Questions? Just Ask!

We want you to know who we are at Macke Dental Care — and all that we can do to make your teeth and gums healthy and your smile radiant. Here are some of the questions frequently asked by our patients. We’ll be glad to answer any questions you have about our practice, our people, and our procedures. Please call us — anytime.

What’s the difference between the DMD and DDS designations?

U.S. dentists have either a DDS (Doctor of Dental Surgery) or DMD (Doctor of Dental Medicine) after their name. The only difference is the name. The degrees and their educational requirements are the same. Some dental schools award the DDS degree, others a DMD degree

How do you keep up to date on new techniques and materials?

Dr. Macke and Dr. Rose are committed to continuing their dental education and always complete more than the required 40 hours of continuing education every two years. Dr. Macke recently began a multi-year series of courses at the prestigious Dawson Academy (a postgraduate educational and clinical research facility).

How do you handle emergencies?

There is always a dentist on call. Dr. Macke or Dr. Rose will come in to the office for emergencies when necessary.

How much will my insurance pay towards my treatments?

That depends on your insurance company. Insurance companies put a limit on dental expenses each year — usually $1,000 or $1,500.  Depending on the type of service, they pay a percentage of the expense. When they say they pay 100% of a certain service, they mean 100% of the fee they set for that service that is based on their plan, not our office fees. Also, insurance companies’ fees may vary from plan to plan.  For example, our fee is $75 for a typical adult cleaning. While most insurance companies will pay 100% of this fee, some plans will pay as little as $20.

How can I pay for your services?

We accept cash, check, MasterCard, and Visa.  We will always discuss the fee for your visit before your appointment and submit your insurance form for you. You will be responsible for any amount not covered by insurance.

Do you offer financing for major procedures?

If you need extensive dental care and are concerned about the cost, we offer no-interest payment plans through CareCredit®. For more information, call our office manager, Nancy Queen (770.993.0265), or visit CareCredit online at

Do you accept referrals?

Yes. Gladly and with great appreciation. Dr. Rose built this practice almost entirely on referrals, which has been mutually gratifying for us and our patients.

Do you take children as patients?

We do — starting at age 3. We enjoy starting our little patients on the road to a lifetime of good dental habits and health.

What’s the difference between a crown and a cap?

No difference. They are one and the same, called by both names, with “cap” more a layman’s term. Used for restorations, they cover broken teeth and are made of gold, porcelain, metal fused to porcelain, and even stainless steel.

What’s the difference between a bridge and partial denture?

Bridges and partial dentures are made to replace missing teeth. A bridge is cemented and fixed in place, permanently attached to natural teeth. A partial denture is attached to the teeth by clasps and can be easily removed for cleaning. Patients usually prefer bridges to partial dentures when possible.

What’s best — silver or white fillings?

White (tooth-colored) fillings, made of a plastic resin material, are now more popular with patients for esthetic reasons. We use only white fillings in our practice. They bond to the tooth structure, help strengthen a tooth weakened by decay, and look better. However, the silver (amalgam) fillings are still OK and there is no health risk with them.

Do you do implants?

We don’t place the implants themselves. Some general dentists are now placing implants, but this procedure usually is done by an oral surgeon or periodontist. However, we do restore the crown that attaches to the implant. We work as a team with the specialist to ensure your implant case is a success.

Are x-rays necessary? And are they dangerous?

Yes, x-rays are necessary. Radiography lets us see between the teeth and accurately detect diseases and abnormalities hidden beneath the gums. We use traditional film radiographs, which have excellent quality. We have a panorex radiograph machine that travels around your head and takes a full shot of all teeth and other structures in your mouth. Radiograph machines are valuable and safe dental tools. They emit a very low dose of radiation, and pose a much smaller risk to your health than undetected and untreated dental problems.

How do you sterilize your instruments?

We are very stringent about our infection-control practices. Our instruments are soaked and shaken in an ultrasonic cleaner to rid them of any debris. Then they are placed in an autoclave (a high-pressure, steam heat machine) and sterilized.

Do over-the-counter teeth whitening products really work?

Yes, many of these products do lighten the color of tooth enamel somewhat. But, they contain less than 5% bleach (carbamide peroxide), compared to the solutions we dispense in trays for home use that are gels mixed with 10% to 35% bleach. Only these dentist-dispensed trays carry the ADA (American Dental Association) seal.

What type of toothbrush should I use?

Always use a toothbrush with soft bristles and a small head. Medium and hard bristle brushes used with force can take your tooth enamel off and cause damage to your gums. A small head allows you to get around each tooth more completely. We recommend electric toothbrushes that provide steady, gentle brushing and gum massage.

How often should I floss?

Brush your teeth twice a day, morning and night for at least two minutes, and floss well once a day. If you wear braces, brush more often.

My gums bleed after I brush or floss. Should I be concerned?

Yes. Bleeding gums should be evaluated with x-rays and then initially treated with a teeth cleaning and stringent home care. Bleeding gums often are the first symptom of gingivitis or periodontal disease, and could require gum surgery.

I grind my teeth. How can I stop?

Grinding your teeth at night can cause them to become loose, worn, or fractured. Your dentist can custom fit you with a bite guard to protect your teeth while you sleep and recommend any other therapies.

I’m pregnant. Is there any special dental care I should have?

See your dentist for an exam, evaluation, and cleaning. Then, faithfully brush and floss every day to prevent decay and gum disease. Periodontal disease has been linked to low birth weight in babies.

How often should I come in for a visit?

Generally, we like to see our patients every six months, which allows us to catch problems in the early stages. If you have signs or a history of gum disease, we need to see you more often. Decay and gum disease are caused by bacteria that take about 8–10 weeks to become destructive and must be removed or broken up before they take hold. And, it’s good for your children to make their first visit to the dentist at age three.