​​Dentist Denton TX Dr. Gaylen Fickey DDS

Dr Gaylen Fickey, DDS welcomes you! We've been voted Best Dentist Denton TX multiple times. Dr. Fickey provides a full line of dental services including fillings, extractions, root canal, dentures, bridges, crowns, veneers, dental implants, and cleanings. When you visit our office, you are our highest priority. Our entire team is dedicated to giving you a warm welcome and an ongoing commitment to provide maximum dental health and comfort so you can achieve a beautiful smile and healthier gums and teeth. We are committed to serving our patients and providing information that helps them to make more informed decisions about their oral health needs.

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We are located at:
1314 N Locust St.
Denton, TX 76240 

What to expect from Dr. Fickey

Since you may have periodontal disease without experiencing any symptoms, we perform a thorough examination using X-rays and a periodontal probe. Healthy gums fit tight against the teeth and have no pockets. When the bone levels fall as a result of periodontal disease, the gums pull away from the teeth and form pockets. We measure the depth of any pockets with a periodontal probe. The probe measures the distance from the bottom of the pocket, where the gum is attached to the tooth, to the top of the gums. In general, the deeper the pockets, the greater the extent of periodontal disease.

We also examine the color, shape, and overall condition of the gums. Bleeding is a sign of infection; healthy gums don’t bleed. Healthy gums are firm and lightly stippled. In moderate cases of periodontal disease, we see red and swollen gums.

X-rays tell us a lot about periodontal disease. In a healthy mouth, the bone comes up high around the necks of the teeth, and the bone level is even throughout the mouth. With advanced periodontal disease, the bone levels are much lower and are uneven.

We look for the following signs to diagnose periodontal disease:

  • probe readings greater than three millimeters;
  • bleeding upon probing;
  • swollen and red gums, especially between the teeth; and
  • bone loss or tartar buildup indicated by X-rays.

Infection Control

In our Denton Texas dental office, we take pride in adhering to the highest standards for infection control.

  • We scrub our hands before and after each appointment.
  • We wear masks and protective eyewear.
  • All instruments are sterilized with an autoclave.
  • Our handpieces are always heat sterilized between patients.
  • We use disposable supplies.
  • We use protective barriers on exposed surfaces and disinfect all other surfaces according to government standards.
  • All staff members are vaccinated for hepatitis B.

We regularly update infection control procedures for all dental staff members. We adhere to these strict infection control standards because we care about your health and welfare.

Nitrous Oxide

The reason for using nitrous oxide (“laughing gas”) is for its calming effect. Since it doesn’t numb the teeth, anesthetic is still necessary. Nitrous oxide just relaxes you. You will breathe nitrous oxide in through a small mask that covers your nose. It takes just a few minutes for you to notice the effects. People most often describe the feeling as being relaxed, unconcerned, slightly numb all over, and disconnected from what’s happening around them.

Dr. Fickey can adjust the dosage of the nitrous oxide gas to fit your needs. You can also control its effects by your breathing. The more deeply you breathe through your nose, the more you’ll feel its effects. There are no long-lasting effects of nitrous oxide; you can safely drive after a dental appointment.

Dr. Fickey won’t use nitrous oxide if:

  • You’re pregnant
  • You have an inner ear infection
  • You have asthma

Let the dental staff know if you’d like to try nitrous oxide to feel more relaxed during your dental appointment.

HIPAA Notice

HIPAA stands for the Health Insurance Portability and Accountability Act. This act consists of a set of standards that were created by the U.S. Department of Health and Human Services. It was signed into law on August 21, 1996 with an effective date of April 14, 2003.

These standards were created to streamline the flow of information in the healthcare system and to protect confidential health information from inappropriate access, use, and disclosure. HIPAA regulations apply to any healthcare provider that creates or maintains health information, or that engages in electronic transactions or health plans.

Dental Insurance Information

A dental insurance plan is a contract between you and an insurance company that, in most cases, is coordinated by your employer. If that’s the case, the insurance company and your employer are responsible for negotiating the details of the plan. Because our office has no control over this contract, we cannot request additional coverage for you.

Dental Rubber Dam

When it’s wet and rainy outside it’s always a good idea to wear a raincoat. When Dr. Fickey works on your teeth, he will sometimes use a special kind of a “tooth raincoat” called a rubber dam.

Once the rubber dam is in place, it keeps your tooth dry and prevents any debris from the procedure from falling to the back of your throat. It keeps you more comfortable, and lets your dentist do a better job. When the procedure is complete, it comes right off.

Just like your raincoat at home, the rubber dam protects you and keeps things dry.

Oral Cancer Exam

Each time your dentist examines your teeth, she also checks your mouth for signs of oral cancer. As part of your routine homecare, you should do the same.

  • Pay particular attention to sores in the mouth that don’t heal quickly (within two weeks) or that bleed easily.
  • Check the floor of your mouth, the front and sides of your tongue and the roof of your mouth for white or red patches that don’t go away.
  • Watch for soreness, thickening or lumps anywhere in your mouth or throat, or on your tongue.
  • Watch for leukoplakia, a white or gray, hardened, slightly raised or thickened lesion inside the mouth. These lesions can become cancerous; if you find one, schedule an exam with your dentist.
  • Don’t think you’re off the hook if a mouth sore doesn’t hurt; most pre-cancerous or cancerous lesions are painless.

Unlike other forms of cancer, the overall survival rate for cancers of the mouth and throat (called “pharyngeal” cancers) has not improved over the past two decades. In fact, researchers have noticed a marked decrease in the oral cancer survival rates for minorities. Early detection of oral cancer can greatly increase your chances for beating the disease.

Sensitive Teeth

When you contact Dr. Fickey regarding your tooth pain, it’s important that you be as thorough as you can in your explanation of the pain—how severe it is, when you feel it, where it’s located, and whether any conditions make it better or worse. That way, Dr. Fickey will have a sense as to the urgency of your problem.

Dental Bitewing x-ray

We use bitewing X-rays to find cavities between your teeth, tartar on the roots, worn-out fillings, receding bone levels caused by periodontal disease, and other conditions we cannot find with a clinical exam alone.

Complete dental x-ray Series

A complete set of X-rays is the first step in a thorough dental examination. We use the X-rays to find cavities between your teeth, tartar on the roots, worn-out fillings, receding bone levels caused by periodontal disease, and other conditions.