Dental Q & A
Cavities

The development of cavities is usually in those hard to see and reach places in your mouth. These are the areas that usually floss can only reach. Cavities are formed when the bacteria in your mouth attaches to food particles and forms plaque. The acid produced by plaque begins to eat away at the tooth if it is left long enough. First the enamel is attacked then the dentin is next, which is where the tooth's nerve fibers are located. Once the decay makes its way to the dentin a filling is need to stop the cavities progress. If it is left untouched it will eventually reach the nerve and a root canal is then needed to repair the tooth.

Canker Sores
Canker Sores

Canker sores are common in adults and children, and generally tend to cause discomfort, particularly during eating. Although several factors have been named as possible 'causes' of aphthous ulcers, trauma is the most common trigger for them. It has also been observed that they appear in patients who are under stress, or those experiencing health problems. They have also been attributed to hormonal changes, and to some types of dietary deficiencies (ie, Vitamin B12, Iron, Folic Acid, etc.). Although there is no specific treatment for the ulcer itself, except for severe cases (where usually steroids are prescribed); treatment is usually focused on the pain caused by the ulceration.

Cold Sores
Cold Sores

Recurrent Herpes Labialis (the common dental term) is a very common viral infection in children and adults. It is caused in most cases by a sub-type of the Herpes Virus, and in most patients it is preceded by an illness (a cold), exposure to sun or exposure to cold. Most patients experience what is known as 'prodromic' symptoms such as itching or burning sensation in the area where the blisters soon appear. This information may allow your dentist to recommend therapies that may minimize or eliminate the appearance of the blisters. This infection is usually self limiting and can last up to 14 days before the scabs fall off.

Bad Breath
Bad Breath

What you eat affects the air you exhale. Certain foods, such as garlic and onions, contribute to objectionable breath odor. Once the food is absorbed into the bloodstream, it is transferred to the lungs, where it is expelled. The odors will continue until the body eliminates the food. People who diet may develop unpleasant breath from infrequent eating. If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath. Food that collects between the teeth, on the tongue and around the gums can rot, leaving an unpleasant odor. Dry mouth occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor. Dry mouth may be caused by various medications, salivary gland problems or continuously breathing through the mouth. Tobacco products cause bad breath, so if you use tobacco, ask your dentist for tips on kicking the habit. Bad breath may also be the sign of a medical disorder, such as a local infection in the respiratory tract, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment.

Bruxism

Bruxism, commonly known as "tooth grinding," is the process of clenching together and the grinding of the upper and lower teeth. During sleep, the biting force of clenched jaws can be up to six times greater than during waking hours.

Bruxism can cause complications over the years:

  • Wear down tooth enamel
  • Break fillings or other dental work
  • Worsening of TMJ dysfunction
  • Create jaw pain,toothaches, headaches, or earaches
  • Cause tooth sensitivity
  • Increase tooth mobility
  • Chip Teeth

There is no cure for bruxism; however, the condition can be managed. The most common procedure to help to alleviate pain and discomfort is a Nightguard.

Tobacco

You are probably familiar with the links between tobacco use and lung disease, cancer and cardiovascular disease.

Current studies have also established that tobacco smoking not only causes direct damage to your mouth but also makes periodontal diseases more damaging and harder to treat.

There is a greater incidence of calculus formation on teeth, deeper pockets between gums and teeth, more gum recession and more loss of the bone that hold teeth in your mouth. In addition, smokeless tobacco greatly increases your chance of developing oral cancer. Any tobacco usage can complicate the placement of dental implants.

Besides smokeless tobacco, cigarette smoking negatively impacts the health of the gums. The healing capacity of the mouth is significantly altered. The healing time from any procedure is always increased. Needless to say smoking creates more tartar, more stain, bad breath and an increased potential for mouth cancer.

Other chemicals impair the function of your white blood cells which are your first line of defense against infection. The tars contain carcinogens which over time induce cell mutations and cancers.

Quitting tobacco use will lower the risk of your developing cancer and improve the health of your teeth and gums, as well as your heart and lungs.

Smokeless tobacco poses very serious problems including:
- Causes tooth decay
- Eats away your gums
- Leads to tooth loss
- Bad breath
- Stains your teeth
- Causes oral sensitivity to hot and cold
- Decreases sense of taste and smell

If oral cancer is left untreated long enough, it may even cause death.

Pregnancy
Pregnancy

We ask that our female patients who are pregnant or think they possibly could be to inform us prior to your x-ray examination and dental treatment.

Oral Piercing
Oral Piercing

Oral piercings can be bad for your health. Because your mouth contains millions of bacteria, infection is a common complication of oral piercing. Pain and swelling are other side effects of piercing. Your tongue (a popular piercing site in the mouth) could swell large enough to close off your airway. Piercings can also cause uncontrollable bleeding or nerve damage. The jewelry itself also presents some hazards. You can choke on any studs, barbells or hoops that come loose in your mouth, and contact with the jewelry can chip or crack your teeth.

