J. Mark Prybyl, DDS

11676 Perry Highway (Rts 19 & 910) Suite 1202, Wexford, PA  15090          724-935-0160

Cosmetic and Family Dentistry

Frequently Asked Questions

How do you handle emergencies?
I'm quite nervous about dental treatment.  What can be done?
How will my insurance be handled?
What is your initial payment policy?
Do you allow payment plans?
Is whitening (bleaching) of my teeth safe?
What is the difference between over the counter products and the dentist's whitening products?
How white will my teeth get?
What age patients do you treat?
I've been away from the dentist for a while. Where do I start?
I provide care for an elderly parent. How do I maintain their oral health?
My teeth are sensitive but I've been told that I don't have decay or gum problems.  What's up?

Q: How do you handle emergencies?
A: During regular office hours we do our best to see you that day.  We must honor our scheduled patients time, but we also don't want you to be in pain any longer than absolutely necessary.  We have an answering service that handles all phone calls when we are out of the office.  If a patient of record is in pain the service will contact Dr. Prybyl immediately and he will get in touch with you.  Sometimes a phone call with advice is good enough and sometimes he will arrange to see you, at the office ASAP.  If you are not a patient of record, he will still contact you to discuss your concern and to help you through your current crisis.


Q: I'm quite nervous about dental treatment.  What can be done?
A: We see several levels of anxiety when people come to our office.  Some mildly anxious people will relax enough when they experience the level of care and compassion that is our standard of service.  We have a special delivery system for the anesthetic that minimizes the "pinch" of the injection.  People are constantly amazed at how easy it is to get Novacain. 

For people with stronger anxieties, we do have options that include Nitrous Oxide (laughing gas); pre-medicating with an anti-anxiety medicine (you must have another driver with you); or we will have an Anesthesiologist come in and sedate you.  That allows you to "sleep" through the visit.  This also allows Dr. Prybyl to work quickly and efficiently completing your treatment at a faster pace.


Q: How will my insurance be handled?
A: We are happy to work with your insurance company in any way to maximize your benefits.  We have the current procedure and payment codes needed to provide the greatest benefit for you.  If needed, we can request a pre-treatment estimate to help you budget your dental treatment.  some insurance companies will not send payment directly to the dental office.  For those plans we ask you to pay on the day of service.  Then we take care of all the paperwork by submitting the claim to your insurance company to reimburse you directly.


Q: What is your initial payment policy?
A: On a first visit to our office we ask for payment in full at the end of treatment.  This allows us time to verify your insurance and establish a relationship with you prior to extending a line of credit to you.  We always allow a courtesy to our patients who pay with check or cash, however, we do accept all major credit cards.  After the initial visit, if your insurance is one that will pay us directly, we will submit the claim for you and only ask you to pay the amount that is not covered.


Q: Do you allow payment plans?
A: Yes.  After your initial visit, we offer a variety of interest and no interest payment plans, depending on the treatment needed and your financial situation.


Q: Is whitening (bleaching) of my teeth safe?
A: Yes.  For almost everyone over the age of 18 the procedure is safe.  Our studies are now about 20 years old and we have not seen any long term harmful effects.  When using the product your gum tissue may get sensitive.  This will usually pass quickly, however, if it doesn't, let your dentist know.  Also, your teeth may become sensitive to cold temperatures during or shortly after treatment.  This too will pass.


Q: What is the difference between over the counter products and the dentist's whitening products?
A: The products that a dentist uses are certified safe and useful.  They are generally a stronger concentration of the whitening substance.  If you do try a whitening product from a store be sure to check the label for an ADA (American Dental Association) seal of approval.  At least you will know that the product is safe.


Q: How white will my teeth get?
A: That is a good question.  Unfortunately there is not a good answer to this question which makes whitening frustrating at times.  We know that adults have sufficient stain build-up that they will see result and are almost always happy.  We can't easily predict how white you will get.  For teenagers and young adults, the results can be iffy.  We assess each person when they express an interest in whitening to see what results may be possible.


Q: What age patients do you treat?
A: As a "General" family practice, we see all ages.  Dr. Prybyl has provided treatment on an 11 month old and a 100+ year old!  If treatment needs are out of the ordinary, Dr. Prybyl does work with a team of specialists and may discuss having your treatment at one of their offices.


Q: I've been away from the dentist for a while. Where do I start?
A: This website is a good start!  Welcome back from your "dental vacation"!  If you are having pain, then that is the place to start.  Let's help you get comfortable ASAP.  If there are no significant issues with pain then a general exam is the best thing to do first.  Let us evaluate your general oral health and make initial recommendations.  After that, a cleaning and/or x-rays may be most appropriate.  If we see significant issues, we work with a full range of specialists to help with those needs.


Q: I provide care for an elderly parent. How do I maintain their oral health?
A: This is truly a challenge and I'm glad you are interested in this aspect of their health!  If they are still in a cooperative frame of mind, it is best to seat them in a chair such as a kitchen chair.  You could position yourself either standing behind them (make sure the chair isn't too high for you) or seated in front of them.  If you have no experience with this, both positions will be awkward at first.  See which one settles in better for both of you. 

Have your parent open their mouth.  With your non-brushing hand gently hold their chin to steady their head.  Set up the toothbrush the same way as for your own use.  Make sure the brush is moist, some seniors have dry mouth conditions and this will be more comfortable for them.  Then, brush as best you can!  The key is to try to clean the rear-most teeth as thoroughly as possible.  If they open too much, the cheek will be tight and you won't be able to reach the back teeth.  You may need to have them close a little and brush by feel!  The other challenging area is between the tongue and back teeth.  They may try to help you by moving their tongue out of the way.  You will probably find it easier if they try to leave their tongue in a normal position.  Your brush will move easily between it and the teeth if it is relaxed.  Over time you will get more comfortable.  Remember, this isn't necessarily life threatening.  Anything you do IS better than nothing.

One more point:  At this stage of life food is important both for proper nutrition and for social time during the meal.  So, while it isn't life threatening, oral health is very important.  If you attempt any of this and have questions or problems, please call me.  I will be happy to give you more suggestions that meet your specific needs and concerns.


Q: My teeth are sensitive but I've been told that I don't have decay or gum problems.  What's up?
A: There are many reasons for this...  Let's see if I can find one that lines up for you! 

You may not have gum problems from an active infection standpoint, but your gums may have receded so that the root surface of the tooth is exposed.  This part of the tooth is not insulated.  Sometimes a desensitizing toothpaste will keep these areas calm.  Sometimes a Periodontist (gum specialist) is needed to add gum tissue back over the exposed root.  The reason for the gum recession will help us provide the proper care. 

If you are a tooth scrubber, this may have irritated the gums.  A change in brushing technique and a  desensitizer should help.  If you clench or grind your teeth, then a desensitizer alone won't work.  In these cases we make a night appliance that keeps your teeth apart.  After this, sometimes the sensitivity goes away.  Others use the desensitizing toothpaste and it works more effectively now. 

Another reason could be that your mouth doesn't have enough saliva (dry or cotton mouth) and the teeth tend to get dried out.  Checking with your physician to see if there is a medical reason for this is a good place to start (many medications today have this as a side effect).  There are some lubricating type solutions that we can recommend but it is best to see if a simple prescription change will do the job. 

If none of these seem to fit your situation, call us!  We will give you an evaluation to determine your specific symptoms and concerns and give you a custom diagnosis.