tooth sensitivity and guide you with how to treat it. Call Dr. Bruce Silva today if you have sensitive teeth.

November 21, 2019

While many of us tend to believe that Americans gain 5 to 10 pounds over the holiday season, researchers have found that’s a myth. But, before you start to think you can overindulge this Thanksgiving, think again. There are many pros and cons to the foods you’re about to eat in the coming days and they all have an effect on your teeth.

Thanksgiving Foods

Some Thanksgiving dishes add nutritional value to your diet but some are just plain bad for you. What do you get from eating turkey versus pumpkin pie? You may be surprised. Here are the benefits and disadvantages of Thanksgiving dishes and the effects they have on your teeth.

Turkey: It’s the main course and it may be loaded with protein but turkey is difficult to eat and gets stuck in-between your teeth. Get the floss ready because you’re going to need it.

Cranberry Sauce: This sugary treat is acidic and will temporarily stain your teeth. To reduce the sugary effects and staining, make sure to eat it with the rest of your meal and not by itself.

Yams: Sweet potatoes are full of vitamins A and C, but a candied yam is far less healthy for your teeth. Marshmallows typically have 4 grams of sugar, which is not good. Additionally, melted marshmallow is sticky and gooey and can be bad news for people who wear braces and dentures. Eat in moderation.

Green Bean Casserole: While the green beans, onions, and mushrooms may be healthy, this is another situation to keep the floss handy after your meal.

Macaroni and Cheese: We know that cheese and milk have calcium which strengthens our teeth but did you know that pasta contains sugar that can be left behind on your teeth? Eat this in moderation, also.

Mashed Potatoes and Gravy: A starch-heavy food, bacteria feeds off the sugar left behind from starch, although potatoes are a good source of vitamin C, B6, and potassium.

Pumpkin Pie: Pumpkin has vitamin A, which is good for your gums and enamel. Also, eating sweets after a meal keeps the saliva flowing to help wash away leftover food in your mouth, but you may want to leave the sugar-packed whipped topping off the pie.

You are bound to come across foods that are both good and bad for you this holiday season. Think before you indulge in your favorite foods because some are harmful to your healthy smile. If you brush and floss after your Thanksgiving meal, you’re already on the right path.

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 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.

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.

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.

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2550 Interstate 35, Suite 210
Austin, TX 78704

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

Bruce Silva D.D.S. Austin Dentist