Dry Mouth
Dry Mouth

Saliva flow keeps the mouth moist and aids in chewing, swallowing, digestion and speech. Dry mouth is a condition from the lack of normal saliva flow.


Causes of dry mouth:

  • Dehydration
  • Emotional stress
  • Anemia
  • Related to surgery
  • Medical Conditions
  • Medication
  • Allergy
  • Anti-depressant
  • Blood pressure
  • Some mouth washes that are high in alcohol content

Dry mouth symptoms:

  • Mouth feels sticky
  • Lips cracked and dry
  • Tongue may have burning sensation

People who experience dry mouth are at high risk for developing cavities, gum disease and bad breath.

Helping dry mouth:

  • Chewing gum / lozenges
  • Humidifier at night
  • Maintaining good oral hygiene
SCHEDULE YOUR APPOINTMENT

The Center for Advanced Dentistry would love to meet you and your family
and provide you with the dental care you need and give you all smiles you deserve!


By Phone
request appointment by phone
  • San Jose
  • (408) 340-6480

Center For Advanced Dentistry (Reviews)
Overall Dental Practice Rating - ★★★★★ 5 out of 5 based on 14 ratings.
Fourteen San Jose Dentist Reviews.

★★★★★
Super friendly and inviting office.... but I hear they're moving to an even better location two doors down!
The staff is welcoming and friendly, and Dr. Lim is awesome, makes you feel like family and you've known him forever.
Recently went in for impressions and WOW, they rocked it. I've had braces 3x and every time I swear they mix the paste wrong and choke me! Not here. They had just finished up some safety standard meeting with a trainer. It's always nice to know they're staying informed about sanitation and cross contamination to keep their patience safe.
Location is a little hard just because it's a divided road, you'll have to flip a u-ie if you're going back toward Santa Clara. Totally worth a visit.

★★★★★
The motto of this dental practice should be "come for the dental work, stay for the view!"
Seriously, this office has the most amazing view of the bay; it's up on the 6th floor above Union Street and from your little dental chair of doom one can enjoy sweeping views of the Golden Gate Bridge, Alcatraz, and the rest of the postcard perfect sights while biting down on that evil little piece of plastic to get your x-rays. We're talkin' a penthouse suite, big balla type view - if this was a hotel room it would be $1,000 a night. But instead of paying big bucks, I just have to put up with a little bit of scraping and grinding and I can enjoy it for FREE! (Thanks dental insurance!)
I've been coming here since I was a kid (when it was Dr. Bolan's practice) and somehow the fabulous views and kind staff always made getting my teeth cleaned much easier. My dental hygienist, Stephanie, is gentle, efficient, and detail oriented, and the front office staff are always pleasant and helpful.
Dr. Lim is the newest member of the practice (which used to include Dr. Keith and Dr. Chao) and I believe he has pretty much taken over for them. He is young, smart, knowledgeable, and easy to talk to. He's a prosthodontics and dental implant specialist, so since I basically just come in for cleanings and the occasional tiny cavity, it's kind of like having Thomas Keller fix you a grilled cheese sandwich - he's way too talented and educated for my minor dental issues, but he always treats me like I'm as important as anyone else.

★★★★★
Dr Steven Lim sold his practice to Dr Potesta-Knoll and Dr Knoll this past year but they're ALL awesome. I had Dr Lim remove a tooth for me in November and since he sold the practice he incorporated Dr Potesta-Knoll and Dr Knoll into my treatments. The transition was WAYYY easier than I was afraid (no one likes change) but they're all so nice and helpful. Dr Potesta always has a smile on her face and Dr Knoll was very warm and understanding to any little issues I had with my dental implant.
And their Nurses and support staff make appointments so simple and always glad to see me! Especially Sue who I've been dealing with since last year when she saw me through my worst!
Ada and Bella are also super duper real and they're so nice I don't think "nice" is the best way to define this team! And Dr Potesta has a few new nurses/support staff who I don't know the names of but I just don't think there's every been a grumpy person in that office.
Although I have no insurance coverage and I am paying for everything myself, they're one of the few that I will say, money well spent and well worth it!

★★★★★
Great service!! Friendly nice professional staff. Very gentle but still great, they make you feel very comfortable and welcome. If your looking for a nice reliable trustworthy spot this is it!

★★★★★
After feeling not very well attended to at my previous dentist, and having my wife be very happy with hers. I started considering switching to hers: Dr Lim.
Another reminder was the quality of her mouth guard (that Dr Lim made) compared to mine. Mine was just way cruder, bigger and I assume less comfortable.
So I switched. I have been there about 5 times now, and had both routine and substantial dental work done. Every time I have had the experience that Dr Lim and his staff are attentive, committed to quality work and a happy me, and able to deliver on both :)

★★★★★
Having lived in San Francisco for nearly 5 years, I can say with out hesitation that Steve Lim is the best dentist I have found, after visiting many. I found his practice being referred by a friend after I had a filling done by another dentist (I will not mention) which was causing me pain.
Dr. Lim identified the problem that my previous dentist had broken the filling and did not repair it correctly, he re performed the corrective procedure, and now it is better than it ever. I would enthusiastically recommend Dr. Lim and his friendly staff to any friend.

★★★★★
Dr. Lim and his staff are simply the best. I have had so much dental work done I feel like a professional critic by now! I have gone through oral surgeons, ortho's and prosthodontists and he is by far the best I have seen. He is honest, easy to talk to, and he listens. But most importantly, his work is really good. I received a dental implant from him that was painless, I was not even swollen the next day. I think I took one ibuprofen. He is completely comprehensive in his care, meticulous, and humble. He is the only dentist I see now.
It is so important to put you dental care in the hands of a true professional, I am grateful to have found him.

★★★★★
You won't find a better dentist, seriously, I know. I've moved many times and have had to jump around to many different dentists, but Dr. Lim and his staff are so good, that no matter where I end up, I'll always come back. The staff is super friendly and the teeth cleanings are not your normal run of the mill cleanings...they are seriously no joke! She takes her time and gets into every possible nook and cranny. I can't help but flash a huge smile every time I leave the office and walk down Union St. showing off what feels like a whole new set a squeaky clean teeth. Dr. Lim always remembers little things about me and treats me like I feel he would family. He's very personable and acts like he cares a lot. He always explains what he's doing and prepares me for what's to come next. The implant I had to get ended up being a far less scary procedure than I expected and couple years later, it still seems perfect. He walked me though the whole thing and even followed up after the procedure to see how everything was going, which again shows that he really cares about the patient and his work.

And the cherry on top is the incredible view!! It really doesn't get any better. Laying down on that super comfy leather recliner, having someone clean my teeth and enjoying the amazing view of the Palace of Fine Arts, the GG Bridge and the Bay makes me feel like I'm treating myself to a spa day! I actually look forward to my visits to Dr. Lim's office and go in a lot more regularly to get my teeth cleaned. Highly recommend a visit to Dr Lim's office...you won't be disappointed!

★★★★★
I used to dread going to the dentist especially for fillings but Dr. Lim is amazing. I couldn't feel a thing and I have a ridiculously low pain threshold!! Don't hesitate to see him...

★★★★★
Best dentist, Best dental hygienists, Best office staff, Best Location! Highest marks for this extraordinarily well qualified (academics, experience, specialized training in several areas of state-of-the-art dentistry) San Francisco dentist. Dr. Lim's dental practice is run with the patient's comfort and high quality care as first priority. You know you are being treated by a dentist and staff who are highly qualified and professional, as well as current on the latest in dental health and state-of-the-art dental procedures

★★★★★
I can only say positive things about Dr. Lim and his office. I had a couple of implants put in just yesterday and I wasn't even nervous at all. He did a fantastic job as always. I will never go to any other dentist office again! They have the newest technology equipment. The staff personnel is very professional and super nice. The office itself is super clean...even the restroom! Actually I was quite impressed with the restroom because it was/is exceptionally clean and all new. Thank you so much for all the great work you have already done and are going to still do!

★★★★★
We found Dr.Lim since his new office is located near us off Bascom. My husband went to him first came back raving about how great they were. I booked my appointment a week later. He was so right! They are awesome! They did such a great job cleaning and the Dr.even did a little extra sanding on one tooth that was chipped and causing staining. What I really loved most was how nice they were and that they didn't turn into a car dealership and just try to sell me garbage like my last dentist in Los Gatos. I highly recommend this office to anyone looking for a dentist.

★★★★★
I highly recommend Dr. Lim, as he is a world renowned prosthodontist - the best one in the Bay Area (trust me, I did my research!).
I've been going to his office for cleanings and cavity fillings for over 2 years before I decided to trust him with one of the most important things in my life - my smile make-over for my wedding. Dr. Lim did an amazing job! I used to always smile with my mouth closed, never showing my teeth. Now, my smile is so open and radiant. I'm not afraid of showing my pearly whites and I am constantly getting compliments on them. This literally made me a 'happier' person - I smile widely all the time!!!
Dr. Lim and his staff are caring and professional. Everyone who works at his office seem to genuinely enjoy what they do, and they are always cheerful and helpful. No one likes going to the dentist, but this place makes it as enjoyable as it can be. And if you're looking for a smile make-over, Dr. Lim is your guy!

★★★★★
Love this dentist office They are always so friendly and efficient! Dr. Lim is such a nice guy and knows his work.